Hospice Billing Series

Recorded Webinar | Melinda A. Gaboury | From: Nov 10, 2020 - To: Dec 31, 2020

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Recording
   $599  
DVD
   $619  
Recording + DVD
   $769  
Transcript (Pdf)
   $599  
Recording & Transcript (Pdf)
   $759  
DVD & Transcript (Pdf)
   $769  


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This three-part webinar series gives an insight into the latest and significant changes brought to reimbursement and content of actual Election Statements and future Addendum. Also, get enlightened on accurate monthly claims and understand the navigation surrounding the edits and errors which is crucial in getting timely paid. Besides this know all the nuts and bolts that hold hospice reimbursement together. In short, the session fills your platter with complete knowledge of Hospice Billing and the 2020 changes, and even more. 

 

Hospice Billing Series: Part 1 – Eligibility Requirements & Notice of Election

Establish and cement the foundation with a full understanding of Medicare regulations for hospice staff. Medicare eligibility verifications, field-by-field detail on Notice of Election and claim forms, and changes to the billing requirements will be covered in Part 1 of this three-part series.

The 2020 Hospice Rule brought significant changes to reimbursement, and to the content of the actual Election Statement and future Addendum. New and experienced hospice billers must stay sharp by reviewing changes and eligibility requirements. This webinar provides a comprehensive review of eligibility requirements and all aspects of dealing with Election Statement changes. All things related to the Notice of Election will be covered, including updates on how to correct a Notice of Election that was not filed correctly, a walk-through of the Late Notice of Election, and the exceptions process of appeal.

Areas Covered:-

  • All eligibility requirements for hospice admission
  • Benefit periods
  • Updates to the content of the Election Statement
  • Billing details of Notice of Election
  • Late Notice of Election claim issues
  • Update to Late Notice of Election exceptions and corrections

 

Hospice Billing Series: Part 2 – Details of Medicare Claims Processing

Ensure your monthly claims are accurate and that staff is up-to-date on the latest hospice billing reimbursement changes. Industry expert Melinda Gaboury will provide a step-by-step guide through the content of the final claims, frequent billing issues, address physician billing, and more.

Accurate monthly claims and understanding the navigation surrounding the edits and errors is key to getting paid correctly and on time. The presenter will go through the step-by-step process of monthly hospice billing and provide examples of successfully dealing with recent changes. The most recent reimbursement changes will be addressed, including proposed changes to the base rates for hospice levels of care through rebasing. This session will provide a step-by-step guide through the content of the final claims, frequent billing issues, and physician billing.

Areas Covered:-

  • Explain distinct levels of care and billing specifics
  • Understand the details of monthly claim content
  • Outline and handle typical billing issues
  • Detail the newest rate changes due to rebasing/2021 rates
  • Outline changes in the wage index structure
  • Define standards for physician billing on hospice claims

 

Hospice Billing Series: Part 3 – Face-to-Face, Hospice Cap, HIS & Top 5 Denial Reasons

Is your revenue cycle team current on the latest hospice billing information? Melinda Gaboury takes you through the top five medical review denial reasons, aggregate cap self-report, palliative cares billing basics, and the latest on HIS updates and transmission requirements in this jam-packed webinar.

All the nuts and bolts that hold hospice reimbursement together will be covered in this webinar. Face-to-face requirements, physician billing, and the aggregate cap self-reporting requirement are among the many daily reimbursement-related challenges. A review of specific HIS reporting requirements will be addressed to expand your agency's knowledge of hospice reimbursement-related components. Learning the top five reasons for denied claims under medical review will take you a step beyond the basics of claims processing.

Areas Covered:-

  • Review hospice face-to-face requirements
  • Recap the self-reporting of hospice aggregate cap
  • Identify palliative care specific codes for billing Part B
  • Outline HIS reporting requirements
  • Detail the top five medical review denial reasons and how to avoid them

Who Should Attend?

This informative session will best suit directors, clinical managers, intake/authorization staff, and anyone on the revenue cycle team.

Melinda A. Gaboury

Melinda A. Gaboury, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews, and due diligence. ZPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D.