To Charge or Not to Charge: Guidelines for Billing Supplies, Ancillary Services, and Bedside Procedures

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To Charge or Not to Charge: Guidelines for Billing Supplies, Ancillary Services, and Bedside Procedures

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To Charge or Not to Charge: Guidelines for Billing Supplies, Ancillary Services, and Bedside Procedures

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Presented on: Thursday, November 7, 2019 | 1:00–2:30 p.m. ET

Presented by: Denise Williams, COC, CHRI

The rules for charging separately for bedside procedures, ancillary services, and supplies can be complex. While many services and supplies are rolled into packaged payments, CMS still allows separate line-item reporting for several other items and procedures. As many facilities are unfamiliar with these guidelines or do not have processes for charging separately, they miss out on potentially significant reimbursement from non-Medicare payers.

During this 90-minute program with live Q&A, speaker Denise Williams, COC, CHRI, will decode Medicare billing regulations for supplies, ancillary services, and bedside procedures. She will explain why hospitals should bill for supplies even when most are packaged and not separately reimbursed, discuss how to determine when a bedside procedure should be billed on an inpatient claim, and review ways to operationalize these practices so facilities can develop a process for appropriately capturing all available charges. 

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

  • Implement a process for determining which supplies should be separately charged
  • Understand why hospitals should bill for supplies when most of them are packaged and not separately reimbursed
  • Implement a process for determining procedures that should or could be billed on an inpatient claim when the procedure was performed at the patient’s bedside 
  • Develop strategies for operationalizing these determinations and for supporting and communicating changes with payers 

Agenda

  • Billing considerations for supplies, ancillary services, and bedside procedures
    • Determining when a supply should be separately charged
    • Differentiating between supplies included as part of a procedure or the room rate
    • Looking at this process as a type of price transparency
  • Process development
    • Identifying which procedures/ancillary services to bill on an inpatient claim
    • Capturing procedures when performed at a patient's bedside instead of in a procedure room
    • Billing for supplies when most are packaged and not separately reimbursed
  • Moving forward with payers
    • Discussing ways to support changes in charging structure with payers
    • Reviewing ways to document how and when these changes are made
  • Live Q&A

Tools

  • Draft policy for charging supplies
  • Draft process for determining procedures to be reported when performed at the bedside

 

Who Should Listen?

    • Finance staff
    • Billing managers and staff
    • Compliance staff
    • Revenue integrity directors and managers
    • Revenue integrity staff
    • Coding managers and staff
    • Chargemaster coordinators
    • HIM directors and managers
    • HIM staff
    • Revenue cycle directors and managers
    • Revenue cycle staff

    Meet the Speaker

    Denise Williams

    Denise Williams, COC, CHRI, is senior vice president of the revenue integrity division and compliance auditor at Revant Solutions in Trussville, Alabama. She has more than 30 years of healthcare experience, including a background in multiple areas of nursing. For the past 25 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 serves as a contributing author to articles published in HCPro’s Briefings on APCs and is a nationally recognized speaker on various coding and reimbursement topics.

     

     

    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.