Financial Compliance Course Package

Increasing federal and state regulations are causing many hospitals to struggle to stay up to date with ever-changing coding and compliance rules, as well as developing and maintaining a defensible and transparent pricing strategy. This presentation is designed to address the regulatory requirements for satisfaction. We will also address next steps for you to consider when preparing for upcoming price transparency requirements. With the help of a hospital revenue cycle leader, we will dive into the challenges providers face and discuss solutions for tackling the complexities of living in a price transparent world.

This course describes the types of advance directives and explains the role of the registrar in identifying the existence of advance directives and processing such directives when they exist. It describes the specific challenges involved in registering patients at the bedside and discusses express or mini registrations, as well as "Jane/John Doe" registrations. This course explains how patient access staff should interact with emergency patients to avoiding violating the Emergency Medical Treatment and Active Labor Act (EMTALA).

In 2018, the Centers for Medicare and Medicaid Services released the CY 2019 Revisions to Payment Policies under the Physician Fee Schedule and other Revisions to Medicare Part B, which included policies related to Medicare Quality Payment Program (QPP).

Clinicians have two tracks to choose from in the QPP based on their practice size, specialty, location, patient population, and Alternative Model participation: 1.) Merit-based Incentive Payment System (MIPS) or 2.) Advanced Alternative Payment Models.

This webinar will focus on the requirements of physicians' involvement in the QPP and their reimbursement ramifications of participation. Physicians will be made aware of their current participation level and how this will affect their practices and continued improvement of care delivered to patients.