Catalog Number : cbpa1099
Title : Ambulatory Payment Classifications: Issues & Answers
Speaker : Duane Abbey

Webplay Recording Date : 3-11-2009
Webplay Price : $ 225 for two weeks viewing

Target Audience:

• Outpatient Clinical Staff
• Nursing Staff
• Physicians
• Outpatient Departmental Managers
• Nurse Auditors
• ED Nursing Staff
• Provider-Based Clinic Nursing Staff
• Coding Personnel
• 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 appreciated the modifications being made to APCs over the years
• To understand the complex nature of APCs and associated compliance issues
• To appreciate the impact of proper coding and billing on APCs
• To understand the impact of the chargemaster, charges and the cost report for APCs
• To review high impact areas such as observation, the Emergency Department, interventional radiology and associated areas
• To understand key issues within APCs and the impact on clinical service area
• To review problem areas within the APC payment system
• To discuss anticipated future changes and directions for APCs

Webinar Outline/Agenda:

• Brief Review of APC Changes for CY2009 and Identified Trends
• Overview of APCs and Associated Payment Systems
  • Coding Systems
  • Overall Grouping Process and Logic
  • Key Coding and Billing Issues
  • CPT/HCPCS Code Changes
  • Clinical Service Area Considerations
• APC Weight Determination and Update
  • Major Changes and Shifts
  • Cost Outlier Formula
  • Cost Reports and Cost-to-Charge Ratios
  • Departmental Revenue Generation Impact
• Special Issues
  • Increased Packaging
  • Technical Component E/M Coding
  • Observation Services
  • Inpatient-Only Procedures
  • Injections and Infusions
  • Closed Fracture Treatment
  • Chargemaster Issues
• Assessing the Operational Impact of Changes
  • Documentation Requirements
  • Charge Capture Considerations
  • Clinical Staff Involvement
  • APC Compliance Issues
• The Future for 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.