Billing Under PDPM and the Interrupted Stay Policy

 
Date: Wednesday, November 20, 2019
Time: 2:00 p.m. ET
Duration:   1 hour
 
On October 1, CMS implemented the new PDPM reimbursement system for SNF providers. With any change in payment system also comes questions related to how the new system may impact billing and other regulatory requirements. CMS recently issued three Program Transmittals (R126, R4409, and R261) which provide further clarifications in the areas of billing, physician certifications and recertifications, and the interrupted stay policy. In this 1 hour webinar, we will present information related to each of these transmittals. In addition, a review of the interrupted stay policy and assessment requirements will be presented along with detailed information related to billing an interrupted stay.

Learning Objectives:

  1. Define SNF Physician Certification and Recertification requirements under PDPM
  2. Describe the components of a PDPM HIPPS code
  3. Define an interrupted stay and assessment requirements
  4. Describe Medicare claim requirements for interrupted stays
  5. Identify when default billing may apply


 
 
Please note: this webinar is a free event, and no CEUs or certificates of participation are provided. All registrants will receive a copy of the recorded webinar and slides if you cannot attend the live event.

Register

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CTA Text


Ron A. Orth, RN, CHC, CMAC
Senior SNF Regulations Analyst and Post-Acute Care Curriculum Designer
Relias

Mr. Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers, both in the U.S. and internationally. Mr. Orth is currently the Post-Acute Care Curriculum Designer, is certified in Healthcare Compliance through the Compliance Certification Board (CCB), and is an AHIMA approved ICD-10-CM trainer.

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Ron A. Orth, RN, CHC, CMAC
Senior SNF Regulations Analyst and Post-Acute Care Curriculum Designer
Relias

Mr. Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers, both in the U.S. and internationally. Mr. Orth is currently the Post-Acute Care Curriculum Designer, is certified in Healthcare Compliance through the Compliance Certification Board (CCB), and is an AHIMA approved ICD-10-CM trainer.

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--- Speaker 3 Bio --- Lorem ipsum dolor sit amet, consectetur adipiscing elit. Phasellus mollis justo vel lacus ornare consectetur ac sit amet eros.


Ron A. Orth, RN, CHC, CMAC
Senior SNF Regulations Analyst and Post-Acute Care Curriculum Designer
Relias

Mr. Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers, both in the U.S. and internationally. Mr. Orth is currently the Post-Acute Care Curriculum Designer, is certified in Healthcare Compliance through the Compliance Certification Board (CCB), and is an AHIMA approved ICD-10-CM trainer.

-- Speaker 2 Name ---
--- Speaker 2 Title ---
--- Speaker 2 Org ---

--- Speaker 2 Bio --- Lorem ipsum dolor sit amet, consectetur adipiscing elit. Phasellus mollis justo vel lacus ornare consectetur ac sit amet eros.

Ron A. Orth, RN, CHC, CMAC
Senior SNF Regulations Analyst and Post-Acute Care Curriculum Designer
Relias

Mr. Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers, both in the U.S. and internationally. Mr. Orth is currently the Post-Acute Care Curriculum Designer, is certified in Healthcare Compliance through the Compliance Certification Board (CCB), and is an AHIMA approved ICD-10-CM trainer.

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