Catalog Number : ccma1275
Title : Chargemasters: Compliance Issues
Speaker : Duane Abbey

Webplay Recording Date : 6-25-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

Should the chargemaster be routinely reviewed as a good compliance practice? Why has chargemaster pricing become such a hot compliance issue? To answer these questions and more come join us in this important and educational 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

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
• Indirect Areas of Chargemaster Compliance
  • Cost Report o Cost Accounting
  • Correct Coding o 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

Target Audience:

• Chargemaster Personnel, Coding 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

Contact Hours:

• All 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.