On-Demand Medicare Hospice Reimbursement
2025 Recorded Workshop - (6 CEUs)
PROGRAM OVERVIEW
Changes to the Medicare Hospice Regulations have occurred over the past few years and continue. Is your hospice thriving? Has Medical Review been an issue for your focus? Are you affected by the Hospice CAP calculation?
Be among the elite group of hospice professionals that are current on all Hospice Medicare reimbursement related regulations. This workshop will lay a concrete foundation for hospice billers and any hospice staff that need a clearer understanding of the Medicare regulations. This workshop will include Medicare Notice of Election and claim requirements.
The workshop will include the CMS Targeted Probe & Educate details as well as other levels of medical review that are currently active for hospice. The workshop will conclude with analyzing the HQRP & CAP information and how hospices can work toward improvement outcomes. If you play any part in the responsibility of reimbursement in your hospice this workshop is a must.
Program Topics:
Session 1: Hospice Eligibility & Notice of Election
- List the eligibility requirements for initiating Hospice and billing to Medicare
- Review eligibility requirements for the Hospice Benefit.
- Review Benefit Periods & Eligibility
- Review Notice of Election details
- Highlight Claims Processing Issues
Session 2: Hospice Election Addendum, Certification & Face to Face Encounters
- Detail criteria for billing Hospice Election Statement and Claims to Medicare
- Review the requirements of the Election Statement Addendum
- Review Hospice Face-to-Face Requirements
- Review Certificate of Terminal Illness details
Session 3: Hospice Medical Review & Special Focus Program
- Detail Specific Medicare Regulatory Issues affecting Hospice Reimbursement
- Audit Risks – CMS Targeted Probe & Educate, SMRC, UPIC & RAC
- Best Practices for dealing with Medical Review
- Special Focus Program Details
Session 4: Hospice Quality Reporting Program & Hospice CAP
- List the data from claims used in the Hospice Quality Reporting Program (HQRP) & CAP
- Review details of HQRP Compliance including details of the Hospice Care Index and how data from claims is used
- Detail Claim codes that could impact decisions on Medical Review
- Highlight CAP calculation and how agency self-report must be filed soon
CANCELLATIONS
No cancellations or refunds will be issued once the workshop recording and handouts are sent. Unfortunately, due to the online format of this program we are unable to offer exceptions to this policy. It is recommended that each registrant review the course content prior to submitting payment to ensure the content meets individual educational needs.
CERTIFICATE OF COMPLETION & CONTINUING EDUCATION UNITS (CEUs)
Provider approved by the California Board of Registered Nursing (Provider #CEP17394) for six (6) contact hours of continuing education.
To place a registration by phone please call (916) 262-6800.
REGISTRATION RATES
| CAHSAH MEMBER |
NON-MEMBER* | |
|---|---|---|
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On-Demand
Workshop
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Benefits of On-Demand
On Demand Training increases engagement significantly, as employees are able to take control of their own learning. They can learn at a pace that suits them, easily connect with Subject Matter Experts, access learning materials any time and place, and immediately put their learning into practice.
On-Demand Workshop Access
After workshop registration and payment has been submitted and received by CAHSAH, you will receive a confirmation email. The confirmation email will include a link to the workshop recording and handouts.
What's Included
- Unlimited & shareable access
- Available on desktop, mobile & tablet 24/7
- Speaker handouts
- Ability to download workshop video
*Only registered attendees will earn continuing education units.
- SPONSORS -
Kristine Fitzpatrick
Chief Financial Officer
916.276.7032
kfitzpatrick@cahsah.org