Agenda Day 1
7:00 a.m. – 8:00 a.m.
8:00 a.m. – 8:10 a.m.
Welcome and Announcements
8:10 a.m. – 10:30 a.m.
Enrollment Risks and Consequences — Steps in the Enrollment Process, Filing and Effective Date Considerations, Deactivation & More
Dennis Grindle and Gretchin Heckenlively
The Medicare enrollment process is more than completing some boxes on a form or in electronic data fields in the national PECOS database. This session highlights the compliance risks associated with completing the forms, the organizational structure of the provider or supplier, the disclosure requirements initially and ongoing, the impact on billing and cash flow, what resources are available to assist you through the process, the penalties for falsifying information and certification statements being attested to, just to name a few, so you avoid mistakes that can freeze payments for services you’ve already performed and succeed the first time you file your initial enrollment. Topics covered in this session include:
- Timeframes for submission of CMS-855 forms
- Reimbursement effective date dependencies for certified providers/suppliers
- Effective date of billing privileges for physician/groups/NPPs
10:30 a.m. – 11:00 a.m.
Networking Break with Exhibitors
11:00 a.m. – 12:15 p.m.
I&A/PECOS & NPPES Updates
Master the Identity & Access management system to request surrogacy on behalf of providers. Plus, we’ll clarify how Delegated Officials and Authorized Officials take on different meaning in performing enrollment vs. acting as a surrogate.
12:15 p.m. - 12:30 p.m.
12:30 p.m. – 1:30 p.m.
Networking Lunch with Exhibitors
1:30 p.m. - 2:45 p.m.
Hidden Compliance Risks within the Medicare Billing Privilege Process
Enrollment and billing are more closely connected than you might think! Dennis explains exactly how the two are related and offers best-practice sleuthing tips that will keep your practice safe from surprising and costly vulnerabilities and liabilities and ensure you remain 100% compliant. Areas of risks covered in the session include: Reassignment rules, “Incident to” rule, Carrier Jurisdiction rules, Site-of-Service rules, Three Day Payment Window rules.
2:45 p.m. - 3:00 p.m.
3:00 p.m. – 3:30 p.m.
Networking Break with Exhibitors and PECOS Station
3:30 p.m. – 5:00 p.m.
Provider-Based & §603 of the Bipartisan Budget Act of 2015 – Payment Reductions for Certain Off-Campus Hospital Departments
Planning to relocate hospital outpatient departments? Be careful! With the passage of §603 of the Bipartisan Budget Act of 2015 on November 2, 2015, relocations of hospital outpatient departments from one address to another or the establishment of new off-campus provider-based hospital outpatient departments on or after November 2, 2015 could mean unintended payment reductions to your hospital. This was effective January 1, 2017 and continues through 2018. It’s determined by how you complete your Medicare enrollments. Remember, Medicare enrollment forms can impact how a provider/supplier is ultimately paid for its services.
5:00 p.m. – 6:00 p.m.
Networking Reception with Exhibitors
Day 1 Adjourns
This program is pending approval by the National Association Medical Staff Services for [CE hours] continuing education unit(s).
Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.
Who should attend?
- Enrollment Managers
- Credentialing Specialists
- Billing Department Managers
- Payer Relations Managers
- Office Managers
More than 3 hours
of dedicated Q&A
Look for the QA icon for opportunities to get your challenges solved with direct access to the top enrollment and credentialing consultants in the country!