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MACtoberfest


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MACtoberfest®

Medicare Progress and Partnership

Register Today!


Annual Virtual Conference MACtoberfest: Medicare Progress and Partnership Registration is now open. Dates October 19-21, 2021

 

Registration is now open for MACtoberfest, our largest annual education event. Due to the COVID-19 public health emergency, we are again hosting this event virtually. Registration is free. Each session must be registered for separately. An NPI and PTAN are required to register. You should only enter “N/A” if you do not have an NPI or PTAN.

MACtoberfest® Day One Sessions — October 19

Medicare Part A

Medicare Part B

Submitting Claims Electronically:
EDI Options and Tools

9 – 10 a.m. ET

This session will cover various EDI options that are available to providers, including new online enrollment, Direct Data Entry (DDE), free software, manuals, training modules, reports and new and improved online tools.

Register Here

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Comprehensive Error Rate Testing:
Paving the Way to Excellence and Ensuring Successful Outcomes

10:30 – 11:30 a.m. ET

Presented by Judy Brown and Jennifer Greer

The CERT Program is designed to provide insight into improper payments in the Medicare Fee-for Service Program. This session is designed to provide education on reducing error rates and will include: 

  • Signature requirements
  • Acceptable forms of signature authentication
  • Unacceptable forms of signature authentication
  • Five major error categories
  • Timely submission of medically necessary documentation
  • Provider Enrollment Chain and Ownership System (PECOS)

Register Here

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OPD PA Cervical Discectomy & Spinal Cord Stimulators

12:30 – 1:30 p.m. ET

Presented by Sandra Booker

The Outpatient Department (OPD) Prior Authorization (PA) Cervical Discectomy (CD) and Spinal Cord Stimulators (SCS) is intended for Medicare Part A providers. This session will cover the new OPD CPT codes, documentation, medical necessity, LCDs and more. Please join us for this informative educational session on OPD.

Register Here

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Remittance Advice Overview

2 – 3 p.m. ET

Presented by Janae Garnett

The Part A Remittance Advice Overview session will cover:

  • Defining the Medicare remittance advice
  • The Remittance advice formats available
  • How to obtain the remittance advice
  • Identifying a forward balance
  • Affiliated providers and the recoupment process
  • Overpayments and frequently asked questions

This session is appropriate for all JJ and JM Part A Providers that are focused on health care payments and the remittance advice.

Register Here

Submitting Claims Electronically:
EDI Options and Tools

9 – 10 a.m. ET

This session will cover various EDI options that are available to providers, including new online enrollment, Direct Data Entry (DDE), free software, manuals, training modules, reports and new and improved online tools.

Register Here

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Part B Medicare Updates

10:30 – 11:30 a.m. ET

The Medicare Updates webinar, hosted by the Provider Outreach and Education staff, will feature:

  • Important Medicare coverage updates/changes as listed in Medicare Learning Network (MLN) newsletters
  • Medicare initiative announcements and reminders
  • CERT Updates
  • Palmetto GBA tools and resources
  • Opportunities for content-related questions and answers claims

Register Here

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Learn about the Railroad Medicare Program with a Spotlight on Medical Review

12:30 – 1:30 p.m. ET

Have questions about Railroad Medicare? Then this event is for you! During this informative session, we will cover Railroad Medicare topics including:

  • Who we are and what we do
  • Requesting a Railroad Medicare Provider Transaction Access Number (PTAN)
  • Enrolling to submit electronic claims
  • Registering for our eServices portal
  • Submitting Appeals and Reopenings requests

Our spotlight topic will be the Railroad Medicare Medical Review program. We will provide an overview of the types of reviews Railroad Medicare conducts with emphasis on the available Medical Review resources. We will also answer audience questions about the topics covered.

Register Here

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Provider Enrollment

2 – 3 p.m. ET

Presented by Randi Heyward

Join Provider Enrollment manager Randi Heyward as she presents an overview on Part B Medicare enrollment, maintaining an accurate enrollment record, how to avoid processing delays and submitting your applications using Internet PECOS.

Register Here

 

MACtoberfest® Day Two Sessions — October 20

Medicare Part A

Medicare Part B

Medical Review Updates

9 – 10 a.m. ET

This session will provide an overview of Palmetto GBA’s Medical Review program and discuss the Targeted Probe and Educate process, documentation expectations, responding to medical review calls for additional easily curable documentation, top denial reasons, and what Part A and Part B providers need to know when responding to an Additional Documentation Request (ADR). Guidance regarding submission of the medical record for claims selected will be included. Audience: All | Level: Intermediate

Register Here

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Observation Care and Admission Decisions: Reducing Payer-Provider Friction

10 – 11 a.m. ET

Presented by Dr. Rifkin and Debra Goodman

The clinical decision to admit a patient to inpatient care, or first try a stop in observation care, is one of the principal friction points between payers and providers; and is a central subject of audit reviews. This presentation describes the appropriate guidelines to follow to improve the structure and function of observation care. The most common diagnoses encountered in observation care are reviewed, with a few highlighted as being of particular importance in terms of payer-provider friction. Additionally, national database analyses are presented to support this discussion. Concrete next steps are described, for both payers and providers, that would decrease friction and ensure that patients are correctly evaluated for inpatient admission.

Register Here

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DME/HHH Guidance for Ordering Providers

12:30 – 1:30 p.m. ET

When a physician makes a referral, it is important that medical necessity and other eligibility requirements are met. A proper referral is crucial to ensuring the appropriate beneficiary is referred to the appropriate service. This presentation will focus proper documentation when referring beneficiaries to Home health, hospice and DME services.

Register Here

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Hyperbaric Oxygen Therapy (HBO)

2 – 3 p.m. ET

Presented by Sandra Booker

The Hyperbaric Oxygen Therapy (HBO) session is intended for Medicare Part A providers and will cover HBO requirements, documentation requirements, documentation errors, Wagner Grade requirements, medical necessity and more. Please join us for this informative educational session on HBO.

Register Here

Medical Review Updates

9 – 10 a.m. ET

This session will provide an overview of Palmetto GBA’s Medical Review program and discuss the Targeted Probe and Educate process, documentation expectations, responding to medical review calls for additional easily curable documentation, top denial reasons, and what Part A and Part B providers need to know when responding to an Additional Documentation Request (ADR). Guidance regarding submission of the medical record for claims selected will be included. Audience: All | Level: Intermediate

Register Here

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Observation Care and Admission Decisions: Reducing Payer-Provider Friction

10 – 11 a.m. ET

Presented by Dr. Rifkin and Debra Goodman

The clinical decision to admit a patient to inpatient care, or first try a stop in observation care, is one of the principal friction points between payers and providers; and is a central subject of audit reviews. This presentation describes the appropriate guidelines to follow to improve the structure and function of observation care. The most common diagnoses encountered in observation care are reviewed, with a few highlighted as being of particular importance in terms of payer-provider friction. Additionally, national database analyses are presented to support this discussion. Concrete next steps are described, for both payers and providers, that would decrease friction and ensure that patients are correctly evaluated for inpatient admission.

Register Here

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DME/HHH Guidance for Ordering Providers

12:30-1:30 p.m. ET

When a physician makes a referral, it is important that medical necessity and other eligibility requirements are met. A proper referral is crucial to ensuring the appropriate beneficiary is referred to the appropriate service. This presentation will focus proper documentation when referring beneficiaries to home health, hospice and DME services.

Register Here

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Did You Know?

2 – 3 p.m. ET

Everyone is busy and we understand that. Join us as we explore many of the tools available to reduce the time you spend on the phone or searching for things you need to submit and work your Medicare claims. During this session, Palmetto GBA will also share tips and reminders for accessing and using Palmetto GBA resources and staying up-to-date on Medicare rules and regulations.

This session will be of interest to coders, billers, office managers and supervisors, front desk staff and those working remittance advice after claims has been submitted. There will be a period for question at the end of this session. We encourage you to make a list of the tools you and your associates currently use in the hope that following this session, you will have identified new tools to add to your Medicare toolbox.  

Register Here

 

MACtoberfest® Day Three Sessions — October 21

Medicare Part A

Medicare Part B

Quarterly Medicare Updates

9 – 9:45 a.m. ET

Presented by Areka Freeman

This 45-minute webcast is designed to provide pertinent updates, changes and reminders to assist the provider community in staying compliant with Medicare rules and regulations and will include:

  • Medicare Learning Network’s Medicare Quarterly Compliance Newsletter
  • Medicare Learning Networks (MLN)
  • Comprehensive Error Rate Testing (CERT)
  • Claims Payment Issue Log (CPIL)

Register Here

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Let's Avoid Claim Overlaps

10 – 11 a.m. ET

Presented by Charles Canaan and Areka Freeman

A claim overlap occurs when an incorrect claim submitted by the same or a different provider is processed which will causes problems with provider reimbursement. This webinar is for Inpatient Psychiatric Hospitals, Hospitals Outpatient Services, Skilled Nursing Facilities, Home Health Agencies, Hospice Agencies, Long Term Care Hospitals, Outpatient Rehabilitation Facilities, Inpatient Rehabilitation Facilities, and End Stage Renal Disease providers to teach providers and their billing staff how to avoid a claim overlap situation.

Register Here

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Jurisdictions J and M Appeals Overview

11:30 a.m. –12:30 p.m. ET

This session will provide a general overview of the appeal process, with helpful reminders to assist the provider community in understand the levels of appeals, to include the details of requesting a redetermination. This session will be of interest to Part A and B providers, facilities, compliance officers, billers, office managers, supervisors and their staff that review claim denials for the possible submission of a Medicare claim appeal. Providers that use outsource agencies to submit their appeals are encouraged to share the opportunity for those agencies to register and attend this session.

Register Here

Timely Topics

10 – 11 a.m. ET

Join the Palmetto GBA Part B team as we review a variety of pertinent Medicare topics. This session will highlight the Ambulance Prior Authorization Program, the Outpatient Prior Authorization Program from a Part B perspective, Appropriate Use Criteria, Cognitive Assessment, Palmetto GBA’s Partnering for Prevention Initiative and more. 

Register Here

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Jurisdictions J and M Appeals Overview

11:30 a.m. –12:30 p.m. ET

This session will provide a general overview of the appeal process, with helpful reminders to assist the provider community in understand the levels of appeals, to include the details of requesting a redetermination. This session will be of interest to Part A and B providers, facilities, compliance officers, billers, office managers, supervisors and their staff that review claim denials for the possible submission of a Medicare claim appeal. Providers that use outsource agencies to submit their appeals are encouraged to share the opportunity for those agencies to register and attend this session

Register Here

 





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