Protect Your Revenue and Stay Compliant For Medicare Conditional Payments

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Strategic Steps for Ensuring You Receive Medicare Conditional Payments

When Medicare patients present with trauma related to workmen’s compensation or other third party circumstances, it is crucial that these situations are identified at the time of registration. You must take certain steps at strategic times to protect your revenue. Errors made in patient access often create a ripple effect throughout the process, resulting in the inability to secure timely payment. Don’t compromise your ability to collect these claims. Learn what steps are required and when action must be taken to support your request for a conditional payment.

Liability policies have limits to the medical coverage. Misunderstanding the steps and necessary actions will likely cost you. Timeliness and proactive measures are the keys to staying in the game. Medicare will be secondary to the liability coverage. Does your staff know how to actively pursue the correct pathways to obtain payment?

Join this session, where auditing and training expert Dorothy D. Steed will discuss the requirements for medical conditional payments, and when and how strategic steps must be taken. Be proactive and don’t let this potential revenue slip by you. Lack of training for your staff can result in revenue delays or outright loss. Medicare patients often suffer slip and fall injuries, motor vehicle accidents or other causes of injury resulting in expensive and prolonged treatment. This session will help you understand what must be done in these cases and you will learn to focus on the steps and timing.

With this session, you will be able to implement or solidify process improvements to obtain Medicare conditional payments. Most of these dollars that result in losses are due to lack of training or missing the timelines for necessary steps. Protect this potential revenue by assuring that your processes are reliable and compliant.

Session Highlights

This session will cover:

  • Registration staff responsibilities in liability situations
  • Provider documentation of injury circumstances
  • Who will be handling the liability claim
  • Patient access and billing staff knowledge of correct primary payer
  • 120-day count and supporting evidence of collection efforts
  • Effective management of each step in the process from patient to payment

Session Agenda

  • Establishing the foundation
  • Registration responsibilities
  • Patient severity
  • Patient reluctance to reveal information
  • Billing responsibilities
  • Instructions for accidents
  • Third party claims
  • Required information to report to BCRC
  • Conditional payments

Who Should Attend

  • Patient access
  • Coding
  • Billing
  • Revenue cycle
  • Physicians
  • Mid-level providers
  • Nurses
  • Claims follow-up
  • Managers

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Dorothy D. Steed - Medical Coding and Billing Expert

Dorothy D. Steed, CCS, CDIP, COC, CPCO, CPUM, CPUR, CPHM, CPMA, ACS-OP, CCS-P, RCC, RMC, CEMC, CPC-I, CFPC, PCS, FCS, CPAR, is an independent healthcare consultant and educator in Atlanta. She was a Medicare specialist for a large hospital system and a physician coding audit supervisor for another hospital system, with 40 years of experience in healthcare. Additionally, she is an instructor at a state technical college in...   More Info
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