Catalog Number : ccma1620
Title : Chargemaster and Coding, Billing and Reimbursement for Critical Access Hospitals - Part 2
Speaker : Duane Abbey
Duration : 90 minutes
Webplay Recording Date : 3-27-2012
Webplay Price : $ 200 for two weeks viewing
Webinar Overview:
How are coding, billing and the chargemaster different for CAHs? Must the ER be treated differently for CAHs? How does the chargemaster accommodate CAH requirements along with private third-party payer requirements? To answer these questions and more, come and join us in the upcoming Webinar.
Please note: This is a continuation of the
Chargemasters for CAH - Part 1 (Webinar ran on February 27, 2013)
Target Audience:
- Billing and Claims Transaction Personnel
- Nursing Staff
- Outpatient Service Area Personnel
- Chargemaster Coordinators
- Financial Analysts
- Compliance Personnel
- Physicians
- Practitioners
- Other Interested Personnel
Webinar Objectives:
- To review the reimbursement process for Critical Access Hospitals
- To appreciate the differences in coding and billing for CAHs as compared to PPS hospitals
- To understand the basic elements of the cost reporting process
- To appreciate the critical development of the chargemaster for CAHs
- To review the key service areas and development of the chargemaster
- To appreciate the need to establish pricing consistently on costs
- To appreciate the need for carefully charge capture
- To understand additional compliance requirements for CAHs and the impact on coding, billing and reimbursement
- To appreciate the special features of Method II billing and the chargemaster setup
- To understand the proper use of Revenue Codes
- To appreciate the critical coding interface to the chargemaster
Webinar Outline/Agenda:
- Overview
- Critical Access Hospitals
- Cost-Based Reimbursement
- Cost-Reporting Process
- Coding and Billing Requirements
- Outpatient Coding and Billing
- Inpatient Coding and Billing
- Method I versus Method II
- Dynamic Coding versus Static Coding
- Method II Billing and Reimbursement
- Coding and Billing Process
- Claims Filing Professional on UB-04
- Medicare Payment Process
- Chargemaster Development
- Key Concepts
- Service Area Challenges
- Claims Development Requirements
- Charge Structures
- Cost-Report Development
- Provider-Based Clinic Considerations
- Rules and Regulations
- Operational Concerns
- Freestanding vs. Provider-Based vs. RHC
- Chargemaster Interfaces
- To the Cost Report
- To Charge Capture
- To Coding/Billing
- Chargemaster, Coding and Billing Compliance Issues
- Sources for Further Information
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
.