Ancillary Bedside Procedures: Determine What to Charge Beyond the Room Rate -
Wednesday, November 18, 2015
Valerie Rinkle, MPA
Denise Williams, RN, COC-H, AHIMA ICD-10 Ambassador
Level of Program
If your hospital is rolling up all room-related services into one hourly or daily rate, you may be losing out on legitimate revenue and a way to track acuity of patients. Learn which items and services should be separately billed to be properly paid during this webcast.
CMS allows facilities to line-item report what have been traditionally thought of as non-reportable nursing services—such as injections, infusions, and transfusions—on both inpatient and outpatient claims under certain circumstances. Hospitals should establish internal policies and procedures to ensure correct billing, avoid the perception of "double dipping," and report important services that capture the increasing acuity of hospitalized patients.
During this On-Demand program, expert speakers Denise Williams, RN, COC-H, AHIMA ICD-10 Ambassador, and Valerie A. Rinkle, MPA, will explain when hospitals can bill separately for nursing services and detail how to create an internal process for tracking these charges.
At the conclusion of this On-Demand program, participants will be able to:
- Evaluate room rates and charging practices
- Differentiate myth from fact surrounding regulations for charging bedside procedures
- Determine when to appropriately charge for supplies used in bedside procedures
- Compare charging practices to others in the industry
- Create a policy for charging bedside procedures and supplies
Who should listen?
Inpatient coders, coding managers, HIM managers and directors, CDI professionals, compliance managers, revenue cycle managers, case managers/utilization review, physician advisors, quality managers and staff, quality resource management
The live version of this program has been approved for 1 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Fact or fiction?
o Actual CMS guidelines
o What others say
- Industry survey results
o Most common procedures separately reported
o Other procedures billed in addition to the room rate and hourly observation
- Part B billing
- Perceptions of double dipping
- 2-midnight benchmark
o Documenting bedside procedures
o Determining what procedures/services can be billed under the 2-midnight benchmark
- Strategies for billing ancillary services
o What you can do
o What you should do
Meet the Speakers
Valerie A. Rinkle, MPA, is associate director within the healthcare practice at Navigant Consulting. She has over 30 years of healthcare experience, including 10 years as revenue cycle director for Asante Health System in Medford, Oregon, and over a decade of nationwide consulting to health systems and practices regarding Medicare and Medicaid payment systems and compliance. She is the author of numerous articles on OPPS and hospital-based clinics.
Denise Williams, RN, COC-H, AHIMA ICD-10 Ambassador, is senior vice president of the revenue integrity division and compliance auditor at Revant Solutions (formerly Health Revenue Assurance Associates, Inc. (HRAA)) in Ft. Lauderdale, Florida. She has more than 30 years of healthcare experience, including a background in multiple areas of nursing. For the past 20 years, Williams has been in the field of coding and reimbursement and has performed numerous E&M, OP surgical, ED, and observation coding chart reviews from the documentation, compliance, and reimbursement perspectives. She serves as a contributing author to articles published in HCPro’s APC Insider and Briefings on APCs and is a nationally recognized speaker on various coding and reimbursement topics.
Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:
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.
COULDN'T LISTEN LIVE?
No problem. The On-Demand version is also 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!
Participation in this webinar is just $259 per site. All materials must be retrieved from the Internet.
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