Catalog Number : ccma1280
Title : Charge Master in the ED & Provider-Based Clinics
Speaker : Duane Abbey

Webplay Recording Date : 1-13-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

What is different about the ED and provider-based clinics? How can we establish our Chargemaster to accommodate provider-based clinic activities and freestanding clinics at the same time? Want the answer to these questions or have more questions you want answered?  Come join us for our Webinar to discuss these important questions.

Webinar Objectives:

• To review the Provider-Based Rule (PBR)
• To understand the differences between freestanding and provider-based clinics
• To understand the economic advantages of provider-based clinics
• To appreciate special compliance concerns associated with provider-based status • To appreciate provider-based clinical services within the hospital
• To understand ED services and the impact on the Chargemaster
• To delineate how the Chargemaster should be established to support coding and billing for both technical and professional components in the ED and provider-based clinics
• To discuss operation issues such as setting fees, patient relations and medical staff organizational structuring
• To delineate the various types of clinics and operations that can be provider-based
• To appreciate organizing multiple provider-based clinics
• To work through several case studies involving the establishment of the Chargemaster for the ED and provider-based clinics

Webinar Topics:

• Review of the Provider-Based Rule (PBR)
  • Development of the PBR
    • 42 CFR §413.65
    • Review of Definitions
    • Rules and Regulations
    • Recognition by Non-Medicare Third-Party Payers
• Economic Advantages of Provider-Based Status
  • Clinics
  • Clinical Services
  • Costs for Provider-Based Status
  • Recognizing Provider-Based Clinical Services
• Review of the ED As Provider-Based
  • Types and Levels of Services
  • Professional vs. Facility Coding and Billing
  • Establishing Fee Structures
  • Non-Emergent Care in the ED
• Establishing the Chargemaster
  • Technical Component – UB-04
  • Professional Component - 1500
  • Setting Fee Schedules
  • E/M Levels
  • Coding and Modifiers
• Special Concerns
  • Maintaining Patient Relations
  • Medical Staff Organization
  • Meeting Other Provider-Based Rule Requirements
• Special Types of Provider-Based Clinics
  • Wound Care Clinics
  • Specialty Clinics
  • Pain Management Clinics
  • Medication Management Clinics

• Chargemaster personnel
• Compliance personnel
• Claims Transaction personnel
• ED management staff
• Provider-Based Clinic Management staff
• and all personnel involved with provider-based clinics and/or clinical operations including nursing staff and interested physicians

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.