Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Delivery Method:

Self Study

Course Availability:

1 Year

Recommended for:

Financial Planning
Physician Practice
Reimbursement

Career level:

Executive
Mid-Senior

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Advance Preparation:

None

Prerequisites:

Understanding of Medicare Payment Process
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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Trend | Chargemaster

HFMA is gathering information to understand hospitals' costing capabilities at the inpatient discharge and outpatient visit/service level.

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Q&A | Chargemaster

We are experiencing increased denials and loss of revenue as a result of chargemaster issues related to outpatient services coding. What steps can we take to identify the issues and clean up the chargemaster?

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News | Chargemaster

Feb. 1—Publicity has surged around the new federal requirement for hospitals to post charges online. But some hospitals have managed to exceed that mandate in ways that provide more effective price transparency.

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Trend | Chargemaster

Consumers have come to expect price transparency in health care, which has greatly increased the strategic and operational importance of providers’ charge master descriptions and other pricing frameworks.

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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
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

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.

Certification | Advanced | Coding

Certified Inpatient Coding Auditor (CICA)

The HFMA Certified Inpatient Coding Auditor (CICA) certification validates and acknowledges the expertise of the inpatient coding auditor professional. Certified inpatient coding auditors can help your organization ensure coding accuracy, increase reimbursements, and improve overall revenue cycle performance. The CICA certification is the only certification currently available to impatient coding auditors and it tests across all coding auditor responsibilities, including:

  • Documentation and coding accuracy and specificity
  • DRG assignment, case mix index, quality initiatives, MACs, RACs
  • The impact of accurate documentation and coding on overall revenue cycle
  • Compliance

The coursework to prepare for the Certified Impatient Coding Auditor assessment is available through HFMA's collaboration with Career Step LLC. The fee for this coursework is processed by Career Step LLC and is not included as part of your HFMA membership.

The CICA certification assessment is hosted by HFMA. It is comprised on 150 multiple choice questions and must be completed within 3 hours. If participants do not pass the certification assessment on the first attempt, participants can have another attempt after a mandatory 30-day waiting period. A certificate of completion suitable for framing may be downloaded upon successful completion of the assessment. Recertification is required every two years (a minimal fee is charged for non-members).