Changes to the Medicare Hospice Regulations have occurred over the past few years and continue. Is your hospice thriving? Has your hospice adapted to budgeting for the new rates for 2021? Do you know where your agency stands in regard to PEPPER targets? Be among the elite group of hospice professionals that are current on all Hospice Medicare reimbursement related regulations. This workshop will lay a concrete foundation for hospice billers, as well as, any hospice staff that need to more effectively understand the Medicare regulations. This workshop will include field by field on Notice of Election, NOTR, claim forms and sequential billing requirements. The 2020/21 Claims Requirements will be detailed including a review of the new Routine & other levels of Hospice rates will be conducted. The workshop will detail the CMS Targeted Probe & Educate demonstration while also reviewing the regulations for face-to-face encounters and pre-claim reviews that should be conducted prior to filing claims. The workshop will conclude with analyzing the PEPPER information and how hospices can work toward improvement in their scores. If you have any part in the responsibility of reimbursement in your hospice this workshop is a must.
At the conclusion of the webinar, participants will be able to:
1. List the basic eligibility requirements for initiating Hospice and Billing to Medicare
- Conduct overview of eligibility requirements for the Hospice Benefit
- Review Benefit Periods & Eligibility
- Review Notice of Election Details
2. Detail criteria for line item billing Hospice Notice of Election and Claims to Medicare
- Review line item requirements including 15-minute increments for claims
- Review Sequential billing requirements with examples
- NOE Exceptions
- Physician Billing
- Improvement in scores
3. Detail specific Medicare regulatory issues affecting hospice reimbursement
- Review Hospice Face-to-Face Requirements
- Impact of the Public Health Emergency (PHE)
- Audit Risks - CMS Targeted Probe & Educate
4. List the Target areas for Hospice PEPPER and the use of data
- Review criteria that lead to target scores higher than the national numbers
- Review steps agencies should take for improvement in scores
Presenter: Melinda Gaboury, CEO/Co-Founder, Healthcare Provider Solutions
Melinda A. Gaboury, with more than 29 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. UPIC, 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 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-D1.
Registration: Registrations may not be shared between agencies – the agency’s registration covers the access of only one phone line/computer access to the webinar. Multiple site participation for your agency will require a separate registration fee for each connection. Please note: if your agency has sent in 1 registration but 3 people from your agency register through the GTW link, your agency will be invoiced for the additional 2 registrations. The handouts will be emailed to you to the email address you provide. Please feel free to provide an additional email address as a backup.
|| HCAW Member
||$129 per connection
||$229 per connection
The recording for this webinar will be made available through December 31, 2020.
Continuing Education: 6 Nurse Contact Hours Offered
The Association for Home and Hospice Care of North Carolina is approved as a provider of nursing continuing professional development by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Cancellation Fee: Fees will be refunded only if written cancellation is received by HCAW two weeks prior to the workshop and no refunds after the registration link is sent to your agency. In the event of a written cancellation, HCAW will retain $30 of the initial fee to cover administrative overhead.