Avoiding Denials Due to MSPs
Product Description:
AUDIOCONFERENCE ON TAPE OR CD
Sponsored by Billing Alert for Long-Term Care
presented on May 23, 2007
Having trouble determining when a resident has Medicare as a Secondary Payer?
You’re not alone. Many skilled nursing facilities (SNFs) struggle with Medicare as a Secondary Payer (MSP) and figuring out how to bill without facing major claims denials. Yet this is something every SNF must do when a resident's primary payer bows out of covering care.
Take the confusion out of billing Medicare as a second payer with expert help.
Listen to this 90-minute audioconference (including a live 30-minute question-and-answer session) during which experts Betsy F. Anderson and Sondra Enger discuss real-life scenarios that will help participants review the regulations, learn when it’s appropriate to bill Medicare as a secondary payer, how to use the MSP screening form, bill conditionally, and more. Additionally, our speakers offer step-by-step guidance through sample claims.
TAKE A LOOK AT THE AGENDA
- How to determine whether Medicare is a secondary payer
- Definition of MSPs
- Regulations surrounding the determinations
- A summary of the CMS MSP manual
- Scenarios of when Medicare is a Secondary Payer
- Liability insurance
- Group health insurance
- Online verification through the Common Working File (CWF)
- How to interpret the MSP screening form
- Using the CWF
- Billing options
- Sample claims/UB-04
- Billing MSPs
- Partial payment from the primary insurer
- Denial from primary insurer
- Conditional billing
- Types of primary insurance
- 120-day waiting period
- Collecting and billing for coinsurance deductibles
- Scenarios
- Resources
A question and answer session follows the presentation.
MATERIALS INCLUDED IN YOUR PACKET!
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and other valuable tools, including
- Completed UB-04 forms
- A sample MSP form
These materials are provided with PDF links.
MEET THE SPEAKERS
Betsy F. Anderson, vice president of FR&R Healthcare Consulting Inc., provides consulting services to the healthcare industry regarding the reimbursement, regulatory, and operational challenges they face. Her industry knowledge and hands on expertise—including clinical experience as a nursing student and as a Medicare auditor with a fiscal intermediary—make her an invaluable resource to her healthcare clients, which include skilled nursing facilities, continuing-care retirement communities, assisted living, rehabilitation agencies and senior housing organizations.
Sondra Enger, senior healthcare consultant, FR&R Healthcare Consulting Inc., specializes in regulatory and reimbursement issues as well as operational consulting for home health, hospice and skilled nursing facilities. Sondra uses her extensive experience to assist providers with information systems, financial operations and Medicaid and Medicare reimbursement. She also uses her in depth knowledge of healthcare regulation to advise providers on healthcare compliance.
WHO SHOULD LISTEN?
SNF billers, finance directors, MDS coordinators, admissions staff, and administrators
Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Product Types : Departments :
