How to Ensure You Get the Reimbursement You Deserve and Minimize the Risk of Recoupment

Brochure
Registration

Eau Claire
September 1, 2015
(Tuesday)
Clarion Hotel Campus Area
2703 Craig Road
Eau Claire, WI 54701
715-835-2211

Appleton
September 2, 2015
(Wednesday)
Holiday Inn Express
150 Nicolet Road
Appleton, WI 54914
920-735-9955

Brookfield
September 3, 2015
(Thursday)
Country Inn and Suites
1250 S Moorland Road
Brookfield, WI 53005
262-782-1400

In 2016, facilities continue to work to ensure appropriate reimbursement. Coding errors and lack of supportive documentation put the facility at increased risk of having money taken away. Internal processes, including the Triple Check Process, can assist the facility in ensuring they are capturing the correct RUG level, verifying appropriate documentation, and assessing to make sure the UB-04 is accurate prior to submission. This workshop will cover key Medicare reimbursement strategies to ensure proper billing and reduce the risk of recoupment. This Includes the facility response to ADRs. We will discuss what to do if you get an ADR and the importance of what is submitted for review. In addition, the second half of this workshop will apply those strategies to the Medicaid reimbursement. We will discuss key processes that can assist in improving your facility’s CMI and also discuss supportive documentation to support that coding.

At the completion of this workshop, participants should be able to:

• Identify key Medicare/Medicaid strategies to capture appropriate reimbursement.
• Discuss the Triple Check Process and the advantages of implementing in your facility.
• Identify what your facility should do if you receive a request for records and how to appropriately respond to that ADR.
• Determine how to ensure appropriate documentation to minimize the risk of recoupment from Medicare and Medicaid.

This workshop will be presented by: Patricia J. Boyer, Health Care Director, Wipfli LLP, Milwaukee, WI CEO’s, NHA’s, Human Resource and Other Management Personnel are encouraged to attend these important sessions.

This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 4.00 clock hours and 4.00 participant hours.

Approval Numbers:
Eau Claire (0192015-4.00-14967-in),
Appleton (0192015-4.00-14967-in-s31094) and
Brookfield (0192015-4.00-14967-in-s31095)