HCM Marketplace

AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Transparent Pricing for Retail Healthcare
presented on November 29, 2007

Don't miss out on billing opportunities
You rely heavily on your chargemaster, and like it or not; it has a significant impact on your organization’s financial health.  Due to the complexities of the charging, you may be missing out on billing opportunities, while creating pricing inconsistencies and posting low- or no-volume items. These inefficiencies need to be corrected for your facility to collect the revenue it deserves and remain compliant and competitive. Luckily, technology is catching up with the problem, and chargemaster software is a significant addition to the chargemaster analyst’s toolkit.

Listen to HCPro's 90 minute audioconference ”Optimize Your Billing Environment:  New approaches to manage your chargemaster.”  Revenue cycle management specialist William L. Malm, ND, RN, and regulatory analyst Barbara Aubry, RN, CPC, CHCQM, FAIHQ, provides tips on how to recognize revenue that you’re missing today. You’ll learn to identify and correct some of the frequent billing mistakes caused by your chargemaster as well as how to take advantage of chargemaster software and data mining opportunities. In addition to the expertise and advice presented, you'll also receive useful tools, including:

• Sample chargemaster policy and procedure
• Chargemaster maintenance task list

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

• Identify correctable events within your chargemaster
• Construct your CDM to ensure you attain all earned revenue achieved
• Demonstrate the theoretical differences between current chargemaster platforms
• Clarify CMS’s approach to data mining and its importance
• Explain the implications of public access to quality reporting provided by CMS and others, including states

AGENDA

• Common flaws in chargemasters
• Missed revenue:  What’s in your chargemaster that you’re not charging?
• Cluttered closet:  What’s in your chargemaster that you shouldn’t be charging?
• Old, unused items
• Incorrect, out-of-date revenue codes, e.g., HCPCS and CPT codes
• Inconsistent fees and inconsistent descriptions
• Associated procedures:  Procedure to procedure or procedure to device?
• Separately charged low-dollar amounts
• Units of service
• Preadmission – increased use of the chargemaster in the provision of quotations for service
• Hard coding modifiers—such as Modifier -25, Modifier -59, and FB modifiers—and the compliance risk
• Chargemaster as a data management tool
• An IV/IG example
• Data management and data mining:  Finding your own common patterns and learning from your data.
• Understanding what CMS is doing with your data
• Platforms and software vs. Excel—what’s out there
• What’s coming for 2008:  Up-to-the-minute analysis of what to expect
• CPT updates
• Impacts to departments
• Q&A

MEET THE SPEAKERS

William L. Malm, ND, RN, is the practice director for Revenue Cycle Management Consulting and the Center for Revenue Cycle Excellence 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. 

Barbara Aubry, RN, CPC, CHCQM, FAIHQ, is a regulatory analyst for 3M Health Information Systems. She is responsible for analyzing CMS and other payer rules and regulations and communicating that information to product development, continuous product improvement, marketing, and product development. Aubry is also in charge of creating and maintaining data for specific 3M software applications. Previously, she was utilization review manager at Holy Name Hospital, director of peer review and audit for a privately owned company, and manager of the department of utilization management for an East Coast HMO.

WHO SHOULD LISTEN?

• Chargemaster analysts and coordinators
• Reimbursement managers
• Revenue integrity managers
• Revenue cycle managers
• CFOs and finance directors
• Financial analysts
• Billing officers
• Patient financial services managers and directors
• Compliance officers

NEW PURCHASE OPTION: Audio Archive
In addition to the regular purchase options for HCPro audioconferences, 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 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.

• Audioconferences

• Other Finance Products