Catalog Number : ccma1193
Title : Conducting a Charge Master Audit
Speaker : Duane Abbey

Webplay Recording Date : 3-11-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

Are there different kinds of chargemaster audits? What kinds of policy decisions must be made with the chargemaster? Should there be written chargemaster policies and procedures? To answer these questions and more, come listen to this informational Webinar.

Webinar Objectives:

• Review The Chargemaster As A Financial Tool
• Understand Statutory Compliance Surrounding the Chargemaster
• Appreciate the Contractual Obligations That Hospitals Have Concerning the Setup and Use of the Chargemaster
• Have A Systematic Process to Review and Evaluate the Chargemaster
• Discuss The Many Compliance Concerns Surrounding the Chargemaster Including Development of Pricing and Charges
• Appreciate the Very Different Requirements Made By Different Third-Party Payers for Coding, Billing and the Chargemaster
• Understand how the Chargemaster affects and is affect by different payment systems including DRGs, APCs and MPFS
• Review Action Steps that Chargemaster Coordinators Can Take To Review the Chargemaster and Make Improvements

Target Audience:

• Chargemaster Coordinators, Billing and Claims Generation Personnel, Compliance Personnel, Patient Financial Management Personnel, Cost Accounting Personnel, Cost Report Personnel, Financial Analysts, Managed Care Contract Personnel, Revenue Enhancement Personnel, Chief Financial Officers, Chief Compliance Officers, Financial Planners, Internal Audit Staff, Utilization Review Staff, All Other Hospital Personnel Interested in Pricing

The following are a few of the topics to be discussed:

• Overview of the Chargemaster Form, Structure and Contents
  • Billing System Influence
  • Special Service Area Requirements
  • Chargemaster Interfaces
  • Pricing, Charge and Cost Report Issues
  • Payment Systems
    • DRGs
    • APCs
    • MPFS
    • Other
• Chargemaster Compliance Concerns
  • Statutory
    • Medicare
    • Medicaid
  • Contractual
    • Private Payers
    • Types of Contracts and Payment
• Chargemaster Review Process
  • Personnel - Team
  • Purpose of Audit
  • Type of Audit
  • Conduct of Audit
  • Results from Audit
• Chargemaster Policies & Procedures - Judgment Metrics
• Special Situations - Example and Case Studies
• Chargemaster Coordinator Action Steps

Contact Hours:

All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

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.