Reimbursement

Critical Access Hospital Reimbursement & Medicare Cost Reporting Boot Camp for CAH and PPS Hospitals

Classroom

*part of the Healthcare Providers Reimbursement Series

Get the training and information you need to compile your annual Medicare cost report and improve Medicare reimbursements and financial operating results at your Medicare designated Critical Access or PPS Hospital.

Critical Access Hospitals (CAHs) receive cost-based reimbursement for services rendered to Medicare beneficiaries. Many state Medicaid programs also reimburse on a cost basis with Medicare Advantage Plans, piggybacking on traditional Medicare CAH interim payment rates. Sound conceptual understanding of the cost-based reimbursement system, along with knowledge of the Medicare Cost Reporting forms, are essential skills for CAH C-Suites, finance and revenue cycle professionals.

The CAH Reimbursement portion of the boot camp provides CAH leaders with a fundamental understanding of the Medicare program’s cost-based reimbursement system, as well as Medicare cost reporting forms and compilation requirements. After attending this program, participants will better understand cost reporting basics, as well as strategies to employ to ensure an accurate and complete Medicare cost report and Medicare reimbursement.

The Cost Reporting session dives into the Medicare cost report compilation and reporting details. Attendees will gain a comprehensive knowledge on the hospital cost report forms, data required to be reported on the cost report forms, flow of the cost report and tactics that can be employed to arrive at a more accurate Medicare cost amount. In addition, this session covers the Medicare physician fee schedule reimbursement methodology, provider-based physician practice reimbursement differentials and overview of Medicare certified rural health clinics and community health centers. (FQHCs)

Agenda

25.8

CPE Credits (up to)

03/25/2024 – 03/28/2024 

Ovation Healthcare Conference Center, Brentwood, TN  

The CAH Qualifying, Strategy & Reimbursement Session (March 25 & 26) is designed for CAH C-Suites, revenue cycle and reimbursement professionals, controllers, finance and accounting staff, board members, department directors, and other healthcare industry professionals seeking information on CAHs. We’ll discuss cost-based reimbursement principles and learn how Medicare cost-based reimbursement varies depending upon volume changes, payor mix, and expanding or contracting service lines.

We will discuss reimbursement issues specific to CAHs that require the C-suite’s attention and working knowledge to effectuate cost reimbursement strategies, such as pricing in the CAH setting, physician compensation agreements, emergency room availability reimbursement, new capital projects, and other issues effecting the CAH cost-based reimbursement. This session concludes with an overview of Medicare billing issues and payment issues specific to the CAH.

Register Now

The Cost Reporting Session (March 26 to 28) is oriented for financial executives, accounting and finance personnel, and others within the revenue cycle function who want to gain comprehensive knowledge on the cost report forms, data reported within the Medicare cost report, and specific cost reporting requirements; as well as reporting tactics and strategies that ensure CAHs receive as much cost-based reimbursement as possible within the guidelines of the Medicare cost reporting instructions and regulations.

Cost report worksheets specific to hospitals subject to the Medicare prospective payment system are also covered in this session. All hospitals must file annual Medicare cost reports, with PPS hospitals having to compile additional worksheets – including different settlement worksheets. Many state Medicaid programs and state-based supplemental reimbursement fundings are also based on the Medicare cost report, and as such, state fundings are impacted by the Medicare cost report.

The Cost Reporting Session will be beneficial to CAH and PPS hospital financial professionals seeking detailed knowledge on compiling the Medicare cost report, allowable and non-allowable costs, reporting revenues, tactics to increase cost reimbursement amounts in accordance with Medicare cost report manual instructions and regulations and other detailed cost reporting issues.

In order to be awarded the full credit hours, you must be present and participate in discussions, register your daily arrival and departure on the attendance sheets at the registration desk, and complete the evaluation for each day attended.

Register Now

Presenters

Ovation Healthcare
Vice President, Regulatory & Financial Reporting
Ovation Healthcare
Associate Vice President, Healthcare Finance & Reimbursement

Accreditation

CAH Qualifying, Strategy & Reimbursement Session – March 25-26:

Participants will earn up to 8.8 CPE credits

Field of Study: Specialized Knowledge

Prerequisites: None

Who Should Attend: C-Suite, revenue cycle and reimbursement professionals, controllers, finance and accounting staff, board members and other department directors

Advanced Preparation: None

Program Level: Basic to Intermediate

Delivery Method: Group Live

Learning Objectives:

  • Learn the principles of cost-based reimbursement methodology
  • Understand that the Medicare Cost Report determines Medicare Cost Reimbursement
  • Understand how CAH volumes and payer mix changes impact CAH reimbursement from fiscal year to year, resulting in bottom line profit and or losses
  • Understand service line additions and service line deletions impact on CAH overall reimbursement Medicare reimbursement as well as service line Medicare net revenue
  • Learn about pricing in the CAH setting and how pricing impacts reimbursement, billing issues specific to CAHs, Medicare Advantage Plan issues, facility capital projects in the CAH setting and other issues unique to CAHs due to being reimbursed on a cost basis

Accreditation

Cost Reporting Session – March 26-28:

Participants will earn up to 17 CPE credits

Field of Study: Specialized Knowledge

Prerequisites: None

Who Should Attend: CFOs, finance executives, controllers, accounting and finance staff, revenue cycle and reimbursement professionals, and anyone involved in the cost report compilation process

Advanced Preparation: None

Program Level: Basic to Intermediate

Delivery Method: Group Live

Learning Objectives:

  • Review Medicare cost report certification, PRRB Appeals and reporting process
  • Understand physician fee schedule reimbursement systems, reimbursement of provider-based practices versus free standing physician practices and overview of Medicare Certified Rural Health Clinic and Community Health Care Centers (FQHC) reimbursement systems
  • Develop and enhance technical knowledge of reimbursement methodologies, cost reporting requirements, underlying reporting of costs, revenues, statistics on the cost report forms, and settlement data
  • Learn all major worksheets included in the Medicare Cost Report, CMS Form 2552 required to be compiled by CAHs and hospitals subject to PPS
  • Understand how the Medicare Costs are calculated within the cost report forms and how the various worksheets are completed and flow within the cost report
  • Technical understanding of multiple types of allowable versus non-allowable costs
  • Technical understanding of the Medicare cost report forms that allocate general service cost-center costs to patient care and non-reimbursable cost centers within the cost report
  • Understand how combining and reporting hospital departments into cost centers on the cost report effects Medicare cost reimbursement
  • Understand reporting of Medicare program revenues, patient statistics, and payment data on the appropriate worksheets and lines within the cost report forms
  • Learn appropriate and accepted cost allocation statistics and methodologies within the cost report
  • Learn cost reporting tactics to improve Medicare cost-based reimbursement as well as unintentional compilation practices that decrease Medicare cost-based reimbursement, usually without the CAH knowledge
  • Learn the PPS settlement worksheets to identify settlement amount reasonableness and key data points for accurate PPS hospital settlements

Ovation Healthcare Learning Institute (OLI) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

We are pleased to share that Ovation Healthcare enjoys negotiated rates at two local hotels for our classroom events. The rates are first-come, first-served and based on availability.

Drury Plaza Hotel Nashville Franklin

1874 West McEwen Drive, Franklin, TN 37067

Telephone: (615) 771-6778

www.druryhotels.com

To reserve at the Ovation Healthcare discount rate please follow this link: Book Drury Plaza Hotel Nashville Franklin. Reservations may also be made by calling 1-800-325-0720 and referring to the Corporate Code 322799.

Hilton Franklin Cool Springs

601 Corporate Centre Drive, Franklin, Tennessee 37067

Telephone: (615) 771-1995

https://www.hilton.com/en/hotels/bnafrhh-hilton-franklin-cool-springs/

To reserve at the Ovation Healthcare discount rate please follow this link: Book Hilton Franklin Cool Springs; you must add the corporate rate code 3242809 in the “Special Rates” box in order to see the Ovation Healthcare rates.

Refunds and Cancellations:

Refunds and Cancellations:

OLI may cancel or reschedule a classroom program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation or rescheduled date at least thirty (30) days in advance of the original classroom program. If OLI cancels or reschedules a classroom program, the registrant is entitled to:

  • a full refund of the registration fee, or
  • the right to transfer the registration fee to the rescheduled classroom program date

You must notify customer service immediately should you be unable to attend a classroom program in which you are registered.

Customer service may be reached at (615) 371-7979 or education@ovationhc.com from 8:30am – 4:30pm CST, Monday through Friday.

Due to the nature of live events, refunds of registration fees are not covered.

OLI will not be responsible for refunding any travel related expenses in the event of a classroom program cancellation or rescheduling.

We do offer the following:

NON-Ovation Healthcare AFFILIATED ATTENDEES

  • If your cancellation is received fifteen (15) business days or more prior to the start of the event, we will provide a credit to your account to be used on any future eligible classroom event. This credit will be good for up to one (1) year from the date of cancellation.
  • Participant(s) who cancel less than fifteen (15) business days prior to the event start date will be considered “no shows” and will not be eligible for a registration fee credit.

Ovation Healthcare AFFILIATED ATTENDEES

  • Select OLI classroom programs are included in Ovation Healthcare affiliate contracts and may not have up-front registration fees. However, Ovation Healthcare affiliates will be assessed a fee of $150.00 for cancellation within fifteen (15) business days of the event. This fee is charged to offset the hard costs incurred by Ovation Healthcare for meals and course materials.
  • For classroom programs which incur paid registration fees for affiliated attendees, the same non-affiliated attendee cancellation policy applies.

For more information regarding refunds, program cancellation policies and/or grievances please contact our client support team at (615) 371-4842 or education@ovationhc.com.

Want more of this content
sent to your inbox?

Subscribe to our Ovation Healthcare Learning Institute updates!