Value Added Training

"It's Frickin' Free"

“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 3/7/22)

 

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

 

Attacking Medicare Advantage Denials: Taking Your Power Back

(Updated 2/03/2022)

Inpt vs Obs: Plus Total Knee Anguish

 

Healthcare Reform Discussion

 

1000 Seniors turning 65

 

 

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.

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

(Medicare Outpatient Observation Notice)

MOON Form

Medicare Advantage Denials Rivals FFS:
Readmissions, Inpatients are Hot Spots.

PA Bootcamp Payer Grid Example

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)

Optimizing Revenue Thru Charge Master and Charge Capture

Payers Gone Wild!!!

(Updated Class 2/3/2022)

CMS Contacts for Advantage Plans

Region	Regional Office Location	Contact	States served by the Region
Region 1	Boston	ROBOSORA@cms.hhs.gov	Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont
Region 2	New York	RONYCORA@cms.hhs.gov	New Jersey, New York, Puerto Rico, Virgin Islands
Region 3	Philadelphia	ROPHIORA@cms.hhs.gov	Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
Region 4	Atlanta	ROATLORA@cms.hhs.gov	Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee
Region 5	Chicago	ROCHIORA@cms.hhs.gov	Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin
Region 6	Dallas	RODALORA@cms.hhs.gov	Arkansas, Louisiana, New Mexico, Oklahoma, Texas
Region 7	Kansas City	ROKCMORA@cms.hhs.gov	Iowa, Kansas, Missouri, Nebraska
Region 8	Denver	ROREAORA@cms.hhs.gov	Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming
Region 9	San Francisco	ROSFOORA@cms.hhs.gov	Arizona, California, Hawaii, Nevada, Pacific Territories
Region 10	Seattle	ROSEA_ORA2@cms.hhs.gov	Alaska, Idaho, Oregon, Washington

Utilization Review 101

(New Class 11/23/2021)

Payer Matrix Sample

8 Year Trend of Audits