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      2020 Revenue Integrity Symposium in Broomfield

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      October 6, 2020

      Tuesday   8:00 AM - 5:00 PM (daily for 2 times)

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      2020 Revenue Integrity Symposium

      2020 Revenue Integrity Symposium
      About this Event


      October 6-7, 2020 | Westminster, COThe Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking for acute and long-term care professionals. Learn from trusted experts with cutting-edge regulatory insight that will arm you with the tools you need to take 2021 by storm. By popular demand, this year’s event kicks off with a motivational keynote session and introduces a track focused on professional development to help you navigate your career and ensure your team is positioned for success.


      Pre-Conference / Post-Conferences

      Medicare Boot Camp®—Utilization Review Version

      Medicare Boot Camp®—Provider-Based Departments Version

      Medicare Boot Camp®—Denials and Appeals Version

      Pre-Conference: October 4-5, 2020

      8:00 a.m. – 5:00 p.m.

      Medicare Boot Camp®—Utilization Review Version

      An intensive two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee.

      Managing patient status plays a critical role in proper compliance, correct reimbursement, and stabilizing inpatient payments for the hospital. In 2020, CMS made significant changes to the inpatient-only list and continues to change its strategies for auditing patient status. Don’t become a target or leave money on the table—ensure the UR committee is ready to implement and leverage the regulatory requirements.

      Medicare Boot Camp®—Utilization Review Version also answers all your questions about navigating the CMS website and finding Medicare requirements. You will be able to find answers to your questions long after the Boot Camp is over.

      You will leave this program knowing:

      How to apply the 2-midnight benchmark and 2-midnight presumptions
      Implement changes to the inpatient-only list for 2020
      The differences between post-discharge versus concurrent patient status reviews
      When self-denial is appropriate to take advantage of Part B payment for an inpatient case
      How NCDs, LCDs, and coverage with evidence development (CED) affect coverage of cases that meet the 2-midnight benchmark
      The observation coverage rules and how they interact with the 2-midnight benchmark
      When ABNs and HINNs should be used for stays that don’t meet medical necessity requirements
      Who should attend?

      Utilization review coordinators
      Utilization management managers and directors
      Utilization review committee members
      UR physician advisors
      Case managers
      Care coordinators
      Revenue cycle staff
      Nurse managers
      Compliance officers and auditors
      CFOs, CNOs, and VPs
      Fiscal intermediary personnel
      Healthcare lawyers and consultants
      Click here for full event details
      Post-Conference: October 8-9, 2020

      8:00 a.m. – 5:00 p.m.

      Medicare Boot Camp®—Provider-Based Departments Version

      Reimbursement for provider-based departments (PBD) and clinics has been declining, with off-campus payment changes and significant encounter-based packaging initiatives by CMS. Hospitals need to understand both the outpatient prospective payment system as well as the new PBD site-specific physician fee schedule payment to effectively assess the impact of these initiatives on PBDs and patients. With more hospitals moving services off-campus due to the value of hospital space or for patient convenience, reimbursement and compliance now become even more complex.

      The Medicare Boot Camp—Provider-Based Departments Version provides education on attestations, on- and off-campus determinations, enrollment, billing, and reimbursement. This Boot Camp will provide brand new insight for understanding hospital outpatient department billing and reimbursement in an ever-changing regulatory landscape.

      This boot camp will break down billing, coding, compliance, coverage, qualification, and other issues. It will help attendees gauge the financial impact of changes to off-campus PBDs, understand the effects of the recent increased packaging of services for all PBDs, and know how to handle other recent changes, such as modifiers -PO and -PN and modifier JG.

      You will leave this program knowing how to:

      Ensure PBDs meet regulatory requirements
      Properly apply Modifiers -PO, -PN, -25, and -JG
      Apply supervision requirements to ensure compliant, covered hospital outpatient services
      Find and apply National and Local Coverage Determinations
      Research Medicare coverage, coding, and billing issues
      Accurately calculate reimbursement for on- and off-campus PBDs under both the OPPS and PBD site-specific MPFS rate
      Determine when ancillary services such as drugs and testing are paid separately
      Who should attend?

      Compliance directors, managers, and staff
      Finance staff
      CFOs, finance directors
      Revenue cycle directors and professionals
      Revenue integrity professionals
      HIM directors and managers
      Physician practice administrators
      Post-Conference: October 8-9, 2020

      8:00 a.m. – 5:00 p.m.

      Medicare Boot Camp®—Denials and Appeals Version

      Get expert guidance on preventing denials and focusing appeals efforts for success. The evolution of reimbursement models and uncertainty regarding healthcare laws mean that to keep the doors open, organizations can’t afford write off appealable denials. Organizations need sound, practical information on overturning denials. Medicare Boot Camp® — Denials and Appeals Version is your key to proven strategies for success and will answer all of your questions on denials management and appeals processes.

      This Boot Camp teaches you about the latest claim audit and appeal issues based on official guidance. You’ll leave the class armed with a thorough understanding of the audit and appeal process and ready to put your new knowledge into action.

      You will leave this program knowing how to:

      Prepare for CMS audits

      Navigate the appeals process up to the Administrative Law Judge level

      Research denials and upcoming audit focus areas

      Implement policies to support efficient appeals and identify appropriate denials to appeal

      Who should attend?

      Revenue cycle directors and managers
      Revenue integrity directors, managers, and staff
      HIM directors, managers, and staff
      CDI directors, managers, and specialists
      Compliance directors, officers, and auditors
      Business office managers
      Case management directors and managers
      Case managers
      Utilizations review staff
      Utilization management staff
      Physician advisors
      Audit directors and coordinators
      Appeals coordinators
      Patient financial services directors
      See the HCPro difference for yourself!

      Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure hospital services furnished to Medicare beneficiaries are billed accurately and appropriately.

      Tools and skills to navigate Medicare rules: Our instructors provide valuable tools and resources that will help you prioritize and research Medicare questions long after the Boot Camp ends.

      Hands-on learning: Attendees work a set of exercises/case studies after each module to ensure they understand the concepts and know how to apply them to real-world situations.

      Small class size: A low participant-to-teacher ratio is guaranteed.

      Highly rated, well-established program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale). We currently conduct more than 30 Medicare Boot Camp courses each year.

      The 2020 Revenue Integrity Symposium agenda is still being finalized, but please click here to view the 2019 Revenue Integrity Symposium agenda to get and idea of what is to come!

      Topics covered last year include:

      Highlights of IPPS and OPPS annual updates
      Enhancing a revenue integrity program using analytics, metrics, and key performance indicators
      Maintaining an up-to-date and compliant charge description master and setting policies for charging for procedures and supplies
      Strategies for designing a revenue integrity program, developing workflows, and setting and meeting revenue integrity goals
      Complying with price transparency requirements and creating appropriate price strategies
      Developing strategies for accurately documenting, coding, and billing patient encounters and stays
      Best practices for reducing payer denials using targeted data analytics
      Current payer audit targets and strategies to protect revenue
      Properly addressing NCCI edits and MUEs
      Understanding the impact of patient status and navigating payer regulations
      Impact of value-based reimbursement models on revenue
      The impact of the new PDPM case-mix payment model on billing and reimbursement
      Tips for successfully navigating various consolidated billing categories
      Ensuring billing office compliance when dealing with Medicare Advantage, Medicare as secondary payer, and benefits verification
      The link between ICD-10 coding and the MDS

      Cost: $1,249

      Categories: Conferences & Tradeshows

      This event repeats daily for 2 times: Oct 6, Oct 7

      Event details may change at any time, always check with the event organizer when planning to attend this event or purchase tickets.

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