Beyond
The Fundamentals:
Updating
the pms5 PPS Billing Process
for
Home Health Agencies
Under
the Prospective Payment System
Ileana
M. Minervino, SPEAKER
Ivan
Canalejo, SPEAKER
Alex
Alonso, MODERATOR
*** The November 14, 2000 class is full, you may still sign up for the December 5 session.
November
14, 2000 - Miami, Florida
9:15
AM – 4:00 PM
(Registration
at 8:30 AM)
Course
Description
The course objective is to
provide key home health agency billing personnel and others with detailed
information regarding the new Prospective Payment System (PPS) and the impact
of these changes on the agency’s billing operations.
An update of the most recent regulatory issuances and their impact on
Medicare billing will be included. This
session will focus on providing practical solutions to common billing problems
and suggestions to strengthen billing accuracy.
The UB92 and data to be contained by field locator will be discussed in
detail for a variety of claim types. The
new HIQH data and other information available in the Common Working File (CWF)
will also be explored. We will cover the pms5
package and the pms5 Bridge along with the use of the UFO desktop tools for
more efficient and fast processing of data. No course
prerequisites or advanced planning is required.
Who
Should Attend?
This
session is designed for those interested in intermediate to advanced Medicare
billing techniques, including billing specialists, managers, controllers,
administrators and others concerned with management of Medicare accounts
receivable under PPS.
Outline
Overview
of PPS for HHA
Episodic
payments
Case-mix
methodology
Consolidated
billing
OASIS
assessments
Plans
of care
Payment
adjustments
Regulatory
Update
Federal
Registers
Program
transmittals
Manual
revisions
Other
HCFA guidance
Common
Working File (CWF)
Available
information
HIQH
data
Electronic
Data Interchange (EDI)
Direct
Data Entry
Electronic
Media Claims
Electronic
Funds Transfer
Electronic
Remittance Advice
pms5
Bridges and technology
Recent
intermediary software changes
Billing
Under PPS
Request
for Anticipated Payments Claim for final episode payment
Special
payments under Phase-in or Contingency Plan
Medicare
Secondary Payer Claims
Proper
Completion of the UB92
Revenue
codes
HIPPS
codes
Samples
of completed UB92s
RAP
Final
claim
Low
Utilization Payment Adjustment Significant Change in Condition
Medical
Review and the Appeals Process
Pre
and Post-payment reviews
Focused
medical review
Appeal
procedures
Current
Fraud & Abuse Focus Areas
Question
& Answer Session
The
Speakers
Ivan Canalejo,
PHD, is President of IOA Tech,, P.A. (R&C) and
has extensive experience in the programming field. As a Professor in Cuba, he
has also traveled to Poland where he attended advanced applied mathematics
seminars.
Ileana
Minervino is the president
of Comprehensive Home Health Care Systems.
Her career spans over two decades in the home care industry. Her
credentials include a Master of Science in Computer Information Systems from
the University of Miami. Ms. Minervino has an impressive history in the home
health care field since she has worked at agencies and owns her own home care
software company since 1984. She
is experienced with HCPCS and ICD-9 coding requirements, billing software
systems, OASIS encoding and electronic transmission requirements, and the PPS
case-mix methodology.
The
Hotels
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Beautifully
situated on a private tropical peninsula in the heart of Blue Lagoon,
a 100-acre freshwater lake, the Hilton Miami Airport and Towers
provides 500 exceptionally appointed rooms, each with its own
panoramic view. All 500 guestrooms (including 82 suites) provide data
ports, voice mail, coffee maker, iron and ironing board, in-room
movies, mini-bar and more. Our exclusive towers accommodations offer
three floors of the ultimate hospitality and guest amenities for the
discerning business traveler. [expand] |
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Hampton Inn & Suites
Miami-Airport South
|
Area Information:
The Hampton Inn and Suites Miami Airport hotel is located by Waterford at Blue
Lagoon. We are within minutes of downtown Miami, Coral Gables, South Beach,
Hialeah, and Coconut grove.
Miami Intl ARPT 0 MI, S Free airport shuttle. Port of Miami 9 MI, E Super Shuttle- 305-871-2000 - Fee applies. Downtown Miami 8 MI, E Yellow Cab- 305-871-2000 - Fee applies. Coral Gables 2 MI, S Yellow Cab- Same as above.
R
e g
i s
t r
a t
i o
n F
o r
m
Beyond
The Fundamentals:
Updating
the Medicare Billing Process
for
Home Health Agencies
Under
the Prospective Payment System
|
Two
ore more student
RATE |
Single
Student RATE |
|
$125.00 |
$187.50 |
|
Price
of Registration does
not Include Lunch |
|
Which
One?
q
November
14, 2000 – Miami
q
December
5, 2000 – Miami
location: 4620 North State Road 7 Building H
Suite
100 Fort Lauderdale, FL
FAX
YOUR COMPLETED REGISTRATION FORM TO 305-279-4476
AS
SOON AS POSSIBLE TO RESERVE YOUR SEAT!
Agency:
___________________________________________________________
Address:
___________________________________________________________
City:
______________________________ State: ________
Zip: ___________
Phone:
__________________________ FAX:
___________________________
PRINT
REGISTRANT NAMES
1.
_______________________________________
2.
_______________________________________
3.
_______________________________________
4.
_______________________________________
5.
_______________________________________
6.
_______________________________________
Visa,
MasterCard, Check or Money Order Accepted - Sorry No American Express
¨
Visa or ¨
MasterCard
Cardholders
Name:
____________________________________________________
Card
Number:
______________________________________ Exp. __________
AMOUNT
ENCLOSED: $_______________
Registration
Cancellation Policy
All
cancellations must be in writing. All cancellations received on or before
October 31, 2000 will be subject to a 15% handling fee.
No refunds will be granted after October 31, 2000.
All outstanding invoices are due in full and no adjustments will be
made. If you are unable to
attend, you may send a substitute.
Forward
completed form with payment ASAP to:
Comprehensive
Home Health Care Systems
10220
SW 110 Street
Miami,
FL 33176-3404
305/971-5529
FAX 305-279-4476
email:
imm@pms5.com