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2021 Virtual Hands-On-Lab - Medicare Mastery

Medicare Mastery: Minimize Risk and Maximize Confidence
This one-of-a-kind training combines live demos, workshops, and practicum-style training sessions with a direct focus on all components of Medicare. From documentation to risk management compliance, to financial regulations that surround this Federal program, this Virtual Hands-on Lab concentrates on the specific rules that must be followed by health care providers.

Product
$299.00

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Medicare Mastery: Minimize Risk and Maximize Confidence

Medicare, Risk Management, Documentation

Program Length: 6 Hours

October 23, 2021 9am-3:30pm Mountain Time

Register by October 15th and receive a gift box including lunch on us!

This one-of-a-kind training combines live demos, workshops, and practicum-style training sessions with a direct focus on all components of Medicare. From documentation to risk management compliance, to financial regulations that surround this Federal program, this Virtual Hands-on Lab concentrates on the specific rules that must be followed by health care providers and their teams.

Using Medicare as the central hub of the training wheel, this important training will blend documentation instruction, regulatory compliance, self-auditing, diagnosis, and case management to promote maximum risk management. Legislation is constantly changing and compliance with the new rules has never been more important. This event will help DCs and CA's see and understand the necessity to move from the regulatory effects of “old Medicare” into the new world of quality measurement.

KMC University is PACE Approved

In approved PACE states, DC's receive 6 credits and CA's receive 6 credit hours towards CCCA certification. Find out if your state is PACE approved.

KMC University Library Members save $100 on your registration fee by using the coupon code on the right side of your dashboard!

 

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2021 KMCU VHOL Program

 

 

 

Documentation and Medical Necessity (DC Track)

 

Billing and Coding (CA Track)

 

Hour

1

Medicare Risk and Compliance Overview, Rules and Regulations

  • Recognize and avoid or correct behavior that is contrary to the rule of “no opt-out for chiropractors”
  • Apply compliance rules set forth by governmental agencies that apply to providers of service to Federally insured patients
  • Demonstrate day-to-day application of Medicare’s guidance on Federal Program requirements for coding, billing, and finances
  • Differentiate between active and maintenance care, according to the official Medicare definitions
  • Interpret the four types of risk the Office of Inspector General (HHS) expects providers to focus on with Policy and Procedure, per the OIG Guidance for Small Practices

 

 

 

 

 

Hours

2-3

Documentation of Initial Visits - New Patients, New Episodes, and New Conditions

  • Identify and apply concepts that differentiate types of initial visits, from new patients to updated episodes. Produce documentation of initial visits that comply with the Medicare requirements for chiropractors
  • Summarize documentation requirements as they apply to the new initial Evaluation and Management guidelines set forth January 1, 2021
  • Establish medical necessity for your care and know with surety that initial visit documentation is complete
  • Explain and apply Medicare’s PART process of examination to document the presence of a subluxation
  • Formulate the diagnostic evidence required by Medicare and present and report it according to the guidelines
  • Rank complicating factors and contraindications according to priority and include with initial assessment
  • Populate a required treatment plan for care, whether for shortor longer-term care

 

Medicare Billing & Coding Mastery Part 1

  • Recognize and discuss the different types of Medicare coverage
  • Interpret Medicare fee schedules and charge rules that are a must for every practice
  • Review Medicare’s Timely Filing rules and time limits for appealing claims
  • Learn the difference between statutorily excluded services and non-covered services
  • Determine Medicare’s definition of active and maintenance care and how it affects billing
  • Explain the only three Chiropractic Manipulative Treatment (CMT) codes that Medicare recognizes and identify the circumstances under which they are billable to Medicare
  • Discover how MIPS requirements affect billing and payment
  • Understand proper usage of the mandatory and voluntary ABN with October 2021 Updates

 

 

 

 

Hours

4-5

Documentation and Case Management for Routine Visits, Preventive Maintenance, and Wellness Care

  • Differentiate between requirements for medically necessary services vs. maintenance which is self-pay
  • Apply primary subluxation vs secondary compensation logic to mitigate risk for the full-spine adjustment
  • Reproduce the key elements of routine chiropractic visits in documentation as set forth by Medicare guidelines
  • Interpret functional data to determine stages and levels of care
  • Demonstrate the ability to implement therapeutic withdrawal and to document its results
  • Recognize maximum therapeutic benefit (MTB) and properly document discharge from active treatment

 

Medicare Billing & Coding Mastery Part 2

  • Recognize the modifiers Medicare has established and determine how to apply them appropriately to services
  • Understand proper diagnosis pairing process to properly communicate with Medicare
  • Learn to locate and apply Medicare Billing and Coding Local Coverage Articles for effective billing
  • Investigate the special CMS 1500 billing instructions shared by the Medicare carrier (e.g., the proper use of Boxes 14 and 19 on the 1500 form)
  • Proper set up of your computer system from DAY ONE to ensure that your patient’s data is ready for error free billing
  • Learn to properly bill Medicare in a group practice and maintain active billing privileges (Box 24J)
  • Interpreting Medicare EOBs and necessary action steps

 

Hour

6

The Risks Associated with Medicare’s Billing and Financial Compliance Regulations

  • Give examples of billing and financial compliance that cross the line of False Claims Act and Anti-Kickback Statute violations
  • Apply billing and financial compliance regulations to the day-to-day operations of the practice
  • Execute random auditing of charges and collections to meet OIG compliance guidelines
  • Recognize and apply the rules of offering financial hardship discounts to federally insured patients
  • Produce Medicare billing that includes proper modifiers to clarify covered vs. non-covered and maintenance services

 

Continuing Education Credit Hours

  • 6 credit hours for DCs in approved PACE states
  • 6 credit hours for CA's towards CCCA certification

Virtual Instructional Methods:

  • Joint Education and Break-Out Instruction
  • Power Point Presentation
  • Video Training
  • Interactive Q/A
  • Case Studies
  • Auditing Practicum
  • Gift box including lunch on us for all offices registered prior to October 15th
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