Webinar Overview:

• What are these device-dependent APCs and DRGs?
• What is all the fuss about ‘charge compression’?
• How can we control our cost-to-charge ratios?
• How should we be pricing devices? Supplies? Drugs? Biologicals
• Are we missing charges in connection with supplies and pharmacy items?
• What can we do to adjust our pricing and address charge compression?
• How does all this affect APC and DRG reimbursement?

Target Audience:

• Chargemaster Coordinators
• Billing and Claims Generation Personnel
• Compliance Personnel
• Patient Financial Management Personnel
• Cost Accounting Personnel
• Cost Report Personnel
• Financial Analysts
• Managed Care Contract Personnel
• Revenue Enhancement Personnel
• Chief Financial Officers
• Chief Compliance Officers
• Financial Planners
• Reimbursement Specialists
• All Other Hospital Personnel Interested in Pricing

Webinar Level: Intermediate/Advanced

Prerequisites for Participating:

A general understanding of the chargemaster, the charge development process, and the cost report is assumed.

Webinar Objectives:

• To Understand Why Charges Are Important for APCs and DRGs
• To Appreciate the Cost Report and Cost-to-Charge Ratios (CCRs)
• To Understand The Concept of ‘Charge Compression’
• To Understand Special Charge Development Techniques
• To Recognize When Charges May Be Inappropriate
• To Recognize When Full Charges Are Not Being Reported
• To Review Action Steps to Adjust Pricing

The following are a few of the topics to be discussed:

• Overview of Developing Chargemaster Pricing and Charges
  • The Need For Change
  • Strategies for Adjusting Pricing
• Types of Payment Systems and Use of Charge Data
  • APCs
  • DRGs
  • Cost Based Payments
• Charge-Compression, Cost-to-Charge Ratios and the Cost Report
  • Tiered Pricing for Supplies and Drugs
  • Charge Compression and Cost-to-Charge Ratios
  • Cost Reporting Issues
  • RTI International Recommendations
  • Medicare Changes to the Cost Report for Devices
• CMS Use of Charges to Determine Weights
  • Converting Charges to Costs
  • APCs
  • MS-DRGs - Charge-Based vs. Cost-Based
• Pricing and Charge Formulas
  • Bundling versus Separately Charging
  • Proper Charging Even Though No Separate Payment
• Chargemaster Coordinator Action Steps

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.