AUDIOCONFERENCE ON TAPE OR CD
Sponsored by Briefings on APCs
presented on November 1, 2006
Pricing items in the chargemaster is largely a hospital-specific decision. Providers are responsible, however, for developing a sound policy and following it. And they must do so without violating the little-known Medicare charging rule.
In addition, hospital staff must know which items they can and cannot separately bill, develop and maintain proper CDM charges, and best operationalize the CDM's use.
Our speakers discuss the rapid increase in the public scrutiny of hospital pricing. They offer pricing development strategies to help your facility formulate a long-term plan for adjusting hospital chargemaster pricing to meet both compliance and patient relations needs, as well as advice for billing supplies from the CDM.
This program also touches upon:
- OIG and CMS compliance mandates
- Supply categorization, implantable DME, pharmaceutical items
- CMS HCPCS C-codes
Pricing for pass-through payments- Developing consistent charge algorithms
- Long-term pricing strategies
Note: This is an intermediate-level program. Participants should have a general knowledge of the hospital chargemaster plus general pricing and cost concepts within healthcare.
THIS SHOW COVERS
- Increasing visibility and pressures surrounding hospital chargemaster pricing, including
- Strategic pricing
- Taking your chargemaster public: What patients want to know
- Developing proper pricing
- Watching Medicare and OIG compliance issues
- When are charges in excess?
- Potential Medicare charging rule violations
- Developing and implementing consistent pricing
- Review of Medicare and third-party payer systems
- Tiered pricing structures
- Bundling - or not bundling - charges
- Meeting patient relations and transparent pricing mandates
- Addressing special pricing considerations
- Device-dependent procedures
- Inpatient services
- Supply items
A question and answer session will follow the presentation.
LEARNING OBJECTIVES
At the conclusion of this audioconference, you will be able to:
1. Discuss the rapid increase in the public scrutiny of hospital pricing
2. Summarize the compliance pressures for consistently developing charges based on costs
3. Illustrate different approaches to developing charge algorithms and the role of cost-to-charge ratios (CCRs) in this process
4. Identify the demands and complexities of transparent pricing, including what transparent pricing means and does not mean
5. Formulate a long-term strategy for adjusting hospital chargemaster pricing to meet compliance and patient relations needs
MEET THE SPEAKERS
Duane C. Abbey, Ph.D., CFP, is president of Abbey & Abbey, Consultants, Inc., of Ames, IA. He has more than 20 years experience with healthcare payment systems, coding, billing, reimbursement and associated compliance issues.
Jodee E. Collins, MD, is the director of the charge description master at UCLA Healthcare. She is experienced in pre-clinical and clinical research as a principle and co-principle investigator.
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!
In addition to the expertise and advice presented during this audioconference, you'll also receive
- a slide presentation of the program materials
- copies of compliance and regulatory information from CMS and the OIG, including Federal Register entries
- sample pricing/charge development policies, procedures, and checklist
These materials will be provided with PDF links.
WHO SHOULD LISTEN?
Hospital and hospital-based chargemaster managers and staff, cost accounting management and staff, cost reporting management and staff, financial analysts, hospital planning analysts, compliance officers, public relations, managed care contractors, coding managers and staff
Purchase a tape or CD of the program and listen when you can. It's a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
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