ABNs and Modifiers: Everything You Need to Know in 90 Minutes
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: Revenue Cycle Institute
Presented on September 22, 2011
ABNs and their related modifiers won’t cause you problems if you understand what each is intended to do and develop processes that everyone can follow.
During this 90-minute audio conference, our speakers explain how to operationalize ABNs and modifiers so you get paid what you deserve without placing unnecessary financial responsibility on patients.
You'll learn how to define your organization's problem areas, meet patient notification and documentation requirements, and apply key modifiers appropriately. You’ll also discover how to reduce your facility’s financial risk and improve its customer relationships through the implementation of an effective ABN process.
Learning Objectives
- Describe current ABN requirements
- Assess the scope and effectiveness of your facility’s existing ABN process
- Construct/improve a facility-wide process for issuing effective ABNs
- Create related documentation and billing policies, including appropriate use of modifiers
- Develop an education plan for physicians and patients on the proper use of ABNs
- Communicate clearly with patients about their potential liability for certain non-covered services
- evelop policies to monitor your facility’s ABN process and to provide ongoing feedback to physicians and staff
Agenda
- ABN overview
- Previous and current requirements
- Current provider roadblocks
- Medicare revised booklet on ABNs
- Latest analysis from CMS
- CMS’ take on new modifiers
- ABN modifiers
- -GA, -GY, -GX and -GZ definitions—historic and current
- Examples of modifier application for non-covered services
- Case study: 500-bed hospital in California
- Implement action plan
- Collect and track data for success
- Educate physicians and patients
- Cultivate good patient relationships
- A question and answer session follows the presentation.
BONUS TOOLS INCLUDED IN YOUR MATERIALS PACKET:
In addition to the expertise and advice presented during this audio conference, you’ll also receive a slide presentation of the program materials and tools, including:
- Tracking tool
- Scripting / framing techniques for difficult conversations
- ABN checklist
MEET THE SPEAKERS
Judith L. Kares, JD, is an instructor for HCPro's Medicare Boot Camp- Hospital Version®. She spent a number of years in private law practice, representing hospitals and other health care clients, and then as in-house legal counsel prior to beginning her current legal/consulting practice. She is also an adjunct faculty member at the University of Phoenix, where she teaches courses in business and health care law and ethics.
Tanja Twist, MBA/HCM, is the senior director of operations for Adreima in Phoenix, AZ. She has more than 20 years of experience in healthcare management, including hospital director of patient financial service, hospital admitting manager, manager of operations for an interventional cardiovascular medical group. She is a nationally-recognized authority on Medicare, Medicaid, RCM, and government defense audits.
WHO SHOULD LISTEN?
Billers, patient financial services directors, revenue cycle managers, case managers, patient access managers and staff, physicians, and compliance staff.
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference 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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