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AUDIOCONFERENCE ON TAPE OR CD

Sponsored by “Billing Alert for Long-Term Care”

presented on January 10, 2007

2007 is here, and with it are critical changes to SNF billing.

The No-Pay Bill process from CMS is effective now. Are you ready to start using this process to comply with Medicare billing regulations? Also, the new UB-04 billing form is coming. Do you know how it works in tandem with the National Provider Identifier (NPI) and what's changing from the old UB-92 billing form? What about changes to Medicare cut letters, vaccine billing, and going from fiscal intermediaries to Medicare Administrative Contractors?

If you’re unsure about any of the above critical billing changes, you should listen to this 90-minute audioconference. Learn not only what the newest billing changes mean, but how they will affect your facility, and what to do to ensure your facility receives proper reimbursement.

During The No-Pay Bill, UB-04, NPI, and More: Critical Billing Updates for your SNF in 2007, experts Lee Heinbaugh, and Ronald Orth, RN, NHA, RAC-C will provide case scenarios in which you will use a no-pay bill, tips to ease the transition from the UB-92 to the new UB-04 billing form, as well as explain when to use an ABN, NEMB, and the expedited determinations process.

AGENDA

1. No-Pay Bills
• Why SNFs should use benefits exhaust claims
• Case scenarios
2. UB-04 billing form
• Crosswalk between UB-04 and UB-92
3. National Provider Identifier (NPI)
• Obtaining NPIs from other providers
4. Cut letters
• Advance Beneficiary Notice (ABN)
• Notice of exclusion from Medicare benefits (NEMB)
• Expedited determinations
5. Transition to Medicare Administrative Contractors (MACs)
6. Eligibility queries
• Using the Medicare Common Working File
7. Immunization/vaccine billing codes
• Billing Part B for vaccines and flu shot administration

Q & A

ABOUT THE SPEAKERS

Lee Heinbaugh is a consultant with Pharmacy Management Group, LLC. After beginning her healthcare career in the public accounting sector, she has continued to expand her expertise across the industry for the past 20 years. Her experience includes Medicaid, Medicare, and other third-party payment and reimbursement issues, including business office operational reviews, cost report preparation, and traditional accounting and bookkeeping services. Other areas of expertise include risk assessments and implementation of corporate compliance plans, evaluation and implementation of automated accounting and billing systems, and business office personnel training.

Ronald Orth, RN, NHA, RAC-C, is the owner and President of Clinical Reimbursement Solutions, LLC. He has more than 20 years experience in the healthcare field, and has spent the past eight years specializing in the area of Medicare SNF Regulations and the PPS reimbursement system. Ron holds an Associate degree in Nursing and a Bachelor's degree in Health Care Administration. He also holds a Nursing Home Administrators license in the State of Arizona. Clinical Reimbursement Solutions offers an array on consulting services in the area of Clinical Reimbursement, for additional information visit clinicalreimbursement.com.

WHO SHOULD LISTEN:

SNF billers and finance directors, admissions staff, MDS coordinators, administrators, and Medicare nurses.

BONUS TOOLS INCLUDED IN YOUR MATERIALS PACKET:

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and tools, including:

• List of Internet resources
• Paper copy of the UB-04
• Crosswalk between UB-04 and UB-92
• Immunization/Vaccine billing guide
• Copies of Cut Letter Notifications

Program materials are provided with PDF links.

Purchase a tape or CD of the program and listen when you can. It's a perfect training tool for new staff or as a refresher for veteran staff.

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