Catalog Number : cga1943
Title : Revenue Cycle Improvement: Tracking Reimbursement
Speaker : Duane Abbey

Webplay Recording Date : 1-28-2015
Webplay Price : $ 125 for two weeks viewing

Webinar Description:

How does reimbursement tracking help improve revenue and compliance at the same time? What you must understand in order to track reimbursement? Why is reimbursement tracking an important element within the revenue cycle? To answer these questions and more please come join us in this upcoming Webinar.

Webinar Objectives:

• To review reimbursement tracking as part of the revenue cycle
• To understand the basics of DRGs, APCs and MPFS
• To understand how payment is calculated for DRGs, APCs and MPFS
• To appreciate how extra payments can be made through DRGs, APCs and MPFS
• To recognize how reimbursement tracking can identify improper reimbursement
• To appreciate how reimbursement tracking can enhance overall reimbursement
• To appreciate how compliance issues can be raised relative to overpayments
• To review how reimbursement tracking can provide feedback into the billing and claims filing processes
• To understand how provider-based clinics require special reimbursement tracking
• To appreciate quantification techniques in tracking overall reimbursement

Target Audience: 

Financial Analysts, Revenue Cycle Personnel, Chargemaster Coordinators, Coding, Billing and Claims Transaction Personnel, Internal Auditing Personnel, Financial and Compliance Personnel, Information Technologists, Physicians and Other Interested Personnel

A Few of the Topics that will be covered:

• Introduction
  • What is the revenue cycle?
  • What is the reimbursement cycle?
  • What are the subprocesses with the revenue cycle?
  • Why is tracking reimbursement important?
  • What healthcare providers really track reimbursement?
  • Compliance and reimbursement tracking
• Establishing Tracking Mechanisms
  • Understanding the Given Payment System
  • Ability to Calculate the Proper Payment
  • Extra and Outlier Payments
  • Groupers and Claims Adjudication Software/Logic
  • Medicare vs. Non-Medicare Payers
• DRGs - Diagnosis Related Groups
  • DRG Background and Associated Payment Characteristics
  • DRG Grouper
  • DRG Cost Outliers
  • Tracking Reimbursement
  • Case-Mix Indexes and Quantification
• APCs -Ambulatory Payment Classifications
  • APC Background and Associated Payment Characteristics
  • APC Grouper
  • APC Cost Outliers
  • Tracking Reimbursement
  • Case-Mix Indexes and Quantification
• MPFS - Medicare Physician Fee Schedule
  • MPFS and RBRVS Background
  • Adjudication Logic
  • Payment Calculation
  • Extra Payment
  • Quantification Techniques
• Provider-Based Clinic Tracking
  • Provider-Based Clinic Review
  • Special Issues for Reimbursement Tracking
• Compliance Issues and Reimbursement Tracking
• Sources for Further Information

Attendance Certificates:

All participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

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.