Revenue Integrity and Chargemaster Boot Camp

Size: px
Start display at page:

Download "Revenue Integrity and Chargemaster Boot Camp"

Transcription

1 *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview The provides education on chargemaster and revenue integrity concepts in a classroom format. The program will relate the chargemaster function to revenue cycle and revenue integrity functions, including cost reporting and key operational issues, such as coverage, clinical documentation, charge capture, and coding. It will also provide context for chargemaster set-up and maintenance within revenue integrity with an objective to help avoid pre- and post- billing edits and payer denials. You will leave this program knowing how to: Provide formal, organized education and training for revenue integrity and chargemaster staff Provide context for the intersection of the chargemaster with clinical/revenue departments, charge capture, coding, finance, and patient access and billing Walk attendees through CMS regulatory requirements for pricing and charging patients, as well as key relationships between the chargemaster and provider cost reporting Give detailed instructions for the majority of revenue codes for optimal chargemaster setup, maintenance, charge capture, and documentation issues Review chargemaster issues for commercial/managed care versus CMS requirements Learning Objectives At the conclusion of this educational activity, participants will be able to: Equip hospital, payer and other healthcare specialists with effective and efficient strategies to obtain and maintain overall revenue integrity for both governmental and non-governmental payers Gain a working understanding of revenue integrity principles associated with eligibility, coverage, coding, billing and payment using fee-for-service Medicare requirements as a framework Explain standard charge description master (CDM) elements, design and relationship to the general ledger and revenue cycle processes of coding and billing Review claim requirements and specific issues of CDM set-up and maintenance by revenue code with associated cost reporting principles Exemplify outpatient and inpatient hospital prospective payment systems reimbursement and rate setting methodologies as well as appeal strategies to protect revenue Outline/Agenda Module 1: Revenue Integrity Overview and Resources Revenue integrity functions and key principles including how the chargemaster fits into over revenue integrity functions Medicare and other revenue integrity and chargemaster resources Understanding authoritative sources such as statutes, regulations, manuals, transmittals and other Medicare rules and guidelines

2 Module 2: Eligibility Principles Review major and different types of medical insurances Principles of health insurance eligibility and verification of insurance Coordination of Benefits & Subrogation Medicare Secondary Payer (MSP) concepts Module 3: Benefits, Coverage and Medical Necessity Review how insurance benefits are structured for hospital and other services The importance of coverage, medical necessity and both implied and specifically excluded benefits Medicare s prohibition against unbundling for inpatient and outpatient hospital services Pre-service coverage analysis and associated waiver/notice requirements Serious preventable events and relationship to risk management Investigational/experimental services and implications for coverage Module 4: Provider Types, Licensure, Enrollment, & Privileges Types of facilities, providers, physicians, practitioners and suppliers Provider-based department requirements including implications of Section 603 of the Bipartisan Budget Act of 2015 Licensure, scope of practice, privileging and relationship to coverage Conditions of participation, survey & certification and accreditation Importance of medical staff bylaws & regulations and relationship to conditions of payment Exercises: Concepts of Revenue Integrity Module 5: Charge Description Master Structure and Charge Capture Principles Definition, purpose and key fields of a chargemaster Concepts for code set up in CDMs and relationship to HIM coding Principles of bundled services per CPT definition vs reporting packaged services and implications for separate charging of packaged services Strategies to address payer differences in the chargemaster The relationship of chargemaster to overall AR System Concepts for pricing services and why APCs are not a good gauge for pricing hospital services Chargemaster, general ledger and relationship to cost reporting Module 6: Claims Submission Fundamentals and Code Edits Key UB-04 fields applicable to hospital services HIPAA transaction sets including ICD-10 and HCPCS codes Common claim edits including NCCI and MUEs Other transaction sets applicable to the revenue cycle such as eligibility, payment, claim status and denial transaction sets Module 7: Special Medicare Billing Issues Billing requirements for outpatient repetitive versus non-repetitive recurring and nonrecurring services The three-day payment window and outpatient services billed on inpatient claims Billing of non-covered inpatient and outpatient services Patient status and billing inpatient non-medically necessary services Exercises: CDM Structure, Claims and Billing Issues Module 8: Strategies and Key Issues by Revenue Code: Routine Services and Observation Key concepts for accommodation codes and routine services, including outpatients in beds, specialty care units and observation services Coding and edit issues for revenue codes associated with routine services and observation

3 Module 9: Strategies and Key Issues by Revenue Code: Ancillary Services Key concepts for major ancillary service departments, including peri-operative services, emergency, cardiology, diagnostic imaging, pharmacy and supplies Coding and edit issues for revenue codes associated with ancillary services Module 10: Strategies and Key Issues by Revenue Code: Other Departments Key concepts for other common ancillary service departments, including respiratory therapy, clinics, behavioral health, and preventive services Coding and edit issues for revenue codes associated with other departments Exercises: Routine and Ancillary Services by Revenue Code Module 11: Introduction to Payment Systems Review inpatient payment systems including DRGs, APR-DRGs, Case Rates and Per Diems Discuss hospital outpatient hospital payment systems including OPPS & APCs, eapgs, fee schedules and percent of charges Review outpatient surgery payment methodologies such as ASC and ambulatory fee schedules Review other ambulatory service payment systems such as the physician fee schedule (MPFS), DMEPOS, Clinical Lab Fee Schedule Review emerging payment methodologies such as Bundled/Episode Payments (CJR) and Value-Based Purchasing Module 12: Outpatient Prospective Payment System (OPPS) Understanding OPPS payable services and structure of APCs Learn how to determine whether services are paid separately or packaged Understand C-APCs and complexity adjustments Understand impact of inpatient deductible cap on co-payments for beneficiaries Module 13: Medicare Physician Fee Schedule (MPFS) The resource-based relative value system Relative value unit (RVU) structure Site of service adjustments for facility and non-facility services Global versus technical and professional components Payment policy indicators Exercises: Payment Systems Module 14: Charge Description Master Management and Maintenance Strategies Issues surrounding the annual chargemaster updates including pricing, HCPCS codes, charge items with no volume Strategies to work collaboratively with departments Importance of patient account and charge reconciliation Tracking CDM changes for compliance Charge integrity monitoring and reducing unexplained variation in claims Module 15: Denial Management Principles of denial management Adjustment claims and automated provider reopening

4 Initial and revised determinations and appeal rights Levels of appeal and timelines for filing Types of auditors including external auditors from commercial plans Module 16: Payer Contracting Strategies Concept and criteria for carve out options Importance of tracking administrative cost by payer and developing and trending payer scorecards Contract negotiations and annual price increase limits/caps applicable to chargemaster Exercises: Strategies for CDM Management, Denials and Payer Contracting Course Outline/Agenda subject to change. Please contact the event manager Marilyn ) below for: - Multiple participant discounts - Price quotations or visa invitation letters - Payment by alternate channels (PayPal, check, Western Union, wire transfers etc) - Event sponsorships NO REFUNDS ALLOWED ON REGISTRATIONS Service fees included in this listing BUSINESS & LEGAL RESOURCES-BLR - New York Events List JOA190520CEV

Medicare Boot Camp Provider-Based Departments Version

Medicare Boot Camp Provider-Based Departments Version Medicare Boot Camp Provider-Based Departments Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Reimbursement for provider-based departments (PBD) and clinics

More information

Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version

Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for critical access

More information

Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version

Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for critical access

More information

Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version

Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version Medicare Boot Camp Critical Access Hospital and Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for critical access

More information

Medicare Boot Camp - Hospital Version

Medicare Boot Camp - Hospital Version Medicare Boot Camp - Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Gain insight into the CMS initiatives affecting your revenue in 2019 by joining

More information

Medicare Boot Camp - Hospital Version

Medicare Boot Camp - Hospital Version Medicare Boot Camp - Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Gain insight into the CMS initiatives affecting your revenue in 2019 by joining

More information

Medicare Boot Camp - Hospital Version

Medicare Boot Camp - Hospital Version Medicare Boot Camp - Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Gain insight into the CMS initiatives affecting your revenue in 2019 by joining

More information

Medicare Boot Camp - Hospital Version

Medicare Boot Camp - Hospital Version Medicare Boot Camp - Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Gain insight into the CMS initiatives affecting your revenue in 2019 by joining

More information

Medicare Boot Camp - Hospital Version

Medicare Boot Camp - Hospital Version Medicare Boot Camp - Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Gain insight into the CMS initiatives affecting your revenue in 2019 by joining

More information

Medicare Boot Camp - Hospital Version

Medicare Boot Camp - Hospital Version Medicare Boot Camp - Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Gain insight into the CMS initiatives affecting your revenue in 2019 by join

More information

Medicare Boot Camp Critical Access Hospital Version

Medicare Boot Camp Critical Access Hospital Version Medicare Boot Camp Critical Access Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for critical access hospitals Medicare

More information

Medicare Boot Camp Critical Access Hospital Version

Medicare Boot Camp Critical Access Hospital Version Medicare Boot Camp Critical Access Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for critical access hospitals Medicare

More information

Medicare Boot Camp Critical Access Hospital Version

Medicare Boot Camp Critical Access Hospital Version Medicare Boot Camp Critical Access Hospital Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for critical access hospitals Medicare

More information

Medicare Boot Camp Rural Health Clinic Version

Medicare Boot Camp Rural Health Clinic Version Medicare Boot Camp Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Medicare Boot Camp Rural Health Clinic Version is a one-day intensive

More information

Medicare Boot Camp Rural Health Clinic Version

Medicare Boot Camp Rural Health Clinic Version Medicare Boot Camp Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Medicare Boot Camp Rural Health Clinic Version is a one-day intensive

More information

Medicare Boot Camp Rural Health Clinic Version

Medicare Boot Camp Rural Health Clinic Version Medicare Boot Camp Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Medicare Boot Camp Rural Health Clinic Version is a one-day intensive

More information

2019 Revenue Integrity Symposium

2019 Revenue Integrity Symposium 2019 Revenue Integrity Symposium *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Coming October 15 16, 2019 Renaissance Orlando - Orlando, FL Save the Date: Join us October 15 16,

More information

Medicare Boot Camp Utilization Review Version

Medicare Boot Camp Utilization Review Version Medicare Boot Camp Utilization Review Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Master Medicare rules for utilization review Medicare Boot Camp Utilization

More information

Skilled Nursing Facility Billing Boot Camp

Skilled Nursing Facility Billing Boot Camp Skilled Nursing Facility Billing Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Skilled Nursing Facility Billing Boot Camp provides hands-on, how-to education

More information

Skilled Nursing Facility Billing Boot Camp

Skilled Nursing Facility Billing Boot Camp Skilled Nursing Facility Billing Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Skilled Nursing Facility Billing Boot Camp provides hands-on, how-to education

More information

Skilled Nursing Facility Billing Boot Camp

Skilled Nursing Facility Billing Boot Camp Skilled Nursing Facility Billing Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Skilled Nursing Facility Billing Boot Camp provides hands-on, how-to education

More information

Medicare Boot Camp Long-Term Care Version

Medicare Boot Camp Long-Term Care Version Medicare Boot Camp Long-Term Care Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview HCPro's Medicare Boot Camp Long-Term Care Version covers the latest Medicare

More information

Medicare Boot Camp Long-Term Care Version

Medicare Boot Camp Long-Term Care Version Medicare Boot Camp Long-Term Care Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview HCPro's Medicare Boot Camp Long-Term Care Version covers the latest Medicare

More information

Medicare Boot Camp Long-Term Care Version

Medicare Boot Camp Long-Term Care Version Medicare Boot Camp Long-Term Care Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview HCPro's Medicare Boot Camp Long-Term Care Version covers the latest Medicare

More information

Risk Adjustment Documentation and Coding Boot Camp

Risk Adjustment Documentation and Coding Boot Camp Risk Adjustment Documentation and Coding Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Risk adjustment requires coding and CDI professionals to work

More information

Risk Adjustment Documentation and Coding Boot Camp

Risk Adjustment Documentation and Coding Boot Camp Risk Adjustment Documentation and Coding Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Risk adjustment requires coding and CDI professionals to work

More information

Risk Adjustment Documentation and Coding Boot Camp

Risk Adjustment Documentation and Coding Boot Camp Risk Adjustment Documentation and Coding Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Risk adjustment requires coding and CDI professionals to work

More information

Medical Auditing Boot Camp Professional Services

Medical Auditing Boot Camp Professional Services Medical Auditing Boot Camp Professional Services *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Many physician practices, including independent practices, physician

More information

Medicare Boot Camp Audits, Appeals, and Denials Version

Medicare Boot Camp Audits, Appeals, and Denials Version Medicare Boot Camp Audits, Appeals, and Denials Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Get expert guidance on preventing denials and focusing appeals

More information

ACDIS Symposium: Outpatient CDI Conference

ACDIS Symposium: Outpatient CDI Conference ACDIS Symposium: Outpatient CDI Conference *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! November 14-15, 2019 Hyatt Regency Austin The ACDIS Symposium: Outpatient CDI Conference

More information

Most Cardiology seminars are sponsored by the State Chapters of the ACC.

Most Cardiology seminars are sponsored by the State Chapters of the ACC. Cardiology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct coding, reimbursement and compliance Learn Cardiology

More information

Most Cardiology seminars are sponsored by the State Chapters of the ACC.

Most Cardiology seminars are sponsored by the State Chapters of the ACC. Cardiology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct coding, reimbursement and compliance Learn Cardiology

More information

Most Cardiology seminars are sponsored by the State Chapters of the ACC.

Most Cardiology seminars are sponsored by the State Chapters of the ACC. Cardiology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct coding, reimbursement and compliance Learn Cardiology

More information

Pulmonary We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct co

Pulmonary We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct co Pulmonary We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct coding, reimbursement and compliance Learn Pulmonary

More information

Gastroenterology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist cor

Gastroenterology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist cor Gastroenterology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct coding, reimbursement and compliance Learn Gastroenterology

More information

Evaluation and Management Boot Camp Professional Version

Evaluation and Management Boot Camp Professional Version Evaluation and Management Boot Camp Professional Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Become a pro at assigning, verifying, and auditing E/M codes.

More information

CDI and Quality Care Measures Boot Camp

CDI and Quality Care Measures Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview The is an intensive three-day course designed for CDI departments/programs looking to move to the next level of CDI

More information

Most Peripheral Cardiology seminars are sponsored by the State Chapters of the ACC.

Most Peripheral Cardiology seminars are sponsored by the State Chapters of the ACC. Peripheral Cardiology We provide answers: The most current ICD-10 and CPT coding instruction ICD-10-CM examples for your specialty Strategies to assist correct coding, reimbursement and compliance What

More information

The Physician Advisor's Role in CDI Boot Camp

The Physician Advisor's Role in CDI Boot Camp The Physician Advisor's Role in CDI Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview As healthcare transforms from fee-for-service into quality-based alternative

More information

The Physician Advisor's Role in CDI Boot Camp

The Physician Advisor's Role in CDI Boot Camp The Physician Advisor's Role in CDI Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview As healthcare transforms from fee-for-service into quality-based alternative

More information

Certified Coder Boot Camp Original

Certified Coder Boot Camp Original *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview The premier CPC exam preparation course for coders The demand for CPC-certified coders has never been higher. If

More information

Certified Coder Boot Camp Original

Certified Coder Boot Camp Original *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview The premier CPC exam preparation course for coders The demand for CPC-certified coders has never been higher. If

More information

Residency Program Coordinator Boot Camp

Residency Program Coordinator Boot Camp Residency Program Coordinator Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview HCPro's Residency Program Coordinator Boot Camp is an intensive two-day course

More information

Position Titles Used in Medical Billing/Coding Offices by PAM KULCZAR MONDAY, OCTOBER 14, 2016

Position Titles Used in Medical Billing/Coding Offices by PAM KULCZAR MONDAY, OCTOBER 14, 2016 Position titles used in medical billing & coding environments Disclaimer: This is probably not a complete listing. Not all offices/practices/facilities use the same terminology or titles. The following

More information

Certification in Healthcare Revenue Integrity (CHRI) Exam Outline

Certification in Healthcare Revenue Integrity (CHRI) Exam Outline Certification in Healthcare Revenue Integrity (CHRI) Exam Outline I. EDUCATION 30 items (16 recall/10 application/4 analysis) a. Rules and Regulations 1. Provide expert advice in coding guidelines and

More information

ICD-10 Time is running out

ICD-10 Time is running out ICD-10 Time is running out 1 Agenda Introductions What caused the implementation delay? 3 major areas of ICD-10 impact Financial Key performance indicators to monitor Operations Coding strategy Training

More information

Computer-Aided Surgical Navigation Coding Guide Neurosurgery. May 1, 2009

Computer-Aided Surgical Navigation Coding Guide Neurosurgery. May 1, 2009 Computer-Aided Surgical Navigation Coding Guide Neurosurgery May 1, 2009 Please direct any questions to: Kim Brew Manager, Reimbursement and Therapy Access Medtronic Surgical Technologies (904) 279-7569

More information

Charge Description Master (CDM) Concepts: Basic to Advanced

Charge Description Master (CDM) Concepts: Basic to Advanced Charge Description Master (CDM) Concepts: Basic to Advanced Lamon Willis, CPCO, CPC-I, COC, CPC Director of Business Development Healthicity Agenda Charge Description Master (CDM) Defined Stakeholders

More information

Management of Chargeable Items White Paper

Management of Chargeable Items White Paper Management of Chargeable Items White Paper The Management of Chargeable Items White Paper is an executive briefing for CEOs, CFOs, and other health leaders. This briefing describes how to improve the charge

More information

Clinical Documentation Improvement Boot Camp

Clinical Documentation Improvement Boot Camp Clinical Documentation Improvement Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS.

More information

Clinical Documentation Improvement Boot Camp

Clinical Documentation Improvement Boot Camp Clinical Documentation Improvement Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS.

More information

Clinical Documentation Improvement Boot Camp

Clinical Documentation Improvement Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS. The CDI Boot Camp is ACDIS premier training for

More information

Clinical Documentation Improvement Boot Camp

Clinical Documentation Improvement Boot Camp *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Launch a successful CDI career with help from the experts at ACDIS. The CDI Boot Camp is ACDIS premier training for

More information

CHARGE DESCRIPTION MASTER (CDM)

CHARGE DESCRIPTION MASTER (CDM) CHARGE DESCRIPTION MASTER (CDM) Facility Best Practices and How to Sustain Robert M. Gilbert, FHFMA, COC Senior Manager, Healthcare Consulting DISCLAIMER This presentation is for general education purposes

More information

Making the business of healthcare easier. Don t Have a Clue About the CDM? It s Elementary, Watson! HFMA LONE STAR SUMMER INSTITUTE August 18, 2017

Making the business of healthcare easier. Don t Have a Clue About the CDM? It s Elementary, Watson! HFMA LONE STAR SUMMER INSTITUTE August 18, 2017 Making the business of healthcare easier. Don t Have a Clue About the CDM? It s Elementary, Watson! HFMA LONE STAR SUMMER INSTITUTE August 18, 2017 Follow us on LinkedIn for details on future webinars,

More information

By the end of this exercise the participant/candidate will be able to:

By the end of this exercise the participant/candidate will be able to: A physician must be credentialed before he or she can begin receiving insurance reimbursements. Part of the credentialing process is ensuring your business and practices are all in order. This checklist

More information

Revenue Cycle Management. Yes No Comments

Revenue Cycle Management. Yes No Comments Revenue Cycle Management Billing Requirement 1) Provide a flexible schedule for the generation of patient bills based on patient type and payer/payer healthplan or medical service. 2) Provide for several

More information

Credentialing. Discovery Resource CL-06

Credentialing. Discovery Resource CL-06 Credentialing Discovery Resource CL-06 Assemble credentialing packet for each physician, including: Copy of CV Copy of state license Copy of state controlled substance license Copy of Federal DEA Copy

More information

CASE STUDY - VALUE OF A PHYSICIAN REVENUE INTEGRITY TEAM

CASE STUDY - VALUE OF A PHYSICIAN REVENUE INTEGRITY TEAM CASE STUDY - VALUE OF A PHYSICIAN REVENUE INTEGRITY TEAM Presented by: Tina Hill, MHA, CPC Manager, RSM Healthcare Advisory Middle Revenue Cycle Definition Why is Middle Rev Cycle Relevant? CASE STUDY:

More information

Chargemaster Compliance & Revenue Capture

Chargemaster Compliance & Revenue Capture Chargemaster Compliance & Revenue Capture HFMA Arkansas Chapter Summer Conference August 23, 2018 Scott Treida, MT (ASCP), CPC Blue & Co., LLC Director Charge Capture & The Chargemaster Order Completion

More information

Charge Posting (Specialty Hospital) Training Guide

Charge Posting (Specialty Hospital) Training Guide Charge Posting (Specialty Hospital) Vision 4.3 (January 2013) Training Guide SourceMedical Learning Center of Excellence Last change made: January 2013 2013 Source Medical Solutions, Inc. All Rights Reserved.

More information

3M Health Information Systems 3M Core Grouping Software

3M Health Information Systems 3M Core Grouping Software 3M Health Information Systems 3M Core Grouping Software Delivering value-added software to your EHR s revenue cycle and analytic workflows Denial management Scheduling Registration Charge capture Coding

More information

MANAGED CARE RECOVERY

MANAGED CARE RECOVERY Since 1997, hospitals and other healthcare provider organizations across the country have relied upon ARx as a trusted Partner. Our client requirements have included a wide range of business office operations

More information

AUDIT STATUS. Continuous Auditing Ideas and Priority Ranking Draft: 8/7/2012

AUDIT STATUS. Continuous Auditing Ideas and Priority Ranking Draft: 8/7/2012 Compliance Identify single day stays and subsequent re-admissions Identify inappropriate unbundling of lab tests Identify frequent use of high risk organizations Match OIG-excluded providers list with

More information

Developing Transparency Strategies in Pricing

Developing Transparency Strategies in Pricing Developing Transparency Strategies in Pricing Factors Driving Pricing Transparency Independent Testing Facilities (ITF) putting great pressure on hospitals in service lines that had been very lucrative.

More information

Managed Long Term Care (MLTC)

Managed Long Term Care (MLTC) Managed Long Term Care (MLTC) The Billing Perspective Page 1 Bonadio Receivable Solutions, LLC has been a division of The Bonadio Group since 2008 The Bonadio Group is the only independent accounting firm

More information

Coding Essentials for Laboratories 2017

Coding Essentials for Laboratories 2017 Coding Essentials for Laboratories 2017 An Easy-to-Use Tool for Coding and Reimbursement Compliance Prepared and Published By: MedLearn Publishing A Division of Panacea Healthcare Solutions, Inc. 287 East

More information

WHAT'S NEW! THE HOT TOPICS

WHAT'S NEW! THE HOT TOPICS Gastroenterology Workshop Curriculum 2019 Gastroenterology Specific Coding Update. Evaluation and Management - Is your practice prepared for the Radical Changes to take place in 2021? We will update you.

More information

Certified Coder Boot Camp Inpatient Version

Certified Coder Boot Camp Inpatient Version Certified Coder Boot Camp Inpatient Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Inpatient coding is even more complex. Let our expert instructors make

More information

Certified Coder Boot Camp Inpatient Version

Certified Coder Boot Camp Inpatient Version Certified Coder Boot Camp Inpatient Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Inpatient coding is even more complex. Let our expert instructors make

More information

UNCLASSIFIED J-CODE CODING AND BILLING US/ULT-PNH/0002

UNCLASSIFIED J-CODE CODING AND BILLING US/ULT-PNH/0002 UNCLASSIFIED J-CODE CODING AND BILLING UNCLASSIFIED/MISCELLANEOUS CODES Used when no existing national code adequately describes the item or service being billed Allows suppliers to begin billing immediately

More information

Effective Quality Oversight of Pharmaceutical Contract Manufacturing Organizations (CMOs)

Effective Quality Oversight of Pharmaceutical Contract Manufacturing Organizations (CMOs) Effective Quality Oversight of Pharmaceutical Contract Manufacturing Organizations (CMOs) *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! The globalization of the pharmaceutical

More information

3/17/2016. Unleashing the Power of Data Analytics Presented to: 2016 Compliance Institute. Today s Agenda. What Makes CHAN Healthcare Unique

3/17/2016. Unleashing the Power of Data Analytics Presented to: 2016 Compliance Institute. Today s Agenda. What Makes CHAN Healthcare Unique Unleashing the Power of Data Analytics Presented to: 2016 Compliance Institute 2016 CHAN Healthcare 1 Today s Agenda What Makes CHAN Unique Adding Value through Data Analytics Using Data Analytics in the

More information

2009 Audio Seminars/Webinars

2009 Audio Seminars/Webinars AHIMA /s Registration Form 1 AHIMA / Registration Form REGISTER TODAY! Mark the sessions you want to attend and indicated the preferred format. Please include all pages of this registration form when registering.

More information

Coding and Billing Guide

Coding and Billing Guide To control prolonged air leaks of the lung or significant air leaks likely to become prolonged following lobectomy, segmentectomy and LVRS Coding and Billing Guide This guide is intended to provide coding

More information

PATIENT BILLING SYSTEM PATIENT BILLING SYSTEM PDF A PATIENT S GUIDE TO BILLING - MYMSK LOGIN PAGE BILLING AND COLLECTIONS POLICY

PATIENT BILLING SYSTEM PATIENT BILLING SYSTEM PDF A PATIENT S GUIDE TO BILLING - MYMSK LOGIN PAGE BILLING AND COLLECTIONS POLICY PDF A PATIENT S GUIDE TO BILLING - MYMSK LOGIN PAGE BILLING AND COLLECTIONS POLICY 1 / 5 2 / 5 3 / 5 patient billing system pdf patients and their families with the most advanced and highest quality care

More information

Chargemaster Compliance & Revenue Capture. Scott Treida, MT (ASCP), CPC Director

Chargemaster Compliance & Revenue Capture. Scott Treida, MT (ASCP), CPC Director Chargemaster Compliance & Revenue Capture Scott Treida, MT (ASCP), CPC Director 317-713-7950 streida@blueandco.com Disclaimer This presentation has been designed to provide illustrative information with

More information

HR World 2019 *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY!

HR World 2019 *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! HR World 2019 *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Three Conferences. One Venue. Unlimited Learning. November 14-15, 2019 Nashville, TN We know you wear many hats at

More information

Appendix A NATIONAL CENTER FOR HEALTHCARE APPRENTICESHIPS STANDARDS OF APPRENTICESHIP. Developed by

Appendix A NATIONAL CENTER FOR HEALTHCARE APPRENTICESHIPS STANDARDS OF APPRENTICESHIP. Developed by Appendix A NATIONAL CENTER FOR HEALTHCARE APPRENTICESHIPS STANDARDS OF APPRENTICESHIP Developed by SEIU/AFSCME National Center for Healthcare Apprenticeships National Joint Apprenticeship Training Committee

More information

Technical Aspects of a Leased Asset 2019

Technical Aspects of a Leased Asset 2019 Technical Aspects of a Leased Asset 2019 This one day seminar will discuss the growing role of aircraft and engine leasing to worldwide airline s fleets with an in-depth look at the maintenance issues

More information

Coding and Billing Guide

Coding and Billing Guide To control prolonged air leaks of the lung or significant air leaks likely to become prolonged following lobectomy, segmentectomy and LVRS Coding and Billing Guide This guide is intended to provide coding

More information

Written Questions and Answers

Written Questions and Answers Written Questions and Answers Healthcare Consulting Services RFP UK-1857-18 Questions and Answers Issue Date: 05/15/18 RFP Closing Date: 05/30/2018 No. Question Answer 1 We are a solid organ transplant

More information

Coding and Billing Guide

Coding and Billing Guide To control prolonged air leaks of the lung or significant air leaks likely to become prolonged following lobectomy, segmentectomy and LVRS Coding and Billing Guide This guide is intended to provide coding

More information

closing the price gap for commodity services

closing the price gap for commodity services REPRINT August 2017 Jamie Cleverley healthcare financial management association hfma.org closing the price gap for commodity services The competitive pricing offered by freestanding clinics has many hospitals

More information

Improving Claims Management. Flexible and User Friendly

Improving Claims Management. Flexible and User Friendly Since 1989 Improving Claims Management Flexible and User Friendly Claims2Cash s easy-to-use web based interface allows any healthcare provider type to manage their entire billing process. Claims2Cash utilizes

More information

Oncology Billing Specialists

Oncology Billing Specialists Oncology Billing Specialists ONCOLOGY Coding, Billing and Reimbursement EXPERTS When you entrust your medical billing services to RC Billing, you can rest easy knowing the details are handled to allow

More information

Coding and Billing Guide

Coding and Billing Guide To control prolonged air leaks of the lung or significant air leaks likely to become prolonged following lobectomy, segmentectomy and LVRS Coding and Billing Guide This guide is intended to provide coding

More information

Charge Capture: What You Don t Know IS Killing You!

Charge Capture: What You Don t Know IS Killing You! Charge Capture: What You Don t Know IS Killing You! Kauser Karwa MBA, RHIA, CDIP Manager McGladrey Bob Medcalf CEO Net Revenue Associates May 14, 2015 Objectives 1. Gain a broad level understanding on

More information

JOB DESCRIPTION. 2. Serves as the practice expert and go to person for all coding and billing processes.

JOB DESCRIPTION. 2. Serves as the practice expert and go to person for all coding and billing processes. JOB DESCRIPTION POSITION TITLE : Medical Biller/Coder REPORTS TO: Chief Financial Officer HOURS: Full Time FLSA: Non-Exempt Summary Position responsible for coordinating the overall functions of the medical

More information

Coding Essentials for Laboratories 2018

Coding Essentials for Laboratories 2018 Coding Essentials for Laboratories 2018 An Easy-to-Use Tool for Coding and Reimbursement Compliance Prepared and Published By: MedLearn Publishing A Division of MedLearn Media, Inc. 445 Minnesota Street,

More information

Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings

Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Huron Healthcare s Performance

More information

Maintenance Reserves Seminar 2019

Maintenance Reserves Seminar 2019 Maintenance Reserves Seminar 2019 This event will cover in-depth all aspects of maintenance reserves, what you need to know and how to put it into practice. It will discuss typical issues pertaining to

More information

Month End Close Valuation of AR and Revenue Analysis

Month End Close Valuation of AR and Revenue Analysis Month End Close Valuation of AR and Revenue Analysis HFMA Annual Accounting Update Great Lakes Chapter Douglas C Banks CPA, CIA, FHFMA Director Revenue Excellence Reimbursement Trinity Health January 25,

More information

ICD-10 Readiness and Implementation SCHFMA. Presented by: Christine Kalish, MBA, CMPE Executive Consultant Date: June 1, 2011

ICD-10 Readiness and Implementation SCHFMA. Presented by: Christine Kalish, MBA, CMPE Executive Consultant Date: June 1, 2011 ICD-10 Readiness and Implementation SCHFMA Presented by: Christine Kalish, MBA, CMPE Executive Consultant Date: June 1, 2011 2 Agenda ICD 10 - Background and timeline 5010 -Technical aspects of change

More information

Investigational New Drug (IND) & Investigational Device Exemptions (IDE) Applications Preparation and Submission, and Conducting FDA Meetings

Investigational New Drug (IND) & Investigational Device Exemptions (IDE) Applications Preparation and Submission, and Conducting FDA Meetings Investigational New Drug (IND) & Investigational Device Exemptions (IDE) Applications Preparation and Submission, and Conducting FDA Meetings *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER

More information

Computer System Validation - Reduce Costs and Avoid 483s

Computer System Validation - Reduce Costs and Avoid 483s Computer System Validation - Reduce Costs and Avoid 483s *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! This Computer System Validation Training course will explore proven techniques

More information

RECORD, Volume 28, No. 2*

RECORD, Volume 28, No. 2* RECORD, Volume 28, No. 2* San Francisco Spring Meeting June 24 26, 2002 Session 48TS Innovations in Hospital Reimbursement Methodologies Track: Instructor: Health WILLIAM J. FOX Summary: This teaching

More information

Packaging and Labeling in Pharmaceutical Production

Packaging and Labeling in Pharmaceutical Production Packaging and Labeling in Pharmaceutical Production *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Seminar to help you understand compliant packaging and labeling process in the

More information

Optum Intelligent EDI. Achieve higher first-pass payment rates and help your organization get paid quickly and accurately.

Optum Intelligent EDI. Achieve higher first-pass payment rates and help your organization get paid quickly and accurately. Optum Intelligent EDI Achieve higher first-pass payment rates and help your organization get paid quickly and accurately. The new benchmark for EDI performance Health care has outgrown commoditized EDI,

More information

Improving Revenue Integrity Through Effective Coding and Denials Management

Improving Revenue Integrity Through Effective Coding and Denials Management Improving Revenue Integrity Through Effective Coding and Denials Management June 1, 2018 HFMA Massachusetts/Rhode Island Chapter Christy Matheson, RHIA, CCS Medical Record Associates, LLC OBJECTIVES: Understand

More information