ABNs and Billing for Non-Covered Services
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by Medicare Boot Camp—Hospital Version®
presented on May 10, 2010
CMS' new guidelines for issuing ABNs and billing for non-covered service are effective as of April 1. Listen to this 90-minute audio conference and learn how to incorporate the changes throughout your facility. Our speakers cover the impact on patient access, billing, and Medicare processing and give you guidance on effective techniques to discuss the potential financial impact of non-covered services on patients.
NOTE: Participants should have a general familiarity with ABNs and the limitations on liability regulations for Medicare.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:- Describe proper use of modifiers, condition and occurrence codes with ABNs
- Explain the importance of delivery of ABNs
- Avoid provider liability obstacles and ensure revenue integrity
- Communicate effectively the potential financial liability of non-covered services to patients
AGENDA
- Update on recent changes: The introuction of the revised ABN
- Pre March 1, 2009
- On and after March 1, 2009
- On and after April 1, 2010
- Patient access impact. Internal process review
- Previous and current requirements
- Policy and procedures, e.g., Medicare and You Manual
- Examples of potential non-covered services, including statutorily excluded and non-statutorily excluded
- Billing office impact. Internal process review
- Previous and current requirements
- Corrent use of modifiers: GA, GY, GX, GZ
- UB-04 changes and examples: line-item denials, condition codes and occurrence codes
- Policy and procedures
- Medicare processing impact and changes
- Provider/hospital response
- Limiting provider liability
- Correcting common errors
- Explaining charges to patients
- Communicating service charges back to physicians and other clinical staff
MEET THE SPEAKERS
William L. Malm, ND, RN, is a healthcare consultant for Craneware and has more than twenty-four years experience in clinical and financial healthcare. He specializes in chargemasters, compliance and in the creation of sustainable operating practices throughout the revenue cycle.
Judith Kares, JD, CPC, is a practicing attorney and compliance consultant with twenty-five years of experience representing hospitals, third-party payers and other health care clients in the areas of health care contracting and regulatory compliance. She is an instructor for HCPro’s Medicare Boot Camp® – Hospital Version.
WHO SHOULD LISTEN?
Patient financial service directors, revenue cycle managers, CFOs, patient access managers, HIM directors and managers, case managers, billing directors and staff, compliance directors and staff.
MATERIALS
A materials packet is provided with PDF links
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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