RHHI Home > RHHI Education Home > RHHI Educational Programs
NHIC Medicare Education and Outreach has long provided our customers the opportunity to learn about the Medicare
program and changes that affect everyone through various educational programs, billing guides, newsletters, and our Web site.
To provide the best customer service possible, we ask that you complete an assessment for the teleconference you attended. Your evaluation will be used in conjunction with other evaluations to determine in what areas our representatives are most helpful and where they need to strengthen their skills to better satisfy our customers’ needs. Please indicate to what degree your expectations were met. Please evaluate each teleconference you attended. Thank you very much.
J14 MAC RHHI Assessment Form
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Teleconference Q&A
2013
- Home Health and Hospice Ask-the-Contractor Teleconference (ACT) – April 25, 2013
- Hospice Benefit: Billing and Payment – April 22, 2013
- A Visual Tour of the Fiscal Intermediary Standard System Direct Data Entry (FISS DDE) Inquiry Menu – April 17, 2013
- Part A Preventive Services: Diabetes Self-Management Training, Medical Nutrition Therapy, Diabetes Screening Tests - March 21, 2013
- Fiscal Intermediary Standard System Direct Data Entry (FISS DDE) Inquiries Menu – March 13, 2013
- Would Your Nursing Documentation Support Medicare Hospice Coverage? – March 12, 2013
- Preventive Services – Cardiovascular Disease Screening & Ultrasound Screening for Abdominal Aortic Aneurysm – February 21, 2013
- Home Health Advance Beneficiary Notice (HHABN) – February 14, 2013
- The Fundamentals of Medicare Secondary Payer (MSP) – February 13, 2013
- Fundamentals of Medicare Part II – February 7, 2013
- Fundamentals of Medicare Part 1 – January 31, 2013
- The Centers for Medicare & Medicaid Services (CMS) Quarterly Updates – January 29, 2013
- Hospice Benefit: Eligibility and Election – February 6, 2013
- Hospice Advance Beneficiary Notice – February 5, 2013
- Medicare Preventive Services: The Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV) – January 24, 2013
- Electronic Data Interchange (EDI) Open Forum – January 23, 2013
- Home Health Billing: Request for Anticipated Payments (RAPs) and Episode Claims – January 22, 2013
- Home Health and Hospice Ask-the-Contractor Teleconference (ACT) – January 17, 2013
- Improve Your Home Health Nursing Documentation – January 16, 2013
- Hospice Billing Scenarios: Levels of Care – January 14, 2013
- The Hospice Benefit – Billing and Payment – January 10, 2013
- What You Need to Know Before Responding to a Medicare Hospice ADR – January 8, 2013
Interested in Sponsoring a Seminar?
NHIC, Corp. offers many types of Part A education (including Home Health and Hospice) for small and new providers.
For providers that require more advanced or specialty training, please complete the Education Request Form. We will contact you to discuss what you have requested.
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Virtual Room For 2012 J14 A/B MAC Educational Programs!
NHIC will begin to use a new tool "Virtual Room" when attending some of our Educational Programs. Virtual Room allows NHIC to provide you with interactive materials for your educational needs.
We would like you to make sure this is a pleasant experience the first time using the tool, so please be prepared!
| Before the Event: |
• Be prepared Test Your Setup! This ensures you have ample time for to contact your Technical Support if you are having any problems.
• Disable any screen savers and popup blockers. Postpone scheduled tasks like software updates, anti-virus scans or backups.
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Registration is required for all teleconferences.
A Faster, Easier and Quicker Method for Receiving Medicare Funds! Electronic Remittance Advice and Electronic Fund Transfer via Virtual room
Summary of Topic: Did you know there is a faster, more efficient way to receive Medicare's remittance advice and a faster way to receive Medicare checks? This session will educate providers who are currently receiving paper remittance advices and checks on the benefits of receiving Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT).
EFT allows automatic deposit of claims payment into a provider’s bank account just one day after Medicare transmits the electronic payment. Paper checks must first be mailed, manually processed in your office, deposited, and then cleared by the bank. Electronic payments eliminate manual processing, time-consuming trips to the bank and mandatory clearing time. This means the EFT will usually be available to you one week sooner than paper funds!
ERA enables you to receive payment information in an electronic file format. If you have software capability in place in your system, an ERA file created by Medicare can be automatically posted to your accounts receivable system. Once the ERA is in place, the payment posting process is more efficient and accurate and will save your facility both time and money. This software is easy to use and will improve office productivity, reduce paperwork, give you more detailed payment information and result in faster account reconciliation. We will give you all the information and resources you need to get started!
Program Handouts:
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A Visual Tour of the Fiscal Intermediary Standard System Direct Data Entry (FISS DDE) Inquiry Menu via Virtual room
Summary of Topic: This session will illustrate the numerous functions available to you within the ‘Inquiries’ menu of the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Online System. The session will also demonstrate how to use the submenu options to help monitor and reduce errors for specific reason codes, as well as, research/review files, including revenue codes, Healthcare Common Procedure Coding System (HCPCS) codes, and the claim count summary.
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Centers for Medicare & Medicaid Services (CMS) Quarterly Updates via Virtual Room
Summary of Topic: This session will review the Centers for Medicare & Medicaid Services (CMS) quarterly change requests (CRs) implemented between January 8, 2013 and April 5, 2013.
Program Handouts:
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Electronic Data Interchange (EDI) Open Forum via Virtual Room
Summary of Topic: This Electronic Data Interchange (EDI) Open Forum Webinar is designed to assist our Institutional Trading Partner community with their EDI needs. These webinars are designed to address specific questions from our providers and Trading Partners.
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Fiscal Intermediary Standard System Direct Data Entry (FISS DDE) Inquiries Menu via Virtual Room
Summary of Topic: This course is designed to provide an overview of the different menu options that are available within the FISS/DDE online system. We will a live system demonstration of the inquiry menu where we show everyone how to check on a claim status, check if a Healthcare Common Procedure Coding System (HCPCS) is valid or if it requires a revenue code, check to see if a revenue code is valid for a specific bill type and much, much more. This is a very informative session and we look forward to showing you the many features in FISS DDE!
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Fiscal Intermediary Standard System Direct Data Entry (FISS DDE) Verifying Eligibility
Summary of Topic: The session will provide a live system demonstration showing you how to verify a beneficiary’s Medicare eligibility using Health Insurance Query Access (HIQA). You will learn that before submitting claims, it is very important that you check this information.
Checking eligibility information allows you to identify if the beneficiary is:
- entitled to Medicare Part A, Part B; or both Part A and Part B
- enrolled in an health maintenance organization (HMO);
- enrolled with another insurance that is primary over Medicare;
- in an open 60-day home health prospective payment system (HH PPS) episode; or
- in an open hospice election period
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Fundamentals of Medicare Part I via Virtual Room
Summary of Topic: The objective of this educational program is to give providers a basic understanding of the Medicare Program, with the intention that providers will use this information to prevent claims from rejecting and being returned to provider (RTP). When providers have an understanding of the fundamentals of Medicare, they have a better understanding of how to submit a claim that will be in compliance with the Medicare regulations.
Understanding basic Medicare billing concepts and how to access Medicare resources could increase reimbursement and prevent claim submission errors for your facility!
This is the first of a two-part series. Part 2 will be held on May 9, 2013.
Program Handouts:
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Fundamentals of Medicare Part II via Virtual Room
Summary of Topic: The objective of this educational program is to give providers a basic understanding of the Medicare Program, with the intention that providers will use this information to prevent claims from rejecting and being returned to provider (RTP). When providers have an understanding of the fundamentals of Medicare, they have a better understanding of how to submit a claim that will be in compliance with the Medicare regulations.
Understanding basic Medicare billing concepts and how to access Medicare resources could increase reimbursement and prevent claim submission errors for your facility!
This is the second of a two-part series. Part 1 will be held on May 2, 2013
Program Handouts:
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The Fundamentals of Medicare Secondary Payer (MSP) via Virtual Room
Summary of Topic: Summary of Topic: In this session, we will introduce Medicare admissions, registration and billing staff to the fundamentals (the basics) of Medicare Secondary Payer (MSP). We will provide a high-level overview of the MSP Provisions and of the providers' MSP-related responsibilities. Highlights from this session include the following:
- What is MSP?
- What are the MSP provisions?
- How can a provider identify primary payers?
- What is an MSP questionnaire?
- Who should the provider bill first?
- What is an MSP claim rejection?
- Who is the Coordination of Benefits Contractor (COBC)?
- Who is the Medicare Secondary Payer Recovery Contractor (MSPRC)?
- Where can providers find resources to assist in billing Medicare as secondary?
- A question and answer period
Note: This session will not provide MSP billing instructions. However, this session will provide a foundation for attending and understanding future MSP-related sessions that we offer. More details regarding each topic covered in this basic session will be provided in those future sessions.
Program Handouts:
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Home Health Coverage
Summary of Topic: This Home Health Coverage webinar will include an explanation of the coverage guidelines of therapy and nursing services under the home health benefit. We will also discuss common causes of denials in home health reviews. Registration is required
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Home Health and Hospice Ask- the- Contractor Teleconference (ACT)
Summary of Topic: This Ask-the-Contractor Teleconference is your opportunity to speak directly with your contractor. Knowledgeable staff representing a variety of functions will be available to answer your questions. We will provide some updates to the home health and hospice community but the majority of this call is dedicated to our providers as a question and answer open forum.
Program Handouts:
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Hospice Benefit: Eligibility and Election via Virtual Room
Summary of Topic: Do you have questions on the hospice billing process? Do you know how to report a hospice discharge vs. a hospice transfer? How about sequential billing? The answers to these questions and many more are waiting for you at our next Hospice Benefit-Billing and Payment Teleconference.
This session will educate providers on the billing requirements under the Medicare hospice benefit including:
- The notice of election
- The claim submission steps
- How to report situations to Medicare such as revocations, and transfers
Program Handouts:
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Hospice Benefit-Eligibility and Election: What You Should Know about the Medicare Hospice Benefit via Virtual Room
Summary of Topic: Do you have questions on the Medicare hospice benefit? Do you know when to conduct the face-to-face encounter? How about the rules for Medicare Advantage enrollees? The answers to these questions and many more are waiting for you at our next Hospice Benefit-Eligibility and Election Teleconference.
During this session we will discuss the basics of the Medicare hospice program including:
- Eligibility/Election
- Certification
- Revocation
- Impacts on Veteran’s Administration, Medicare Secondary Payer (MSP), Medicare Advantage organizations (MAO), and stays in a skilled nursing facility (SNF)
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Hospice Billing Scenarios: Hospice Discharges, Revocations and Transfers
Summary of Topic: This session will provide information on billing discharges, transfers, and revocations. We will look at mock claims to discuss the correct coding for these situations and see how the billing affects the Common Working File.
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How to Avoid the Top Hospice Claim Submission Errors via Virtual Room
Summary of Topic: Do you see the same rejections and return to provider (RTP) errors over and over? Do you know how to correct these common errors and more importantly how to avoid them in the future? The answers to these questions and many more are waiting for you at our next How to Avoid the Top Hospice Claim Submission Errors Teleconference.
This session will educate hospice providers on the top rejection and RTP reason codes. We will provide information on how to review, resolve, and prevent the top claim errors from being returned to your facilities due to missing, invalid, or incorrect information.
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How to Avoid the Top Home Health Claim Submission Errors via Virtual Room
Summary of Topic: Do you see the same rejections and RTPs over and over? What does it mean when a claim is returned with reason code U538I? How about reason code 38200? Do you know how to correct these common errors and more importantly how to avoid them in the future? The answers to these questions and many more are waiting for you at our next How to Avoid the Top Home Health Claim Submission Errors Teleconference.
This session will educate home health providers on the top rejection and RTP reason codes. We will provide information on how to review, resolve, and prevent the top claim errors from being returned to your agencies due to missing, invalid, or incorrect information.
Program Handouts:
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Improve Your Home Health Nursing Documentation
Summary of Topic: This session will include a discussion of the nursing documentation needed for home health records. Examples of nursing documentation will be reviewed to demonstrate how documentation can be more descriptive. Details may help support the medical necessity of the nursing visits provided when submitted for a medical review. This will be very similar to the session held on January 16.
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The Medicare Home Health Benefit: Basics of Eligibility, Coverage and Reimbursement via Virtual Room
Summary of Topic: This session will provide a basic understanding of the Medicare home health program, including eligibility and coverage requirements, and reimbursement information. Discussion will include: review of the basic eligibility guidelines, certification, episode variations, verifying eligibility, and basic reimbursement. We will also discuss how Medicare Secondary Payer and Medicare Advantage organizations affect home health.
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Part A Preventive Services: Diabetes Self-Management Training, Medical Nutrition Therapy, Diabetes Screening Tests via Virtual Room
Summary of Topic: The next preventive service we will be discussing in our year-long series on all of the preventive services Medicare covers will be on Diabetes self-management training, medical nutrition therapy and diabetes screening tests. During this session will review the coverage, coding, and billing guidelines for these preventive services. Attending this session will help ensure that your claims are submitted in accordance with the Medicare rules and regulations.
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Resolving Common Home Health Billing Errors
Summary of Topic: Do you have questions on home health billing guidelines? Would you like to learn how to reduce the number of incorrect claims submitted to Medicare? Join us for this session that will review the home health billing requirements, consolidated billing guidelines and discuss scenarios that correspond to the most common billing errors under home health. We will also look at how your agency can establish steps to identify and resolve frequently identified billing errors.
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What You Need to Know Before Responding to a Medicare Hospice Additional Development Request (ADR) via Virtual Room
Summary of Topic: This 90-minute course reviews the Progressive Corrective Action Process. We will discuss how to respond to a Medicare hospice Additional development request (ADR). We will discuss common denials and tips for avoiding those denials. It's important when submitting documentation in response to an ADR request that you understand the medical review process and what information is imperative to send. Nurse Managers and Health information personnel that prepare records in response to an ADR should attend this session.
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Would Your Nursing Documentation Support Medicare Hospice Coverage? via Virtual Room
Summary of Topic: Quality nursing documentation plays a key role in “painting a picture” of a patient who is terminal ill. During this 90-minute webinar we will examine Medicare hospice coverage and quality documentation required to support terminal prognosis. This session is designed to give clinical and management nursing staff a better understanding of Medicare coverage and how poor documentation could impact coverage during a medical review audit. We will also look at documentation required to support level of service.
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Registration is required for all teleconferences.
05/16/2013
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