Centrad Healthcare

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Reimbursement Education

Centrad’s professional staff education program is designed for physicians, administrators, speech therapists, nurses, dieticians, reimbursement, and central supply staff.  The program provides clear-cut information regarding claims documentation, coverage criteria, how to test for permanence, and other important information based entirely on CMS Local Coverage Determination (LCD) information and the TPN / Enteral Therapy Provider Manual.

The sessions, which take 1 to 1.5 hours, have been presented to more the 500 nursing homes throughout the US and have been highly-acclaimed by participants as offering much sought-after practical information, while eliminating the confusion, uncertainty, and anxiety relative to today’s ancillary claims documentation environment.  Centrad offers this valuable resource to assist customers with both risk and cost avoidance.

stethoscopeTopics include documentation and coverage criteria for:

  • Specialty Nutrients (HCPCS Codes B4149, B4153-B4157, B4161, and B4162)
  • Pump Necessity Coverage Criteria
  • Enteral Nutrition Justification
  • Functional Impairment tests and compliance

Additional topics covered include:

  • Centrad’s Quality Documentation Set (QDS)
  • Order Replenishment & POD Compliance Programs
  • RAC, ZPIC audits & their affect on facilities
  • Centrad Inventory Management Systems

Tom Walters—CEO, Total Office Management

Centrad Healthcare, LLC has retained Tom Walters, a nationally-recognized leading expert on Medicare Reimbursement and Claims Processing, to provide education and training about claims documentation, CMS reimbursement guidelines, and compliance consulting services for both Centrad staff and our customers.

Tom is CEO of Total Office Management, a Columbia, South Carolina-based consulting firm that provides reimbursement-related consulting services to providers of Parenteral and Enteral Nutrition, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS).  Prior to founding Total Office Management in May 1992, Tom was the Executive Director and Ombudsman of Blue Cross Blue Shield of South Carolina’s (BCBS of SC) Medicare Part B, Parenteral and Enteral Nutrition (PEN) Division, for all business east of the Mississippi River.

Tom was responsible for the implementation of the PEN program from its inception in 1986-1987, and for the creation of the original PEN medical policies (i.e. Local Coverage Determinations [LCDs]). 

As a leader in the healthcare industry, Tom works closely with the Centers for Medicare & Medicaid Services (CMS) and other government divisions on behalf of his clients.  Additionally, he routinely works with key government agencies on current legislative issues relative to Medicare Part B.  He holds a Bachelor of Arts degree from the University of South Carolina and is a graduate of the Baptist Medical Center School of Radiology.  Tom is also a nationally published author and recognized public speaker.