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Medicare Provider Enrollment & the CMS 855 Forms 2-7-12
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February 7, 2012
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Overview
On August 31, 2011, the U.S. Office of Management and Budget approved changes to the Medicare Provider-Supplier Enrollment Applications (CMS-855). They were updated from the 2008
versions; there is also a new CMS-855O application form. Learn strategies from an expert to ensure compliance with the changes to this regulation.
Who Should Participate
CEO, COO, CFO, CMO, All Coding, Billing and Claims Transaction Staff, Financial Analysts, Compliance Personnel, Accreditation and Licensing Personnel, Physicians, Non-Physician Practitioners, DME Suppliers, Clinics, Cost Report Personnel, and Other Personnel
Interested in Billing Privileges with the Medicare Program
Objectives
At the completion of this program, the participant will have:
1. Discussed the Medicare enrollment process through the use of the various CMS-855 forms
2. Reviewed the CMS Conditions for Payment (CfPs)
3. Discussed the Medicare concerns surrounding billing and payment for services and supplies
4. Reviewed the purpose and use of the six different CMS-855 forms
5. Identified the common information requirements embedded in the CMS-855 forms
6. Discussed the 5-year cycle revalidation process
7. Reviewed how other required reporting, such as the NPIs and Provider-Based reporting connect with the Medicare enrollment
8. Reviewed the need to develop organizational resources to maintain multiple CMS-855 forms
9. Discussed the proper use of the Internet-based PECOS process
10. Reviewed current and anticipated changes for maintaining billing privileges with Medicare
11. Discussed the need to establish contact with knowledgeable personnel at the Fiscal Intermediary, Carrier and/or geographic MAC |
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Webinar
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Positioning Hospitals and Physicians for Success 2-7-12
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February 7, 2012
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Overview
The healthcare delivery system is undergoing rapid changes in response to the Patient Protection and Accountable Care Act (PPACA). While some health insurance carriers, hospitals, and
providers are simply trying to cope with the many changes, others are implementing strategies designed to support the goals of improving efficiency and value. In fact, in many cases, these
strategies were being considered well before PPACA was enacted.
Who Should Participate
CEO, COO, CFO, CMO, Board Members, Business Development and Strategic Planning Leadership, Managed Care Directors, Physician Services, and Financial Services
Objectives
At the completion of this program, the participant will have:
1. Discussed how a health system practically moves from volume-based to value-based reimbursement while avoiding an erosion in margins
2. Discussed the time and investment required to evaluate new reimbursement methodologies, and should organizations focus on their Medicare strategy, commercial payor strategy, or both simultaneously?
3. Discussed whether it is more advantageous to be proactive or reactive relative to payor strategies?
4. Polled participants on what innovative value-based approaches are organizations contemplating?
5. Discussed how do health systems manage situations where the provider is taking on some risk but does not have control over patient choice in PPO-like products |
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Webinar
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HICS-Charleston 2-8-12
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February 8, 2012
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St. Francis Hospital, Charleston
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The Basics of DNV Accreditation & ISO 9001 2-9-12
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February 9, 2012
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Overview
The DNV Healthcare accreditation program is called the National
Integrated Accreditation for Healthcare Organizations (NIAHO®). As part of its program development, DNV Healthcare has cultivated highly
motivated field surveyors throughout the country. Working in tight-knit teams comprised of clinicians, generalists and life safety specialists, DNV Healthcare surveyors will visit hospitals annually to ensure
progress and help hospitals meet their quality goals. This program is designed to provide information regarding DNV Healthcare
accreditation process, overview of ISO 9001:2008 as a part of the
accreditation and summary of the updates to their accreditation
requirements.
Who Should Participate
CEO, COO, CFO, CMO, Board Members, The Joint Commission Coordinators, Performance Improvement Leaders, Risk Managers, Safety Officers, and Compliance Officers
Objectives
At the completion of this program, the participant will have:
1. Reviewed key ways DNV Healthcare’s approach is different from other accreditation models
2. Discussed how ISO 9001:2008 quality management system can be an effective approach to improving manage processes more effectively and improve performance
3. Discussed how DNV Healthcare’s accreditation program is designed to move hospitals beyond traditional approaches to quality and performance improvement
Discussed what to expect of a DNV Healthcare hospital
accreditation survey:y - Approach to the survey process - Demeanor of the survey team - Follow up process for corrective actions to address noncompliance |
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Webinar
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Advance Directives Update 2012 2-14-12
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February 14, 2012
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Overview
This program will cover advance directives such as living will, durable power of attorney, organ donation, mental health declaration, and do not resuscitate orders. It will include Joint Commission, CMS Hospital Conditions of Participation, case law discussion, organization position statements on DNR (do not resuscitate) and other federal laws on advance directives. Learn from an expert strategies to ensure compliance with these advance directives.
Who Should Participate
CEO, COO, CMO, CNO, Director of Registration, Behavioral Health Staff, Psychiatrist, Consumer Advocate, All Clinical Nursing Leadership, Nurses, Physicians, Nursing Supervisors, Department Directors, The Joint Commission Coordinators, Performance Improvement Directors, Risk Managers, Safety Officers, and Compliance Officers
Objectives
At the completion of this program, the participant will have:
1. Reviewed the CMS CoP requirements for advance directives for hospitals
2. Discussed the 2012 Joint Commission standards on advance directives
3. Reviewed what is required of hospitals under the federal law on the Patient Self Determination Act
4. Discussed the CMS new regulations on visitation and what is a visitation advance directive |
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Webinar
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Evaluation - Beckley 2-15-12
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February 15, 2012
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Jan Care Ambulance, Beckley
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HICS Greenbrier Valley 3-25-12
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March 25, 2012
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Greenbrier Valley Medical Center, Roncerverte
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