BILLING - LeadingAge Minnesota · 8:30 a.m. DHS “Hot Topics” and Billing Updates for Care...

4
BILLING UNIVERSITY August 14-15, 2013 University of Minnesota Continuing Education and Conference Center 1890 Buford Avenue, St. Paul, MN 612.624.3245 Audience: Care Center business office staff who are new to their positions Experienced care center business office staff who want to update their knowledge in the ever changing financial environment A two-day intensive learning experience for care center business office staff

Transcript of BILLING - LeadingAge Minnesota · 8:30 a.m. DHS “Hot Topics” and Billing Updates for Care...

Page 1: BILLING - LeadingAge Minnesota · 8:30 a.m. DHS “Hot Topics” and Billing Updates for Care Centers • Learn about the upcoming modifications to the Nursing Facility Level of Care

BIL

LIN

G

UNIVERSITYAugust 14-15, 2013University of Minnesota Continuing Education and Conference Center1890 Buford Avenue, St. Paul, MN612.624.3245

Audience:• CareCenterbusinessofficestaffwhoarenewtotheirpositions• Experiencedcarecenterbusinessofficestaffwhowanttoupdatetheirknowledgeintheeverchanging financialenvironment

A two-day intensive learning experience for care center business office staff

Page 2: BILLING - LeadingAge Minnesota · 8:30 a.m. DHS “Hot Topics” and Billing Updates for Care Centers • Learn about the upcoming modifications to the Nursing Facility Level of Care

BIL

LIN

G

UNIVERSITY

Purpose:This educational program is specifically designed to improve the financial health of Minnesota’s

care centers by equipping business office staff with the knowledge, skills and resources

necessary to capture appropriate reimbursement and revenue for services and care provided.

Schedule:

DAY 1 - August 14, 2013

8:30a.m. Registration and Continental Breakfast

9a.m. Welcome and Introductions

The Care Center Business Office: An Operational Overview• ReviewNursingFacilitypolicyandratechanges enactedduringthe2013legislativesessioninclud-

ingtheCOLA,changestotheratenotices,thequalityadd-onrateincreaseandplannedclosurerateadjust-ments.

• Discusstheroleandresponsibilitiesofbusinessofficestaffinhelpingtocapturetheappropriatereimburse-mentandrevenueforservicesprovided.

• Identifykeyoperationalapproachesandsystemsthatneedtobeinplacetohelpyoumanagepaymentfrommultiplesources.

• ReceiveupdatedinformationonkeytrendsinfluencingLTCreimbursementinthenearandlongerterm.

Presenters: JEFF KING, CFO, Three Links, Northfield; and JEFF BOSTIC, Director of Data and Financial Policy, Aging Services of Minnesota, St. Paul

9:45a.m. Minnesota’s Managed Care Options for Seniors and Your Care Center • UnderstandthedifferencesbetweenMinnesotaSenior Care(MSC),MinnesotaSeniorCarePlus(MSC+)and MinnesotaSeniorHealthOptions(MSHO)andwhat LTCservicestheypayfor–ordon’t.• KnowwhocanenrollintheMSHOprogram.• Appreciatehowtimelyandaccuratefilingofpaper worktothecountyimpactspayment.• Describepotentialchangescomingtothemanaged careprograms.• Learnaboutspenddownrequirementsandwaysof implementingthemworkingwithvariouspayers includingDHSandhealthplans.Presenter: SUE KVENDRU, MSHO Project Manager, Minnesota Department of Human Services, St. Paul

10:45a.m. Break

11a.m. Minnesota’s Managed Care Options for Seniors and Your Care Center (cont’d) 11:45a.m. Lunch

12:45p.m. Medicare Reimbursement • Discusscommonbillingerrorsandhowtoreduce them.• ReviewMedicareSecondaryPayer(MSP)claimsto avoidcommonerrorsthatdelayclaimpayments.• KnowwhoiseligibletoreceiveSNFservices.• UnderstandhowLeaveofAbsence(LOA)daysare handledandhowthatimpactsreimbursement.• IdentifytheexclusionstoSNFservices.• Recognizetheservicesthatareexemptorexcluded fromConsolidatedBillingandtheservicesthatare bundledinConsolidatedBilling.• ReviewAdditionalDevelopmentRequests(ADR)so youknowwhat’sbeingexpectedofyou.• AnalyzeandidentifytrendsinMedicareappeals.• BrieflydiscusshowMNprovidersarehandlingthe newformatforthe210billsandany5010issuesthat mayariseaftertheJune30thimplementationdate.Presenter: KIM THOMAS, Provider Outreach and Education Representative, National Government Services, Indianapolis, Ind.

2p.m. Break

2:30p.m. Medicare Reimbursement (cont’d)

3:15p.m. Adjourn for the day

Page 3: BILLING - LeadingAge Minnesota · 8:30 a.m. DHS “Hot Topics” and Billing Updates for Care Centers • Learn about the upcoming modifications to the Nursing Facility Level of Care

DAY 2 – August 15, 2013

8a.m. Check in for the Day and Continental Breakfast

8:30a.m. DHS “Hot Topics” and Billing Updates for Care Centers • Learnabouttheupcomingmodificationstothe NursingFacilityLevelofCarethatwillchangethe criteriaforMedicaidpaymentoflong-termcare effectiveJanuary1,2014andwhattheBusiness Officeneedstobeawareofrelatedtothischange.• Refreshyourknowledgeofprivaterooms:Who, whenandwhatamountcanbebilledforaprivate

roomcharge.• DiscusstheMinnesotastatuteregardingLTC insurancepaymentsfornursinghomeresidents, howtheyaretobereportedonclaims,treatedin

regardtospenddownandwaystoensurethatthefacilityreceivespayment.

Presenters: KIM BRENNE, Management Analyst; and GREG LEAHY, State Program Administrator Principal, Nursing Facility Rates and Policy Division, Minnesota Department of Human Services, St. Paul; SEAN O’NEIL, Regional Ombudsman, Office of Ombudsman for Long-Term Care, Minnesota Board on Aging, St. Paul; and DOUG SILVERMAN, State Program Administrator Principal, Aging and Adult Services Division, Minnesota Department of Human Services, St. Paul

10:15a.m. Break

10:30a.m. Successfully Billing “Tricky” Claims • Refreshyourknowledgeonhowtohandlebilling specialbills–includingDemandBills,Benefits ExhaustedClaims,ShadowBills,210BillsandNo

ThreeDayStayBills.• ConsiderMedicareSecondaryPayer(MSP)claims

andwhatyouneedtoknowtoreducemistakes.• ReviewPartAtherapyclaims/rehabilitationRUGS andwhytimelyfilingissoimportant.• Describewhatyouneedtodotosubmitcorrect PartBtherapyclaims.• Discussconsolidatedbillingandwhatcancause challengesforcarecenterbillingofficestaff.Presenter: KIM CONNER, Healthcare Consultant, Pope & Conner Consulting, Hudson, Wis.

Noon Lunch

1p.m. Legal Strategies for Managing Your Accounts Receivables • Increaseyourunderstandingofhowtomanage accountsreceivableandpreventbaddebt.• Reviewyouradmissionagreementandtheneedto gatheraccurateinformationuponadmissionto identifyfinancialresponsibility.• Discussthe“lastresort”optionsfornon-payment includingdischargeandtransfer.Presenter: APRIL BOXETH, Attorney, Voigt, Rodé and Boxeth, St. Paul 2:15p.m. Break

2:30p.m. Best Practices in the Business Office to Help Reduce Your Accounts Receivables• Recognizetheimportanceofsecuringaccurate informationuponadmissiontothecarecenter Admissions–allinsurancecards,updatedPowerof

Attorney(POA),validphonenumbersandaddress.• Learnwhatfinancialmattersshouldbediscussedwith

thePOArelatedtoand/orresident/financialpaper-work.

• Improvehowyouhandletheremitadvice–reviewingforpayment,denials,rejections,coinsurance,deduct-iblesandco-pays.

• Understandthedifferencebetweenadeniedclaim andarejectedclaim.• Knowhowtomanagethetimelyfilingofallinsurance.• Takehomepracticaltipsandideasforimproving yourcollectionsprocess.Presenter: KIM CONNER, Healthcare Consultant, Pope & Conner Consulting, Hudson, Wis.

3:30p.m. ADJOURN

REGISTRATION INFORMATIONThisin-deptheducationalprogramisdesignedtobeattendedinitsentiretyandforbothdays.Theregistrationfeeincludesacomprehensivecoursemanual,CD,lunchesandrefreshmentbreaks.

FEESAgingServicesofMinnesotaMembers-$275perpersonProspectiveMembers-$315 perperson

CEUsApplicationisbeingmadetotheMinnesotaBoardofExaminersforNursingHomeAdministratorsforclockhours.Participantswillalsoreceiveageneralcertificateofattendanceuponcompletionofthecourse.

ACCOMMODATIONS AblockofsleepingroomshasbeenreservedattheRadissonRosevilleHotel(651.636.4567)intheAgingServicesofMinnesotaname.Toreceivethespecialrateof$105/night,besuretomentionthegroupnameandreserveroomsatyourearliestconvenience.Room block expires July 23.

Page 4: BILLING - LeadingAge Minnesota · 8:30 a.m. DHS “Hot Topics” and Billing Updates for Care Centers • Learn about the upcoming modifications to the Nursing Facility Level of Care

BIL

LIN

G

UNIVERSITY

Aging Services of Minnesota2550 University Avenue WestSuite 350 SouthSt. Paul, MN 55114-1900

PresortedFirst Class Mail

US PostagePAIDPBPS

August14-15,2013•St.Paul

NAME ___________________________________________________________________________________

TITLE ____________________________________________________________________________________

E-MAIL ___________________________________________________________________________________

ORGANIZATION ___________________________________________________________________________

ADDRESS ________________________________________________________________________________

CITY _____________________________________________________________________________________

STATE _____________ ZIP __________________________________________________________________

PHONE ( ) __________________________________ FAX ( ) _____________________________

Method of payment: r Payment enclosed r Please invoice (Aging Services members only)

r VISA r MasterCard r AmEX

CARD #_____________________________________________________________ EXP. DATE ____________

NAME ON CARD ___________________________________________________________________________

CARDHOLDER’S SIGNATURE ________________________________________________________________

CARDHOLDER’S PHONE # ( ) __________________________________________________________

Send registration form and fee (payable to): AGING SERVICES OF MINNESOTA2550 University Avenue West, Suite 350 South, St. Paul, MN 55114-1900 • Attn: Accounting #6523

REGISTRATION INFORMATION AND FEESAging Services Members - $275 per personProspective members - $315 per person

Register online at AgingServicesMN.org (click on Education & Events) or Fax this registration form to 651.645.0002. Include a P.O. number or follow up with payment to be received by Aging Services of Minnesota prior to the program. You will receive an email confirmation for this program. Cut-off date/cancellation notice: on or before August 7, 2013. All cancellations must be made in writ-ing by the date specified and are subject to a $25 processing fee. No refunds if can-celled after the cut-off date or for no-shows. Aging Services reserves the right to cancel this program.

For further information:Registration Questions: Kellie [email protected] or CEU Questions: Heidi [email protected] calls: 651.645.4545Toll free: 800.462.5368

REGISTRATION FORM - BILLING UNIVERSITYAugust 14-15, 2013 • St. Paul

(required for confirmation)