Compliant Charge Capture in the ED
Product Description:
This program is intended for clinical, coding, reimbursement and billing staff within a hospital environment. This is not intended for physicians or for physician coders or billers.
Audio Conference on CD or Audio On-Demand
Sponsored by Briefings on APCs
presented on February 26, 2009
Emergency Departments (EDs) are the most significant gateways to every hospital and are challenged with the provision of care and the mounting requirements for extended documentation and billing of their services. The ED also represents the most likely place for a hospital to fail to capture earned revenue due to the complexity of the charge capture process. This complexity leads to lost revenue from uncaptured but performed procedures, critical care provided but inaccurately or incompletely documented, and the general duality of the clinician's role in charge capture process. By implementing processes, policies, and procedures along with the most up-to-date technology, you can ensure you are earning every penny you deserve.
Best practices for accurate, compliant ED charges
ED revenue is at risk not only from lost charges but also from recoupment based on insufficiently documented visits, procedures, and other services. Make sure your facility is reimbursed for all the valuable services it provides by listening to HCPro's 90-minute audio conference, Compliant Charge Capture in the ED: Solutions to Prevent Lost Revenue and Mitigate Risk. Nationally recognized healthcare consultant William L. Malm, ND, RN (Health Revenue Integrity Services), and policy specialist Elaine Barry, RN, MSN, APN-C, CPC, CPC-H (EDIMS), discuss how you can identify and address your risk areas in ED reimbursement. They detail how the ED can contribute to the EMR / EHR implementation within the ED, and how specific software can be used as a tool for compliant charge capture.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Identify risk areas in your facility and necessary policies and procedures for compliant charge capture
- Indicate elements to include in internal audits
- Prepare for outside auditors such as the Recovery Audit Contractor (RAC)
- Explain benefits of software toward your compliant charge capture
TAKE A LOOK AT THE AGENDA:
- Changes in 2009
- Risk areas
- E/M, especially critical care and trauma
- Vaccine administration
- Self-administered drugs
- Medical and surgical procedures, including EKGs
- Orthotics and prosthetics
- Chargemaster
- Implementing EMR / EHR software—specific to the ED
- The benefit of increasing documentation
- Finding software that "fits" your facility: What are your facility's key component requirements?
- A question and answer session follows the presentation
MEET THE SPEAKERS
William L. Malm, ND, RN, partner, Health Revenue Integrity Services, Cleveland, OH. Dr. Malm has more than 23 years of experience in a combination of clinical and financial healthcare, including serving as a compliance officer, revenue cycle specialist, and chargemaster specialist. Having performed over 150 chargemaster analysis engagements, his specialty is in the resulting operations, including education, audit, and post-implementation reviews. In addition, he has acted as a compliance officer and director of revenue integrity for several facilities and specialized in revenue cycle corrective-action plans and implementations at mid-sized hospitals. Dr. Malm also continues perform clinical services within in a trauma emergency department.
Elaine Barry, RN, MSN, APN-C, CPC, CPC-H, vice president of clinical client relations, EDIMS, Livingston, NJ. Ms. Barry is responsible for directing clinical policy and compliance initiatives as well as efforts to maximize the adoption of EDIM in ED environments. She has more than 25 years of clinical experience as well as expertise in clinical operations, ED process optimization, and extensive domain knowledge. As a CPC and CPC-H, she developed the facility charge capture portion of the nursing documentation in EDIMS' emergency department management software product.
WHO SHOULD LISTEN?
Professionals in a hospital administrative role, including:
- HIM directors, managers, and staff
- Nursing and ED managers and staff
- Compliance officers and staff
- Revenue integrity, revenue cycle, internal audit, and reimbursement managers
- Patient financial services managers
- ED billers
- IT/IS managers
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, 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 a refresher for veteran staff.
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