AUDIENCE: Administrators, DON, Billing Manager, MDS Coordinator
How would you make audit decisions from your cubicle if you were a claims reviewer?
The RUG IV System was not sensitive to claim coding, diagnosis code management and MDS accuracy like the New Patient Driven Payment Model will be.
During this 1/2 day class, learn a new process or refresh your knowledge of a prior process to monitor claim and MDS accuracy.
You will also learn from review of Medicare billing requirements and case studies, how to reduce the risk of claim rejection, assure documentation consistency and improve clinical documentation processes.
- Review of SNF billing requirements for Medicare Part A
- Identify critical elements of the UB-04 claim form
- Discuss and practice the pre-bill review process
- Develop a strategy to implement the pre-bill process in your facility
Pathway Health - 11240 Stillwater Blvd North, Lake Elmo, MN 55042