HCM Marketplace

AUDIOCONFRENCE ON CD OR AUDIO ARCHIVE

presented on February 12, 2008

Capture every dollar your trauma center deserves

As trauma centers cope with overcrowding and dwindling reimbursement, every day can be a struggle to survive. In this environment it’s vital to capture every dollar that your facility can, but missed procedures, confusion around critical care guidelines, and hard-to-grasp coding/billing requirements around the new trauma activation codes are a reality for coding staff

Make sure your facility is reimbursed for all the valuable services it provides by listening to this important audioconference, Trauma Coding: Strategies for compliant charge capture in the ED .

You’ll gain the knowledge you need to recognize when trauma activation occurs and how to code it correctly — including how to use activation revenue code 068X. During this program you’ll hear tips to identify commonly missed or miscoded ED procedures and supplies. This program also covers common CPT and ICD-9 coding errors, demonstrate medical necessity requirements, and provide critical chargemaster updates and successful auditing strategies.

TAKE A LOOK AT THE AGENDA

1. Trauma activation code G0390 and revenue code 068X
2. Critical care
3. Mechanism of injury / medical necessity issues
4. Diagnostic and surgical procedure codes / missed charges
5. Selecting appropriate modifiers
6. Physician vs. facility billing requirements
7. Auditing to ensure success
8. Clinical examples
9. Q&A

Note: purchasers should have a basic understanding of CPT and ICD-9 coding

LEARNING OBJECTIVES

By the end of the program you and your staff will be able to:

• Explain the proper use of trauma activation code G0390 and associated revenue code 068X
• Identify when to place 068x on the claim without a HCPCS Level II code
•  Identify commonly missed or miscoded procedures and supplies in conjunction with trauma services
•  Implement a process to audit for continued future success
• Explain medical necessity requirements in the ED
• State when it’s appropriate to code for critical care and when it’s not

BONUS TOOLS INCLUDED IN 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 a related Briefings on APCs article. These materials are provided with PDF links.

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 experience as a compliance officer, revenue cycle specialist, chargemaster specialist, and director of revenue integrity. Hecontinues to practice in emergency departments and specializes in emergency department revenue cycle management.

Caral Edelberg, CPC, CCS-P, CHC, is an emergency medicine audit and coding consultant located in Baton Rouge, LA and president emeritus/founder, of Medical Management Resources of TeamHealth (MMR)  With 30 years of experience in the coding and billing field, she helps hospitals and providers control revenue loss, better manage the claims process and collect more of the money they’re legitimately owed. Edelberg has been an active member of HCCA, AAPC, AHIMA, and HFMA.

EARN 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.

This program has been approved for 2 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA)."

WHO SHOULD LISTEN

ED directors, ED coders, billing staff, compliance officers, HIM directors, chargemaster specialists, finance staff, trauma team coordinators, nursing staff, revenue integrity auditors

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.

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