Medicare Cost Report: Opening the Magic Mystery Machine

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Medicare Cost Report: Opening the Magic Mystery Machine

Product Code: YHHA111120A

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Medicare Cost Report: Opening the Magic Mystery Machine

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Presented on: Wednesday, November 11, 2020 | 1–2:30 p.m. Eastern

Presented by: Angela Lynne Simmons, CPA

Many revenue cycle professionals are aware of but might not understand the mysterious year-end Medicare cost report. However, the data it reports on has a significant and far-reaching impact on hospital reimbursement. Misunderstanding or misinterpreting cost reports and cost reporting requirements can lead to inefficient processes, inaccurate projections, and missed revenue opportunities.

During this 90-minute program with live Q&A, expert speaker Angela Lynne Simmons, CPA, vice president of revenue and reimbursement at Vanderbilt University Medical Center in Nashville, Tennessee, will introduce the basics of the Medicare cost report and explain concepts important for revenue cycle professionals to understand. Simmons will describe what the report does for an organization and how CMS uses it, with an emphasis on the report’s meaning to revenue cycle. Attendees will come away informed and ready to interact effectively with their cost reporting colleagues.

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

  • Explain why the Medicare cost report is important to the organization and the revenue cycle department
  • Describe case studies on the intersection between the cost report and the charge description master
  • Understand key reimbursement concepts for high-risk billing areas, such as solid organ transplant and stem cell transplant
  • Demonstrate how to use information from the cost report to support and defend prices and price transparency


Agenda

This program will cover:

  • Overview of the Medicare cost report and its schedules
    • How CMS uses the report
  • Links between the cost report and revenue cycle
  • Case studies
  • Rate setting using the cost report
    • High-risk billing
      • Solid organ transplant
      • Stem cell transplant
  • Recent legislative changes that impact the cost report
    • Reporting median negotiated rates by MS-DRG for all contracted Medicare Advantage plans
  • Live Q&A

Who Should Listen?

  • Vice presidents/assistant vice presidents of revenue cycle
  • Revenue cycle directors
  • Revenue cycle managers
  • Revenue cycle analysts
  • Revenue cycle professionals
  • Revenue integrity directors
  • Revenue integrity managers
  • Revenue integrity analysts
  • Revenue integrity specialists
  • Revenue integrity professionals
  • Chargemaster managers
  • Chargemaster analysts
  • HIM directors
  • HIM managers

Meet the Speaker

Angela Lynne Simmons

Angela Lynne Simmons, CPA, is the vice president of revenue and reimbursement at Vanderbilt University Medical Center. A Texas CPA, she brings more than 30 years of experience in healthcare operations and finance, and public accounting for healthcare entities. Simmons has expertise in healthcare policy, reimbursement principles from government programs (Medicare and Medicaid), as well as healthcare financial analysis and cost accounting. Much of her focus throughout her career has been on pursing revenue opportunities through improving hospital operations and through Medicare filings and appeals. Prior to relocating to Vanderbilt, she was the director of clinical revenue and reimbursement for U.T. M.D. Anderson Cancer Center, where she was responsible for Medicare and Medicaid reimbursement, cost accounting, revenue and rate-setting, financial analysis, and clinical decision support reporting. Simmons serves as an advisory board member for NAHRI.

Continuing Education

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 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.