AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Medicare Boot Camp-Hospital Version
presented on April 22, 2008
To improve the accuracy of hospital payments, Medicare has gone back to a fixed fee reimbursement system using hospital costs, rather than charges, to set rates. By revising the current reimbursement methodology, CMS believes that payments will better recognize severity of illness and the cost of treating Medicare patients.
As part of the transition Medicare has tried to utilize the Medicare Cost Report to improve the accuracy of DRG weights under the new CMS cost-based weights method. Unfortunately, CMS has found that the cost report, in its current form, cannot be used as a source for setting DRG cost-based weights. To address the problem, Medicare is considering shrinking the number of cost centers available on the cost report.
How will this affect you, and is this the appropriate action to take?
Listen to HCPro's 90-minute audioconference Cost Reporting: Strategies for Accurate Future Reimbursement. Healthcare consultant Eric Wells (Feeley & Driscoll, P.C.) and Revenue Cycle Director Valerie Rinkle (Asante Health Systems) discuss the importance of imposing cost-reporting standards across the industry in order to establish an accurate and beneficial payment system. The speakers focus on how to properly use the cost-to-charge ratio, how to implement Healthcare Financial Management Association recommendations, and how to use the right revenue codes to ensure proper Medicare reimbursement. You will learn to improve your current cost reporting processes that ultimately will help you determine which services would be more profitable to expand or reduce.
At the end of this audioconference, your staff will be able to:
- Determine how charging for services relates to the cost report
- Interpret the cost-to-charge ratio on a given procedure and the resulting impact on payment rate calculations in the DRG and the APC system
- Anticipate how revenue code selection makes an impact on payment rates
- Apply best practices if you charge separately for the same service provided to an inpatient and outpatient
- Identify the effects of cost compression and charge compression
AGENDA
- Cost report overview & brief history
- Importance of cost reporting
- Impact on development of DRG payment rates
- Impact on development of APC payment rates
- Price transparency
- Cost accounting
- Structure of the cost report
- Importance of cost-to-charge ratio
- What happens to the cost-to-charge ratio
- How claims data/charges are used to calculate cost
- How to use CMS’ revenue code crosswalk for OPPS
- Common problems with reporting and resulting payment rates due to CMS calculation methods (ie. Transfusion of blood products, pacemakers)
- Medicare using cost-to-charge ratio against billed charges
- What do hospitals need to do to avoid incorrect payment rates in the future?
- HFMA recommendations for cost reporting
- Question & Answer Session
BONUS TOOLS
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and:
- CMS’ DRG/APC calculation module
- The new CMS cost-based relative weights methodology
- Worksheet using revenue code crosswalk with inpatient and outpatient examples
These materials are provided with PDF links.
MEET THE SPEAKERS
Valerie A. Rinkle, MPA, Revenue Integrity Department Director, Asante Health System. Ms. Rinkle 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 HCPro newsletters APC Answer Letter and APC Weekly Monitor.
Eric Wells, Healthcare consultant/manager, Feeley & Driscoll, P.C. Mr. Wells has more than 10 years of experience in the healthcare field. His focus is on hospitals, long-term care providers, home health agencies, hospices, and clinics on a variety of reimbursement and operational issues. Mr. Wells has provided cost-finding strategies for assignment of cost for Hospital based units, and review of provider gross-charge data, as well as Overhead Statistical Data reviews.
WHO SHOULD LISTEN?
Hospital professionals involved in the revenue cycle, including the following titles and departments:
PFS directors Reimbursement Compliance officers CFO’s Cost accounting Reimbursement managers Finance directors/budget directors PROGRAM MATERIALS:
Program materials are provided with PDF links.
AUDIO ON-DEMAND
In addition to the regular purchase option for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio-on-demand 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.
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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