HCAF is offering training for home care billers and collectors next month in Tampa and Ft. Lauderdale. There have been many changes that were made in the 2015 HH PPS Final Rule that will affect how your agency gets paid for your services. Making sure your agency’s billers and collectors are educated on these changes, including the new Face-to-Face documentation requirements is paramount in making sure you do not become the victim of ADRs and RAC audits. Read below for more information and then click to register today!
The Home Health PPS Regulation for implementation January 2015 has brought about changes to the PPS System, but most importantly the threat of more cuts in reimbursement. Knowledgeable billers and collectors are extremely important to agencies thriving in the current system, so do not miss this needed education! Be the first to be current on all Medicare billing regulations implemented in 2015. This workshop will lay a concrete foundation for home health billing, as well as, financial staff by giving billers a more effective approach to the Medicare PPS regulation, conducting Medicare verifications and understanding adjustments. We will discuss Medicare verifications on patients with HIQH screen examples & review adjacent episode calculations – field by field on claim forms. We will review the process of auditing a pre-bill for final claim purposes, both Medicare and Non-Medicare Payers, and review the details of billing for Non-Routine Supplies using billing guidelines. More and more scrutiny of agency records has been taking place in the form of ADR and RAC reviews. This session will identify the current risks and outline steps to manage that risk. If you are part of the revenue cycle in your agency this session is a must.
After this workshop, participants will be able to:
1. Calculate and evaluate the HHRG, HIPPS Code and Episode Exceptions.
2. Verify Medicare Eligibility of patients and calculate Adjacent Episodes.
3. Complete a RAP and Final Claim form.
4. Describe the process for effectively auditing a Chart for purposes of identifying pre-bill issues and Medicare Secondary Payor Issues.
5. Establish processes to improve revenue cycle management.
Melinda Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS) which provides financial, reimbursement, clinical and cost reporting services to the home health, hospice and rehabilitation therapy industries. Melinda’s priority remains bridging the gap between clinical and financial issues in home health agencies.
HCAF or other State Home Care Association Members: $149
Prospective Members: $249