Finance & Reimbursement

Classroom

Critical Access Hospital Reimbursement & Medicare Cost Reporting Virtual Boot Camp

$699 Register Now

Get the training and information you need to improve Medicare reimbursements and financial operating results at your Medicare-designated Critical Access 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, piggy-backing on traditional Medicare 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 finance professionals.

This virtual education event is designed to provide CAH finance 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, finance professionals will understand cost reporting basics, as well as strategies to employ to ensure an accurate and complete Medicare cost report and Medicare reimbursement.

13.2
CPE Credits

In order to be awarded the full credits, you must respond to the polling questions asked during each session and complete the evaluation.

QHR Health Learning Institute (QLI) 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.

Learning Objectives

  • Learn cost-based reimbursement methodology
  • Understand Medicare Cost Reports worksheets used to determine Medicare Cost Reimbursement
  • Review other issues specific to CAH reimbursement from the Medicare program
  • Develop and enhance technical knowledge of reimbursement methodologies, cost reporting requirements, underlying cost reporting, revenues, statistics on cost report forms, and settlement data
  • Understand how Medicare costs are calculated within cost report forms, and how the various worksheets are completed
  • Knowledge 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
  • Reporting of hospital patient care revenues and patient days statistics
  • Reporting of Medicare program revenues, patient statistics, and payment data on the appropriate worksheets and lines within cost report forms
  • Appropriate and accepted cost allocation statistics and methodologies within the cost report

Who Should Attend

  • CFOs
  • Revenue cycle and reimbursement professionals
  • Controllers or accounting staff members (and others involved in the cost report compilation process)
  • Financial analysts and cost accountants

Notes

Participants will receive a copy of QHR Health’s cost report review checklist and handouts to assist with annual cost report compilation process.

Presenters

John Waltko, headshot
1:00 pm - 1:45 pm | Live

Introduction to the CAH Program

John Waltko, Vice President, Regulatory & Financial Reporting, QHR Health
John Waltko, headshot
2:00 pm - 3:15 pm | Live

Principles of Cost-Based Reimbursement

John Waltko, Vice President, Regulatory & Financial Reporting, QHR Health
Michael Donahue, headshot
3:30 pm - 4:15 pm | Live

Cost Reporting Process and Certification

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health

John Waltko, headshot
10:00 am - 10:45 am | Live

Introduction to Cost Report Forms

John Waltko, Vice President, Regulatory & Financial Reporting, QHR Health
Michael Donahue, headshot
11:00 am - 11:45 am | Live

Cost Report Worksheet S

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health
Michael Donahue, headshot
1:00 pm - 3:15 pm | Live

Worksheet A Series: Reporting Costs

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health
3:30 pm - 4:00 pm | Live

Review of Days 1 & 2 / Q&A

John Waltko, Vice President, Regulatory & Financial Reporting, QHR Health
Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health

John Waltko, headshot
9:30 am - 10:45 am | Live

Worksheet B, Cost Allocations - General Service Costs

John Waltko, Vice President, Regulatory & Financial Reporting, QHR Health
Michael Donahue, headshot
11:00 am - 11:45 am | Live

Worksheet C: Reporting Revenues

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health
Michael Donahue, headshot
1:00 pm - 1:45 pm | Live

Worksheet D: Cost Apportionment

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health
Michael Donahue, headshot
2:00 pm - 2:45 pm | Live

Worksheet E: Settlement Process Worksheets

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health
Michael Donahue, headshot
3:00 pm - 3:45 am | Live

Reviewing the Cost Report Before Filing!!

Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health
4:00 pm - 4:30 pm | Live

Review / Wrap-Up / Q&A Session

John Waltko, Vice President, Regulatory & Financial Reporting, QHR Health
Michael Donahue, Associate Vice President, Healthcare Finance & Reimbursement, QHR Health