Presentation Downloads
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Program Agenda
Time |
Description |
7:30am - 9:00am |
Registration / Exhibits Open |
8:30am |
Breakfast Begins In General Session Room |
9:00am - 10:00am |
Welcome and Introduction / Keynote Speaker
- Amy Capece, Manager, Provider Customer Service Program
- CMS
|
10:00am - 10:15am |
Morning Break / Exhibits |
10:15am - 11:30am |
Concurrent Breakout Sessions
|
11:30am - 1:00pm |
Lunch Begins In General Session Room / Speaker
- Paul J. Hughes, M.D. - Jurisdiction A Medical Director
|
1:00pm - 2:15pm |
Concurrent Breakout Sessions
|
2:15pm - 2:30pm |
Afternoon Break / Exhibits |
2:30pm - 4:00pm |
Concurrent Breakout Sessions
|
The Basics - Not Just for Beginners
Presented by Provider Outreach & Education
Basic Medicare knowledge is essential to ensure compliance with regulations as well as obtaining Medicare reimbursement. Lack of knowledge can have a negative financial impact. This session will present the basic facts regarding the DME MAC program as well as the key information that is crucial when billing DMEPOS claims.
Medicare News You Can Use - DME MAC Updates & Hot Topics
Presented by: Provider Outreach & Education
When you receive information from Medicare whether it is due to recent regulatory activity, or specific Contractor updates, it can sometimes be very challenging to determine just how important the information is and how it applies to you. This session will focus on what you need to know about important updates and changes that affect the DME MAC program as well as what actions you must take to incorporate these changes into your everyday routine of billing DMEPOS items. Featured hot topics will include Recovery Audit Contactor (RAC) Update, Competitive Bidding Update, Accreditation and Surety Bond Reminders, Oxygen Billing Update, IVR Enhancements, and much more.
DME MAC Cyber Session - Going Green
Presented by: Provider Outreach & Education
Moving to a paperless environment offers many benefits and drives an organization towards efficiency. DME MAC A offers many tools and resources that will contribute significantly to achieving this goal. The focus of this session is to provide information that will assist you in creating a paperless and Eco friendly office. This session will feature web site navigation to help you make better use of the electronic tools that are available and point you to helpful resources. In addition, we will provide an overview of free electronic billing software, the VIPS Provider Inquiry System (VPIQ), Electronic Funds Transfer (EFT), and Medicare Remit Easy Print (MREP) Software.
CERT and DME - What DMEPOS Suppliers Need to Know!
Presented by: E. David Perez, M.D.
Suppliers will understand the benefits of CERT to the Medicare Program and providers. The CERT sampling process, report generation, and review process will be explained. Issues related to DME claims will be discussed.
Introduction to the Recovery Audit Contractor (RAC)
Presented by: Catherine Till and Eugene Winters, M.D.
Section 302 of the Tax Relief and Health Care Act of 2006 makes the RAC Program permanent and requires the Secretary to expand the program to all 50 states by 2010. Contracts for four permanent RACs have been awarded. Each RAC will be responsible for identifying overpayment and underpayments in approximately 25% of the country. CMS has planned a gradual expansion to all 50 states. This session will provide an overview of the RAC and its planned activities.
Getting It Right the First Time - Clues to Troubleshooting DME MAC Claims
Presented by: Provider Outreach & Education
Do you ever get frustrated as a result of receiving rejections or denials due to claim submission errors and just wish to get it right the first time? We have just the right session for you to eliminate these errors once and for all to ensure that you receive appropriate reimbursement at the time of initial claim submission. This hands-on interactive session uses class participation to troubleshoot real-world claim scenarios. Participants will work through common billing errors and how to prevent them. Emphasis will be placed on how to reduce initial claim denials and/or rejections by reviewing the top claims submission errors.
O & P Troubleshooting - Detecting the Truth
Presented by: Provider Outreach & Education
Are you dealing with rejections and/or denials and despite your best efforts, you’re not quite sure why or what steps need to be taken to correct them? This session will explore the most troublesome areas of O&P claim rejections and denials. With a hands-on interactive approach, class participation is required to troubleshoot real-world claim scenarios. You will work through common billing errors and learn solutions to your many problems which will help you to avoid making the same mistake on future claims.
Reopenings and Appeals - Revealing the Differences
Presented by: Provider Outreach & Education
Do you ever find yourself stuck trying to figure out what to do after receiving a denial? You’re not alone. DMEPOS Suppliers face common challenges with knowing which steps to take to correct claims and finally get that payment they deserve. This session will end confusion and provide information that will broaden your knowledge of the Medicare Reopenings and Appeals Process and identify the difference between when to request one versus the other. In the end, you will have the details you need to successfully determine which path to choose.
Get Ready for DMEPOS Competitive Bidding
Presented by: Rahshaan Martin Felder
This session is important for suppliers who will be involved in the Medicare DMEPOS Competitive Bidding Program. Attendees will receive education on program requirements and bidder responsibilities.
NSC & Me: How to Secure My Medicare Billing Privileges
Presented by: Erika Williams
This interactive session will provide participants with industry updates including accreditation and surety bond information. Reenrollments, reporting changes of information and tips for making your application process seamless will also be discussed.
Repairs and Replacements - Knowing the Facts Makes a Difference
Presented by: Provider Outreach & Education
If you are providing repairs to or replacements of DMEPOS items it can sometimes cause a financial burden, especially if you don’t know the important coverage facts. This session provides a basic overview of the general repairs and replacements payment rules and regulations. In addition, billing examples will be provided on common scenarios to identify proper use of HCPCS codes and modifiers as well as how to utilize the claim narrative fields properly. The session will also include some helpful billing tips, FAQs, and reminders to help prevent unnecessary claim denials.
