Charge Errors: Best Practices for Discovery and Correction

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Charge Errors: Best Practices for Discovery and Correction

Product Code: YHHA102919A

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Charge Errors: Best Practices for Discovery and Correction

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Presented on: Tuesday, October 29, 2019 | 1:00–2:30 p.m. Eastern

Presented by: Jennifer Grayson

Charge errors are all too common and can have a serious impact on finances and compliance. While system errors and simple mistakes can easily lead to erroneous charges, many organizations also lack a clear and formal process for managing charge errors. Identifying and correcting these errors is everyone’s responsibility, but without a consistent, interdepartmental process and message, the task will likely fall through the cracks—leading to missed charges, Medicare overpayments, and costly compliance risks. 

During this 90-minute webinar, Jennifer Grayson, revenue integrity manager at Renown Health, will cut through the confusion and explain how she implemented a formal charge error correction process at her organization. She will discuss how to identify and report charge errors, how to create a charge error correction team and define its responsibilities, how to stay compliant with CMS’ requirements, and how to launch and maintain a formal charge error correction process. Attendees will get an insider’s look at each topic, from developing standards to monitoring processes, and will come away with tips on allocating resources, effective communication, and resolutions and accountability. Grayson will also explain how to analyze the financial impact of charge errors and resolution, including identifying Medicare overpayments, and will demonstrate how to use this information to set priorities. The program will conclude with a live Q&A during which participants can submit questions.

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

  • Explain how to identify and report charge errors
  • Recognize the common root causes of charge errors
  • Analyze the financial impact of charge errors
  • Describe how to implement a formal charge error correction process

Agenda

  • Charge error overview
    • What is a charge error?
    • What are the possible root causes of charge errors?
    • How are charge errors identified?
    • Who should report a charge error?
  • Charge error correction
    • How to report a charge error
    • Determining who should be involved
      • Defining the charge error correction team
      • Defining responsibilities of participants
      • Prompt notification
      • One source of truth to document all pertinent data, ownership, decision-making, and follow-up
  • Initiation and planning phases
    • First-pass review
    • Developing a standard charge error correction template
    • Communication and dialogue
    • Action plan definition, ownership, and deliverable dates
    • Resource considerations
    • Assessment of priority
  • Execution and completion phases
    • Regular meetings to review action item progress
    • Accountability and documentation
    • Financial impact
    • Timeline concerns as progress is made
    • Resolutions in place and accountability to those resolutions
    • Sign-off by charge error correction team
    • Completion of project work
  • Post-completion validation
    • Defining the management action plan
    • Monitoring the management action plan
    • Archiving documentation
  • Live Q&A

Who Should Listen?

  • Revenue integrity directors/managers
  • Revenue integrity analysts
  • Revenue integrity staff
  • Chargemaster managers
  • Chargemaster coordinators
  • Chargemaster analysts/staff
  • Nurse auditors
  • Chargemaster auditors
  • Revenue cycle directors/managers
  • Revenue cycle staff
  • Compliance officers
  • Business office managers/staff
  • Patient financial services managers
  • Internal auditors
  • HIM directors/managers
  • Coding managers
  • CDI managers

Meet the Speaker

Jennifer GraysonJennifer Grayson is the manager of revenue integrity at Renown Health in Reno, Nevada. Her passions for process improvement and revenue stream optimization can be seen on a daily basis. Her career has climbed through marketing and communications, project management, and IT across both healthcare and hospitality industries. This experience has given Grayson a keen expertise on exceeding customer expectations throughout the project life cycle. Her varied experience has allowed her to successfully lead complex, multidisciplinary projects at Renown, including mandated annual regulatory changes and strategic pricing reviews. Grayson has taken her integrated role a step further by maintaining an EpicCare Inpatient Procedure Orders certification. This certification has allowed her to bring the clinical workflow and technical electronic medical record design together for unparalleled efficiency. Grayson’s 10 years of varied healthcare experience offers a new perspective, and her ability to coordinate diverse work groups through challenges delivers exceptional results.

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.