Medicare Part D & Hospice: Where Are We Now & Where Are We Going?

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Jun 12, 2014
60 Minutes
Product Description

Decoding the History, 2014 Guidelines and the Future of Medicare Part D & Hospice

The coordination of benefits process between the hospice Medicare benefit and Part D is in transition – and the kindest observation to make about it is that it’s a horrible mess. This webinar by Susan Balfour, BA, RN considers where you are now, where you might be going, and what may ease the pain along the way. According to the 2012 OIG reports – “Medicare Could Be Paying Twice for Prescription Drugs for Beneficiaries in Hospice”. Starting with the 2012 report, Susan will work her way forward to the March 10, 2014 Part D Payment for Drugs for Beneficiaries Enrolled in Hospice. Then the final 2014 Guidance document will be reviewed to figure out where you’ve been, where you are now and where you might be headed.

The session will cover the following points:

  • The world of Part D plans
  • The must-have internal processes
  • Communications with patients and families
  • Medication coverage decision tree
  • The 2014 scenario
  • The 2015 scenario

Training Objective:

  • The history of the problem
  • Decoding the Part D Payment for Drugs for Beneficiaries Enrolled in Hospice—Final 2014 Guidance
  • Communications with Part D plans
  • Conversations with beneficiaries - identifying and developing key staff competencies
  • Medication coverage decision tree
  • What CMS see as the future: the FY 2015 Hospice Wage Index proposed rule


Who Should Attend

  • Clinical leadership
  • Clinical managers & supervisors
  • Compliance officers and compliance committee members
  • Hospice physicians and medical directors
  • Clinical educators

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About Our Speaker

Susan Balfour - Hospice and Medicare Billing Coding Expert

Susan Balfour, BA, RN has a hospice career spanning 25 years that includes tenure as an executive director of a community-based hospice agency and Director of Regulatory and Clinical Affairs with the Carolinas Center for Hospice and End of Life Care. A regular presenter on a variety of topics, she is committed to helping hospices develop deep regulatory competence and avoid the unnecessary costs of over-compliance.

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