BEGIN:VCALENDAR VERSION:2.0 PRODID:icalendar-ruby CALSCALE:GREGORIAN BEGIN:VEVENT DTSTAMP:20240329T120943Z UID:1188bd4b-e35e-4a93-8e0c-0336d497baf0 DTSTART:20201203T080000 DTEND:20201204T080000 CLASS:PRIVATE DESCRIPTION:
Master Medicare rules for utilization review
\n\nMedicare Boot Camp®\;&mdash\;Utilization Review Version is an intensive two-day course focusing on the Medicare regulatory requiremen ts for patient status and the role of the utilization review (UR) committe e.
\n\nManaging patient status plays a critical role in proper compl iance\, correct reimbursement\, and stabilizing inpatient payments for the hospital. In 2020\, CMS made significant changes to the inpatient-only li st and continues to change its strategies for auditing patient status. Don &rsquo\;t become a target or leave money on the table&mdash\;ensure the UR committee is ready to implement and leverage the regulatory requirements.
\n\nMedicare Boot Camp&mdash\;Utilization Review Version also answe rs all your questions about navigating the CMS website and finding Medicar e requirements. You will be able to find answers to your questions long af ter the Boot Camp is over.
\n\n
\nYou will leave this p
rogram knowing:
How to apply the 2-midnight benchmark a
nd 2-midnight presumptions
\nImplement changes to the inpatient-only
list for 2020 \;
\nThe differences between post-discharge versus
concurrent patient status reviews
\nWhen self-denial is appropriate t
o take advantage of Part B payment for an inpatient case
\nHow NCDs\,
LCDs\, and coverage with evidence development (CED) affect coverage of ca
ses that meet the 2-midnight benchmark
\nThe observation coverage rul
es and how they interact with the 2-midnight benchmark
\nWhen ABNs an
d HINNs should be used for stays that don&rsquo\;t meet medical necessity
requirements
Utilization review coordinators
\nUtilization management manager
s and directors
\nUtilization review committee members
\nUR phys
ician advisors
\nCase managers
\nCare coordinators
\nRevenu
e cycle staff
\nNurse managers
\nCompliance officers and auditor
s
\nCFOs\, CNOs\, and VPs
\nFiscal intermediary personnel
\
nHealthcare lawyers and consultants
 \;
\n\nModule 1: Medicare Overvi
ew and Contractors
\nOverview of Medicare Part A\, B\, C\, a
nd D
\nMedicare contractors\, including the MAC\, RAC and QIO
Module 2: Medicare Research and Resources \;
\nFinding Medicare source laws\, including statutes\, regulations and fina
l rules
\nFinding Medicare sub-regulatory guidance\, including manual
s and transmittals \;
\nMedicare Coverage Center\, including LCDs
\, NCDs\, CED and Lab Coverage Manual
\nLimitations of Liability and
notice requirements for non-covered services
\nLinks to Medicare reso
urces and resources for staying current
Module 3: Outpat
ient Observation
\nCoverage of observation services
\nT
he Medicare Outpatient Observation Notice (MOON)
\nAdvanced Beneficia
ry Notice (ABN) for non-covered observation
\nCoding and billing of o
bservation
\nPayment for observation under the Observation Comprehens
ive APC (C-APC)
Module 4: Coverage of Inpatient Admissio
ns
\nInpatient order and certification requirements
\nI
npatient criteria and the 2-Midnight Benchmark
\nInpatient-only proce
dures
\nAdmission on a case-by-case basis
\nDocumentation and us
e of screening tools
\nQIO short stay audits
Module
5: Inpatient Utilization Review and Notices
\nUtilization r
eview requirements and self-denials
\nConcurrent review and billing w
ith condition code 44 \;
\nInpatient Part B payment and billing w
ith condition code W2
\nImportant Message from Medicare (IM)
\nD
etailed Notice of Discharge (DN)
\nHospital Issued Notice of Non-Cove
rage (HINN) for non-covered inpatient services
Module 6:
Medicare Payment Fundamentals and Patient Responsibility
\n
Basics of the Outpatient Prospective Payment System (OPPS)
\nPatient
coinsurance under Part B
\nBasics of the Inpatient Prospective Paymen
t System (IPPS)
\nThree-day payment window and pre-admission services
\nMedicare-severity diagnosis related groups (MS-DRGs)
\nPaymen
t for transfers and post-acute care transfers
\nInpatient deductible\
, coinsurance\, and lifetime reserve days (LRDs)
At the conclusion of this educat ional activity\, participants will be able to:
\n\nDefine observatio
n coverage\, billing\, coding\, and payment rules
\nDiscuss the appro
priate application of ABNs for observation patients
\nState the new/r
evised inpatient order and certification requirements
\nExplain CMS&r
squo\; 2-midnight rule benchmark \;
\nDescribe the effect of hosp
ital practice patterns on the 2-midnight presumption \;
\nRecogni
ze exceptions to the 2-midnight benchmark
\nDescribe the impact of LC
D/NCD/CED criteria on inpatient coverage
\nState the rules for "\
;inpatient-only"\; procedure billing and reimbursement
\nDescribe
the differences between condition codes 44 and W2
\nUse appropriate
billing codes for full Part B payment for inpatient cases\, including for
"\;self-denials"\;
\nDifferentiate inpatient and outpatient d
eductibles and co-payments
AAPC
\nThis program has been ap
proved by the AAPC for 15 continuing education hours. Granting of prior ap
proval in no way constitutes endorsement by AAPC of the program content or
the program sponsor.
American Health Information Manage
ment Association (AHIMA)
\nThis program has been approved fo
r 15 CE credits for use in fulfilling the continuing education requirement
s of the American Health Information Management Association (AHIMA).
Association of Clinical Documentation Improvement Specialists
(ACDIS)
\nThis program has been approved for 15 continuing
education units towards fulfilling the requirements of the Certified Clini
cal Documentation Specialist (CCDS) certification\, offered as a service o
f the Association of Clinical Documentation Improvement Specialists (ACDIS
).
American Nurses Credentialing Center (ANCC)< br />\nHCPro is accredited as a provider of continuing nursing education b y the American Nurses Credentialing Center'\;s Commission on Accreditat ion.
\n\nThis educational activity for 15 nursing contact hours is p rovided by HCPro.
\n\nCalifornia Board of Registered Nursing
\nHCPro is approved by the California Board of Registered N
ursing to provide 18 nursing contact hours. California BRN Provider #CEP 1
4494.
Commission for Case Manager Certification (CCMC)
strong>
\nThis program has been pre-approved by the Commission for Ca
se Manager Certification to provide 15 continuing education credit to Cert
ified Case Managers (CCMs).
ACCME
\nHCPro
is accredited by the Accreditation Council for Continuing Medical Educatio
n (ACCME) to provide continuing medical education for physicians.
Nation
al Association of State Boards of Accountancy (NASBA)
\nEarn up to 18
CPE Credits!
\nProgram Level: Basic
\nDelivery Method: Group-Li
ve
\nField of Study: Specialized Knowledge and Applications
HCPro is registered with the National Association of State Boards of Acco untancy (NASBA) as a sponsor of continuing professional education on the N ational Registry of CPE Sponsors. State boards of accountancy have final a uthority on the acceptance of individual courses for CPE credit.
\n\n
\nPlease contact the event manager Marilyn (marilyn.b.turner(at)nye
ventslist.com ) below for:
\n- Multiple participant discounts
\n
- Price quotations or visa invitation letters
\n- Payment by alternat
e channels (PayPal\, check\, Western Union\, wire transfers etc)
\n-
Event sponsorships
\nNO REFUNDS ALLOWED ON REGISTRATIONS\nService fees included in this listing.
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o you by:
\nBusiness &\; Legal Resources - NewYorkEventsList
\nhttp://www.NyEventsList.com
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\nROC221018CEL