Teleconference Webinar Title: The Chargemaster and Cardiovascular Interventional Radiology

Teleconference/Webinar Level: Advanced

Teleconference/Webinar Objectives:

• To review coding, billing and reimbursement for cardiovascular interventional radiology services.
• To review chargemaster techniques and associated coding and billing flow.
• To appreciate the extreme complexity of coding, billing and reimbursement in the cardiovascular interventional radiology area.
• To discuss alternate charge capture and coding flows for CVIR services.
• To discuss alternative ways to establish the chargemaster.
• To review several case studies to illustrate the complexities of coding and billing and the need to carefully design the charge capture interface to the chargemaster.
• To discuss pricing strategies for expensive catheters and stents used for CVIR services for both inpatient and outpatient services.

Teleconference/Webinar Outline/Agenda:

1. CVIR Overview
     a. Component Coding
     b. Diagnostic versus Therapeutic Services
     c. Stents and Stent Placement
     d. APC and DRG Payment Processes
      
2. Chargemaster Overview
     a. Basic Design Process for CVIR
     b. Professional versus Technical Component Coding/Blling
     c. Coronary versus Non-Coronary Catheterization Services
      
3. CVIR Challenges
     a. Charge Capture Challenges
     b. Coding Challenges
     c. Modifier Utilization
     d. Pricing and Charge Development Challenges
     e. Development of Policies and Procedures
     f.  Brief Case Study Examples
          
4. Alternative Coding/Billing Flows
     a. Static Coding in the Chargemaster
     b. Dynamic coding Outside the Chargemaster
     c. Hybrid Methodologies
     d. Assessing Claim Accuracy
     e. Coding from Observation of Services versus Documentation
      
5. Sources for Further Information

Prerequisites for Participating: General knowledge of hospital services for the cardiovascular area. General knowledge of the chargemaster design process and association coding and billing flow processes is useful.

Suggested Attendees: Coding Personnel, Billing and Claims Transaction Personnel, CVIR Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Nurses, Physicians and Other Interested Personnel

Attendance Certificate: Upon attending this course you will receive a 2 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.