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AUDIOCONFERENCE ON TAPE, CD OR AUDIO ARCHIVE

Sponsored by Briefings on APCs

presented on September 25, 2007

Your facility's financial integrity depends on proper billing for services and supplies. That's a simple statement, but making that happen isn't always easy.

Appropriate billing starts with proper revenue code assignment, whether through soft-coding or through the chargemaster, and understanding the difference. Staff also need to distinguish between the use of HCPCS and non-HCPCS revenue codes, and understand billing, reporting, and payment requirements.

Give your billing team the training they need to apply revenue codes properly. During this 90-minute audioconference, our speakers outline revenue code principles, discuss problematic revenue code errors and how to avoid them, and use case studies to demonstrate practices you can implement to avoid both the financial missteps and compliance risks.

This is an intermediate level program. Participants should have a basic understanding of hospital outpatient billing and revenue codes.

PROGRAM AGENDA

• Revenue codes: Concepts and principles
• Changing definitions—and changing the relationship to costs and cost reporting
• What revenue codes require HCPCS codes/which do not
• Chargemaster assignments and groupings
• Who should assign revenue codes:  Roles and responsibilities
• Reporting revenue codes on the UB-04
• Billing considerations
• Revenue code groupings
• Perioperative services
• Extended recovery time
• Pre-operative clinic services
• Oncology vs. chemotherapy
• Orthotics/prosthetics
• Other supplies
• Current issues
• Problematic revenue codes (361, 490, 719, 761)
• Drugs/supplies
• Trauma activation
• Private payer/financial considerations
• Case studies

A question and answer session follows the presentation.

LEARNING OBJECTIVES

At the end of the audioconference, you will be able to:

1. State how to use revenue codes for appropriate revenue optimization and integrity
2. Define the difference between appropriate billing reporting requirements vs. payment requirements
3. Describe the basics of revenue codes
4. Implement a system to ensure accurate and complaint revenue code assignment

MEET THE SPEAKERS

William L. Malm, ND, RN, is a director within the consulting division at HCPro, Inc. He has more than 20 years of experience in a combination of clinical and financial healthcare, including as a compliance officer, revenue cycle specialist, and chargemaster specialist. He has clinical experience in emergency services, cardiac care nursing, cardiothoracic post-operative care nursing, and oncology and has presented at numerous national seminars on OPPS. 

Valerie A. Rinkle, MPA, is revenue cycle director for Asante Health System in Medford, OR. She has over 20 years of healthcare reimbursement experience including 11 years in nationwide consulting to hospitals and physicians regarding Medicare and Medicaid payment systems and compliance. She is a the author of numerous articles on OPPS and hospital-based clinics, and a member of the editorial advisory board for the APC Answer Letter and the APC Weekly Monitor, both from HCPro.

CONTINUING EDUCATION CREDITS

This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.

WHO SHOULD LISTEN?

Billing and business office staff, chargemaster coordinators, compliance officers, revenue cycle coordinators, patient accounting system administrators/super-users. HIM managers, reimbursement managers, and financial/cost report managers and staff will also find the program of interest.

YOUR MATERIALS PACKET

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and take-home items including a sample chargemaster revenue code policy.

These materials are provided with PDF links.

NEW PURCHASE OPTION: Audio Archive

In addition to the regular purchase options for HCPro audioconferences, audio tape or audio CD, we are pleased to offer a new option, an audio archive. An audio archive allows you to download the program and play it back at your convenience on your computer or MP3 player.

Purchase a tape, CD, or audio archive of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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