AUDIOCONFERENCE ON TAPE, CD OR AUDIO ARCHIVE
Sponsored by Patient Access Resource Center (PARC)
presented on July 24, 2007
Is your response to Medicare’s new “Important Message” requirement appropriate?
CMS’ “Important Message from Medicare and Notification of Hospital Discharge Appeal Rights” goes into effect on July 1, 2007. The beefed-up rule requires your facility to issue inpatients two notices: one at admission and again at discharge; and educate patients about their rights. You’re also required to obtain a patient’s signature of acknowledgement and be able to demonstrate compliance.
Is your facility prepared? Who will issue the first notice of discharge? Who will issue the second notice of discharge? Where will you house the proper paperwork to ensure proof of compliance? And how will you train your staff to deliver these messages?
Listen to HCPro's 90-minute audioconference, and learn how to minimize administrative burden and streamline your process to stay on top of the Medicare rule. A CMS representative discusses the details of the missive, as well as how you should handle the appeal process. Additionally, two administrators from Memorial Hospital in York (PA.) outline steps their facility took to streamline their methods and prepare for any unexpected contingencies.
At the end of this audioconference, you will be able to:
- Clearly understand the requirements/consequences of Medicare’s “Notification of Hospital Discharge Appeal Rights”
- Economize your process for issuing both notices, obtaining a patient’s signature and storing the appropriate documents
- Prepare your facility for an appeal
- Explain the process to patients and their families, as well as educate your staff
Keeping your process simple and reducing administrative burden is paramount to your success in a smooth implementation of this rule. The Memorial Hospital case study provides an excellent template for you to model your own facility’s policies.
AGENDA
- CMS final rule: Notification of hospital discharge appeal rights (CMS-4105-F)
- History of the final rule
- Affected hospitals/beneficiaries
- Delivery requirements: Initial copy of the IM
- Delivery requirements: Follow-up copy of the IM
- Quality improvement organization (QIO) review
- Special considerations
- The role of representatives
- Notice of discharge and Medicare appeal rights and hospital-issued notice of noncoverage
- Case study - Memorial Hospital
- Big picture compliance strategizing
- Developing a plan of delivery for both notices
- Education and training modules
- Results
- Q&A
BONUS TOOLS
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and these valuable tools:
- Process flow to illustrate how providers can comply without significant staff burden
- Training tools to educate staff how to deliver the message and properly inform patients about their rights
- Important Message delivery flow chart
- Care management documentation form
- QIO handout containing discharge appeal information
These materials are provided with PDF links.
MEET THE SPEAKERS
Christine L. Stottlemyer, CPAM, Director of Patient Accounting for Memorial Hospital in York, PA. Ms. Stottlemyer has over 25 years of hospital receivable management experience. In addition to her work at Memorial Hospital, she is the Chairman of the Board of the Keystone Chapter of the American Association of Healthcare Administrative Management (AAHAM).
Marilyn A. Hake, RN CCM, Manager of Care Management for Memorial Hospital of York, PA. Ms. Hale possesses over 35 years of nursing experience with her focus for the past 12 years in disease and care management. She is a member of the Case Management Society of America and the Chesapeake Bay Chapter.
Tony Culotta, Director, CMS Medicare Enrollment and Appeals Group. Mr. Culotta’s group is responsible for all Medicare enrollment and appeals policy under original Medicare, the Medicare Advantage program, and the new Part D prescription drug program. The group directs all Medicare appeals operations, including the Medicare managed care and Part D appeals contractor. Additionally, Mr. Culotta’s group has a consumer protection component which oversees provider notices such as the Important Message from Medicare.
Arrah Tabe-Bedward , Director, Division of Appeals Policy/ Acting Director, Division of Consumer Protection, Center for Beneficiary Choices at CMS. Ms. Tabe-Bedward's role at The Division of Appeals Policy is to develop and implement appeals policy under original Medicare, the Medicare Advantage program, and the Medicare prescription drug benefit. She also oversees The Consumer Protection Division, which oversees provider notices such as the Important Message from Medicare and advance beneficiary notices (ABNs).
WHO SHOULD LISTEN?
- Case managers
- PFS managers
- Patient access managers
- Nurses
- Compliance officers
- Patient account managers
NEW PURCHASE OPTION: Audio Archive
In addition to the regular purchase options for HCPro audioconferences, audio tape or audio CD, we are pleased to offer a new option, an audio archive. An audio archive allows you to download the program and play it back at your convenience on your computer or MP3 player. Purchase a tape, CD, or audio archive of the program and listen when you can.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
