Webinar Overview:

Should the CPT/HCPCs codes accommodate CAH requirements along with private third-party payer requirements? How should a CAH organize its chargemaster in order to facilitate correct, efficient coding and billing? To discuss this and more please join us for this educational Webinar.

Notes: This is a two-part presentation. Part 1 concentrates on basics and discussion of Method II billing and reimbursement and how this impacts the Chargemaster. Part 2 concentrates on the typical hospital departments relative to line-item charges and revenue code assignment. Compliance concerns are discussed in both Part 1 and Part 2.

Webinar Objectives:

• Review the reimbursement process for Critical Access Hospitals
• Appreciate the differences in coding and billing for CAHs as compared to PPS hospitals
• Understand the basic elements of the cost reporting process
• Appreciate the critical development of the chargemaster for CAHs
• Review the key service areas and development of the chargemaster
• Appreciate the need to establish pricing consistently on costs
• Appreciate the need for carefull charge capture
• Understand additional compliance requirements for CAHs and the impact on coding, billing and reimbursement
• Appreciate the special features of Method II billing and the chargemaster setup
• Understand the proper use of Revenue Codes
• Appreciate the critical coding interface to the chargemaster

Target Audience:

CAH Coding Personnel, Billing and Claims Transaction Personnel, Nursing Staff, Outpatient Service Area Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Physicians, Practitioners and Other Interested Personnel

Webinar Outline/Agenda:

• Overview
  • Critical Access Hospitals
  • Cost-Based Reimbursement
  • Cost-Reporting Process
• Coding and Billing Requirements
  • Outpatient Coding and Billing
  • Inpatient Coding and Billing
  • Method I versus Method II
  • Dynamic Coding versus Static Coding
• Method II Billing and Reimbursement
  • Coding and Billing Process
  • Claims Filing Professional on UB-04
  • Medicare Payment Process
• Chargemaster Development
  • Key Concepts
  • Service Area Challenges
  • Claims Development Requirements
  • Charge Structures
• Cost-Report Development
• Provider-Based Clinic Considerations
  • Rules and Regulations
  • Operational Concerns
  • Freestanding vs. Provider-Based vs. RHC
• Chargemaster Interfaces
  • To the Cost Report
  • To Charge Capture
  • To Coding/Billing
• Chargemaster, Coding and Billing Compliance Issues
• Sources for Further Information

Attendance Certificate:

Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.