Catalog Number : ccma1961
Title : Chargemaster: Transparent Pricing
Speaker : Duane Abbey

Webplay Recording Date : 8-26-2015
Webplay Price : $ 125 for two weeks viewing

Webinar Overview:

What is the 'transparent pricing'? How can we control our cost-to-charge ratios? How does all this affect APC and DRG reimbursement? To answer these questions and more please join us in the educational program.

Webinar Objectives:

• Appreciate Why Hospital Charges and Pricing Are In The Spotlight
• Appreciate The Need for Transparent Pricing and Public Relations
• Understand Why Charges Are Important for APCs and DRGs
• Appreciate the Cost Report and Cost-to-Charge Ratios (CCRs)
• Understand The Concept of 'Charge Compression'
• Understand Special Charge Development Techniques
• Recognize When Charges May Be Inappropriate
• Recognize When Full Charges Are Not Being Reported
• Appreciate How Charges and Pricing Impact on the Cost Report
• Review Action Steps to Adjust Pricing

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, Reimbursement Specialists, Revenue Cycle Specialist, Public Relations, Planning Specialists, and All Other Hospital Personnel Interested in Pricing

A few of the Topics that will be covered:

• Overview of Developing Chargemaster Pricing and Charges
  • The Need For Change
  • Charge Formulas and Mark-Up Formulas
  • Strategies for Adjusting Pricing
  • Transparent Pricing
  • Strategic Pricing
  • Geographic Pricing
  • Pricing Disparities Among Hospitals
• Types of Payment Systems and Use of Charge Data
  • APCs
    • Increased Packaging
    • Comprehensive APCs
  • DRGs
  • MPFS
  • Cost Based Payments
  • Contractual Payment Strategies
• Charge-Compression, Cost-to-Charge Ratios and the Cost Report
  • Tiered Pricing for Supplies and Drugs
  • Charge Compression and Cost-to-Charge Ratios
  • Cost Reporting Issues
  • RTI International Recommendations
  • Medicare Changes to the Cost Report for Devices
  • Cost Report Changes for Special Areas
• CMS Use of Charges to Determine Weights
  • Converting Charges to Costs
  • APCs
  • MS-DRGs - Charge-Based vs. Cost-Based
• Pricing and Charge Formulas
  • Overall Charge Philosophy
  • Bundling versus Separately Charging
  • Proper Charging Even Though No Separate Payment
• Making Pricing More Transparent
  • Patient Sensitivity
  • Release of Hospital Chargemaster - What Good Does it Do?
• Cost Report Impact Through Charges and Pricing Structures
  • Compliance Issues for Establishing Charge Structures
  • Patient Acceptance and Understanding of Charge Structures
• Chargemaster Coordinator Action Steps

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.