Provided by MHA Health Institute
Date & Location
Thursday, Nov. 30, 2017
Missouri Hospital Association
4712 Country Club Drive
Jefferson City, MO 65109
Register on or before Wednesday, Nov. 15.
MHA-member — $299
MoHIMA member — $349
Nonmember — $399
The registration fee includes continental breakfast, refreshments, lunch and electronic access to program materials. This seminar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.
MHA mailed coupons to MHA-member hospital CEOs on Jan. 13. One coupon may be applied toward your registration fee.
This seminar is for individuals responsible for ambulatory payment classifications, billing, revenue cycle management and chargemaster maintenance, including coders/managers/directors, chargemaster/APC coordinators, revenue cycle managers, perioperative services directors, health information/medical records managers, directors of patient financial services, billing office/business office managers, pharmacy directors, supply chain and purchasing managers, ancillary departments, nurse auditors and compliance auditors.
The Centers for Medicare & Medicaid Services has promised another transformative year for health care facilities by issuing significant revisions impacting hospital operations and processes. This program will review the important components specific to ambulatory payment classifications, chargemasters, current procedural terminology codes, pharmacies and pass-through’s.
Upon completion of this program, participants will be able to:
- incorporate 2018 codes to individual facility’s chargemasters
- describe reporting scenarios for reporting new CPT codes
- identify the impact of new reimbursement levels for APC payments
- be prepared for the health care common procedure coding system’s code revisions, changes and additions beginning Jan. 1, 2018
- discuss the impact of status indicator changes for 2018
- review billing packaged items and services requirements for 2018 codes
- discuss changes to billing device-dependent APCs
- review the 2018 coding changes for drugs, radiopharmaceuticals and contrast, and the impact on reimbursement
- discuss the importance of correctly billing add-on inpatient PPS’ for new technology devices
- discuss how to provide departmental-specific guidance in the proper reporting and utilization of the new codes
- review CMS instructions regarding accurate units of service
- explain the importance of accurate revenue code assignment
- discuss the impact of accurate and complete reporting of supply/device costs and future payments
- discuss the payment for new drugs not yet assigned a specific drug HCPCS code and the risk of billing nonformulary drug changes
7:30 a.m. — Registration/Continental Breakfast
8 a.m. — Introduction to 2018 Coding and APC Updates
- significant payment impacts for 2018
- status indicator revisions
- anticipated operational challenges relative to new CMS reporting guidelines
Review Changes for Supplies, Devices, Biologicals and Pharmaceuticals
- pharmaceutical reimbursement impacts
- review of payment changes and financial forecasts
- HCPCS changes — pharmacy
- billing/documentation for discarded products
- contrast updates
- radiopharmaceutical updates
10:30 a.m. — Break
10:45 a.m. — Supplies and Biologicals
- procedure-to-device/device-to-procedure edits
- new technology and pass-through payments
- chargemaster required revisions for calendar year 2018
- durable medical equipment, prosthetics, orthotics and supplies updates
- incorporating new biological products into the chargemaster
New Updates Affecting Chargemaster
Laboratory-Another Exciting Year
- chemistry, immunology, pathology and microbiology revisions
- molecular pathology
- new, revised and deleted codes review
- consolidation of more radiology procedures
- review of surgical section revisions relative to the chargemaster
Noon — Lunch (provided)
1 p.m. — New Category III Codes
- discussion and review of the new category III codes for 2018
Observation Challenges in 2018
- operational challenges
- review OPPS reimbursement updates
The Impact in Reimbursement for Hospitals
Infusions and Injections
- chemotherapy/therapeutic administration
Wound Therapy and Hyperbaric Oxygen Therapy
- effects on improper reporting of services by providers
Transitioning of More Surgical CPT Codes From Inpatient Only
- payment for use of modifier — CA
- review inpatient only list and CDM requirements
2 p.m. — Break
2:15 p.m. — Rehabilitation Services
- review of new CPT/HCPCS coding requirements for 2018
- pulmonary rehab/intensive cardiac rehabilitation
Evaluation and Management Codes
- new chargemaster challenges
- review of E/M codes for emergency departments
3:30 p.m. — Adjournment
Glenda J. Schuler, RHIT, CPC, CPC-H
Vice President of Revenue Cycle Solutions
HealthCare Consulting Solutions
Shawnee Mission, Kan.
With more than 39 years of experience, Schuler has an extensive background in coding and hospital CPT-4 coding. Her expertise encompasses all areas of medical records, as well as utilization review and patient business services. She has extensive knowledge of third-party reimbursement, electronic submission of claims, and billing and collection issues.
As a health care consultant, her areas of expertise include ICD-9-CM/DRG coding, hospital CPT coding and APC, as well as chargemaster coding and reimbursement, and charge capture. She has developed and conducted coding and reimbursement seminars, and has been a featured speaker nationwide on Medicare APC groups and their impact on hospital operations. Schuler is an active member of the American Health Information Management Association and the American Academy of Professional Coders.
Participants must attend the program in its entirety to receive a certificate of completion and continuing education contact hours.
Coders — This program has prior approval of the American Academy of Professional Coders for 4 continuing education units. Granting of this approval in no way constitutes endorsement by the academy for the program, content or program sponsor.
All Other Participants — A certificate of attendance for 4 clock hours will be awarded.