Physician Billing: Is Your Process Compliant?

Event Information
Product Format
Prerecorded Event
Conference Date
Wed, Jun 08, 2011
60 Minutes
Product Description

The OIG has identified physician billing as potential program vulnerability and has "encouraged" CMS to continue to monitor. 

 When a Medicare beneficiary elects their hospice benefit, they waive all rights to Medicare Part B for services related to the treatment and management of their terminal illness except for the services of the independent attending physician.

Ensuring your hospice has a basic understanding of this concept and the processes around physician billing for hospice beneficiaries is important.

Join Roseanne Berry when she will discuss operational practices regarding determination of the attending physician, communication with the physician's offices, collaboration between patient care and the hospice billing office.

You’ll get clarification of terms such as related and unrelated, administrative versus professional, and an understanding about the role of the Nurse Practitioner in hospice

Take a look at what’s covered:

  • OIG risk area and 2010 report on Questionable Billing Practices for Physician Services for Hospice Beneficiaries
  • Role of the hospice Medical Director
  • Consulting physicians and the responsibility of hospice in billing for these services
  • Operational practices to consider to ensure good processes
  • Physician billing as a part of your compliance program

This session will focus on the principles surrounding physician billing and not specific coding issues.

Who should attend? Administrators, patient care managers, directors of patient care services, QAPI coordinators, compliance officers.

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About Our Speaker

Roseanne Berry - Hospice Billing Coding Expert

Roseanne Berry, MSN, RN With more than 25 years of operational, clinical and regulatory compliance leadership experience within the hospice and home care industry, Roseanne Berry, MSN, RN has a proven track record as a nursing and business professional.

In her current role as a hospice consultant and a founding partner of R&C Healthcare Solutions, and Hospice Fundamentals, Roseanne uses her in-depth expertise to provide a range of services,...   More Info
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