Charging for Ancillary Bedside Procedures Beyond the Room Rate
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: JustCoding.com
Presented on November 14, 2011
Considerable confusion exists around what is included in your room rate such as infusions, supplies or lumbar punctures. Regulatory interpretation varies among payers so how do you know what is right?
During this 90-minute intermediate-level audio conference, our expert speakers explain what guidance really exists and how you can legitimately increase reimbursement for ancillary procedures. They explain how to evaluate your current practices and give you strategies to create policies for moving forward.
At the conclusion of this program, participants will be able to:
- Evaluate how you set your room rate and charging practices
- Differentiate myth from fact surrounding regulations for charging bedside procedures
- Determine when to appropriately charge for supplies used in bedside procedures
- Compare your facility’s charging practices to others in the industry
- Create a policy for charging bedside procedures and supplies
AGENDA
- What does CMS really say about charging separately for bedside procedures on inpatients
- CMS guidance from regulations (IPPS and OPPS rules), transmittals and the Research Triangle Institute (RTI) report
- Implications on rate-setting, compliance, and revenue
- Survey findings
- Legitimate strategies for charging inpatient bedside procedures
- Current industry practices
- Payer reaction
- Determine types of services to charge for inpatients
- Involving appropriate staff
- Reviewing your existing room/board rate
- Determining what revenue codes to use
- Evaluating effect on cost reporting
- Determining how charge capture will occur
- Billing non-Medicare payers
- Charging for supplies
- CMS regulatory guidance
- Routine and ancillary supplies
- Evaluate your current practices
- Current industry practices
- Non-Medicare payers and existing contracts
- Internal systems, staff support, and leadership recognition
- Question & Answer session
MEET THE SPEAKERS
Kimberly Anderwood Hoy, JD, CPC, is the director of Medicare and compliance for HCPro, Inc. She is a lead regulatory specialist for HCPro’s Revenue Cycle Institute and is the lead instructor for HCPro’s Medicare Boot Camp® – Hospital Version and Medicare Boot Camp® – Critical Access Hospital Version.
Denise Williams, RN, CPC-H, is Director of Revenue Integrity Services for Health Revenue Assurance Associates, Inc. Ms. Williams has more than 20 years of healthcare experience, including history as a clinical nurse in cardiopulmonary, oncology and med-surgery, Medicare and third party payer compliance for a multi-hospital
system and charge master coordination for two multi-hospital systems.
BONUS MATERIALS INCLUDED IN YOUR MATERIAL PACKET
In addition to the expertise and information presented during this audio conference, you'll also receive these helpful “take-aways” provided within your materials pack:
- Sample policy language
WHO SHOULD LISTEN?
Revenue cycle managers, chargemaster coordinators, HIM managers, outpatient coding staff, and compliance staff, inpatient coding staff, CDI specialists, clinical staff, nursing staff may also find the program of interest.
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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