Catalog Number : cca1634
Title : Compliance Issues for the Charge Master
Speaker : Duane Abbey
Duration : 90 minutes
Webplay Recording Date : 11-3-2011
Webplay Price : $ 200 for two weeks viewing
Webinar Level: Intermediate to Advanced
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 Objectives:
- To review the purpose, function and
organization of the chargemaster
- To appreciate that the chargemaster is both
a direct and indirect concern for compliance
- To appreciate the difference between
statutory and contractual compliance issues
- To discuss the attributes that are necessary
to maintain chargemaster compliance including revenue codes, CPT/HCPCS codes and pricing
- To appreciate the compliance areas that are
reviewed by external auditors and governmental entities including the RACs
- To appreciate the indirect impact that the
chargemaster has on other compliance concerns including coding, billing and payment
- To understand the differences between
separately charging and separately biling or separately reporting
- To appreciate different levels and forms of
guidance from CMS which sometimes conflicts
A few of the Topics that will be
covered:
- Overview of the Chargemaster
- Role, Purpose, Function and Organization
- Chargemaster Interfaces
- Direct versus Indirect Compliance Concerns
- Types and Levels of Compliance Concerns
- Statutory Requirements
- Contractual Obligations
- Chargemaster Compliance
- Internal Code Sets
- Correlation of Line Items
- Proper Assignment of Revenue Codes
- Proper Pricing and Charge Structures
- Indirect Areas of Chargemaster Compliance
- Cost Report
- Cost Accounting
- Correct Coding
- Proper Claim Generation
- Governmental Auditing Programs
- Sources for Further Information
Prerequisites for Participating:
- General knowledge of the chargemaster.
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.
Refund Policy:
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
.