Catalog Number : caa1346
Title : APCs: Issues & Answers
Speaker : Duane Abbey

Webplay Recording Date : 12-7-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Level: Intermediate to Advanced

Target Audience:

• Outpatient Clinical Staff
• Nursing Staff
• Physicians
• Outpatient Departmental Managers
• Nurse Auditors
• ED Nursing Staff
• Provider-Based Clinic Nursing Staff
• Coding Billing and Claims Transaction Personnel
• Internal Auditing Personnel
• Financial Analysts
• Compliance Personnel
• Cost Accounting Personnel
• Chargemaster Coordinators
• Cost Reporting Personnel
• Other Interested Personnel

Webinar Objectives:

• To review the key features of the APC payment system
• To appreciate the trends in modifications being made to APCs over the years
• To understand the complex nature of APCs and associated compliance issues including RAC concerns
• To appreciate the impact of proper coding and billing on APCs
• To understand the impact of the 2012 changes on the chargemaster, charges and the cost report for APCs
• To review the 2012 update on high impact areas such as observation, the Emergency Department, interventional radiology and associated areas
• To review changes to the Provider-Based Rule (PBR) for 2012
• To discuss anticipated future changes and directions for APCs

A few of the Topics that will be covered:

• Review of APC Changes for CY2012
  • Coding/Grouping Changes
  • E/M Coding
  • Recalibration of APC Weights
  • On-Going Problem Areas
  • Cost Report Changes - Charge Compression
  • Drugs and Biologics
  • Cost Outliers
  • Interventional Radiology
  • Observation
  • Inpatient-Only Procedures
• APC Trends
  • Increased Bundling and Packaging
  • Shifts In Realigning Payments
  • Policy and Interpretive Changes
• Provider-Based Rule Changes
  • Supervisory Requirements
  • Use of Mid-Level Practitioners
  • In-Hospital Definition
• Associated APC Changes
  • Ambulatory Surgery Centers
  • Related Physician Changes
  • Clinical Service Area Considerations
  • RAC Audit Concerns
• Assessing the Operational Impact of Changes
  • Documentation Requirements
  • Charge Capture Considerations
  • Clinical Staff Involvement
  • APC Compliance Issues
• The Future for APCs

Prerequisites for Participating:

• General knowledge of outpatient services and APCs.

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.