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Catalog Number : cra1751
Title : Cost-Based and Carge-Based Payment Systems
Speaker : Duane Abbey

Duration : 90 minutes

Webplay Recording Date : 10-5-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Objectives:

  • To Discuss Current Cost-Based Payment Systems
  • To Review CAH Cost-Based Payments
  • To Review RHC and FQHC Cost-Based Payments
  • To Discuss Special Hospital Cost-Based Mechanisms
  • To Review the Medicare Cost Reporting Process
  • To Explain Charge-Based Payment Systems and Contracts
  • To Review Chargemasters and Charge Structuring
  • To Discuss Compliance Issues with Cost-Based and Charge-Based Reimbursement

Webinar Outline/Agenda:

  • Cost-Based Healthcare Payment
    • History of Cost-Based Reimbursement
    • Cost Reporting Process
    • Cost-Plus Payment Mechanisms and Contracts
  • CAH Reimbursement Process
  • RHC/FQHC Cost Based Reimbursement
  • Special Hospital Cost-Based Reimbursement
    • Pass-Through Payments
    • Hospitals Exempt from IPPS
  • Charge-Based Hospital Payment Contracts
    • Hospital Chargemasters
    • Establishing Charge Structures and Charges
  • Cost-Based and Charge-Based Approach with Capitation
  • 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.

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.