Catalog Number : ccma1363
Title : Charge Master and Supply Categorization
Speaker : Duane Abbey

Webplay Recording Date : 10-12-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

The teleconference addresses the difficult task of determining how to categorize supply items in the chargemaster. Due consideration is given to the shifting stance and guidance provided by CMS over the past several years. Particular attention is given to APCs and associated coding concepts of ‘not reporting separately’ and ‘not to be billed separately’. Categorization of supply items, including drugs, is a difficult issue for hospital chargemaster personnel. Also, the use of tiered pricing relative to supplies has led to charge compression and the need for CMS to modify the cost reporting process.

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 Supplies Can Be Categorized
• To Appreciate The Use of Proper Revenue Codes
• To Understand What Supplies Items Are Simply Part of Overhead Expenses
• To Appreciate the Concept of ‘Integral Part’ Supply Items and Drugs
• To Understand CMS’s Guidance Relative to ‘Not Separately Reporting’ and Associated Coding and Claims Filing Processes
• To Appreciate the Pricing Process for Expensive Supply Items and Devices
• To Understand the Impact of Supply Items and Devices on APCs With Particular Attention to Device-Dependent APCs
• To Appreciate Supply Categorization and Associated Pricing Relative to Cost-to-Charge Ratios (CCRs)
• To Understand CMS Changes to the Cost Reporting Process to Address Charge Compression with Supply Items

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

• Overview of Supply and Device Categorization
• Main Supply Categories
  • Non-Covered
  • Overhead
  • Integral Part
  • Separately Billable
• Chargemaster Development Decisions
  • Categorizing Supplies, Devices and Drugs
  • Pricing and Cost Accounting Concerns
  • Cost Report Interface to Chargemaster
• APC Concerns
  • Charging Versus Billing
  • Device-Dependent APCs
  • Supply Categorization On APC Weight Development
• Compliance Issues
  • ‘Not Separately Reportable’
  • ‘Not Separately Billable’
  • CMS Compliance Concerns
• Related Cost Report Issues
  • Cost-to-Charge Ratios (CCRs)
  • Tiered Pricing and Charge Compression
• Special Situations
• Chargemaster Coordinator Action Steps

Prerequisites for Participating:

A general understanding of the chargemaster, categorization of supplies and devices along with a general understanding of APCs and associated payment systems relative to supplies.

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.