Billing staff is extremely valuable in ensuring that you are maximizing reimbursement in a timely manner. Medicare billing regulations can be overwhelming and clarifications are continuous. Hospice reimbursement is driven by excellent care, documentation, and billing staff that can bring it home!

This three-part series will establish and cement the foundation and a full understanding of Medicare regulations for hospice staff. Medicare eligibility verifications, field-by-field detail on Notice of Election and claim forms, and changes to the billing requirements will be covered. This series will review regulations for billing all hospice services, face-to-face encounters, and home health providing care while a patient is on service with hospice. Hospice information including the aggregate cap self-report, palliative care billing basics, and the latest on HIS updates and transmission requirements will be emphasized. If you are part of a hospice revenue-cycle team, this webinar series is a must!

Hospice Billing Series Topics

• Part 1 - Eligibility Requirements & Notice of Election
• Part 2 - Details of Medicare Claims Processing
• Part 3 - Face-to-Face, Hospice CAP & Palliative Care

Part 1 - Eligibility Requirements & Notice of Election

The 2020 Hospice Rule brought significant changes to reimbursement, and to the content of the actual Election Statement and future Addendum. New and experienced hospice billers must stay sharp by reviewing changes and eligibility requirements. This webinar provides a comprehensive review of eligibility requirements and all aspects of dealing with Election Statement changes. All things related to the Notice of Election will be covered, including updates on how to correct a Notice of Election that was not filed correctly, a walk-through of the Late Notice of Election, and the exceptions process of appeal.

Part 2 - Details of Medicare Claims Processing

Accurate monthly claims and understanding the navigation surrounding the edits and errors is key to getting paid correctly and on time. The presenter will go through the step-by-step process of monthly hospice billing and provide examples of successfully dealing with recent changes. The most recent reimbursement changes will be addressed, including proposed changes to the base rates for hospice levels of care through rebasing. This session will provide a step-by-step guide through the content of the final claims, frequent billing issues, and physician billing.

Part 3 - Face-to-Face, Hospice CAP & Palliative Care

All the nuts and bolts that hold hospice reimbursement together will be covered in this webinar. Face-to-face requirements, physician billing, and the aggregate cap self-reporting requirement are among the many daily reimbursement-related challenges. A review of specific HIS reporting requirements will be addressed to expand your agency's knowledge of hospice reimbursement-related components. Learning the top five reasons for denied claims under medical review will take you a step beyond the basics of claims processing.