2020 Chargemaster Updates: Coding Changes, HIPAA, and Price Transparency

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2020 Chargemaster Updates: Coding Changes, HIPAA, and Price Transparency

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2020 Chargemaster Updates: Coding Changes, HIPAA, and Price Transparency

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Presented on: Wednesday, December 11, 2019 | 1:00–2:30 p.m. Eastern

Presented by: Valerie A. Rinkle, MPA, CHRI

The approaching new year always serves as a signal to update chargemasters with the newest coding and pricing information necessary for accurate reimbursement, but this is difficult because of the number of processes affected by the chargemaster, along with the many regulatory policies facilities must abide by. Yet with Medicare’s growing focus on price transparency and the accompanying requirements to publicly post a list of standard charges, having a compliant and up-to-date chargemaster is becoming ever more important.

During this 90-minute webinar, expert speaker Valerie A. Rinkle, MPA, CHRI, will unravel the intricacies of 2020 CPT®/HCPCS code changes, HIPAA transaction set requirements, and regulatory standards to guide attendees through the toughest tasks related to chargemaster updates. This webinar will also address strategies for confronting processes or departments affected by code deletions and will provide tips to prepare for potential revenue integrity pitfalls associated with necessary 2020 chargemaster changes.  

At the conclusion of this program, participants will be able to:

  • Identify 2020 CPT/HCPCS code changes that may affect a chargemaster and the departments most affected by chargemaster revisions
  • Utilize best practices to implement chargemaster updates
  • Understand how HIPAA transaction sets and cost reporting relate to chargemasters
  • Demonstrate the impact of hospital prices on new technology add-on payment and outlier payments versus future payment rates
  • Differentiate between bundling services integral to the performance of a procedure for hospital charges versus packaged payment methodologies

Agenda

  • 2020 HCPCS Level I and II code changes
    • Identifying departments affected by chargemaster revisions
    • Accommodations for new codes
    • Accurately reporting units of service for new HCPCS Level II codes
    • Description of new 2020 HCPCS Level I codes and chargemaster setup
  • Application of HIPAA transaction code sets
    • Using the legal authoritative resources for these code sets
    • Administrative Simplification Act and entities serving as legal authoritative sources
  • Chargemaster options to facilitate price transparency
    • Bundling supplies into procedure charges to simplify estimates for patients
    • Need for patient-friendly chargemaster descriptions
    • Pricing considerations that impact price transparency
  • Code deletions that may necessitate pricing analysis
    • Strategies for departments continuing to expend resources for these services
    • Impact of the code deletions on cost reporting and future rate-setting
  • Sub-regulatory requirements applicable to the chargemaster
    • Medicare Provider Reimbursement Manual provisions related to chargemaster functions
    • The importance of charge capture
    • Pricing and the impact on new technology, device pass-through, and outlier payments
  • Live Q&A

 Tools

  • List of 2020 technologies approved for new technology add-on payments (NTAP)
  • Formula for NTAP calculations
  • List of 2020 devices approved for device pass-through payments

Who Should Listen?

  • Revenue cycle directors, managers, and staff
  • Revenue integrity directors, managers, and staff
  • Chargemaster maintenance professionals
  • Billing and reimbursement staff
  • Outpatient coders
  • Compliance directors and managers
  • HIM directors, managers, and staff
  • Members of chargemaster committees

Meet the Speaker

Valerie Rinkle

Valerie A. Rinkle, MPA, CHRI, is a lead regulatory specialist and instructor for HCPro's Revenue Integrity and Chargemaster Boot Camp as well as instructor for the Medicare Boot Camp®—Hospital Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—Critical Access Hospital Version. Rinkle is a former hospital revenue cycle director and has over 30 years of experience in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations.

Continuing Education

National Association of Healthcare Revenue Integrity (NAHRI)

This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.