Session Information
ANI: The Healthcare Finance Conference 2010
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Advanced Charge Master Strategies
Track : PreConference Program
Program Code: PCS3
Date: Sunday , June  2, 2010
Time: 8:00 AM to 5:00 PM  EST
Location: Galileo 1004
CO-PRESENTER :   Click the plus sign to see more detailed information about each speaker.
 Stacey Harper, Executive Director - Strategic Pricing, The MetroHealth System
SPEAKER (S):   Click the plus sign to see more detailed information about each speaker.
 Michael Kovar, Executive Director, Grant Thornton LLP
 Stacey Harper, Executive Director - Strategic Pricing, The MetroHealth System
SUBMITTER :   Click the plus sign to see more detailed information about each speaker.
 Michael Kovar, Executive Director, Grant Thornton LLP
Description
The charge master at a hospital or other health care entity are the "aorta" of the billing system. The accuracy of the charge master drives how hospitals are paid. Since most hospitals focus on making sure that their charge master is "Medicare compliant" and do not look at the charge master as it is effected by other payors billing requirements, significant additional revenues are left on the table from other payors. Also, with the proliferation of charge master software tools in hospitals, the opportunities may no longer be in the charge master itself but in how the charge master is being used by the individual clinical departments. The seminar will identify common missed opportunities from the charge master and charge capture processes and will help attendees to develop strategies to address these issues to enhance a hospital's bottom line.
We will go through various case studies and examples, have attendees look at the their own charge masters during the class to see if the opportunities discussed are present at their institution, and then discuss as a group various methods to address each issue. We will address these issues in each of the major revenue producing departments at a hospital: Laboratory, Radiology, Operating Room,Emergency Room, Cardiology, and other selected departments. Each attendee will come out of this session with a significant number of revenue enhancement opportunities at their individual hospitals that they can implement quickly when they return from the session.

Learning Objectives:
  • Assess compliance and effectiveness of the charge master and charge-capture processes for Medicare and other third party payers
  • Describe the 2010 changes in Medicares OPPS, CPT, HCPCS, Category II Codes, Category III Codes, and ambulatory payment classifications (APCs), and the effect on the charge master
  • Determine the impact of healthcare reform on a hospitals revenue cycle and charge master
  • Develop strategies to employ in selected clinical departments including the emergency, laboratory, radiology, operating room, and cardiology departments to take advantage of revenue and compliance opportunities


No items are available for this session.