Operationalizing the UB-04 (Audio Conference)

AUDIOCONFERENCE ON TAPE OR CD

presented on January 31, 2007

May 2007 is the date when the new UB-04 data format is required from all provider settings. With this transition comes an inherent financial risk, but appropriate billing and reimbursement are a reality—when you're armed with the right information, and the right tactics.

Listen to AHA's George Arges and two prominent providers who explain what you can expect and key strategies on how to prepare and comply. During this 90-minute audioconference, you'll get a solid feel for what changes are at hand and how you can train staff to follow the rules.

TAKE A LOOK AT OUR AGENDA

1. The implications of the UB-04: Additions, deletions, and modifications
   1. Key differences between the UB-92 and the UB-04
   2. Alignment with the HIPAA electronic transaction standard
   3. Transition to the NPI
   4. Diagnosis code reporting
   5. Flexibility on the state level
2. Case study: Partners Healthcare
   1. UB-04 introduction
   2. Impact on revenue and reimbursement
   3. IS considerations
   4. Testing considerations
   5. Training considerations
3. Case study: Intermountain Healthcare
   1. Working with existing edits: UB-92 vs. UB-04
   2. Staff training
      1. Documentation
   3. Interaction between paper form and electronic transactions
4. Q&A

LEARNING OBJECTIVES

At the end of this program, you will be able to:

1. identify the differences and similarities between the UB-04 form and the UB-92 formats
2. identify the trends of claims reporting over the last several years
3. understand the implications of the changes in your own facility (i.e.: effects on admitting, documentation requirements, training needs)
4. understand the impact of your exchanges with payers

FEATURED SPEAKERS

George Arges is the senior director of the Health Data Management Group (HDMG) of the American Hospital Association. His areas of responsibility include evaluation and coordination of external health data reporting requirements. His duties include chairing the activities of the National Uniform Billing Committee (NUBC) and overseeing the operations of the Central Office on ICD-9-CM. Related activities include development of the HIPAA transaction standards including member advocacy for regulatory and legislative issues surrounding the administrative simplification provisions of HIPAA.

Jim Whicker, CPAM, is Director of Electronic Commerce/EDI and Accounts Receivable Management at Intermountain Healthcare in Salt Lake City, UT, and is responsible for implementing HIPAA TCS within Patient Accounts for Intermountain Healthcare. A member of the American Association of Healthcare Administrative Management (AAHAM), he serves as national EDI Liaison. Prior to his current assignment with Intermountain, Jim was the Director of Patient Account Services at two Intermountain facilities.

Deb Corti is the Corporate Manager of Finance – Revenue Systems Analysis at Partners HealthCare System, Inc in Boston, MA. Her areas of responsibility include implementation of HIPAA TCS at two Partners facilities and eCommerce product management for the Partners network. Related activities include participation in regional (NEHEN) and national (CAQH) EDI organizations. She is the Project Director of the NPI team at Partners, which includes the UB-04 implementation.

BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and tools, including the UB-92/UB-04 crosswalk from the National Uniform Billing Committee. These materials are provided with PDF links.

WHO SHOULD LISTEN?

• PFS managers
• Revenue cycle professionals
• Managed care directors/managers
• HIM managers/directors
• Compliance officers
• Patient access
• Admitting
• Coders
• CFOs
• VPs of finance

Purchase a tape or CD of the program and listen when you can. It's a perfect training tool for new staff or as a refresher for veteran staff.

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