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

Day 1

Tuesday Aug 10th

7:30-8:15 am

Continental breakfast provided

8:15-8:30

Welcome to the RR Boot camp

Day Egusquiza

8:30-9:15

Hot topics and regulatory updates

This class will present regulatory updates as well as hot topics impacting the revenue cycle.

9:15-10:15

Coding Update – ICD -10, CPT, E & M, MS-DRG – and more

Lots of coding activity continues to happen with audit findings as well as clarifications and changes

• Audit findings from MS-DRG audits
• What are the RACs focusing on w/MS DRGs?
• Coding queries – are you still asking for them?
• Drug administration – still a struggle with documentation and modifier use
• Consultation physician E&M codes are gone

Karen Kvarfordt

10:15 -10:30

Break

10:30-11:30

Keep Cash Climbing; Bad Debt Diving

This class will feature better practice ideas in AR and effective cash flow management

• Assessing the economic impact
• Proven strategies to increase cash collections
• How and when to ask for payment
• Setting collection targets by department
• Offering a smorgasbord of payment options
• Financial assistance screening techniques
• Stratifying/segmenting collection efforts
• Choosing partner

Mike Frith

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.

Day 2

_____________________________________________

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

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

_____________________________________________

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

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.’