Medicare Secondary Payer
Clear Compliance Hurdles and Improve Registration Efficiency
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by Medicare Secondary Payer Questionnaire Training Toolkit
presented on March 11, 2009
Facilities can lose significant reimbursement dollars if the proper hierarchy of payers is not identified during the registration process. Training access staff on the correct, compliant delivery of the Medicare Secondary Payer (MSP) questionnaire is crucial; not only will it help your facility in case of an audit, but it can make your registration process much more efficient as well.
If delivery of the MSP questionnaire is second nature during registration, you are more likely to avoid a compliance trap. Listen to HCPro's 90-minute audio conference Medicare Secondary Payer: Clear Compliance Hurdles and Improve Registration Efficiency. Former MSP auditor Kevin Willis (Claim Services, Inc.) addressed the specific areas of noncompliance hospitals risk with improper delivery of the MSP questionnaire, as well as the potential consequences. Patient access expert Stephanie Smithson, CHAM (Dunn Memorial Hospital) provides details on what procedures her facility implemented to achieve a 100% pass rate during a recent RAC audit. The speakers also deliver helpful training tools, such as a staff retention quiz, an MSP questionnaire delivery checklist, and a sample policy to augment their presentation.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Train staff on the proper introduction and completion of the MSP questionnaire during registration
- Achieve Medicare compliance and minimize denied claims
- Prepare for an MSP audit at your facility
- Improve registration efficiency
TAKE A LOOK AT THE AGENDA:
- Medicare secondary payers– what they are and what they are not
- Completing an accurate Medicare questionnaire before billing occurs
- What is compliant?
- Who is a valid source?
- How often must it be completed?
- Obtaining answers in follow-up as needed
- Group Health Plans (GHP) payers
- How to get the answers when patients do not supply the proper data
- Employment status
- End-stage renal disease (ESRD)
- Disabled versus Aged
- How to get the answers when insurers provide unreliable information
- Improper payments
- Long-term payment recoveries
- Accidents
- Understanding payer types
- Medical payment/no-fault
- Liability
- Non-cooperative patients
- Case study - Dunn Memorial Hospital's successful audit outcome
- Developing a compliance checklist
- Targeting areas of non-compliance
- Developing an action plan to become compliant
- Validating compliance through monitoring
- Questions & answers
BONUS TOOLS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and:
- MSP terminology, from Medicare Secondary Payer Questionnaire Training Toolkit
- MSP quiz from Medicare Secondary Payer Questionnaire Training Toolkit
- Dunn Memorial Hospital policy on MSP for registration
- Dunn Memorial Hospital MSP checklist
- Medicare Web site references
These materials are provided with PDF links.
MEET THE SPEAKERS
Kevin Willis, director of Medicare operations, Claim Services, Inc, Harrison, OH. Mr. Willis spent 10 years with the Medicare Contractor in the states of Illinois, Indiana, Ohio, and Kentucky. More than three of those years were spent as the Medicare Secondary Payer (MSP) auditor and educator. He has conducted workshops representing the Medicare Contractor for all of their functions, along with functions headed by other organizations such as the HFMA, Metropolitan Chicago Hospital Council, and the Ohio Hospital Association.
Stephanie Smithson, CHAM, director of patient accounts, Dunn Memorial Hospital, Bedford, IN. Ms. Smithson is in charge of registration, centralized scheduling, switchboard, patient accounts and cash management at Dunn Memorial. She has successfully implemented many front end processes for compliance and better use of resources, including POS cash collections, insurance verification, scanning, positive patient identification, compliance checking, pre-registration, and centralized scheduling.
WHO SHOULD LISTEN?
Professionals in acute-care hospitals, including the following titles:
- Patient access director/manager
- PFS director/manager
- Compliance officer
- Revenue cycle professional
- Reimbursement professional
- Business office manager
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand 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.
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