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Session 4 | We Will Survive - Understanding and Surviving Medicaid Eligibility, Post Unwinding, and Legal Implications of the Changing Medicaid Climate
Day: Monday, July 22
Time: 8:00 to 9:30 a.m.
Type/Topic: Finance and Reimbursement
Room Location: Galin A-4
Time: 8:00 to 9:30 a.m.
Type/Topic: Finance and Reimbursement
Room Location: Galin A-4
Session Summary
Providers have now had several months to settle into the unwinding of the Public Health Emergency. In this question and answer session, the presenters and attendees will roundtable on specific reimbursement issues they see daily and develop proactive action plans to avoid financial disasters. This session will deliver insight on reimbursement topics, including timely Medicaid application and eligibility, Medicaid Managed Care claims payment, and private billing practices, and educate providers on federal and state Medicaid policies and best practices to avoid denials, increase cash velocity, and ensure claims are paid on time. Attendees will learn practical and legal strategies to avoid and/or work through Medicaid appeals, guardianships, and discharge for non-payment. Participants will become skilled resources not only for their company, but also for residents and family members.Presenters
Rebecca Hewitt
Senior Long-Term Care Reimbursement Specialist | Hall Booth Smith, P.C.
About the Presenter
Rebecca Hewitt has worked in medical reimbursement for over 23 years, specifically in the long term care industry for 20 years. She has worked at the facility level as a Business Office Manager and at the operations level as a Regional Consultant to Admissions, Marketing, and Business Office staff. Currently, she is the Regional Long-Term Care Reimbursement Specialist with Hall Booth Smith, P.C. assisting our clients with all their reimbursement needs and quickly becoming recognized as the Medicaid expert in the long term care industry in multiple states and throughout the Southeast region. She provides onsite audits and education to our clients related to financial best practices and Medicaid policies. Since joining the firm in 2011, she has assisted facilities in Georgia, Alabama, North Carolina, South Carolina, and Florida to recover millions dollars each year in Medicaid revenue.Brittany Cone
Partner | Hall Booth Smith, P.C.
About the Presenter
Brittany H. Cone, CHC is a Partner in the Hall Booth Smith, P.C. firm’s Atlanta office. She focuses her practice on regulatory, administrative, and litigation matters in health care. Ms. Cone received her JD from Georgia State University College of Law. At Georgia State, she was a member of the Law Review and served as associate symposium editor and associate editor for student notes. Ms. Cone also served as an extern for the Honorable A. Harris Adams of the Georgia Court of Appeals. Ms. Cone is certified in Health Care Compliance by the Health Care Compliance Association. Ms. Cone has specific experience in the day-to-day operations issues faced by providers, from Medicare, Medicaid, and third-party payors, to corporate and regulatory compliance, to administrative hearings and appeals. As the amount of denials or under-reimbursement received from payors, including Medicare Advantage Organizations and private insurance companies increase, much of her recent experience includes representing medical providers seeking reimbursement for or defending against the denial of claims submitted to various payers.James Maskowitz
Partner | Hall Booth Smith, P.C.