Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Executive
Mid-Senior

Recommended for:

Financial Planning
Physician Practice
Reimbursement

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

Understanding of Medicare Payment Process

Course Availability:

1 Year

How To | Chargemaster
Revenue integrity requires proper staffing and bring activities to the front end of the revenue cycle.
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How To | Chargemaster
Review, analysis and revision are key components of a successful chargemaster review.
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Article | Chargemaster
A leading chargemaster company discusses how its technology helps hospitals operate more transparently, price strategically and confidently run a compliant and efficient revenue operation.
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Trend | Chargemaster
A charge management company discusses how it helps clients successfully manage charge processes, comply with changing coding and regulatory requirements, eliminate charge-related compliance risks and ensure accurate and appropriate reimburs...
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How To | Chargemaster
Reviewing billing edits and claim denials, as well as scheduling quarterly chargemaster reviews can help healthcare providers proactively identify potential challenges.
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On Demand Webinar | Intermediate | Chargemaster

2019 final rule changes to the medicare hospital OPPS and ambulatory surgery payment system

On Demand Webinar | Intermediate | Chargemaster

2019 final rule changes to the medicare hospital OPPS and ambulatory surgery payment system

Description

The ambulatory surgery center (ASC) payment system continues to evolve with final changes to the hospital outpatient prospective payment system (OPPS) for calendar year 2019. Find out what changes are finalized for implementation on January 1, 2019 for ASCs and hospital outpatient services in the CY2019 final rule. Physician practice managers will want to keep a close watch on the ASC and OPPS developments as more services migrate from one setting to another. Prepare your organization now for the proposed changes.

Topics include:
  • Final 2019 APC groupings
  • Final 2019 OPPS changes to drugs, biological, and radiopharmaceuticals
  • Final 2019 changes to OPPS for cancer hospitals and partial hospitalization services
  • Final 2019 changes to collect data on off-campus provider-based emergency departments
  • Final 2019 methods to control outpatient volume increases
  • Final 2019 340B drug payment changes for non-excepted off-campus hospital departments
  • Final 2019 changes for ASCs
  • Final changes to hospital outpatient quality requirements
  • Final additional changes to other policy areas
Original live webinar date: 12/12/2018
After this program, you'll be able to..
  • Identify and implement OPPS/ASC rule changes that may have significant impact on health system finances
  • Develop action plans to address issues within your organization's charge structure and operational processes
  • Describe potential compliance issues

Related Courses | Chargemaster

Course | Advanced | Charge Capture

Revenue Capture and Recognition

At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly.


Estimated course completion time: 1 hour

On Demand Webinar | Intermediate | Legal and Regulatory Compliance

Developing a pricing strategy for the 2019 CMS transparency requirement

The push for health care price transparency is nothing new and can be traced back almost 15 years. When CMS released their final 2019 Inpatient Prospective Payment System (IPPS) rules including "requirements for hospitals to make public, a list of their standard charges via the internet," it further underscored CMS' continued effort for hospitals and health systems to provide price transparency.

This webinar will provide a brief background on pricing transparency issues for hospitals and health systems and then will take a deeper dive into what actions organizations can take to prepare for the CMS price transparency requirements that are effective January 1, 2019.

Finally, we will provide a checklist of recommended steps to ensure your facility is ready for the 2019 IPPS Price Transparency regulation.


Original live webinar date: 10/30/2018