WEBINAR: Chargemaster: CDM Compliance Concerns


Course Curriculum
The chargemaster is both a direct and indirect target of compliance and thus various types of audits.  Hospitals should periodically take the time to examine their chargemasters from a compliance perspective.  This means examining and review various CDM policies and procedures (P&Ps) which must dovetail to coding P&Ps as well as billing P&Ps.  Issues such as transparent pricing, proper use of revenue codes, cost report interface, coding interface, billing interface, supply categorization, etc. must all be considered.  A systematic process for auditing the chargemaster relative to this host of compliance issues is discussed.

Learning Objectives 
At the completion of this program, the participants will be able to: 
1. Discuss the purpose, function and organization of the chargemaster. 
2. Differentiate between statutory and contractual compliance issues.
3. Discuss attributes necessary to maintain chargemaster compliance including revenue codes, CPT/HCPCS codes and pricing. 
4. Identify compliance areas that may be reviewed by external auditors and governmental entities inlcuding the RACs.
5. Evaluate the difference between separately charging and separately billing or reporting. 
6. Describe the proper use of revenue codes and the potential impact on the cost report. 
7. Discuss the development of CDM P&Ps which must properly correlate to coding P&Ps and billing P&Ps. 
8. Identify various compliance issues related to the CDM and the policy decisions that must be made in order to maintain compliance. 
9. Evaluate different levels and forms of guidance from CMS, which sometimes conflict. 

Target Audience
This session is recommended for Chargemaster coordinators and personnel, billing, coding and claims staff, cost report preparers, compliance officers and personnel, auditing employees, revenue cycle staff, clinical service providers, financial analysts, physicians and other interested personnel and other interested staff.

Faculty

Dr. Duane Abbey is a management consultant and president of Abbey & Abbey Consultants. For more than 20 years, Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics. The focus of his consulting has been in the areas of compliance, payment and delivery systems. In addition to his consulting, Duane is an invited presenter for hospital associations, medical societies and other groups. He has also published articles and books on health care topics. The speaker has no real or perceived conflicts of interest that relate to this presentation.
 
When
6/14/2018 - 6/14/2018
Where
Webinar
United States

Program


Tuesday, 08 May 2018

 
Time
9:30 AM - 11:00 AM
5/8/2018 9:30 AM
Time
9:30 AM - 11:00 AM
5/8/2018 9:30 AM
Time
9:30 AM - 11:00 AM
5/8/2018 9:30 AM
Time
9:30 AM - 11:00 AM
5/8/2018 9:30 AM

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