Critical Access Hospital Bootcamp

Critical Access Boot Camp
Creating a Culture of Compliance and Revenue


Twin Falls, ID: August 10 - 12, 2010 
             

 

 

Agenda

Pre-Conference Monday Aug 9th  

1:00-5:00 p.m

Coding for Dummies

This class will address questions such as:

What are NCD and LCDs? How does documentation support “coding?” What are all the codes on the UB? What is a coding error vs a claim submission error?

What are coding edits? CCI edits? OCE Edits? ICD vs CPT ? Hard coding vs soft coding in the CDM? What are modifiers? 59, 25, 50, etc. AND why do I care? Join us for this highly interactive session.

 

 

Faculty

Day Egusquiza Connie Agenbroad Karen Kvarfordt

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Day 1:

Tuesday Aug 10th

7:30-8:15 am

Continental breakfast provided

Faculty

8:15-8:30

Welcome to the CAH Boot camp

Day Egusquiza

8:30-11:30

Strategies for Financial Success: Financial Tips for
Critical Access Hospitals

Financial success for CAHs is not guaranteed. The development of creative and focused strategies can assist CAHs in meeting their financial goals above and beyond the initial impact of CAH status.

  • CAH reimbursement overview
  • Cost report and organizational strategies
  • Case study examples
  • Non-Medicare Opportunities
  • HIT Stimulus Funding Strategies
  • Financial risks for the CAH

Ralph Llewellyn

10:15 -10:30

Break

11:30-12:15 pm

Lunch provided

12:15-2:15
(Joint session)

Optimizing Revenue Opportunities thru Charge Master and Charge Capture

Focusing on the dept head ownership of hardcoded CPT codes with excellent charge capture internal tools will be intricate to this class. Hot areas of lost revenue, strategies for charge capture along with common findings from revenue cycle project will be shared.

2:15-2:30

Break

2:30-4:15
(Joint session)

Patient Status – why is it so difficult? Inpt, OBS or outpt

Two unique areas will be taught: PT status and billable hrs. UR, Nursing, support staff and providers are all included in this powerful training that includes all CMS’s newest guidance on direct supervision, continuous monitoring, active physician involvement PLUS impacts of condition code 44. Powerful, pertinent class with audit and documentation samples.

4:30 pm

Bus arrives for Snake River Canyon tour and the famous Idaho Family Bar B Q with dutch oven dessert, trout, and milk-can stew.

Welcome to Idaho party!

Day 2

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Wednesday Aug 11, 2010 (Joint sessions all day)

7:30-8:15 am

Continental breakfast provided

8:15-10:15

Living with RAC: A clinical and financial collaboration

This dynamic class will walk thru the RAC updates, ARS’s audit findings including better practice ideas to prevent repeat audit variances. Impacted departments along with the patient impact ideas (who will be aware of all activity) will be incorporated into this operational class. RAC audits are not going away!

10:15-10:30

Break

10:30-12:30 pm

Positively impacting patient flow and the revenue cycle – An imperative connection between care management and patient billing services.

Recognize and identify the positive impact on patient flow and revenue cycle concepts thru the lens of case study and tracer methodology.

  • Trace the steps of a surgical patient entering an outpt clinic through a hospital system for care.
  • Trace the steps of a bill for services through the revenue cycle process.
  • Examine patient flow and revenue cycle process when they come together and things go right and/or when they go wrong.
  • Strategize and identify solutions to the barriers and vulnerabilities that exist between care mgt and pt billing as it relates to pt flow and the revenue cycle.

12:30-1:15

Lunch provided

1:15-2:30

RAC appeals: To appeal or not to appeal

This class will provide guidance on the strategies and the decision points in the RAC process for decisions. From the receipt of the results letter to the demand letter to the 30 day/Transmittal 141 to the normal 5 steps of appeal – all will be included in this operational class.

2:30-2:45

Break

2:45-4:15

Positive, Sustainable Impact for Reducing Length of Stay (LOS): A multi-discipline approach – a case study

Learn how a hospital found sustainable wins with this challenging issue.

  • Design your team with role clarifications & goal setting
  • Design effective tracking tools
  • Tracking financial outcomes with regulatory education
  • Improve patient satisfaction, streamlining pt flow, team satisfaction, with positive organizational impact

4:15-5:00 pm

Work session

Each boot camp will have the opportunity to form work groups to discuss the individual challenges they are facing as well as proactive ideas/plans that have been implemented.

Day 3

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Thursday Aug 12th

7:30-8:00 am

Hot breakfast provided

8:00-9:00
(Joint session)

Hospital based clinics: Challenges of Finding Compliant Revenue

This class will help identify the different types of output revenue through an HBC as well as the compliant features to ensure E&M visits are created and documented correctly – plus when done with a procedure.

9:00-10:00
(Joint session)

OR, Recovery and Materials - Opportunities for
thinking outside the box

This class will address the pesky problem of routine supplies and how to bill them correctly; the three elements of an invasive procedure: anesthesia, surgery, recovery; how to ensure routine recovery is correctly billed and documented; plus new ideas on service line surgery billing, per minute.

Day Egusquiza

10:00-10:15

Break

10:15-11:15

Final work session

Each boot camp will have the opportunity to network one last time, to share networking tools, better practice ideas and encouragement as they continue the excitement once they are back ‘at the office.’