Chargemasters: How to Properly Categorize Supplies & Devices

Event Information
Product Format
Prerecorded Event
90 minutes
Product Description

Take Control of Your Chargemaster Like a Real Pro

With CMS’ shifting stance and ever-changing guidance over the past several years, your task of determining how to categorize supply items and devices in the chargemaster is nothing short of difficult. Categorizing supply items, including drugs, is a tough issue for hospital chargemaster personnel – and the use of tiered pricing relative to supplies has led to charge compression and CMS modifications to the cost reporting process. On top of everything, now CMS is revamping the cost report for devices and device definitions, compounding the confusion.

Clear up your chargemaster confusion in this live audio conference by healthcare compliance expert Duane C. Abbey, PhD. Take a deep dive into supply and device categorization, including the main supply categories, the issues surrounding supplies, changes in device definitions, pricing and cost accounting concerns, and much more.

After attending this audio session, you will have the know-how you need to tackle supply and device categorization in the chargemaster. You’ll understand how to address compliance issues like “not separately reportable/billable” and other CMS compliance concerns. Plus, you will get special expert insights into Ambulatory Payment Classification (APC) issues, such as charging versus billing, device-dependent APCs, and supply categorization relative to APC weight development. And if you’re interested, you will receive the latest version of the ‘Supply Categorization Position Paper’.

Session Objectives

This program will teach you how to:

  • Expertly and accurately categorize supplies and devices – and use proper revenue codes.
  • Identify which supply items are simply part of overhead expenses.
  • Understand the concept of “integral part” supply items and drugs.
  • Decode CMS’ guidance on “not separately reporting” and associated coding and claims filing processes.
  • Understand the pricing process for expensive supply items and devices, as well as how to get inexpensive supplies off the chargemaster.
  • Get a handle on supply categorization and associated pricing relative to Cost-to-Charge Ratios (CCRs).
  • Anticipate the impact of supply items and devices on APCs, with special attention on device-dependent APCs.
  • Understand CMS’ changes to the cost reporting process for addressing charge compression with supply items and devices

Session Agenda

  • Overview of Supply and Device Categorization
    • What is a supply?
    • Issues surrounding supplies
  • Main supply categories
    • Non-covered
    • Overhead
    • Integral part
    • Separately chargeable
    • Separately billable/separately reportable
  • Chargemaster development decisions
    • Categorizing supplies, devices, drugs and biologicals
    • Pricing and cost accounting concerns
    • Cost report interface to chargemaster
  • Devices
    • Changes in definition
    • Proper categorization
    • Implantable devices
  • APC concerns
    • Charging versus billing
    • Device-dependent APCs
    • Supply categorization relative to APC weight development
  • Compliance issues
    • ‘Not separately reportable’
    • ‘Not separately billable’
    • CMS compliance concerns
  • Related cost report issues
    • Cost-to-charge ratios (CCRs)
    • Tiered pricing and charge compression
  • Special situations
  • Chargemaster coordinator action steps

Who Should Attend

  • Chargemaster Coordinators
  • Billing and claims general 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

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-844-384-4744 Today

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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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