Revised Advance Beneficiary Notice
Product Description:
AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND
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presented on February 17, 2009
CMS has revised the Advanced Beneficiary Notice of Noncoverage (ABN) requirements, which takes effect March 1, 2009. With the Recovery Audit Contractor permanent program in the offing, it is critical your staff members understand the changes to the new form and how to implement them.
Prepare patient access staff for ABN compliance and avoid denied claims
The new ABN has a mandatory cost estimate field. However, certain exceptions are acceptable. Do you know what they are? Listen to HCPro for this 90-minute audio conference Revised Advance Beneficiary Notice: Educate Staff About Changes and Ensure Compliance for answers to this and other questions.
Healthcare compliance expert Kimberly Hoy (HCPro, Inc.) and patient access director Catherine Pallozzi, CHAM, CCS (Albany Medical Center) highlight the important new instructions in the ABN and best practices on how to stay compliant with them. Discussion focuses on ways patient access managers can prepare their staff members for these changes and how to implement the form with all its revisions.
AT THE END OF THIS AUDIO CONFERENCE YOU WILL BE ABLE TO:
- Explain the CMS changes to the Advance Beneficiary Notice process
- Recognize the best practices to ensure compliance
- Learn how to prepare and train staff in medical necessity
- Determine what qualifies as a "good faith" cost estimate
- Assess when a non-covered service can and cannot be billed to a patient without an ABN
- Identify when and how to submit claims to Medicare for each of the three ABN option boxes
AGENDA
- Changes in the Advanced Beneficiary Notice
- Good faith cost estimates, including when one isn't available
- Authorized representatives and provision other than in person
- How to handle the new option box choices and CMS discussion
- Implementing the changes
- Educating your staff members
- Physician inclusion
- Policy and procedure development
- Cost estimates—best practices
- Billing under the new voluntary and mandatory requirements
- What you need to know
- Non-covered services that don't require ABN
- Billing guidelines and rules
- Question and answer session
MEET THE SPEAKERS
Kimberly Anderwood Hoy, JD, CPC. Ms. Hoy is the director of Medicare and compliance for HCPro, Inc., and a lead consultant for its' Revenue Cycle Institute. Prior to joining HCPro, she was the lead instructor for HRAI's Medicare Boot Camp® - Hospital Version. Hoy has served as a compliance officer and in-house legal counsel for hospitals and has developed and implemented corporate-wide compliance programs for two hospitals. She also speaks at national conferences on observation services.
Catherine Pallozzi, CHAM, CCS, is the director of patient access at Albany (NY) Medical Center, where she has worked for 20 years. She was promoted to registration director in 1998, and has been the director of patient access for eight years. She has been instrumental in three significant system implementations—including billing and ADT system installs—and continues to play a key role in the maintenance, monitoring and ongoing development of these systems.
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:
- Matrix of the ABN Changes
- Policy and procedure outline developed for staff
- Revenue cycle white paper: Ensure That Your Hospital Is Ready to Use the New ABN Form
These materials are provided with PDF links.
WHO SHOULD ATTEND?
Professionals established in a hospital, including the following titles:
- Patient financial service director
- Revenue cycle manager
- Patient access managers
- Biller
- Clinical staff
- Compliance officer
- Laboratory manager
- Case management professional
- Radiology manager
AUDIO ON-DEMAND
In addition to the regular purchase ptions 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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