Hospital-Based Clinics
Streamline Your Billing Practices and Ensure Accurate E/M Coding
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by JustCoding.com
Presented on Monday, February 14, 2011
Develop criteria for facility E/M coding and automate your billing processes to improve the financial viability of your hospital-based clinic (provider-based facility). Join Fabian A. Stone, MHA, MBA, MT (ASCP), and Kimberly Anderwood Hoy, JD, CPC, for this 90-minute audio conference, as they address the top provider-based billing and coding concerns. Through the experiences of Duke University Health System, you will learn how to select and implement an appropriate leveling system for your facility, as well as strategies to communicate with patients about the complexities of the billing process.
Listeners will benefit most from this program if they have a general familiarity with provider-based clinics.LEARNING OBJECTIVES
At the end of the audio conference, you will be able to:
- Identify compliance risks within your provider-based location
- Develop and automate E/M level criteria for your facility
- Properly apply modifiers -25 and -27
- Perform financial modeling for provider-based locations and assess the impact on patients
- Compare the pros and cons of point vs. acuity systems
THE AGENDA
- Requirements for billing provider-based services
- Criteria for coverage of a provider-based visit
- Criteria for provider-based department
- Provider-based E/M coding
- Available guidance from AHIMA and CMS
- How to develop facility E/M guidelines
- Appropriate use of modifier -25 and modifier -27
- Case study – Duke University Health System
- Point system vs. acuity
- Steps to implementation
- Automated and paper-based processes
- Reimbursement mechanisms
- Revenue modeling
- Patient communication/customer service education
- A live question and answer session follows the presentation.
MEET THE SPEAKER
Kimberly Anderwood Hoy, JD, CPC, is the director of Medicare and compliance for HCPro, Inc. She is a lead regulatory specialist for the HCPro Revenue Cycle Institute and is the lead instructor for HCPro’s Medicare Boot Camp® – Hospital Version and instructor for Medicare Boot Camp® – Critical Access Hospital Version. She is a former hospital compliance officer and in-house legal counsel, and developed and implemented corporate wide hospital compliance programs. She has experience conducting billing, compliance audits and internal investigations.
Fabian A. Stone, MHA, MBA, MT (ASCP), administrative director of revenue management and coding services, Duke University Health System (Durham, N.C.). Stone is responsible for overall operation and process design of systems and procedures for coding, reimbursement, practice specialist program and charge description master departments. He also participates in third party audit appeals processes to recover revenue and manages all internal reimbursement programs.
WHO SHOULD LISTEN?
The following titles from hospitals and hospital-based outpatient clinics should attend: provider-based department director/manager, compliance officer/staff, third-party contracting department staff, third-party payer staff (including Medicare Advantage plans), director of auditing/internal auditor, chargemaster staff, provider-based coding and billing staff, CFO, COO, CEO, in-house legal counsel
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials as well as a Paper-based E/M leveling tool and a Sample explanatory letter to patients.AUDIO ON-DEMAND
In addition to the regular participation options for HCPro audio conferences—live, CD, or combination packages—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. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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