A CD of Conducting Coding Billing and Reimbursement Audits: What Your Facility Needs to Know Audio Conference held Wednesday, June 25, 2008

A 90-minute interactive audio conference presentation available from the publisher of Hospital Peer Review, Healthcare Benchmarks and Quality Improvement and Patient Education Management

Coding, billing and reimbursement audits can be a tedious process for healthcare facilities, especially if your current process is not streamlined. Click here or call 1-800-688-2421 to order the CD for Conducting Coding Billing and Reimbursement Audits: What Your Facility Needs to Know live 90-minute audio conference and discover how you can facilitate an auditing process at your facility that can be used effectively as an educational tool.

Agenda

1. Introduction
   1. Healthcare Compliance Overview
   2. Importance of Understanding and Meeting Rule/Regulations
   3. Statutory versus Contractual Compliance
   4. Systematic Approach to Maintaining Compliance
   5. OIG Work Plans and Compliance Guidance
   6. RAC Audits
2. Payment Systems
   1. Cost-Based Systems
   2. Prospective Payment Systems
      1. RBRVS
      2. MS-DRGs
      3. APCs
      4. Other
   3. Managed Care Contracts
      1. Fee-for-Service
      2. Special Provisions
   4. Payment System Compliance
3. Auditing Process
   1. Systematic Approach
   2. Problem/Opportunity Identification
   3. Audit Design
   4. Use of the OIG's RAT-STATS Program
   5. Reviewing Cases and Documenting Results
   6. Report Development
   7. Effecting Organizational Change
4. Organizational Dynamics
   1. Team Dynamics
   2. Computer System Reports
   3. Use of External Consultants/Legal Counsel
   4. Coding, Billing & Reimbursement Policies and Procedures
5. Sources for Additional Information
6. Case Studies
7. Live Interactive Q&A with the speaker

After this audio conference presentation, you will be able to:

• Understand the broad spectrum of compliance areas to which hospitals, systems, physicians and clinics are subjected.
• Recognize the severity of current compliance issues, the auditing process, and associated penalties.
• Appreciate the importance of written policies and procedures for coding, billing and the chargemaster.
• Understand the audit process and techniques for selecting charts, billing and remittance information for review.
• Gain knowledge of the statistical techniques for developing formal and informal audit processes.
• Appreciate the role and use of computer technology in maintaining compliance and the process of auditing computer software and its utilization.
• Understand the auditing process interface to various CBR Policies and Procedures and the CBR compliance program.
• Appreciate the RAC audits and the need to prepare with CBR audits

Speaker:
Duane Abbey, PhD, CFP, president of Abbey & Abbey Consultants and co-founder of the HealthCare Consulting Group. He has provided healthcare consulting services for more than 20 years in the areas of compliance, payment and delivery systems. Dr. Abbey presents nationally for various healthcare professional organizations, hospitals, clinics, and hospital systems. In addition, he provides direct consulting for clients in thirty-four states.

Who Should Participate:

• All personnel involved with: coding, billing, and reimbursement activities
• Administrative personnel
• Billing/reimbursement personnel
• CFOs and other financial analysts
• Chargemaster coordinators
• Coding staff
• Compliance analysts
• Compliance officers
• Health information specialists
• Hospital auditors
• Nurses and physicians are encouraged to attend
• Patient/financial management personnel
• Same day surgery person

Order details:
Price is $299 per CD. You may invite as many listeners from your facility as you wish. Call 1-800-688-2421 or click here to order the CD. Mention code 11T08220.

Your order includes:

The fee of just $299 per CD allows you to share this valuable information with as many listeners from your facility as you wish

Access to the specially created presentation handouts (available 48 hours in advance)

The live Q&A with our expert following the presentation

Attendance certificates for all audio conference attendees

Formats available:

Live Audio Conference

CD

MP3 download

Streaming audio

Click here for more information

Sponsor:

The sponsor of this educational activity is AHC Media LLC.

The information provided in AHC Media audio conferences does not, and is not intended to constitute medical diagnoses or legal advice. Individual tracer methodology outcomes cannot be guaranteed. Opinions, references and links provided by our speakers are provided for your convenience and do not represent our endorsement of such opinions, products or services.