The Postacute Care Transfer Rule and Patient Status
Coding, Compliance, and RACs
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: JustCoding.com
Presented on Thursday, June 9, 2011
Patient status/disposition is now an approved “issue” for several RACs under the permanent program. Avoid the take backs that occurred during the demonstration program by getting it right the first time you submit a claims.
During this two hour audio conference, Gloryanne Bryant will use case scenarios to help you increase your understanding of the rule, reduce your compliance risk and prevent under-coding. You’ll learn how to navigate the complexities of the PACT three-day rule and assign correct discharge disposition codes.
Note: This is an intermediate-level program.
At the conclusion of this program, participants will be able to:
- Describe the PACT rule and its history
- Explain how to calculate payment under the PACT rule
- Define UB04 patient status codes
- Describe the effects patient status has on MS-DRG reimbursement
- Identify ways to minimize RAC recoupments for PACT noncompliance
- Identify revenue capture opportunities
TAKE A LOOK AT THE AGENDA
- Regulatory background
- The postacute care transfer (PACT) rule
- UB-04 patient status codes and definitions
- RAC auditing and determinations
- Over- and under-payments
- PACT rule payment methodology and calculation
- PACT rule payment methodology and calculation
- Case examples
- Home health three-day window rule in relation to PACT
- Common working file (CWF) as a link to compliance
- Strategies for compliance
- Next steps
- Auditing
- Education
MEET THE SPEAKER
Gloryanne Bryant, BS, RHIA, RHIT, CCS, CCDS, is the regional managing director of HIM (Revenue Cycle N. California) for Kaiser Permanente in Oakland, CA, and is responsible for coding, education, CDI and HIM operations for 21 acute care hospitals. Previously, she was senior director of SystemWide coding HIM compliance for Catholic Healthcare West in San Francisco. She is a member of the editorial advisory board for Briefings on Coding Compliance Strategies, and has more than 30 years of experience in the HIM profession providing education to coders, physicians, and other hospital staff on IPPS, DRGs, HCCs, APCs, ICD-9-CM , CPT coding and clinical documentation improvement.
CONTINUING EDUCATION CREDITS
AAPC: This program has prior approval of the American Academy of Professional Coders for 2.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
AHIMA: This program has been approved for 2.0 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
WHO SHOULD LISTEN?
Hospital inpatient coding staff, billers, coding managers/directors, HIM directors/managers, case managers and directors, finance managers, compliance managers, compliance auditors, defense auditors, DRG coordinators, RAC coordinators/managers and team members, utilization and discharge planning managers and Home Health Directors.
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference 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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