Best Practices for Successfully Billing for Medicaid Nursing Facility Member Specific Billing Add-Ons:
What All Facilities Should Know
Tuesday, October 22, 2024
10am –11am
VIRTUAL via Zoom
Seminar Description:
To assist members in meeting the complex care needs of their patients, Mass Senior Care has worked with MassHealth to develop a program of specific Medicaid rate add-ons which are provided over and above the integrated base rate. These rate add ons are designed to promote access to specialized services in a nursing facility. Over the past three years, MassHealth has implemented 9 separate add-ons including: (1) Behavioral acuity $50 per day add-on, (2) SUD $50 per day add-on and $200 per day induction period add-on, (3) specialty services add-on for Ventilator Dependent, ALS and MS add-on programs, and the Member-specific add-on for residents with tracheostomy, (4) Temporary Respite Care add-ons, (5) Bariatric $300 per day add-on, (6) Acute Hospital Transitional Rate Add-On of $200 per day, and Medically Complex Cases negotiated rate add-on of up to $600 per day dependent on the Medicaid member’s care needs; and Homelessness Rate add-on of $200 per day.
To help facilities navigate the billing process for member specific add-ons, the MassHealth LTSS office will present an overview of the add on services, as well as review the steps for successful billing. The presentation will be followed by a Q&A session.
Objectives:
•Learn how to ensure that your facility is utilizing the benefits available under the program
•Recognize the steps for efficient billing of the add-ons
•Identify issues providers are currently experiencing with respect to the billing process
Presenters:
Dayva Briand, Deputy Director of Institutional Programs, MassHealth Office of Long Term Services & Supports (LTSS)
Jacqueline Fratus, Senior Manager of Institutional Programs, MassHealth Office of Long Term Services & Supports (LTSS)
Mass Senior Care Provider Member
Target Audience: Administrators, Admissions and Billing Staff
Fees: (Must be paid in full prior to attending seminar)
$60 per person - Mass Senior Care Members
$120 per person - Non-Members
CEUs: 1.0
The Massachusetts Senior Care Association has qualified for “deemed status #NH-09015-007” from the
Board of Registration of Nursing Home Administrators for Administrators. This program also meets
continuing education requirements for Nurses in Massachusetts.
All paid attendees will receive a certificate of attendance.
Cancellation Policy:
Mass Senior Care must be notified in writing no later than 48 hours prior to the start of the seminar for a refund, minus a $25 processing fee, which will be refunded in the manner in which the payment was made. “No Show” attendees will be billed at the full registration fee. Cancellations should be emailed to info@maseniorcare.org.
Please note: Virtual Link will be sent upon receipt of payment. If the corporate office is processing your registration, please call the Mass Senior Care office to confirm payment and registration.