Rev Cycle Workshop

About this event

Comprehensive Revenue Cycle workshop Hosted by Werfel, Moore, & Kelly Consulting.

Join us to gain valuable insights on the below topics

Dissemination of Misinformation

Highlights recent (incorrect) guidance offered by Medicare MACs which can lead ambulance services down the wrong path and trigger non-compliance, overpayment liability, or allegations of fraud. This is a cautionary tale about who you receive information from, who you can (or should) trust, and the need to fact-check your information before you commit a major error.

Future of Reimbursement

Getting paid in EMS is not always easy, and it’s getting more difficult. This session highlights what’s expected “down the road” with changes to the NSA, state balance billing laws, GADCS, Medicaid supplemental payments, HIPAA, and things impacting when, how, and who we can bill.

Compliance & Privacy Update

Everything you need to know about pending updates to the HIPAA Privacy and Security Rules, plus enforcement news and updates from the OIG, DOJ, OCR, and MACs to keep you out of the crosshairs of a Federal investigation.

Compliance Pitfalls in Billing

Discussion of 8 risk areas in ambulance billing, with case studies, discussion of the problem, ways to correct (or prevent) the problem, and important practical tips for moving forward.

Mass. Happenings

A potpourri of Massachusetts specific issues impacting compliance and reimbursement including Medicaid, PCS forms, balance billing restrictions, scope of practice limitations, and more!

Billing Roundup

Rapid-fire discussion and summary of unique, misunderstood, and important Medicare billing issues including: ABN use, Hospice &Facility Billing, Medicare Advantage (Part C) vs. Traditional Medicare (Part B), Level of Service (ALS, BLS, ALS2, SCT), and Secondary Modifiers. We’ll also tackle some common non -Medicare payer issue, and best practices to follow to stay compliant.

Best Practices open discussion

Learn what experiences your peers are having with different issues and share what is working and not working when it comes to getting paid by insurance providers and others