Master the HINNs: Integrate Policies and Procedures into Hospital Operations
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by the Revenue Cycle Institute
A program for patient access and financial services and revenue cycle staff members
presented on August 13, 2009
Medicare patients must be given prior written notice in order to be held liable for certain non-covered services, including those that fail to meet Medicare's medical necessity guidelines. Now revised inpatient Hospital Issued Notices of Non-coverage (HINNs) are required to let patients know that their inpatient stay (in whole or in part), or other specific inpatient services, will not be covered by Medicare. When you comply with HINN requirements, you can collect for those non-covered inpatient services from Medicare patients.
During this 90-minute, intermediate-level audio conference, our speakers show you how to implement and manage a sound HINN and related inpatient notification processes. They use case studies to demonstrate how to integrate best practices into your existing admission and discharge processes. You will learn how to train your patient access team to interact with and deliver relevant information to patients, and work with case management and clinical staff on proper documentation for the patient's record.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:- Implement a practical process to identify those inpatient situations where admissions (in whole or in part) or specific services requested fail to meet Medicare's coverage guidelines prior to the admission (or additional days during a continuing stay) or provision of the specific services
- Provide additional incentives and related processes to identify non-covered services, based upon Medicare inpatient or other coverage guidelines, and to improve pre-admission or pre-service efforts to obtain and document all relevant diagnostic information
- Implement a practical process to provide prior notice to beneficiaries of potential financial liability, in the interests of fundamental fairness and customer service
- Implement a practical process to successfully shift financial liability to beneficiaries, by providing prior notice of potential liability
TAKE A LOOK AT THE AGENDA:
- Identify situations which require prior notice in the form of HINNs
- Identify differences in the most recent HINN forms and notification processes from their predecessors
- Distinguish HINNs from other forms of inpatient notice and the situations requiring those other forms of notice and their relationship to each other
- Identify outstanding issues awaiting further clarification, including related revisions to the Medicare Claims Processing Manual
- Explain related billing requirements, including reporting the provision of HINNs and billing for non-covered services subject to those HINNs
- Evaluate of related hospital inpatient notification processes
- Review case Study: Albany Medical Center
- Pre-admission in ER
- Patient relations: When a patient is medically ready to be discharged vs. their desire to stay
- When a patient goes through a QIO
- Social aspects: Educating patients and family
- Staff training:
- How HINN fits with important message (IM) from Medicare
- Identifying potential barriers to education
- Examine tools to effectively manage the process
- Break down the process with flow charts
A question and answer session follows the presentation.
MATERIALS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and- Chart identifying various forms of notification provided in the inpatient setting, including HINNs, their purpose, how they interact with other notice requirements, and related beneficiary liability
- Case studies illustrating situations where various types of notice would be appropriate
- Flow charts/algorithms
- Sample in-service training
- Sample HINN forms
These materials are provided with PDF links.
MEET THE SPEAKERS
Judith Kares, JD, CPC, is a practicing attorney and compliance consultant with twenty-four years of experience representing hospitals, third-party payers, and other health care clients on healthcare contracting and regulatory compliance matters. She is also an instructor for HCPro's Medicare Boot Camp® - Hospital Version.Michael Schaeffer, LMSW, is assistant director of case management/social work at Albany (NY) Medical Center.
WHO SHOULD LISTEN?
Patient financial service directors, revenue cycle managers, CFOs, patient access managers, HIM, case management, billers, registration, utilization review, discharge planning, compliance staff in hospitals and in physician practices.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.Product Types : Departments :
