This live boot camp is best for those looking for an interactive learning experience. Classes are led by our expert instructors, take place over the course of a week, and allow instructor/student interaction and engagement. |
Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp
Course Overview
The 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
Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp
Course Locations & Dates
Below is the current course schedule for upcoming classes of this boot camp. We update this schedule on a regular basis.
Registrations are processed in the order received. Class size is limited and classes often sell out. We recommend against making travel arrangements until after we have confirmed your course registration.
To register for a class, click the "Register" button. If you would like to register multiple attendees, please call Customer Service at (800) 650-6787 o email us at PD-IS@SimplifyCompliance.com.
Locations marked as "Tentative" are subject to change.
To view our cancellation policy, click here.
September 2021
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Courtyard Bloomington by Mall of America®
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Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp
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.
Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp
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
Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp
Continuing Education
Continuing Education credits for this course are pending approval.
Revenue Integrity and Chargemaster for Critical Access Hospitals Boot Camp
COVID Safety
Simplify Compliance places the highest priority on the safety of our guests. We will follow safety guidelines and advisements for meetings as outlined by the CDC and the WHO, as well as state and local mandates. In preparation for attendance at our events, we want to share the following measures to promote health and wellbeing.
- At this time, all hotel guests are required to wear a mask while in public areas of the hotel and anywhere that social distancing measures cannot be met.
- Meeting rooms will be set to comply with CDC, WHO, and applicable locally recommended social distancing guidelines.
- Food service will follow the safety guidelines implemented by the hotel.
To view all the safety measures that the host hotel has implemented, please see the information listed on their website, found under the 'Locations/Dates' tab.
Simplify Compliance will continue to monitor the COVID-19 environment, the recommended guidelines, and communicate adjustments to the onsite policies and procedures as we approach the live event date.