Medicare Hospice –
The Changing Landscape

Course Overview

The Office of Inspector General has announced a nationwide audit to be conducted starting in 2023 relative to hospice beneficiary admissions which are not preceded by a hospital stay or emergency room visit. State Surveyors and Deemed Status Organization’s are being trained and held accountable to ensure the Hospice CoP’s are being followed with emphasis on patient safety. CMS Contractor Post-Payment Medical Review continues to ramp significantly in many areas of the country with profound overpayment determinations being made. CMS is working diligently to implement a required Comprehensive Assessment Tool for hospice – HOPE! The industry is facing the most heightened scrutiny since Hospice became a Medicare benefit in 1983. Unquestionably the Landscape is changing and this seminar is designed to provide critical and practical information for all Hospice Stakeholders.

Medicare Hospice Cost Report Forms

Seminar Topics Include

  • Overview of the Hospice Medicare Benefit Policy Manual
  • Overview of the Hospice Medicare Billing Manual
  • Latest Hospice Regulatory Updates
  • Hospice Payment Reform Update & Preparation
  • Documentation Principles to Survive Medical Review
  • Medical Review Risks from MAC’s/UPIC’s/SMRC’s

  • VBID Pilot – Intro to Medicare Advantage in Hospice

  • Billing for Physician and NP Services

  • Understanding the Hospice Aggregate CAP

Meet the Speaker

Randy Forest - Medicare Training & Consulting Hospice Training Seminar

Randy Forrest

Senior Healthcare Consultant

Mr. Forrest began his career in 1979 as a Financial Auditor for a government contractor overseeing the Medicare Program. He entered the home health industry in 1992 as CFO for a home care operation in Nashville, TN.

In 1994 he founded Forrest Consulting Services and has been a consultant to the industry since. In 2012 he founded Regulatory Compliance, LLC with the mission to partner with home care and hospice providers to help them navigate the ever-changing regulatory environment.

Randy is a strong provider, advocate, and national speaker; training industry partners in compliant operational practices, regulatory requirements, changes, and reimbursement retention.

As Director with Regulatory Compliance, he provides Interim Executive Management Services and works with a team of experienced home health and hospice clinical professionals to provide operational and clinical compliance oversight, appeals for claim denials, clinical due diligence reviews, operational reviews and cost reporting services. His rounded experience working on “both sides of the fence”, so to speak, is a great advantage for clients. Now as Co-Founder of S.M.A.R.T. Healthcare Compliance Resources he is excited to be part of an organization with a mission to service clients on the front-end of the clinical compliance process.

Pricing is Per Day

1 Person

$429

1 Person

Single Agency

Course Materials

Coffee

Lunch

2 Person Total

$829

2 Persons

Same Agency

Course Materials

Coffee

Lunch

3 person total

$1199

3 Persons


Same Agency


Course Materials


Coffee


Lunch

7 Continuing Education Hours (CEUs)

CANCELLATION POLICY:    If Medicare Training and Consulting must cancel a seminar due to low registration, registrants will receive a full refund by their method of payment.  If a participant cancels a reservation, notification must occur 15 or more calendar days before the meeting date for a 100% refund.  A participant may enroll in a future course in lieu of a cash refund.  Medicare Training & Consulting is unable to grant refunds for lodging, airfare, and other expenses.

Upcoming Events

2022 – Home Health Survey – October 17, 2022 – Las Vegas, NV

The Date: October 17th, 2022

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2022 – Home Health Survey – Dec 12, 2022 – Lombard, IL

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Recording: Home Health Billing

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