Successful New Technology Billing Under Medicare OPPS and IPPS

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Successful New Technology Billing Under Medicare OPPS and IPPS

Product Code: YHHA021623A

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Successful New Technology Billing Under Medicare OPPS and IPPS

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Presented on: Thursday, February 16, 2023 | 1:00–2:00 p.m. Eastern

Presented by: John D. Settlemyer, MBA, MHA, CPC, CHRI

Medicare provides critical support for advances in medical technology through additional payments under the Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS). However, although these therapies are life-changing for patients, it can be complex to ensure new technology is compliantly and accurately billed and coded. Hospitals also struggle to ensure clinical departments are correctly setting up and capturing charges for these high-cost therapies.

During this 60-minute webinar, expert speaker John D. Settlemyer, MBA, MHA, CPC, CHRI, will explain the coding and billing rules for new technology in inpatient and outpatient settings. Settlemyer will share tips for setting up charges for codes and improving documentation, as well as correctly reporting billing information on claims. He’ll also discuss strategies to address operational challenges.

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

  • Explain Medicare’s billing rules for new technology
  • Describe charge structure and charge capture strategies for new technology
  • Demonstrate methods to ensure compliance with Medicare’s rules and support accurate reimbursement

Agenda

This program will cover:

  • OPPS processes
    • OPPS and pass-through devices
    • New policies and procedures
    • Documentation and coding
  • IPPS processes
    • IPPS and new technology add-on payments
    • New policies and procedures
    • Documentation and coding
    • Claim submission
  • Charging considerations
    • Chargemaster setup
    • Charge capture strategies
    • Charge monitoring and auditing
  • Strategies for success
  • Q&A

Who Should Listen?

  • Revenue integrity directors
  • Revenue integrity managers
  • Revenue cycle directors
  • Revenue cycle managers
  • Revenue integrity specialists
  • Revenue integrity analysts
  • Revenue cycle specialists
  • Revenue cycle analysts
  • Chargemaster managers
  • Chargemaster coordinators
  • Chargemaster analysts
  • HIM directors
  • HIM managers
  • Coding directors
  • Coding managers
  • Compliance officers
  • Billing directors
  • Billing managers
  • Billing staff
  • Inpatient coders
  • Outpatient coders
  • Revenue integrity managers

Meet the Speaker

John D. Settlemyer

John D. Settlemyer, MBA, MHA, CPC, CHRI, is an assistant vice president, revenue cycle, with Atrium Health (formerly Carolinas HealthCare System) based in Charlotte, North Carolina. Atrium Health is one of the most comprehensive public, not-for-profit systems in the nation. Settlemyer has 25 years’ experience in healthcare finance/reimbursement and has been with Atrium Health for more than 15 years, with focus in chargemaster compliance, charge capture, and revenue integrity. He has direct or consulting oversight of the chargemaster for 40 hospitals and their associated outpatient care locations, such as provider-based clinics, healthcare pavilions, and freestanding emergency departments. He is a charter member and inaugural chair (serving two terms) of The Provider Roundtable, a national group of volunteer providers whose focus is providing comment to CMS on the operational and financial impact of OPPS proposed rules. In addition, he is an adjunct instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp and is an Advisory Board member for NAHRI.

Continuing Education

*Coming Soon! 

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 or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

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 $229 value! 

PLEASE NOTE 
Participation in the webinar is just $229 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.