Earn BUILD THE SKILLS YOUR FACILITY NEEDS TO ENSURE BILLING SUCCESS. Nursing & Philadelphia, PA October Nashville, TN November 8 11

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1 2010 Fall Classes BUILD THE SKILLS YOUR FACILITY NEEDS TO ENSURE BILLING SUCCESS Philadelphia, PA October Nashville, TN November 8 11 Las Vegas, NV December 6 9 Earn Nursing & Nursing HOME Administrator CEUs! Register 30 days IN ADVANCE and save $200! Call HCPro at 800/ to receive your discount.

2 2010 Dates and Locations Location Class Dates Chicago, IL August Hyatt Place Schaumburg, 1851 McConnor Parkway Schaumburg, IL Telephone: 847/ Room Rate: $99/night Hotel Cutoff Date: July 30, 2010 Boston, MA September Courtyard Boston Woburn/Boston North, 700 Unicorn Park Drive Woburn, MA Telephone: 781/ Room Rate: $95/night Hotel Cutoff Date: September 2, 2010 Philadelphia, PA October Hyatt Summerfield Suites Plymouth Meeting 501 East Germantown Pike East Norriton, PA Telephone: 610/ Room Rate: $119/night Hotel Cutoff Date: October 4, 2010 Nashville, TN November 8 11 Homewood Suites by Hilton Nashville Downtown 706 Church Street Nashville, TN Telephone: 615/ Room Rate: $139/night Hotel Cutoff Date: October 24, 2010 Las Vegas, NV December 6 9 Hilton Garden Inn Las Vegas/Henderson 1340 West Warm Springs Road Henderson, NV Telephone: 702/ Room Rate: $109/night Hotel Cutoff Date: November 22, 2010 Class times are 8:30 a.m. 5:00 p.m. Monday Thursday. Special room rates are available! Limited availability register early! HOTEL RESERVATIONS We have negotiated a special rate for a limited number of rooms at each course location. Rooms are available on a first-come, firstserve basis and may sell out. For the special discounted room rate, reservations must be made by the date mentioned above. Be sure to identify yourself as a participant of the HCPro Medicare Boot Camp Long-Term Care program. Course fee The registration fee is $1,299 and includes all HCPro, Inc., course materials. For information regarding administrative policies, such as cancellations, transfers, refunds, or comments, call 800/ or visit

3 REGULATORY EXPERTS DIANE BROWN, BA, a regulatory specialist at HCPro, is a long-term care educator, consultant, editor, and author with more than 25 years of operational experience in healthcare. She also serves as the lead instructor for the HCPro Five-Star Quality Rating Boot Camp SM for Long-Term Care, Medicare Boot Camp Long-Term Care Version, and the MDS Boot Camp SM. She is a nationally recognized leader in helping post acute care facilities to thrive as they contend with tighter funding, new reimbursement methodologies, and fewer resources. She is also the author of several HCPro top selling long-term care books. She also served on the board of directors of NASPAC and the advisory board of Contemporary Long-Term Care magazine. FROSINI RUBERTINO, RN, CRNAC, C-NE, CDONA/LTC, is a registered nurse with more than 30 years of experience in the healthcare industry. A former member of Arkansas Health Association s Education Committee, she is currently a clinical services consultant for an Arkansas-based clinical consultant group. She received her executive management certificate from the Weatherhead School of Management at Case Western Reserve University and her Continuous Process Improvement training in Cleveland, OH. As an HCPro faculty member, she brings her experience in risk management, Medicare and regulatory compliance, clinical systems, and education into the classroom. Carol Marshall, MA, is a risk management specialist based in Fort Worth, TX. For the past 18 years, she has trained managers and staff members in long-term care facilities across the country about the benefits of exceptional customer service and risk management. She has offered training programs at numerous state conferences, professional groups, and in individual facilities. Biographical information for HCPro s other instructors is available on our website. To find out which instructor is scheduled to teach a particular class, please contact us at 800/ or visit Faculty subject to change. Faculty Disclosure Statement: HCPro, Inc., has confirmed that none of the faculty presenters or contributors have any relevant financial relationships to disclose related to the content of this educational activity. HCPro is the nation s leading provider of integrated information, education, training, and consulting services in the healthcare regulatory and compliance arenas. Specifically in long-term care, HCPro provides information, education, and guidance on complex topics such as MDS and care planning to help long-term care administrators and managers, reimbursement professionals, and clinical staff members break down confusing regulations into easy-to-understand processes and procedures. Visit us online at Register today! Visit or call 800/ Please mention your source code located on the order form when you register. What Boot Camp graduates are saying... This course provided excellent material and instruction for learning long-term care. I would highly recommend this course to others. Melissa Wakeley, Assistant Administrator, Parcway, Oklahoma City, OK Amazing knowledge base; everyone in healthcare would benefit. Tara Moreau, RN, DON, Bayou Chateau Nursing Center, Simmesport, LA

4 Make sure your facility is RAC READY, MEDICARE compliant, and CAPTURES the reimbursement it deserves Now that RAC audits have started in long-term care, make an important investment for your organization: Keep yourself and your staff up to date on the latest Medicare regulations and rules. The HCPro Medicare Boot Camp Long-Term Care Version enables you to: Find the answers for your most troublesome Medicare questions Determine the correct MDS-driven payment category and bill accurately Enhance your Medicare skilling process and foster improved documentation practices Identify revenue opportunities and prevent payment denials Improve communication to increase productivity and reduce compliance pitfalls Medicare Boot Camp See the HCPro difference for yourself This isn t just any Medicare compliance course; this program covers everything from admission, skilled coverage, assessment, and reimbursement determination to accurate billing, payment, medical review, and appeals. This is the most comprehensive course available today. Check out all the benefits of the HCPro Boot Camp: Focus on the actual rules The course focuses on learning how to find and apply CMS rules and guidelines to ensure skilled nursing services furnished to Medicare beneficiaries are assessed and billed accurately and appropriately. Hands-on learning At the conclusion of each course module, participants work a set of exercises/case studies designed to ensure that they understand the concepts and know how to apply them to real-world situations. Custom-designed course materials Materials are developed by instructors and editors specifically for this intensive learning format. Each participant receives comprehensive course materials and convenient access to current Medicare statues, regulations, and guidelines. Small class size Class size is limited to ensure individual attention. Highly rated Course participants consistently give the course an overall rating of 4.8 or higher (on a 5.0-point scale). Well-established program We currently conduct more than 24 Medicare Boot Camp courses each year.

5 Course Agenda DAY 1 Module 1: Overview of the Medicare Program/Research Discuss the types of Medicare programs Eligibility requirements Medicare regulation research: End your confusion over the CMS website and find what you need Module 2: SNF Coverage/Admissions Technical Medicare requirements for admission to an SNF Starting and ending a benefit period Skilling basics Identify covered services and appropriate documentation DAY 2 Module 3: The Resident Assessment Instrument Concepts and constructs Coding for accuracy, coding for payment Problematic assessment and communication areas Introduction and transition to MDS 3.0 Module 4: SNF PPS Payment RUG-III acuity-based reimbursement Link payment items to the MDS assessment and ADLs Compute RUG rates Discuss transition to RUG-IV DAY 3 Module 5: SNF Billing under Part A Accurate UB-04 coding Specialty claims: LOA, benefits exhaust, no pay Utilization of Medicare days Module 6: Consolidated Billing Knowing what is and what is not the responsibility of the SNF under consolidated billing Build your internal bill review processes DAY 3 (continued) Module 7: Part B Outpatient Therapy and Billing Rules, regulations, documentation requirements for Part B therapy Completing the UB-04 Adhering to the NCCI edits Module 8: Part B Ancillary and DMEPOS Examine the facility requirements for each type of billable service Facility billing options Documentation requirements DAY 4 Module 9: Diagnosis Coding for SNF Service ICD-9-CM coding conventions and structure Coding examples Proper use of V codes Decision-making process regarding which codes to include on the UB-04 Module 10: Beneficiary Notices Initiative Types of notices: SNF ABN, ABN, NEMB, expedited review When and how to issue an advanced beneficiary notice Module 11: Medicare Medical Review Preparing for external reviews: FI/MAC, CERT, RAC, ZPIC Trigger points that may flag an audit or review Tips to reduce audit likelihood Audit case study for discussion Module 12: Medicare Appeals Levels of appeal Timing

6 common questions Who should attend? Reimbursement directors and staff members Finance directors and staff members Business office managers and staff members Directors of nursing and nursing department staff members Therapy staff members Administrators and owners MDS coordinators Quality assurance managers and staff members Compliance officers and auditors Carrier/fiscal intermediary personnel Long-term care lawyers, consultants, and CPAs Legal department personnel Are there any prerequisites? Due to the fast-paced nature of the course, it is recommended but not required that participants have at least one year of experience working in an SNF. However, the course starts with Medicare fundamentals and does not assume that participants have any particular background or experience. This course is taught on a basic to intermediate level. Register today! Visit or call 800/ Please mention your source code located on the order form when you register. Are continuing education credits provided? Visit us at for complete information about continuing education credits.

7 Additional Courses and Services HCPro Boot Camps for Long-Term Care Five-Star Quality Rating Boot Camp SM for Long-Term Care This four-day course outlines a pathway for long-term care facilities to improve a poor ranking or to maintain an excellent rating. This program provides an in-depth review of all recent and upcoming regulatory changes and the tools and resources necessary to ensure that a facility is survey ready all year round. MDS 3.0 Boot Camp SM Long-Term Care Version This four-day training program focuses on accurate completion of the new MDS 3.0 assessment and links the assessment process to clinical standards of care. This program identifies process changes that will result in a successful transition to MDS 3.0, including clinical care, clinical outcomes, and reimbursement. For more information on any of our boot camps, please visit or call 800/ On-site education Sponsored by The Center for Post Acute Excellence Bring the Medicare Boot Camp Long-Term Care Version, Five-Star Quality Rating Boot Camp for Long-Term Care SM, or the MDS 3.0 Boot Camp SM to your facility. If you have a group to train, holding a Boot Camp at your organization is easy and cost-effective. Eliminate travel costs and enjoy a group discount while ensuring your staff is up to date on the latest regulations and guidelines. The Center for Post Acute Excellence The Center for Post Acute Excellence partners with providers in long-term care on cutting-edge, customized solutions to meet your most complex educational needs. Our dedicated team of regulatory experts and analysts track the latest industry rules to help your organization navigate the everchanging regulatory and payment landscape with customized regulatory surveillance and on-site educational programs. For more information on The Center please visit or call us at 877/

8 Course Registration Please mail or fax the completed form to: HCPro, Inc. 200 Hoods Lane Marblehead, MA Phone: 800/ Fax: 800/ Register 30 days in advance and save $200! Call 800/ to receive your discount! Registration Rate: Standard rate $1,299 Course Location Course Dates Name Nickname Organization Title Address City State ZIP Phone Fax Address Payment Type A check for my course fee is enclosed (made payable to HCPro, Inc.) Charge my course fee to (circle one): Visa MasterCard American Express Discover Name on Card Signature Cardholder Street Address ZIP Card Number Exp. Date Upon receipt of this form and your course fee, we will send confirmation of your registration, including hotel information and information about any manuals/texts required for class (this information is also available on our website at HCPro, Inc. All rights reserved. MT Hoods Lane P.O. Box 1168 Marblehead, MA 01945