Catalog Number : caa1350
Title : APC Update
Speaker : Duane Abbey

Webplay Recording Date : 12-9-2015
Webplay Price : $ 125 for two weeks viewing

Webinar Description:

What does the increased bundling under APCs mean for our hospital? Are there new compliance concerns? What are the general trends for the evolution of APCs? To answer these questions and more please come join us in this upcoming Webinar.

Webinar Overview:

• Review the many proposed and finalized changes to APCs for 2015
• Recognize the general trends for APCs with particular attention to increased bundling
• Understand how recent changes in the cost reporting process affect APCs payments
• Understand the complex nature of APCs and associated compliance issues including RAC concerns
• Review changes in grouping with particular attention to new CPT and HCPCS codes
• Appreciate the potential financial and operational impact of the proposed changes
• Understand how important it is for hospitals to comment to the proposed changes
•  Understand the difference between composite and comprehensive APCs
• Review the possible impact of the proposed change on high impact areas such as observation, the Emergency Department, interventional radiology and associated areas
• Review changes to and trends for the Provider-Based Rule (PBR)
• Discuss anticipated future changes and directions for APCs

A few of the topics that will be covered:

Review of APC Final Changes for CY2015
  o Coding/Grouping Changes
  o E/M Coding
  o Recalibration of APC Weights
  o On-Going Problem Areas
  o Cost Report Changes – Charge Compression
  o Drugs and Biologics
  o Cost Outliers
  o Interventional Radiology
  o Observation
  o Inpatient-Only Procedures
  o Commenting to the Proposed Changes
APC Trends
  o Increased Bundling and Packaging
  o Shifts In Realigning Payments
  o Development of Comprehensive APCs
  o Policy and Interpretive Changes
  o Impacts of CPT/HCPCS Changes
Provider-Based Clinic Changes
  o CMS Information Collection
  o Projecting the Future of Provider-Based Clinics
Associated Proposed APC Changes
  o Ambulatory Surgery Centers
  o Related Physician Changes
  o Clinical Service Area Considerations
  o RAC Audit Concerns
Assessing the Impact of Proposed Changes
  o Financial Impacts
  o Coding and Billing Impacts
  o Other Operational Impacts
  o APC Compliance Issues
The Future for APCs

Target Audience:

Outpatient Coding Personnel, Coding, Billing and Claims Transaction Personnel, Internal Auditing Personnel, Financial and Compliance Personnel, Physicians and Other Interested Personnel

Attendence Certificate:

Upon attending this course you will receive a 2 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.