MayFest


MayFest: Grow Your Medicare Knowledge On-Demand

Our virtual MayFest this year was held May18–20. This event was very sucessful, and we appreciate everyone who participated in making this year's MayFest happen. 

MayFest seminars are now available on demand. See the course descriptions below and links to the On-Demand webcasts. Valuable education was provided for Medicare JJ and JM parts A and B providers, home health and hospice providers, and Medicare Railroad providers. Take advantage of this material if you missed it.

Medicare Part A

Home Health & Hospice

Medicare Part B

Acute Inpatient Prospective Payment System (IPPS) Hospital

This session will include Payment Window Provisions (Preadmission Services), Inpatient Hospital Admission, Inpatient Basic Billing, Transfers, Repeat Admissions, Inpatient Hospital Discharges, Inpatient/Outpatient Claim Overlaps, A/B Rebilling and Resources.

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Comprehensive Error Rate Testing (CERT), Bridging the Gap to Better Outcomes  

The CERT Program is designed to discuss improper payments in the Medicare Fee-for-Service program. CERT selects a sample of claims submitted during each reporting period. This session is designed to provide education on reducing error rates for the CMS-implemented process for improper payments in the Medicare Fee-for Service Program.

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Patient-Driven Payment Model (PDPM) SNF PPS

This session will provide an overview and CMS updates for the Patient-Driven Payment Model (PDPM) SNF PPS.

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Part A Review of the Integrated Outpatient Claim Editor & Medicare Code Editor (MCE)

This session will assist hospital providers to understand the role of outpatient and inpatient claim editors and processing.

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Welcome to HHH for New Providers

This session is designed to provide education to new providers and those who are not familiar with the new Home Health and Hospice website, eServices and additional resources to ensure success when filing claims to Medicare.

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2021 Request for Anticipated Payment (RAP) Process

This session is designed to provide education and updates for the Calendar Year (CY) 2021 Home Health (HH) Request for Anticipated Payment (RAP) policies and information on the one-time Notice of Admission (NOA), which will eliminate RAP submissions for every period starting January 1, 2022.

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Hospice General Inpatient (GIP)

Hospice General Inpatient Care (GIP) is for pain control or symptom management provided in an inpatient facility that cannot be managed in other settings. This session is appropriate for all hospice staff and will discuss the regulatory aspects of GIP, when GIP is appropriate, Office of Inspector General findings and documentation tips.

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Are You Familiar with the Other Medicare Contractors?

This session will take a closer look at five of the Medicare Contractors: Comprehensive Error Rate Testing (CERT), Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), Qualified Independent Contractor (QIC), Quality Improvement Organization (QIO), and Recovery Audit Contractor (RAC). Participants will understand the purpose of each Medicare Contractor, how to properly respond, points of contact and other tips, if applicable.

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Part B MayFest: Medicare Follows the Money

This Part B session will explore the importance of documentation and the consequences of documentation deficiencies and errors.

  • Billing provider’s documentation
  • Ordering/referring provider’s
  • documentation responsibilities
  • Documenting medical necessity
  • Medical records maintained by a third party
  • Using a medical records vendor or service
  • Signatures
  • Financial Consequences

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Part B Mayfest: Why Deny?

Denials can be decreased by various methods, and we’d like to share some feedback from appeals, the Provider Contact Center and Medical Review that will assist providers in winning the challenge of denied claims.

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 Part B MayFest: Learn about the Railroad Medicare Program with a Spotlight on CERT

Have questions about Railroad Medicare? Whether you’re a provider that wants to know more about the Railroad Medicare program or how to respond to a CERT request for a Railroad Medicare claim, then this event is for you. During this informative session, we will cover these topics and answer your questions about Railroad Medicare, from enrollment to medical review to the Comprehensive Error Rate Contractor (CERT), and more." 

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Part B MayFest: Palmetto GBA Website Tutorial and Ask in Chat

This session gives providers a tour through the new website organization and navigation structure, the new pages for popular topics, and some additional enhancements that will improve your website experience. After the session, we will hold an open chat session which allows providers to ask questions using the ON24 Q & A box while representatives from Appeals, eServices, Provider Enrollment and the PCC/Concierge team are available to assist with general questions.

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