Catalog Number : cra1742
Title : Understanding Fee Schedule Payment Systems
Speaker : Duane Abbey

Webplay Recording Date : 8-10-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Objectives:

• To review the scope and application of fee schedule payment systems
• To discuss the basic tenets of fee schedule payment systems
• To review the healthcare providers that are paid under fee schedule payment systems
• To review the concept of relative values and their use in establishing fee schedule payment
• To discuss the Medicare physician fee schedule as the prime example of a fee schedule payment
• To explain how private third-party payers use fee schedule payment systems
• To review fee schedule payment for ambulance, DME, anesthesia and laboratory

Webinar Outline/Agenda:

• Fee Schedule Payment
  • Basics of Fee Schedule Payment Systems
  • Services Covered by Fee Schedule Payment
  • Healthcare Providers That Utilize Fee Schedule Payment
• Anatomy of a Fee Schedule Payment System
  • Payment Is Lesser of Charges or Fee Schedule Amount
  • Classification and Coding Systems
  • Relative Values
  • Establishing Payment Levels
  • Private Third-Party Payer Use of Fee Schedule Payment
  • Usual, Customary and Reasonable
• Medicare Physician Fee Schedule (MPFS)
  • Special Features o National Correct Coding Initiative
  • Global Surgical Package
  • CPT Coding and Modifiers
  • Compliance Issues
• Typical Fee Schedules
  • Ambulance
  • Durable Medical Equipment
  • Laboratory
  • Anesthesia
• Sources for Further Information

Target Audience:

• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Utilization Review Personnel
• Financial Analysts
• Compliance Personnel
• Physicians
• Internal Auditing Staff
• Other interested Personnel

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.