AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by
Briefings on APCs presented on July 23, 2008
Proper charging and billing for self-administered drugs is a confusing topic for coding and billing staff, as well as an area that offers plenty of opportunity for compliance risk and lost revenue.
It can be tricky to differentiate between which medications to bill to Medicare and which are considered "self-administered" and billed to the beneficiary. There are requirements for billing Part D for self-administered medications that aren't covered under Part B. And if that's not confusing enough, it can be tough to find a clear definition of what is considered "self-administered."
Here's help. Listen to HCPro for this 90-minute audioconference and learn how to charge and bill for the appropriate revenue your facility deserves. Our expert speakers bring a legal and clinical perspective and will cover existing regulatory guidance/coverage statutes, payer-specific issues, compliance concerns, ABN requirements, patient education, and how to draft a policy for your hospital. Finally, they'll teach you how to set up these drugs in your chargemaster and demonstrate UB-04 claims submission to avoid billing problems.
Note: This is an intermediate-level program. Purchasers should have an understanding of HCPCS codes.
TAKE A LOOK AT THE AGENDA
- Self-administered drugs (SAD) regulatory authority
- Taxonomy of drugs furnished in the outpatient department
- Separately payable Part B drugs
- Part B drugs that are bundled into the APC
- Non-covered self-administered drugs.
- Implications of Part D coverage for hospitals.
- Dual eligible
- Operational suggestions
- ABNs
- Fraud and compliance implications
- Chargemaster to claim submission- operational strategies for success
- Setting up your CDM correctly
- Billing for SADs
- Revenue codes
- HCPCS codes
- Packaged drugs
- Auditing your claims
- Case studies/scenarios
A question and answer session follows the presentation
LEARNING OBJECTIVES
At the conclusion of this audioconference, you will be able to:
Explain the differences between SADs that are to be separately charged to the patient and those that are bundled
Discuss strategies for addressing beneficiaries who have Part D coverage for SADs
Describe the role of the chargemaster in this process
Explain how to properly charge, code and bill self-administered drugs, including appropriate use of revenue codes FEATURED SPEAKERS
William L. Malm, ND, RN, is the practice director for Revenue Cycle Management Consulting and the Revenue Cycle Institute within the consulting division at HCPro, Inc. He has more than 20 years of experience in a combination of clinical and financial healthcare, including as a compliance officer, revenue cycle specialist, and chargemaster specialist.
Andrew Ruskin, Esq., is a partner in Morgan Lewis's FDA/Healthcare Regulation Practice in Washington, D.C. His practice focuses on providing counsel on healthcare regulatory matters to pharmaceutical and medical device companies, hospitals and other healthcare service providers, and insurers and other commercial payers. He regularly advises on Medicare and Medicaid coverage, reimbursement, and compliance issues affecting these entities.
EARN CONTINUING EDUCATION CREDITS
This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
BONUS MATERIAL INCLUDED IN YOUR MATERIALS PACKET
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials, a SAD decision tree, a preparedness checklist, and a related article from an HCPro newsletter. These materials are provided with PDF links.
WHO SHOULD LISTEN?
Outpatient coding/billing staff; compliance officers; patient financial services staff, auditors, and financial counselors; chargemaster coordinators; revenue cycle coordinators; nursing department managers, nurse auditors; hospital pharmacy staff.
AUDIO ON-DEMAND
In addition to the regular purchase option for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
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