Developing A Coding, Billing & Reimbursement Compliance Program

Still have the "It won't happen to us" mentality when it comes to compliance issues? Unfortunately, it can happen and it does…

Recently we've seen a dramatic increase in regulatory issues for a provider group that has received very little scrutiny in its relatively short history. Your institution can't afford to take a wait-and-see attitude before you have a compliance framework in place. 

Join compliance expert Duane Abbey for this 1-hour session, where you'll learn about a systematic approach compliance program. Duane will discuss covered vs. non-covered services, use of ABN, medical necessity, chargemaster compliance and so much more. 

PLUS: Critical Case Studies

Conference Objectives:

• To appreciate the PPACA (Patient Protection and Affordable Care Act) requirement for all healthcare provider to have a compliance plan. 
• To understand the broad spectrum of compliance areas to which hospitals, systems, physicians and clinics are subjected. 
• To understand the severity of current compliance issues, the auditing process, and associated penalties.
• To review issues relating to RAC, OIG and Medicare audits
• To appreciate the importance of written policies and procedures for coding, billing and the chargemaster. 
• To review those areas that are currently active and those that might become active. 
• To appreciate the need to look forward to future compliance issues including developing RAC audits. 
• To appreciate the need for a systematic approach to analyze, assess and take action relative to coding, billing and reimbursement issues. 
• To understand how a coding, billing and reimbursement program interfaces to the hospital corporate compliance plan 

Who should attend? All personnel involved with coding, billing, and reimbursement activities.  Chargemaster coordinators, compliance personnel, financial analysts, coding personnel, utilization review personnel, interested nursing staff, financial analysts, charge capture specialists, other interested clinical and administrative personnel.  Nurses and physician are encouraged to attend.