Catalog Number : cca1381
Title : Chargemasters: Compliance Issues
Speaker : Duane Abbey

Webplay Recording Date : 4-3-2014
Webplay Price : $ 125 for two weeks viewing

Webinar Overview:

How can we know that our chargemaster is in compliance? Why is the chargemaster a direct target for compliance? To answer these questions and more come join us for this Webinar.

Webinar Objectives:

• Review the purpose, function and organization of the chargemaster
• Appreciate that the chargemaster is both a direct and indirect concern for compliance
• Appreciate the difference between statutory and contractual compliance issues
• Discuss the attributes that are necessary to maintain chargemaster compliance including revenue codes, CPT/HCPCS codes and pricing
• Appreciate the compliance areas that may be reviewed by external auditors and governmental entities including the RACs
• Appreciate the indirect impact that the chargemaster has on other compliance concerns including coding, billing and payment
• Understand the differences between separately charging and separately billing or separately reporting
• Appreciate different levels and forms of guidance from CMS, which sometimes conflict

Target Audience:

Chargemaster Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Cost Report Preparers, Compliance Officers and Compliance Personnel, Auditing Personnel, Revenue Cycle Personnel, Clinical Service Providers, Financial Analysts, Compliance Personnel, Physicians and Other Interested Personnel

Webinar Outline/Agenda:

• Overview of the Chargemaster
  • Role, Purpose, Function and Organization
  • Chargemaster Interfaces
  • Direct versus Indirect Compliance Concerns
• Types and Levels of Compliance Concerns
  • Statutory Requirements
    • Medicare
    • Other Governmental Programs
  • Contractual Obligations
    • In the Contracts
    • References to Companion Manuals
• Chargemaster Compliance
  • Internal Code Sets
  • Correlation of Line Items
  • Proper Assignment of Revenue Codes
  • Proper Pricing and Charge Structures
  • Developing Proper Cost-to-Charge Ratios (CCRs)
• Indirect Areas of Chargemaster Compliance
  • Cost Report
  • Cost Accounting
  • Correct Coding
  • Proper Claim Generation
• Governmental Auditing Programs
  • Levels and Types of Rules and Regulations
  • Ambiguous and Conflicting Guidance
  • DOJ and CMS
  • RACs
• 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.