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Catalog Number : ccma1204
Title : Chargemasters and the Cost Report
Speaker : Duane Abbey

Duration : 90 minutes

Webplay Recording Date : 9-14-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Level: Advanced

Webinar Overview:

The Webinar addresses the interface between the hospital’s chargemaster and the Medicare cost report. Setting charges and the way in which the chargemaster is organized can affect the proper development of the Medicare cost report. Recent instances have arisen in which the cost-to-charge ratios (CCRs) have negatively impacted hospital reimbursement under Medicare programs such as APCs and DRGs. Chargemaster personnel need to work closely with cost reporting personnel to make certain that there is full compliance in a highly technical financial area.

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
  • All Other Hospital Personnel Interested in Pricing

Webinar Objectives:

  • To Review How APCs and DRGS Use The Charges From Filed Claims
  • To Appreciate How The Cost Report Is Prepared
  • To Understand The All-Important Cost-to-Charge Ratios (CCRs)
  • To Recognize How Chargemaster Pricing Structure Can Influence the Cost Report
  • To Understand the Proper Choice of Revenue Codes
  • To Appreciate The Medicare Charging Rule and Its Impact on Both The Chargemaster and Cost Reporting Process
  • To Review Action Steps that Chargemaster Coordinators Can Take To Improve The Cost Reporting Interface to the Chargemaster

A few of the topics to be discussed:

  • Overview of Developing Chargemaster Pricing and Charges
  • APC and DRG of Charge Data
    • Conversion of Charges to Costs Using CCRs
    • Recalibration
    • Rebasing
  • Review of Medicare Charging Rule
  • Cost Report Preparation
    • Basic Financial Process
    • Overview of Various Financial Schedules
    • Cost-to-Charge Ratios (CCRs)
    • ‘Grossing-Up’ Charges
  • Chargemaster and Cost Reporting Interface
    • Establishing a Liaison With Cost Reporting Personnel
    • Routine Communication Lines
  • Special Situations
    • Blood and Blood Products
    • Device Dependent APCs and DRGs
    • Changes to the Cost Reporting Process
  • Chargemaster Coordinator Action Steps

Prerequisites for Participating: A general understanding of the chargemaster and the charge development process is assumed.

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.