Chargemasters: Supplies, Devices & Compliance

Event Information
Product Format
Prerecorded Event
90 Minutes
Product Description

Successfully Categorize Supply Items in the Chargemaster to Prevent Fraud Charges and Revenue Leakage

Categorization of supply items, including drugs, is a difficult issue for hospital chargemaster personnel. Also, the use of tiered pricing relative to supplies has led to charge compression and the need for CMS to modify the cost reporting process. Additionally, the changes that CMS is making to the cost report relative to devices and device definitions lend additional confusion to a difficult topic.

In this Audio session, our expert Duane C. Abbey addresses the difficult task of determining how to categorize supply items in the chargemaster. He’ll give due consideration to the shifting stance and guidance provided by CMS over the past several years. Plus, particular attention is given to APCs and associated coding concepts of ‘not reporting separately’ and ‘not to be billed separately’. And, you’ll get answers to your most common questions:

  • Why are hospitals concerned about supplies and devices?
  • What is all the fuss about hospital charges?
  • Why is charge compression such a big deal?
  • Why has CMS changed the cost report for expensive devices?
  • Why do charges for expensive supplies really matter?
  • What is the difference between a routine and non-routine supply item?
  • Do DRGs and APCs treat expensive devices fairly for hospitals?
  • Are hospitals really allowed to charge separately for everything?

Highlights of the session:

  • Review how supplies can be categorized
  • Appreciate the use of proper revenue codes
  • Understand what supplies items are simply part of overhead expenses
  • Appreciate the Concept of ‘Integral Part’ Supply Items and Drugs
  • Understand CMS’s guidance relative to ‘not separately reporting’ and associated coding and claims filing processes
  • Appreciate the pricing process for expensive supply items and devices
  • Understand the impact of supply items and devices on APCs with particular attention to device-dependent APCs
  • Understand CMS changes to the cost reporting process to address charge compression with supply items and devices

Who should attend? Chargemaster Coordinators, Billing and Claims, Generation Personnel, Compliance Personnel, Patient Financial Management Personnel, Cost Accounting Personnel, Cost Report Personnel, Financial Analysts, Managed Care Contract Personnel, Revenue Enhancement Personnel, Chief Financial Officers, Chief Compliance Officers, Financial Planners, All Other Hospital Personnel Interested in Pricing and Proper Billing

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
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