Essential Medicare Cost Reporting Strategies
Thursday, June 8, 2017
1:00-2:30 p.m. Eastern
Valerie A. Rinkle, MPA
Paul Holden, FHFMA
Level of Program:
Every piece of a cost report tells CMS your facility’s story, and it’s your responsibility to ensure the story is accurate. The data included on cost reports can impact a facility’s revenue for years to come—influencing payment on certain cases in real time as well as future inpatient and outpatient prospective payment system (IPPS/OPPS) rates. The bottom line: Inaccurate data will haunt you, both now and down the road.
Join expert speakers Valerie A. Rinkle, MPA, and Paul Holden, FHFMA, as they review the 19 IPPS national cost-to-charge ratios for 2017 and walk through cost center mappings between IPPS and OPPS. Gain a deeper understanding of expense and revenue principles, and learn how revenue integrity and finance departments can work collaboratively to help ensure a facility’s payments are representative of its costs. The speakers will also discuss a list of issues related to cost report best-practice indicators.
At the conclusion of this program, participants will be able to:
- Describe the overall rate setting process for IPPS and OPPS
- Explain the role of cost reporting in rate-setting processes
- Describe key cost reporting principles for expenses and revenue
- Apply cost reporting best practices
- Understand how cost-to-charge ratios impact new technology and pass-through device payments
Who Should Listen?
- Coding/HIM directors and managers
- Revenue cycle directors/managers and staff
- Compliance directors/managers and staff
- Chargemaster staff
- Finance directors
- Reimbursement managers
- Patient financial services management and staff
- Managed care contracting management and staff
- Revenue integrity management and staff
- Payer relations staff
- An explanation of the role of cost reporting in categorizing hospitals’ expense and revenue
- Description of the use of the cost report in overall rate setting process for IPPS and OPPS
- Review key cost reporting principles for matching expense and revenue
- Identify indicators of cost reporting best practices
- Understand how cost-to-charge ratios from cost reports impact claim payment for new technology and pass-through devices
- Comparison of revenue code and cost center mappings between IPPS & OPPS
- Checklist of issues to review related to cost report best practice indicators
- The 19 IPPS national cost-to-charge ratios for 2017
Meet the Speakers
Valerie A. Rinkle, MPA, is a lead regulatory specialist and instructor for HCPro's Revenue Integrity and Chargemaster Boot Camp®, as well as an instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. Rinkle is a former hospital revenue cycle director and has over 30 years 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.
Paul Holden, FHFMA, is the senior manager at Moss Adams LLP in Portland, Oregon. Holden has over 12 years’ experience providing reimbursement consulting and business assurance services to healthcare providers in acute and postacute settings throughout the western United States. He is well versed in Medicare and Medicaid cost report preparation; assisting clients during third-party audits; formulating appeals of audit issues in connection with cost reports; and assisting hospitals/health systems, sole community hospitals, critical access hospitals, rural health clinics, and federally qualified health centers with billing and reimbursement issues. He continually explores the role of the Medicare cost report and claims data in the DRG and APC rate setting processes and Medicare cost report data-mining and benchmarking.
Webinar system requirements and program materials:
To fully benefit from the webcast 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.
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