Boot Camps

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Course Overview

Charge capture’s importance is at an all-time high.  Let our expert instructors peel back the layers of chargemaster and revenue integrity.

The Live Virtual Revenue Integrity and Chargemaster Boot Camp – Critical Access Hospital Version provides education on chargemaster and revenue integrity concepts in a classroom format. The program will relate the chargemaster function to revenue cycle and revenue integrity functions, including cost reporting and key operational issues, such as coverage, clinical documentation, charge capture, and coding.

It will also provide context for chargemaster set-up and maintenance within revenue integrity with an objective to help avoid pre- and post- billing edits and payer denials.  This Boot Camp reviews chargemaster coding requirements for Critical Access Hospitals and excludes discussion of topics that are specific to coding for the outpatient prospective payment system.

You will leave this program knowing how to:

• Provide formal, organized education and training for revenue integrity and chargemaster staff
• Provide context for the intersection of the chargemaster with clinical/revenue departments, charge capture, coding, finance, and patient access and billing
• Walk attendees through CMS regulatory requirements for pricing and charging patients, ** as well as key relationships between the chargemaster and provider cost reporting
• Give detailed instructions for the majority of revenue codes for optimal chargemaster setup, maintenance, charge capture, and documentation issues for critical access hospitals
• Review chargemaster issues for commercial/managed care versus CMS requirements for critical access hospitals**

See the HCPro difference for yourself!

Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure hospital services furnished to Medicare beneficiaries are billed accurately and appropriately.

Tools and skills to navigate Medicare rules: Our instructors provide valuable tools and resources that will help you prioritize and research Medicare questions long after the Boot Camp ends.

Case studies: Case studies ensure attendees understand the concepts and know how to apply them to real-world situations.

Small class size: A low participant-to-teacher ratio is guaranteed.

Highly rated, well-established program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale). We currently conduct more than 30 Medicare Boot Camp courses each year.

How does the Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals work?

Class is held Monday – Thursday from 12:00 p.m. – 4:00 p.m. Eastern Time for two consecutive weeks.

Please Note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.

Class is held Monday – Thursday from August 14 – August 24. Registration cut-off date: 8/7/2023

Class is held Monday – Thursday from October 23 – November 2. Registration cut-off date: 10/16/2023

Looking to train your whole team? We can bring our expert instructors to you! Learn more here!

For more information about our Boot Camps, contact us at 615-724-7200 or email PD-IS@SimplifyCompliance.com.

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Outline/Agenda

Module 1: Revenue Integrity Overview and Resources

Module 2: Eligibility Principles

Module 3: Benefits, Coverage and Medical Necessity

Module 4: Provider Types, Licensure, Enrollment, Privileges, Credentialing and Scope of Practice

Module 5: Charge Description Master Structure and Relationship to Cost Reporting

Module 6: Principles of Charge Capture

Module 7: Claims Submission Fundamentals and Code Edits

Module 8: Strategies and Key Issues by Revenue Code: Routine Services and Observation

Module 9: Strategies and Key Issues by Revenue Code: Ancillary Services

Module 10: Strategies and Key Issues by Revenue Code:  Other Departments

Module 11: Introduction to Payment Systems

Module 12: Critical Access Hospital Reimbursement – Methods I & II

Module 13: Medicare Physician Fee Schedule (MPFS)

Module 14:Charge Description Master Management and Maintenance Strategies

Module 15: Denial Management

Module 16: Payer Contracting Strategies

Course Outline/Agenda subject to change.

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Schedule

August — Class Schedule (Eastern time)

October — Class Schedule (Eastern time)

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Questions/Answers

What is the focus of the Live Virtual Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp?
This Boot Camp educates those who work within the critical access hospital setting about chargemaster and revenue integrity concepts. Some of these concepts include revenue cycle and revenue integrity functions, as well as cost reporting and key operations issues like coverage, clinical documentation, charge capture, and coding.

It also gives attendees context about chargemaster set-up and maintenance within revenue integrity and will help educate you about pre- and post- billing edits and payer denials.

What computer set-up do I need to attend this class?
This will be hosted on the GoToMeeting platform. Attendees should have access to a computer that has a microphone and speakers to participate. There is also an option to dial-in over a phone line if you need to connect on your phone. You can read the full system requirements for GoToMeeting by visiting https://support.goto.com/meeting/help/system-requirements-for-attendees-g2m010003. You can also test your system by visiting https://support.logmeininc.com/gotomeeting/get-ready.

Does HCPro offer an "on-site" version of this Boot Camp?
In addition to our open registration courses, we also offer this Boot Camp as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site Boot Camp, click on Host an On-Site Course.

What if I need to cancel or transfer my registration?
Cancellation Policy
Please click here to view our cancellation policy.

Who typically attends the Live Virtual Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp?

• Reimbursement managers
• Revenue managers
• Chargemaster staff
• Chargemaster managers
• Finance and reimbursement staff
• Finance and reimbursement managers & directors
• CFOs
• Payer relations staff
• HIM directors and managers
• Compliance officers, directors, and managers
• Coding directors and managers
• RAC coordinators

What material does the course cover?
To view the course outline, click on "Course Outline" above.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and hands-on exercise/case studies.

What should I have available for each session?
For each class, participants should have their packet of materials and may wish to also have available a highlighter, notebook for taking notes, and sticky notes/flags.

What if I have a question that didn’t get addressed in class
The course offers open office hours each week to address topics related to the course materials and class discussion. Questions should be related to the course and topics discussed throughout the course. Instructors are not able to address questions outside the scope of the course.

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information?
Contact our sales team at 615-724-7200 or email PD-IS@SimplifyCompliance.com.

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Things to Know Before Attending Class

What is Included with Your Purchase

When you purchase a seat for our live virtual boot camps you get online access for one participant to the live sessions, a hard copy of our printed workbook materials, and access to the recordings of the sessions. HCPro reserves the right to revoke your access if we find that you are sharing your login or any of the class information.

Course Materials

You will receive a hard copy of the class materials. These will be shipped to you via UPS. If ordering on our website, please be sure to enter the physical address of where these materials should be shipped to. If you order over the phone or if you are unsure of what address we have on file, please ask the person you are speaking with to verify your address information and update accordingly or call our customer service department. Materials should arrive approximately two business days prior to the start of class.

Virtual Boot Camp Platform

We use GoToMeeting to present our virtual boot camps. To ensure your system supports GoToMeeting, use this link https://support.goto.com/meeting/system-check. We will send out access information for the class 4 business days prior to the class start and again 1 business day prior.

Session Recordings

You will have access to the recordings of each class session via a password protected page on our website. You will be given the page location two business days following the first session. Recordings will be added to the page within one business day following the live session. You will have access to this page for 60 days after the final live session. 

Continuing Education Credits

To receive continuing education credits, you will be required to successfully complete a 40-question quiz that is based off of the content covered throughout the course. Successful completion is achieved by getting at least 80% of the multiple-choice questions correct.

What to Bring to Class

We suggest that you have the following available during the class:

• Highlighter
• Notepaper
• Sticky Notes/flags
• Pen/Pencil

Contact Information

For more information about our Boot Camps, contact us at 615-724-7200 or email PD-IS@SimplifyCompliance.com.

We Look Forward to Having You In Class!

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Learning Objectives

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

• Equip hospital, payer and other healthcare specialists with effective and efficient strategies to obtain and maintain overall revenue integrity for both governmental and non-governmental payers
• Gain a working understanding of revenue integrity principles associated with eligibility, coverage, coding, billing and payment using fee-for-service Medicare requirements as a framework
• Explain how the chargemaster fits into revenue integrity functions
• Review requirements and issues associated with provider-based status
• Explain standard charge description master (CDM) elements, design and relationship to the general ledger and revenue cycle processes of coding and billing
• Review claim requirements and specific issues of CDM set-up and maintenance by revenue code with associated cost reporting principles
• Review concepts of pricing different services
• Exemplify Critical Access Hospital cost-based reimbursement, including Method I and II, and as well as appeal strategies to protect revenue

Continuing Education

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.