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AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Briefings on APCs

presented on April 10, 2008

Don’t waste time or resources managing the new
ESA transmittal requirements—we’ve already done the work for you!

CMS’ new series of transmittals about erythropoiesis-stimulating agent (ESA) pre-administration services delivered a host of complex operational issues that you have to master. There are billing issues that are dependent on meeting strict medical necessity requirements, modifier requirements for coding staff, managing preauthorization and advance beneficiary notice (ABN) requirements, and more.

As with every new CMS transmittal, someone on your staff has to take the time to read them, dissect them, determine how they apply to your facility, and take steps to implement the new requirements. With everything else you have on your plate, turning transmittal requirements into action steps, and following through to make sure all of the demands are being met can rob you of valuable time and resources.

Listen to HCPro for this important 90-minute audioconference. Our two expert speakers bring both billing and clinical perspectives to the table, so you can be confident that you’ll learn exactly what you need to know to implement and operationalize the ESA requirements, not only among your coding and billing staff, but your clinical staff and oncology physicians as well.

TAKE A LOOK AT THE AGENDA

• Recent history of the National Coverage Decision regarding ESA therapy
  • History of National Coverage Determination
  • Content highlights
  • Staff education—teaching your clinical and coding/billing staf
• Highlights of the new transmittals
• Operational issues relating to implementing the transmittals—a case study of two facilities
  • Splitting bills vs. monthly billing
  • Mechanics of placing modifiers and codes
  • Mechanics of placing lab values on the bill
  • Working with your vendor
• Coverage considerations
  • Covered/non-covered diagnoses
  • State specific information/local coverage determinations
  • Issuing ABNs
• Documentation Examples
  • Chemotherapy event
  • Chronic inflammatory disease event

A question and answer session follows the program

Note: This is an intermediate-level program. Participants should understand the clinical uses of ESAs, their own facility’s use patterns, and have a reasonable understanding of revenue cycle operations.

LEARNING OBJECTIVES
By the end of the program you’ll be able to:

1. Recognize key components of the new ESA National Coverage Determination as well as an understanding of additional regional differences
2. Demonstrate appreciation and perspective for the operational challenges of implementing the new ESA billing requirements
3. Use tips and strategies for training physicians, care providers, and patient access professionals
4. Submit complaint bills for ESA services

BONUS TOOLS 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. These materials are provided with PDF links.

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.

MEET THE SPEAKERS
Jennifer McPeek, RN, BSN, OCN, is a program manager with the James Cancer Hospital in Columbus, OH. She has more than 17 years of experience as an oncology nurse, and focuses on monitoring revenue and reimbursement by providing education and regulatory updates to the oncology care delivery team, as well as administrative adjustments for medical necessity and documentation issues.

Angela Simmons, CPA, is director of clinical revenue and reimbursement at The University of Texas M. D. Anderson Cancer Center in Houston, TX, and a national expert in oncology Medicare reimbursement and activity-based costing. Her expertise include charge capture and rate setting, designing and implementing customized approaches and tools, and developing and implementing strategic rate studies with clinical departments.

WHO SHOULD LISTEN?
Billers, billing managers, coders, HIM directors, outpatient clinical staff, compliance officers, and chargemaster professionals. Patient access and pharmacy professionals may also find the program helpful.

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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