May 15, 2014 - Baton Rouge, LA

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2014 Jurisdiction 11 (J11) Home Health Medicare Workshop Series – Navigating the Medicare Maze

Palmetto GBA is pleased to announce our 2014 Home Health workshop series, ‘Navigating the Medicare Maze’. The maze of requests for claims and documentation information is a daily challenge for all Medicare providers. There are numerous contractors who can review claims and a myriad of ever-evolving Medicare regulations to which Providers are required to adhere. In addition, providers can become overwhelmed with the different types of errors identified during the review process. These workshops are designed for home health providers and their staff to equip them with the tools they need to successfully navigate the Medicare billing, coverage and documentation requirements.

These workshops will provide insight for new, intermediate or advanced staff. During the workshop series, Palmetto GBA will assist providers with becoming familiar with the processes for addressing the various components of the benefit integrity process. Palmetto GBA’s ultimate goal is to have educated and astute providers who know how to accurately and skillfully navigate the Medicare Maze!

Home Health Topics:

· Root Cause Analysis

· Statistics and Data Analysis

· Face to Face Documentation

· Symptoms, Signs and Ill-defined Conditions

· Medical Necessity

· Who Can Review Your Medicare Claims?

o Recovery Audit Contractor (RAC)

o Zone Process Integrity Contractor (ZPIC)

o Comprehensive Error Rate Testing (CERT)

o Office of Inspector General (OIG)

o Strategic Health Solutions, the Supplemental Medical Review Contractor (SMRC)

o The Medicare Administrative Contractor (MAC) Additional Documentation Requests (ADRs) Process and Procedures

o Comparative Billing Reports (CBRs)

· Redeterminations – Step By Step

· Medicare Overpayment Process

· Medicare Regulatory Updates

· Web Resources

· Questions and Answer

Note: CMS requires that Medicare contractors track all educational activities, which consists of capturing the provider’s six-digit Provider Transaction Access Number (PTAN) and National Provider Identifier (NPI). Attendees are asked to be prepared to provide this information when they attend the workshop.