Hospice: A Business
Hours: 1.00
As healthcare reimbursement is evolving, the need to manage the financial side of the hospice organization becomes even more critical for survival. This course provides an overview of running a hospice as a business. It outlines how hospices are reimbursed and presents cost management strategies.
As healthcare reimbursement is evolving, the need to manage the financial side of the hospice organization becomes even more critical for survival. This course provides an overview of running a hospice as a business. It outlines how hospices are reimbursed and presents cost management strategies.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.00 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.00 Nursing Contact Hours after successfully completing this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Michigan Board of Nursing
Texas Health and Human Services Commission
Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 1.0000 contact hours.
Describe the hospice reimbursement system and explain at least two ways to submit clean claims to reduce denials.
Recall sources of revenue for hospice, including insurances, private pay, and donations.
Identify how to balance cost and quality while maintaining cost containment.
Outline:
Section 2: Foundations for Success
The Referral: Insurance Eligibility and Verification
Medicare Hospice Admission and Billing
Commercial Insurance Hospice Admission
Billing Goals for Hospice Admission
Tools to Facilitate Effective Revenue Cycles
Benefit Periods and Face-to-Face Encounter
Service Intensity Add-On Payments
Appropriate Use of the Levels of Care
Ongoing Hospice Clinical Eligibility
Live Discharges and Revocations
Residents of Nursing Facilities
Hospice Patients as Residents in Nursing Facilities
Section 4: The Hospice’s Financial Health
Successful Billing Processes Bring Revenue
Successful Billing: Minimize AR Aging
Medical Expenses for the Hospice Patient
Subject Matter Expert: Melinda Diaz, BS, RN, LHRM, CHPN, CHPCA
Melinda is a Hospice and Palliative Care nurse executive with over 41 years of experience in healthcare. She has worked with for-profit and not-for-profit hospices and is proud to have touched the lives of many patients and families. Disclosure: Melinda Diaz, BS, RN, LHRM, CHPN, CHPCA has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
The target audience for this course is: Administrators; Nurses; in the following settings: Hospice.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
