Medicare has issued a new payment system for 2020. This is the most dramatic payment change since 2000!
MEDICARE WILL IMPLEMENT PDGM FOR ALL EPISODES BEGINNING 1/1/2020!
RAP PAYMENTS WILL DROP TO 20% IN 2020 AND 0% IN 2021
NOTICE OF ADMISSION NOA REQUIRED IN 2021
NEW HOSPITAL, SNF, LTAC CODES WILL BE ADDED
NEW PARTIAL PAYMENT ADJUSTMENT RULES
MEDICARE SECONDARY PAYMENT(MSP) RULES
PTA MAINTENACE BILLING
PART B CLIA BILLING
OUTPATIENT THERAPY PART B
FLU SHOT ROSTER BILLING
Seminar Topics Include:
Home Health Value Based Purchasing preparation
Billing compliance guidance
Managing risk for ADRs’, ZPIC and RAC audits
Management of Accounts Receivable
Working RTP claims and corrections
Medicare Advantage billing and strategies
Documentation and billing for maintenance services
Part B billing opportunities
Medicare Reimbursement – Return to Provider (RTP)
Meet the Speakers:
Clinical Consultant, RN BS COS-C
Dana Eichler has 25 years in home care, previously supervised Quality Assurance Department for a large agency with over 800 patients, BS, specializing in billing audits, working knowledge of multiple Point-of-Care software packages, an expert in regulator and JCAHO issues. Dana is also one of our specialized retroactive/prospective CLIA trainers. She also a Certified Oasis Specialist-Clinical.
President, Medicare Training & Consulting, Inc.
James E. Plonsey, President of Medicare Training & Consulting, has been involved in healthcare accounting and finance since 1980. He has been a member of the Healthcare Financial Management Association since 1983. Jim is well versed in all aspects of Medicare and Medicaid participation and reimbursement. His background includes experience with providers, with the Blue Cross Association, with a major teaching hospital, and with a major accounting firm; prior to starting his own firm, Medicare Training & Consulting, in 1990. Jim also organizes and conducts seminars on a variety of issues concerning reimbursement.
James Plonsey has over 30 years of healthcare experience including six years with Blue Cross Blue Shield Association, training 750 Medicare auditors for the Fiscal Intermediary. He has owned a Home Health, West Valley Home Health in Utah.
SMART Healthcare Resources
436 Victorian Park Cir
Franklin, TN 37067
Call: (615) 491-4065