SAVE $50 SAVE $100. Medicare Boot Camp. Long-Term Care Version classes forming now!

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1 Medicare Boot Camp Long-Term Care Version *cannot be combined with any other discounts Register up to 90 days before course start date and SAVE $100 Coupon code: bcsave100 Register up to 60 days before course start date and SAVE $50 Coupon code: bcsave classes forming now!

2 course overview HCPro s Medicare Boot Camp Long-Term Care Version offers the help you need to overcome steep payment cuts and therapy changes in the SNF PPS, navigate payment under RUG-IV, improve documentation, ease the transition to ICD-10, and avoid audit risk. This course also covers the latest Medicare regulations and rules to ensure that your staff is up to date and properly billing for services. The Medicare Boot Camp Long-Term Care Version follows a Medicare patient from preadmission through discharge, addressing the function of each department and uncovering the pitfalls along the way. Our exceptional instructors provide positive reinforcement and ensure that every student learns, regardless of experience level. Prepare your staff to seamlessly absorb the new unscheduled assessments while keeping up to date on the latest Medicare regulations and rules. The Medicare Boot Camp Long-Term Care Version enables you to: Reconcile your revenue projections resulting from the confusion between prospective-paying assessments and retroactive-paying assessments Avoid putting your revenue at risk under ICD-10 by preparing now for the new coding system Allocate your resources to withstand the reimbursement cuts in the SNF PPS Determine the correct RUG-IV payment category driven by MDS 3.0 for billing accuracy Enhance your Medicare skilling process and foster improved documentation practices Identify the dollars you deserve and prevent payment denials Improve interdepartmental communication to increase productivity and reduce compliance missteps and payment pitfalls Find the answers to your most troublesome Medicare questions Develop ways to reduce the stress on staff caused by the additional workload of increased documentation requirements 2

3 dates & locations Detroit I June 17 20, 2013 Hilton Garden Inn Detroit Metro Airport Smith Road, Romulus, MI Newark I July 15 18, 2013 Hyatt Place Fair Lawn/Paramus Broadway, Fair Lawn, NJ Kansas City I August 19 22, 2013 Homewood Suites by Hilton Kansas City Airport 7312 NW Polo Drive, Kansas City, MO San Antonio I September 23 26, 2013 Home2 Suites by Hilton San Antonio Downtown River Walk 603 Navarro Street, San Antonio, TX All classes run Monday Thursday 8:30 am 5:00 pm. Call hotel for special discounted room rates. Most discounts expire four weeks prior to the Boot Camp start date. SPECIAL ROOM RATES AVAILABLE! Limited availability register early! Hotel reservations: Make your hotel reservations immediately to guarantee the hotel rate and availability, and be sure to identify yourself as a participant of HCPro s Medicare Boot Camp Long-Term Care Version. Course fee is $1,349 The fee includes the course workbook. For information regarding administrative policies, such as cancellations, transfers, refunds, or comments, call or visit 3

4 course outline Day 1 Module 1: Overview of the Medicare program/research 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 and documentation Technical Medicare requirements for admission to a SNF Starting and ending a benefit period Skilling basics Identify covered services and document appropriately Day 2 Module 3: The Resident Assessment Instrument and MDS 3.0 Critical review of the MDS 3.0 Concepts and constructs Coding for accuracy, coding for payment Problematic assessment and communication areas Linkage between interviews, culture change, and repeat business in the SNF Scheduling challenges posed by the new OMRA assessments (COT, EOT, SOT) Module 4: SNF coverage and documentation RUG-IV acuity-based reimbursement Link payment items to the MDS assessment and ADLs Compute RUG rates Challenges of RUG-IV Determining payment days with both prospective and retrospective assessments Revenue projection challenges Strategies to bring in repeat business Day 3 Module 5: SNF billing under Part A Accurate UB-04 coding Billing challenges related to retrospective assessments Specialty claims: LOA, benefits exhaust, no pay Utilization of Medicare days Day 3 Continued Module 6: SNF consolidated billing Knowing what is and what is not the responsibility of the SNF under consolidated billing Build your internal bill review processes Module 7: Part B outpatient therapy and ancillary billing Rules, regulations, documentation requirements for Part B therapy Completing the UB-04 Adhering to the NCCI edits (-59 modifier, etc.) Examine the facility requirements for each type of billable service Facility billing options Documentation requirements Module 8: Beneficiary notices initiative Type of notices: SNF ABN, ABN, NEMB, expedited review When and how to issue an ABN Day 4 Module 9: Diagnosis coding for SNFs ICD-9-CM coding conventions and structure Coding examples Proper use of V codes Decision-making process regarding which code to include on the UB-04 Overcome transition challenges to ICD-10 and 5010 Module 10: Medicare medical review and appeals process Preparing for external reviews: MAC, CERT, RAC, ZPIC Trigger points that may flag an audit or review Tips to reduce audit likelihood Case study for triple check review Module 11: Medicare appeals process Levels of appeal Timing Module 12: Medicare compliance and risk management Components of a compliance plan Ensuring data accuracy How to audit a record Documentation tips Education and training *Course agenda subject to change. 4

5 Expert Trainers Diane L. Brown, BA, CPRA, is a long-term care educator, editor, and author with more than 25 years of operational experience in health care. As Director of Post Acute Education at HCPro, she develops quality educational programs and investigates new opportunities for business development. She is a regulatory specialist and the lead instructor for HCPro s MDS 3.0 Boot Camp and Medicare Boot Camp Long-Term Care Version. Her strong leadership, problem-solving, and team-building skills communicate possibilities, define innovative solutions, and motivate for outcome. Frosini Rubertino, R.N., C-NE, CDONA/LTC, CPRA, is a regulatory specialist with over 25 years of health care experience training and advising staff in long-term care how to achieve compliance and maintain excellence in their respective roles and is a nationally recognized instructor for HCPro s Survey Prep Bootcamp TM, Medicare Boot Camp Long-Term Care Version, and MDS Boot Camp TM : Beyond the Basics. Frosini is the author of HCPro s The QIS Mock Survey Guide, is a member of the Editorial Advisory Board for HCPro s Billing Alert for Long-Term Care, and has contributed to numerous published articles related to PPS and Medicare billing. Carol Marshall, MA, CCC-SLP, has been an adjunct professor with HCPro for two years and provides ongoing consulting to post acute care settings across the country as a risk management and regulatory specialist, based in Fort Worth TX. For the past 20 years, she has trained owners, administrators, managers and staff members in long-term care facilities about the benefits of exceptional customer service, Medicare compliance, quality improvement, corporate compliance, worker s compensation and risk management. 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. 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 or visit Well organized and delightfully presented. This material can be tedious but Diane s knowledge of the information and her approach to teaching was exceptional. I am grateful. Teresa White, Director of Nursing Lutheran Senior Life Passavant. 5

6 faqs Are continuing education credits provided? Visit us at for complete information about continuing education credits. Depending on the particular Boot Camp, HCPro Boot Camps offer continuing education credits from the following organizations: American Academy of Professional Coders (AAPC) American Nurses Credentialing Center (ANCC) California Board of Registered Nursing Certification Compliance Board (CCB) Continuing Medical Education (CME) National Association of Boards of Examiners of Long Term Care Administrators (NAB) National Association of State Boards of Accountancy (NASBA) Who should attend the Medicare Boot Camp Long-Term Care Version? Reimbursement directors and staff MDS coordinators members Quality assurance managers and staff Finance directors and staff members members Business office managers and staff Compliance officers and auditors members State surveyors Directors of nursing and nursing Carrier/fiscal intermediary personnel department staff members Long-term care lawyers, consultants, and Therapy staff members CPAs Administrators and owners Legal department personnel Are there any prerequisites? Due to the fast-paced nature of this course, it is recommended but not required that participants have at least one year of experience working in a SNF. However, this 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. Check out all the benefits of this 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 through a set of exercises to ensure 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 statutes, 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-point scale). Well-established program We currently conduct more than 12 Medicare Boot Camp Long-Term Care Version courses each year. 6

7 registration Easy ways to register for your HCPro Boot Camp Mail HCPro, Inc. P.O. Box 3049 Peabody, MA Phone Fax Web 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 Web site at COURSE SELECTION q $1,349 Medicare Boot Camp Long-Term Care Version 2013 COURSE location q Detroit June q Newark July q Kansas City Aug q San Antonio Sept total registration RATE $ INCLUDE YOUR CATALOG COUPON CODE Include coupon code BCSAVE100 (up to 90 days before course start date) to save $100 and coupon code BCSAVE50 (up to 60 days before course start date) to save $50. Name Organization Title Address City State Zip Phone PAYMENT TYPE q A check for my course fee is enclosed (made payable to HCPro, Inc.) q Charge my course fee to (circle one) VISA Mastercard Am Ex Discover Name on Card Cardholder Street Address Zip Card Number Exp. Date Copyright 2013 HCPro, Inc. All rights reserved. *MAGNET, MAGNET RECOGNITION PROGRAM, and ANCC MAGNET RECOGNITION are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro, Inc. and The Greeley Company are neither sponsored nor endorsed by the ANCC. The acronym MRP is not a trademark of HCPro or its parent company. HCPro, Inc. is not affiliated in any way with The Joint Commission, which owns the JCAHO (Joint Commission on Accreditation of Healthcare Organizations) and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). 7

8 Medicare Boot Camp Long-Term Care Version Register up to 90 days before course start date and SAVE $ classes forming now! Register up to 60 days before course start date and SAVE $50 P.O. Box 3049 Peabody, MA MT301254