Value Added Training

"It's Frickin' Free"

Educational Classes

“AR and Effective Cash Flow Management”

 

“Charge Master Excellence” 

 

“ER and Hospital Based Clinics” (Updated 10/29/2020)

 

“Surgery, Anesthesia, Recovery and Supplies”

(Updated 12/13/19) 

“What is Integrated CDI and why do I care?” 

 

"Drug Administration Uglies" 

 

"2021 Changes to E&M Office Visits: Audit, Financial Impact, & Documentation Guidelines"                          (Updated 3/18/2021)

What Does disruption in Healthcare Look Like

(Updated 10/30/2020)

Finding Lost Revenue: Documenting Challenges

 

 

 

“Mastering the Chaos- Mastering the 2 MN Rule + Probe and Educate Highlights” 

 

“Inpt vs. Obs-Documentation to Support the Patient Story” 

 

“Inpt vs. Obs-Documentation to Support the Patient  Story” (Physician Training) 

 

 "Top at Risk Issues-Charge Capture Audits & at Risk Patient Status Documentations" (Updated 10/30/20)

 

Attacking Managed Care Anguish: What's going on with the Payers?

 

Attacking Medicare Advantage Denials: Taking Your Power Back

(Updated 06/01/2021)

Inpt vs Obs: Plus Total Knee Anguish

 

Healthcare Reform Discussion

 

1000 Seniors turning 65

 

 

More Free Stuff

Clarification of Order Form
 
 
Disclaimer: Information on this page is for Educational Purposes Only. Information is constantly changing due to regulatory issues. Information on this page may not be current.
Contact Us
10 questions for KAHPAM
CMS Update to 2 Midnight Rule
WPS- Update on ICD-10 Implementation.
Medicare Transmittal 534
Medicare Transmittal 540
 
Humana adopts 2 Midnight Standard
United Health 2 Midnight  Standard
Center for Medicare and Medicaid Services
Road to ICD-10: The Small Physician Practice's Route to ICD-10
CMS- Inpatient Admission and Medical Review Criteria (2 MN Rule)
Service Line Work Paper
Sample Medical Center
CMS- Contractors to Provide 2 Midnight Guidance (HFMA)
Click on Chart For Larger View

The MOON is out!!!!

(Medicare Outpatient Observation Notice)
MOON Form
CMS Contacts for Advantage Plans
Humana MED C Contact at Medicare:
Uvonda Meinholdt
Health Insurance Specialist
Kansas City Regional Office
Phone: 816-426-6544
FAX: 443-380-6020
Uvonda.Meinholdt@cms.hhs.gov

UHC MED C Contact at Medicare:
Nicole Edwards
Phone: 415-744-3672
Nicole.edwards@cms.hhs.gov

Coventry Health Care Med C/Aetna Med C
Donald Marik
Health Insurance Specialist
Denver Regional Office
Phone: 303-844-2646
Donald.marik@cms.hhs.gov

Anthem Med C:
 Edgar Buyao
Centers for Medicare and Medicaid Services
233 North Michigan Avenue, Suite 600
Chicago, IL 60601
Phone: (312) 353-5968
Fax: (443) 380-6559
E-mail: edgar.buyao@cms.hhs.gov

Blue Cross and Anthem
Anne McMillan
Health Insurance Specialist
Chicago Regional Office
Phone: 312-353-1668
Anne.McMillan@cms.hhs.gov

General CMS Contact:
Melanie Xiao
Health Insurance Specialist
Medicare Advantage Branch
Division of Medicare Health Plans Operations
Centers for Medicare & Medicaid Services

CMS San Francisco Regional Office
90 7th Street, 5-300 (5W)
San Francisco, CA 94103-6708
Phone: 415-744-3613
FAX: 443-380-6371
melanie.xiao@cms.hhs.gov

Medicare Advantage Denials Rivals FFS:
Readmissions, Inpatients are Hot Spots.
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PA Bootcamp Payer Grid Example
Medicare RAC
Training Library
LIVING The Patient Experience
Pharmacy Challenges
Traditional Medicare vs Med Advantage 101
 Here are the places to report issues to CMS

Report MAC issues - CMSListens@cms.hhs.gov
Report QIO issues- QIOconcerns@cms.hhs.gov
Report RAC issues - RAC@cms.hhs.gov
Report Medicare Advantage issues- https://appeals.lmi.org/DAPmailbox/mailbox?pageFilter=pca
CMS Complaints
HFMA COVID-19 Presentation- Regulations and Payments
(New Class 5/27/2020)
ar_systems_3-25-2014016001.png
Optimizing Revenue Thru Charge Master and Charge Capture
Payers Gone Wild!!!
(New Class 6/1/2021)