Medicare Tools for Improvement John Behn, MPA Laurie Daigle, CPC

Objectives Learn how to set up Medicare Learning accounts Review training options Assign tasks Establish expectations Provide deadlines Assess training

Medicare Training Medicare provides free training Detailed, printable education on specific topics Pre-recorded presentations and podcasts Web-based certificate training CEU eligible courses

Create an Account Create an account

Medicare Learning Options Quarterly topics 5- to 15-page tutorials Printable PDF Publications Recordings of broadcasted presentations Topics include billing, compliance, coding and regulation Presentations 2- to 5- minute YouTube videos on various topics Not just Medicare Podcasts

Podcasts Under 5 minutes Not Just Medicare MUEs and Bilateral

Web-Based Training Certificates Certificate of Completion Part A Part B Medical Necessity

Management Recognize how federal law, regulations, and Medicare policies impact the office practices of physicians, non-physician practitioners, and suppliers Safeguarding your medical identity Recognize the scope of the problem of medical identity theft and strategies for mitigating it Locate information of importance to you on the CMS website Identify various resources provided by CMS to assist physicians, non- physician practitioners, and suppliers in effectively fulfilling Medicare requirements Select applicable forms and resources to use for specific functions in a medical or supplier’s office

Physician CMS Provider Minute: Hospital Discharge Day Management Services CMS Provider Minute: Hospital Discharge Day Management Services Video Transitional Care Management Services Chronic Care Management Services Changes for 2017 (December 2016) Enhanced Longitudinal Care Management for High Risk Patients Action Group 3 Enhanced Longitudinal Care Management for High Risk Patients Action Group 4

Billing Currently 47 opportunities Mix of webinars, online training, handouts and podcasts All products UB and 1500 SNF Consolidate Billing HIPAA Recognize the administrative simplification provisions of HIPAA and who is a covered entity Identify the electronic transaction standards required by HIPAA Recognize the code sets adopted by HIPAA and their uses Identify the steps involved in the Medicare EDI process Medicare Basics of Medicare Medicare and Medicaid Basics ABN and Home Health Change of Care Notice Dual Eligible Beneficiaries Under Medicare and Medicaid Medicare Secondary Payor

Coding ICD-10-CM Classification Enhancements – Annual Updates ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Code Sets – Annual Updates Diagnosis Coding: Using the ICD-10-CM ICD-10-CM/PCS The Next Generation of Coding Evaluation and Management Services How to Use The Medicare National Correct Coding Initiative (NCCI) Tools Transitional Care Management Services Chronic Care Management Services Changes for 2017 (December 2016)

Let’s Get Started www.cms.gov

Step 1: Web-Based Training Link

Step 2: Log In for Courses

Step 3: Create Account

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Questions

Thank You Stroudwater Revenue Cycle Solutions was established to help our clients navigate through uncertain times and financial stress. Increased denials, expanding regulatory guidelines and billing complexities have combined to challenge the financial footing of all providers. Our goal is to provide resources, advice and solutions that make sense and allow you to take action. We focus on foundational aspects which contribute to consistent gross revenue, facilitate representative net reimbursement and mitigate compliance concerns. Stroudwater Revenue Cycle Solutions helps our clients to build processes which ensure ownership and accountability within your revenue cycle while exceeding customer demands. Contact us to see how we can help. Laurie Daigle, CPC ldaigle@stroudwater.com 603-553-5303 John Behn, MPA jbehn@stroudwater.com 207-221-8277