Toyon University Catalog

Medicare Concept Courses (IMC)

IMC 101 – Researching Medicare Regulations

Introduction to important sources and websites for researching Medicare rules.

IMC 102 – Understanding IPPS Payment Methodologies

Comprehensive overview of IPPS DRG, Base Rate, DRGs, Outlier, add-ons.

IMC 103 – Understanding IPF Payment Methodologies

Comprehensive overview of IPF (Inpatient Psychiatric Facility) DRG Reimbursement.

IMC 104 – Understanding IRF Payment Methodologies

Comprehensive overview of IPF (Inpatient Rehabilitation Facility) DRG Reimbursement.

Wage Index Courses (WIF)

WIF 101 – Overview of Wage Index

Overview of Wage Index and W/S S-3 Part II through V.

WIF 102 – Wage Index – Strategies

Overview of issues/strategies that impact hospital’s wage index factor.

WIF 103 – Medicare Occupational Mix Adjustment

Introduction to the Medicare Occupational Mix Adjustment.

WIF 104 – Rural Designation & Bed Reviews

Overview of requirements and opportunities (if applicable).

Medical Education Courses (GME)

GME 101 – Intro to GME/IME

Comprehensive overview of GME and IME reimbursement.

GME 102 – Key Issues Impacting GME/IME

Overview of potential strategies to optimize GME and IME reimbursement.

GME 103 – IRIS Preparation/Training

Overview of data collection and input (New Innovations software/other).

Medicare Cost Report Courses (MCR)

MCR 001 – Introduction to Medicare Cost Reports, Part I

Overview, timelines/deadlines, filing and amending.

MCR 002 – Introduction to Medicare Cost Reports, Part II

Audits, reopening, appeals and basic concepts.

MCR 003 – Cost Report Compliance

Overview of updates to Medicare/Medicaid regulations that impact MCR.

MCR 101 – Key Cost Report Reimbursement Components, Part I

Overview of Empirical DSH, IRF, LIP, UCC DSH.

MCR 102 – Key Cost Report Reimbursement Components, Part II

Overview of Bad Debts, IME/GME, Allied Health.

MCR 103 – Rural Health Clinic (RHC)

Overview of unique Medicare regulations/strategies related to RHCs.

MCR 201 – Provider-Based (Hospital-Based) Status

Overview of Provider Based Status rules and reporting.

MCR 206 – CAHs and Their Unique Issues

In-depth review of CAHs and issues unique to those provider types.

Hospital Finance Courses (FIN)

FIN 001 – Healthcare Financial Terminology

Terminology related to hospital services and the cost report.

Medicare Cost Report Preparation Courses (CR PREP)

CR PREP 001 – Creating a New Report and Classify GL

Financial Statement Reconciliation, sources, exports.

CR PREP 002 – Cost Center Mappings and Analysis

Worksheet A/C/G/G-3 Mappings, GL to GL Comparison/Analysis

CR PREP 003 – Worksheet A-6

Conceptual Overview, technical abilities, sources of calculations.

CR PREP 004 – Worksheet A-8: Other/Non Operating, Interest

Conceptual Overview, technical abilities, sources of calculations.

CR PREP 005 – Worksheet A-8: Expense Adjustments

Conceptual Overview, technical abilities, sources of calculations.

CR PREP 006 – Worksheet A-8-1

Conceptual Overview, technical abilities, sources of calculations.

CR PREP 007 – Worksheet A-8-2

Conceptual Overview, technical abilities, sources of calculations.

CR PREP 008 – Wage Index – Payroll Data

Conceptual Overview, Absolute Payroll Upload & Mapping.

CR PREP 009 – Wage Index – Other

External Values: Sources – Contract Labor, Wage Related Costs, Home Office, Physician.

CR PREP 010 – Worksheet C

Conceptual Overview, R&U Upload & Mapping, Reclass Calculations.

CR PREP 011 – Medicare PS&R

Conceptual Overview, Absolute upload, Crosswalk vs Direct Allocations.

CR PREP 012 – Medicare Settlement Information

External Values: Sources – IME/GME, Bad Debt, Pass Through, DSH, etc.

CR PREP 013 – Organ Acquisition

Conceptual Overview, External Values in Absolute, sources of calculations.

CR PREP 014 – Worksheet B-1 Statistics

Conceptual Overview, technical abilities, sources of calculations, Directly Assigned Capital.

CR PREP 015 – Capital & Asset Reporting

A-7 External Values, B Part II Conceptual (Direct Assign vs reclass to capital Lines).

CR PREP 016 – Patient Census Data, Bed Reporting

Worksheet S-3 Part I Conceptual Overview, sources of calculations (External Values).

CR PREP 017 – Worksheet S-10

Conceptual Overview, sources of calculations (External Values), E Part A factors.

CR PREP 018 – Medicaid Settlement

Purpose, Conceptual Overview, BS&W Medicaid Settlement Template, External Values.

CR PREP 019 – HFS Export

How to Export from Absolute to HFS, clearing Level 1 Edits.

CR PREP 020 – Worksheet S-2 Part I, II

Conceptual Overview, sources of data, what to update.

CR PREP 021 – Absolute Checklist

Overview of Checklist & Review process.

CR PREP 022 – Absolute Tools for Analysis and Resources

Refresher – Results tab, Exports tab, 3 year mcrx template, Absolute Support Website.

CR PREP 023 – Workpaper Exports & Cost Report Submission

Workpaper storage, Cost Report Submission Process, Deadlines, required documents.

Back to Toyon University

 

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“Toyon consistently delivers forward-thinking, value-added results with exemplary customer service. Over the years we have brought in Toyon for help across the reimbursement spectrum, ranging from meeting annual regulatory requirements to executing on special projects that have added material dollars to the bottom line.  From beginning to end on each project, our entire team, from staff to executive, has felt 100% taken care of.”

“Since we started working with Toyon, we definitely feel that we are being supported by a team of leading industry experts who always work in our best interest. With Toyon’s expertise and dedicated team members, they will always seek and guide us to new opportunities in which their clients will benefit.”

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