MayFest

Published 05/09/2022

MayFest: Navigating the waters of Medicare to be held May 1012

Get ready to set sail upon the waters of Medicare! Medicare Parts A, B, and home health and hospice providers are encouraged to register for MayFest, our virtual spring education event. The goal of this annual event is to keep you informed on all things Medicare. We hope that these informational sessions provide you with the level of service, education, information, and transparency you have come to expect from Palmetto GBA.

Feel free to attend as many events as you would like. Each course below must be registered for separately. 

Medicare Part A

Home Health & Hospice

Medicare Part B

Tuesday May 10

Wednesday May 11 Thursday May 12 

Cruising Through MSP Billing When Benefits Are Exhausted

10 – 11 a.m. ET

This session will help Part A providers cruise through the requirements when it comes to submission of Medicare Secondary Payer (MSP) claims. This session will include CMS updates and changes made to the MSP questionnaire and scenarios of MSP when benefits are exhausted. A short question and answer period will follow the presentation. Target audience: Part A facilities billing and coding staff, medical review departments, nurse reviewers, and compliance officers.

Register Here

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Voyaging Around All Things to Know About Medical Review

 11:30 a.m. – 12:30 p.m. ET

Join us for our things to know about Medical Review session for MayFest. This session will provide helpful information and tips on the Targeted Probe and Educate (TPE) process, Hot topic reviews for Medical Review, frequent denials, and ways to help prevent them. For facilities billing and coding staff, medical review departments, nurse reviewers, and compliance officers.

Register Here

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At the Helm: CERT Inpatient Claim Documentation

1:30 – 2:30 p.m. ET

Having trouble getting your inpatient institutional claim to satisfy the documentation requirements during a CERT medical review? Palmetto GBA error findings from CERT reviews indicate a high error rate for inpatient services. This session will provide an overview of the CERT contractor audit process, additional documentation requests, navigating national and local medical policies, how to correctly submit claims and prevent common Part A claim errors. Let’s work together to get it right the first time. Target audience: Part A facilities billing and coding staff, medical review departments, nurse reviewers, and compliance officers.

Register Here

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In the Deep-Sea of Lifetime Reserve Days (and Other Scenarios)

– 4 p.m. ET

Please join us as we explore the Deep-Sea of Lifetime Reserve Days (LTR) & Other Cost Outlier scenarios! We’ll take a closer look at Inpatient Prospective Payment Systems (PPS) outlier billing and how it applies to Inpatient PPS Hospitals, Long Term Care Hospital (LTCH) PPS and Inpatient Rehabilitation Facility (IRF) PPS facilities. The methodology for using benefit days and reimbursing cost outliers is based on the beneficiary having an LTR benefit day which the beneficiary elects to use; or a regular benefit (regular or coinsurance) day beginning the day after the day covered charges are incurred in an amount that results in a cost outlier payment for the provider.

Register Here

Medicare Hospice Benefit Updates and Billing Information for Smooth Sailing

10 – 11 a.m. ET

This session will help hospices sail through the Hospice Medicare Benefit and stay clear of the shoals. It will weather the Hospice Benefit Component Value-Based Insurance Design (VBID) Model, upcoming changes to the transfer process, a review of the Hospice Election Statement Requirements, 2022 Election Statement Addendum Updates, and billing information. Hospices will learn how these currents impact their Medicare operations and billing practices. This session will provide insight for hospice agency staff at all levels. Presented by Dan George.

Register Here

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Educating Your First Mate: The Role of the Certifying Physician or Allowed Practitioner in Home Health

11:15 a.m. – 12:15 p.m. ET

As you set sail on the home health journey with your crew, we want to give you the navigational tools to educate your First Mate to facilitate fair winds and smooth waters for all aboard your vessel. This session will cover the certifying provider’s role in establishing Medicare home health eligibility through the use of proper documentation. This session will benefit those in the home health agency at either the clinical or administrative level who may need to educate those who certify Medicare beneficiaries for home health services. Presented by Elizabeth Brogdon.

Register Here

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A Beacon on Shore: Home Health Updates to Get You to Port Safely

1:15 – 2:15 p.m. ET

Much like sailing the open seas, Medicare billing can get rocky as things can change suddenly. This session will serve to ensure that home health providers have the most up-to-date Medicare billing instructions and will also cover recent trends in home health billing. This session will benefit all home health staff, from the clinical staff to the administrative personnel. Presented by Michael Bibbins.

Register Here

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Care Planning: Roadmap for Delivering Care

2:30 – 3:30 p.m. ET

Regardless of the patient setting, assessment and planning is key to successful care of the patient. The goal of this session is to examine the process of assessing an individual's health, social risks, and needs to determine the level and type of support required to meet those needs and objectives, and to achieve potential outcomes. This session is geared toward clinical, administrative and compliance staff. Presented by Charles Canaan.

Register Here

Be the Captain of Your Own Ship

10 – 11 a.m. ET

What if you could be the captain of your own ship and sail the Medicare seas solo? A captain would never leave port without vital tools. Palmetto GBA offers a variety of self-service tools to help you navigate the sometimes murky waters of Medicare. Self-service tools act as a compass to help navigate your ship as you go through the various steps of the Medicare process — from enrolling to become a Medicare provider to checking on your appeal status, and everything in between. In this course, we will explore these self-service tools so you can set sail solo!

Register Here

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Let’s Dive into Appeals!

11:30 a.m. – 12:30 p.m. ET

Denials can be decreased by various methods, and we’d like to share some feedback from appeals, the Provider Contact Center and Medical Review that will assist providers in winning the challenge of denied claims. Presented by Jazz Harrison and Keiona Henry.

Register Here

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 Chart Your Course for Smooth Sailing

1:30 – 2:30 p.m. ET

No sailor wants to paddle back to shore because a preventable problem wasn’t identified until rough waters hit. Having Medicare claims denied or rejected is similar. Taking a few proactive steps to address problems before you submit a Medicare claim will prevent you from having to start over and make necessary corrections for rejected claims. This session will review the common reason claims are denied or rejected. We will plot out what is needed before submitting the claim and how a practice’s internal processes (or lack thereof) could be contributing to unnecessarily high claim denial and rejection volumes.

We encourage front desk, accounts receivable, appeal, and delinquent account staff, billers, supervisors, and managers to attend this session together. Following the session, practices can work internally to plot a course to identify and address the root cause for their denials and rejections and modify procedures as needed. The presenter will not instruct practices on how to set up or use their staff; but rather, how pieces and parts of multiple tasks within your office must fit together for successful payment when a claim is first submitted.
 

 Register Here

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Every Ship Needs a Compass

3 – 4 p.m. ET

A compass is very important tool when navigating the ocean because it indicates direction. Medicare Part B providers need a compass to stay on the right course. A tool, however, only works if it is used. Join Palmetto GBA to learn about compliance, hear about the review contractors employed by CMS, understand the role of Palmetto GBA, and learn what providers should do to support compliance. This session will also address responding to additional documentation requests (ADRs), documentation tips, and resources. Have you checked your compass lately?

Register Here


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