SNF Reimbursement and RAI Changes: Billing’s Role in the Big Picture

WEBCAST ON CD OR ON-DEMAND

Sponsored by: HCPro Advisory Services

Presented on February 15, 2012

Billing strategies to minimize impact of RAI changes

Improve billing process to ensure accurate reimbursement in light of recent changes to the Resident Assessment Instrument (RAI). Regulatory expert Diane L. Brown, BA, CPRA uses specific examples from the audience to demonstrate the impact of changes to both scheduled and unscheduled assessments on reimbursement. Learn how to manage the multiple variables that affect each assessment and gain valuable insight into how new ARD rules will affect the UB-04 and claim submission.

Benefits of attending:

• Keep the reimbursement you deserve through collaboration between assessment and billing processes to ensure accuracy
• Manage scheduled and unscheduled assessments with an understanding of how your chosen ARD will impact reimbursement
• Complete the UB-04 with a thorough understanding of how your designated ARD impacts reimbursement
• Improve communication amongst the entire interdisciplinary team, especially between therapists and billers
• Conduct efficient and thorough medical record reviews with an understanding of documentation requirements and proper billing procedures

At the conclusion of this program, participants will be able to:

• Improve billing processes and methods through an understanding of the latest RAI changes
• Collaborate with fellow interdisciplinary team members on matters concerning billing and reimbursement
• Establish proper assessment scheduling

TAKE A LOOK AT OUR AGENDA

• Billing challenges under the RAI
  • Attaining proper reimbursement through scheduled assessments
  • Managing unscheduled assessments
  • Key variables
• Audience-based case study
  • Three scenario variations highlighting billing and reimbursement specifics for:
    • The Change of Therapy (COT) OMRA
    • The End of Therapy (EOT) OMRA
    • The End of Therapy-Resumption (EOT-R) OMR
• UB-04 issues and clarifications
  • Adhering to new ARD rules
  • Incorporating time data
• Compliance and medical record reviews
  • Billing necessities in preparing your compliance program
  • Review for reimbursement
• Q&A
  

MEET THE SPEAKER

Diane L. Brown, BA, CPRA, regulatory specialist, is a long-term care educator, consultant, editor, and author with more than 25 years of operational experience in healthcare. In her current role at HCPro, Inc., in Danvers, MA, she develops quality educational programs, serves as an advisor to facilities, and leads the advisory board for HCPro’s Certified Professional in Resident Assessment (CPRA) program. She is a regulatory specialist and lead instructor for HCPro’s Medicare Boot Camp®–Long-Term Care Version, MDS Boot CampSM: Beyond the Basics, and MDS 3.0 Essentials Boot Camp–Online

BONUS MATERIALS INCLUDED IN YOUR MATERIAL PACKET

In addition to the expertise and information presented during this webcast, you'll also receive these helpful “take-aways” provided within your materials pack:

• Scheduled and unscheduled assessment variable cheat sheet
• Assessment calendar

WHO SHOULD LISTEN?

SNF owners, SNF administrators, MDS coordinators, billing office managers/billing professionals, coders, business office personnel, risk managers, medical records staff.

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