Chargemaster Update Strategies: The Impact of 2018 Code Changes on Reimbursement

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Chargemaster Update Strategies: The Impact of 2018 Code Changes on Reimbursement

Product Code: YHHA121517

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Chargemaster Update Strategies: The Impact of 2018 Code Changes on Reimbursement

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Presented on:
Friday, December 15, 2017
1:00-2:30 p.m. Eastern

Presented by:
Valerie A. Rinkle, MPA
Denise Williams, RN, COC

Level of Program:
Intermediate

Updating your chargemaster in accordance with the major annual HCPCS code changes not only ensures your organization will receive accurate reimbursement for the year ahead, but also decreases the likelihood your staff will have to adjust inaccurate claims on the back end. Become familiar with the latest CPT® and HCPCS Level II codes now so your facility can begin restructuring its chargemaster to embrace the changes brought on by the 2018 code updates. 2018 also brings updates to the charge capture/trigger mechanisms and associated documentation templates in the EHR. It is additionally important to recognize the impacts of packaged payments and comprehensive ambulatory payment classifications (C-APC) on billing to ensure compliance before the 2018 outpatient prospective payment system (OPPS) final rule becomes effective on January 1.

During this 90-minute webinar, expert speakers Valerie A. Rinkle, MPA, and Denise Williams, RN, COC, will break down critical chargemaster updates for 2018. They will walk participants through the latest coding and billing updates to ensure accurate coding and compliant billing. Get up to speed now on CPT and HCPCS code updates to ensure reporting of services in 2018 is correct the first time around.

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

  • Identify CPT/HCPCS code changes that may affect a chargemaster
  • Discuss best practices to implement chargemaster updates
  • Identify departments that are most affected by chargemaster revisions
  • Differentiate time-based, service-based, and expense-based chargemaster methodologies
  • Recognize the effects of code bundles vs. packaged payments and comprehensive APCs on billing


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


Agenda

  • The impact of HCPCS Level I and Level II codes on your chargemaster
    • Review which departments are affected by chargemaster revisions
    • Structure the chargemaster to accommodate new codes
    • Define HCPCS Level II codes and how to accurately report units of service
    • Describe HCPCS Level I codes and how to effectively use and resolve NCCI edits when a claim is created
  • Strategies for ensuring all costs are captured when reporting new comprehensive codes
    • Differentiate time-based, service-based, and expense-based chargemaster methodologies
  • Review best practices to adapt to chargemaster updates
  • Break down administrative simplification of HIPAA transaction code sets
    • Define the standard code sets for submitting healthcare claims electronically
    • Understand the difference between how claims are transmitted and how third-party payers process them
    • Describe the standard transaction formats and eligibility
  • Outline the impacts of bundled codes versus packaged payments and C-APCs
  • Live Q&A


Tools

  • NCCI Narrative Manual


Continuing Education

American Health Information Management Association (AHIMA)
(Live + On Demand) - This program has been approved for 1.5 continuing education unit 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. (Ability to claim CEU’s for this webinar expires on: 12/14/18)


Meet the Speakers

Valerie A. Rinkle, MPA

Valerie A. Rinkle, MPA, is the lead regulatory specialist and instructor for HCPro's Revenue Integrity and Chargemaster Boot Camp as well an instructor for the Medicare Boot Camp®—Hospital Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—Provider-Based Department 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. 

Denise Williams, RN, COC

Denise Williams, RN, COC, is senior vice president of the revenue integrity division and compliance auditor at Revant Solutions. 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 is a nationally recognized speaker on various coding and reimbursement topics. Williams is also an AHIMA ICD-10 Ambassador.


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 is now 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.