Catalog Number : cra1695
Title : Developing Charges and Hospital Pricing
Speaker : Duane Abbey

Webplay Recording Date : 5-5-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

• What are these device-dependent APCs and DRGs?
• What is all the fuss about ‘charge compression’?
• How can we control our cost-to-charge ratios?
• How should we be pricing devices? Supplies? Drugs? Biologicals
• Are we missing charges in connection with supplies and pharmacy items?
• What can we do to adjust our pricing and address charge compression?
• How does all this affect APC and DRG reimbursement?

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
• All Other Hospital Personnel Interested in Pricing

Webinar Level: Intermediate/Advanced

Prerequisites for Participating:

A general understanding of the chargemaster, the charge development process, and the cost report is assumed.

Webinar Objectives:

• To Understand Why Charges Are Important for APCs and DRGs
• To Appreciate the Cost Report and Cost-to-Charge Ratios (CCRs)
• To Understand The Concept of ‘Charge Compression’
• To Understand Special Charge Development Techniques
• To Recognize When Charges May Be Inappropriate
• To Recognize When Full Charges Are Not Being Reported
• To Review Action Steps to Adjust Pricing

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

• Overview of Developing Chargemaster Pricing and Charges
  • The Need For Change
  • Strategies for Adjusting Pricing
• Types of Payment Systems and Use of Charge Data
  • APCs
  • DRGs
  • Cost Based Payments
• 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
• CMS Use of Charges to Determine Weights
  • Converting Charges to Costs
  • APCs
  • MS-DRGs - Charge-Based vs. Cost-Based
• Pricing and Charge Formulas
  • Bundling versus Separately Charging
  • Proper Charging Even Though No Separate Payment
• 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.