IMPROVE BILLING PERFORMANCE

Improve Cash Flow by Reducing Billing Errors, Delays, and Denials

Medical billing errors cost U.S. hospitals millions of dollars each year in the form of delayed payments, denied payments, and reduced productivity of billing personnel. Research shows that training enables significant improvements in revenue cycle performance, including billing processes. With the HFMA Mastering Medicare Billing Library from the Healthcare Financial Management Association, your billing team will receive the highest quality, most effective training from the established industry leader. This suite of courses trains your team to reduce payment delays through a better understanding of Medicare billing rules and the correct use of billing forms, such as the UB-04. By providing your team with industry peer-reviewed training, your facility will recover payments sooner and stay in compliance with critical regulatory standards.

Impact:

Reduce Billing Errors

• Understand the intricacies of Medicare billing guidelines
• Complete the UB-04 and 1500 Health Insurance Claim Form accurately
• Successfully manage billing for observation, therapy services, ESRD, and other services
• Coordinate more effectively with your coding department
  
  
  

Avoid Compliance Violations

• Adhere to medical necessity and ABN requirements
• Comply with Medicare Secondary Payer requirements and Medicare’s 3-Day Bundling Rule
  
  
  

Increase Staff Effectiveness

• Standardize training for new hires and existing personnel
• Utilize educators more effectively for hands-on remediation as needed
• Reduce turnover by equipping employees with the knowledge they need to be confident
  and competent
  
  

Features:

• Comprehensive library totaling more than 40 hours of learning
• Suitable for both new-hire and career development training for experienced staff

This library is essential for:

• Billing personnel orientation programs
• Process improvement initiatives
• Continuing education for Billing Staff
• Training on new Medicare requirements

This library supports:

• Professional development programs
• Employee retention improvement initiatives

Courses in Library:

This comprehensive library includes the following:

• The UB-04 Billing Form Part 1 & Part 2
  
• The 1500 Health Insurance Claim Form
  
• Essential Elements of Medicare Inpatient Billing
  
• Basics of Medicare Outpatient Coverage
  
• Understanding APCs and the Outpatient Prospective
  
• Payment System (OPPS)
  
• Using HCPCS Codes for Outpatient Services
  
• Using Revenue Codes and Detailed Coding
  
• Using Modifiers
  
• Understanding Proper Coding Procedures
  
• Outpatient Procedures and Surgery
  
• Outpatient Laboratory Services, Part 1 and Part 2
  
• Outpatient Screening and Diagnostic Services
  
• Outpatient Radiology and Other Diagnostic Services, Part 1 and Part 2
  
• Outpatient Radiation Therapy
  
• Medicare Rules for Billing Therapy Services, Part 1 and Part 2
  
• Billing for Observation Services
  
• Understanding Dialysis Services and Payment Guidelines
  
• Coverage for ESRD Services
  
• Medicare Billing Processes for ESRD Services
  
• Drug Administration and Special Drug Categories
  
• Emergency and Foreign Hospitals
  
• Billing for Transplant Services
  
• Medicare Coverage Requirements for Special Services
  
• Billing for Hospice Services
  
• Billing for Outpatient Partial Hospitalization
  
• Medicare Supplemental and Replacement Plans
  
• Medicare Compliance Concerns
  

Continuing Education

Mastering Medicare Billing has been approved for contact hours by the National Association of Healthcare Access Management (NAHAM). Individuals may claim credit for the number of instructional minutes they have completed.

Subject Matter Experts

Mastering Medicare Billing was developed by experts at the Healthcare Financial Management Association (HFMA).