February 1, 2010, Home Health & Hospice Medicare A ... - CGS

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Cahaba GBA Learning Corner‣ “Clinician’s Intro to the Medicare Hospice Benefit” WebinarDate: February 25, 2010Time: Noon – 1:30 p.m. Central TimeRegistration Deadline: February 22, 2010Intended Audience: Hospice clinicians, administrators, QI coordinators.Description: This Webinar will provide basic hospice benefit information, including the qualifyingcriteria of election, certification and terminal prognosis. Other topics to be discussed include thehospice local coverage determinations and medical review.‣ “Home Health Billing – Part 2” WebinarDate: March 2, 2010Time: Noon – 2:00 p.m. Central TimeRegistration Deadline: February 25, 2010Intended Audience: New home health providers or home health agencies with staff who are newto home health billing, and small home health agencies who have 25 or fewer full-time employees.Description: This event will discuss how to avoid billing errors for overlapping episodes and datesof service; appropriately submitting claims for special home health billing situations, andsubmitting demand and no-pay bills to Medicare. An overview of common home health billingerrors and resources for avoiding them will also be presented.‣ “Hospice Billing – Part 2” WebinarDate: March 9, 2010Time: Noon – 2:00 p.m. Central TimeRegistration Deadline: March 4, 2010Intended Audience: New hospice providers or hospices with staff who are new to hospice billing,and small hospice agencies who have 25 or fewer full-time employees.Description: This Webinar will present how and when to submit a cancel NOE, how to cancel abenefit period, appropriate billing of discharge/revocation claims, including the posting of revocationswhen omitted, and billing in transfer situations. In addition, the use of the advance beneficiary notice(ABN) will also be discussed as well as various billing situations and top billing errors and availableresources.Home Health & Hospice February 1, 2010 53Medicare A Newsline Vol. 17, No. 5
Cahaba GBA Learning Corner‣ “OASIS-C and Payment” Webinar (NOTE: This is a repeat of the February 4, 2010,presentation)Date: March 18, 2010Time: Noon – 1:30 p.m. Central TimeRegistration Deadline: March 12, 2010Intended Audience: Home health clinicians, administrators, QI coordinators.Description: This Webinar will cover the OASIS-C updated items and drive the HIPPS code forproper payment. Learn about new guidance, tools for reporting the proper response on the OASISitems, and how these drive payment.‣ “Online Courses” are computer-based and can be launched from the convenience of your owndesk. All courses are free and open to anyone.Course TitleAdjusting and Canceling ClaimsAdvanced Hospice BillingAppeals ProcessBasics of ICD-9-CM Coding for HomeHealth CliniciansBeginner Hospice BillingBeginner Home Health BillingCERT (Comprehensive Error Rate Test)Checking Claims StatusComprehending Medicare ClaimsProcessingMedicare Coding (Insight into)Medicare Cost Report (Introduction to)Medical Review (Getting a view of)Medicare Secondary PayerOverview of MedicareDescriptionLearn how to adjust or cancel claims.Learn about advanced hospice billing topics.Learn about the Medicare appeals process.Learn the basics ICD-9-CM coding.Learn the basics of hospice billing.Learn the basics of home health billing.Learn about the CERT Program.Learn how to use the Fiscal Intermediary StandardSystem (FISS) to check the status of your claims.Learn about Medicare claims processing.Learn the basics about Medicare coding.Learn the basics about the Medicare Cost ReportLearn the basics of the Medical review process.Learn the basics of Medicare Secondary Payer.Learn the basics about the Medicare program.Home Health & Hospice February 1, 2010 54Medicare A Newsline Vol. 17, No. 5
Page 7: use and while they may serve other
Page 10: The following additional billing re
Page 13 and 14: APPENDIX 1TABULAR PRESENTATION OF T
Page 15 and 16: News from CMS for Home Health Provi
Page 17 and 18: Provider Types AffectedHome health
Page 19 and 20: • For CY 2010, Medicare is modify
Page 21 and 22: procedures since 2005, continue to
Page 23 and 24: methodology. The services are paid
Page 25 and 26: NOTE: When billing for stranded sou
Page 27 and 28: c. Other Changes to CY 2010 HCPCS C
Page 29 and 30: d. Drugs and Biologicals with Payme
Page 31 and 32: separately payable status under the
Page 33 and 34: CY 2010 APCCY 2010 APC Title0395 GI
Page 35 and 36: CY 2010 APC CY 2010 APC Title0375 A
Page 37 and 38: m. Pricer will update the payment r
Page 39 and 40: If you have questions regarding thi
Page 41 and 42: When recording any visit or social
Page 43 and 44: Submit MSP Claims/Adjustments via:W
Page 45 and 46: Example 1: ABC Home Health is admit
Page 47 and 48: Before You Call Cahaba, Read This!F
Page 49 and 50: Reason for CallClaim needingcorrect
Page 51 and 52: Availability of the Provider Contac
Page 53: Cahaba GBA Learning Corner‣ “Ho

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