Chargemaster Coding Updates and Implementation for 2015 Hospital Coding & Billing Updates Effective January 1, 2015

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1 Chargemaster Coding Updates and Implementation for 2015 Hospital Coding & Billing Updates Effective January 1, 2015 Who should attend? This seminar is targeted to individuals responsible for APCs, Billing, Revenue Cycle Management and Chargemaster Maintenance. The following individuals are encouraged to attend: Coders/Managers/Directors; Chargemaster/APC Coordinators; Revenue Cycle Managers; Perioperative Services Directors; Health Information/Medical Records Managers; Director of Patient Financial Services; Billing Office/Business Office Managers; Pharmacy Directors; Supply Chain and Purchasing Managers; Ancillary Departments; OR and Materials Management; Nurse Auditors; Compliance Auditors. Upon completion of the program, participants will be able to: Incorporate 2015 codes to individual facility s chargemasters Describe reporting scenarios for reporting new CPT Codes Identify impact of new reimbursement levels for APC payments Be prepared for the HCPCS code revisions, changes and additions beginning on January 1, 2015 Be prepared to provide departmental-specific guidance in the proper reporting and utilization of the new codes Understand the impact of status indicator changes for 2015 Understand the 2015 coding changes for drugs, radiopharmaceuticals and contrast and the impact on your reimbursement Understand importance of correctly billing Add-on IPPS payments for new technology devices Explain the importance of accurate revenue code assignment Impact on CAH facilities and operational differences for billing and reimbursement I. Introduction to 2015 Coding and APC Updates a. Overview of significant payment impacts for 2015 b. Status indicator revisions c. Anticipated operational challenges relative to new CMS reporting guidelines II. Review Changes for Supplies, Devices, Biologicals and Pharmaceuticals a. Pharmaceutical Reimbursement Impacts Review of payment changes and financial forecasts HCPCS changes Pharmacy Self Administered versus Supply Drugs anything new? Billing/documentation for discarded products Contrast Updates Radiopharmaceutical Updates b. Supplies and Biologicals Procedure-to-device/Device-to-Procedure Edits

2 New Technology and Pass-Through Payments Chargemaster Required Revisions for CY2015 DMEPOS Updates Incorporating new Biological Products into the Chargemaster III. New Updates Impacting Chargemaster a. Laboratory-Another Exciting Year Chemistry, Immunology, Pathology and Microbiology Revisions Molecular pathology Any changes? b. Radiology New, revised and deleted codes review Consolidation of more radiology procedures c. Surgical Procedures Review of Surgical Section Revisions relative to the Chargemaster d. New Category III Codes Discussion and review of the new Cat III Codes for 2015 e. Observation Challenges in 2015 f. Impact on reimbursement for hospitals IV. Infusions and Injections Anything new? a. Injections/Immunizations b. Chemotherapy/therapeutic administration V. Wound Therapy and Hyperbaric Oxygen Therapy a. Impact on improper reporting of services by providers VI. Rehabilitation Services a. Review of new CPT/HCPCS coding requirements for 2015 VII. Pulmonary Rehab/Intensive Cardiac Rehabilitation a. Anything new? VIII. Evaluation and Management Codes a. New chargemaster challenges b. Review of E/Ms for Emergency Departments c. Anything new for Critical Care? Speaker: Glenda J. Schuler, RHIT, CPC, CPC-H, AHIMA-Approved ICD-10-CM/PCS Trainer, is VP of Revenue Cycle Solutions for HealthCare Consulting Solutions. Glenda brings an extensive background in chargemaster, billing, operations, ICD-9-CM/DRG coding and hospital CPT-4 coding, and has over 30 years of healthcare industry experience and expertise in all areas of health information, medical records, utilization review, patient access and business services. Additionally, she s an expert in third party reimbursement, electronic submission of claims, billing and collections, and revenue cycle solutions. She has developed and conducted coding and reimbursement seminars and has been a featured speaker nationwide on the topic of Medicare ambulatory payment classification (APC) groups and their impact on hospital operations. She is an active member of the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders, and is a nationally featured speaker for the American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA), VHA, and OptumInsight.

3 Schedule Registration begins at 8:00 a.m.; program begins at 8:30 a.m. and concludes at 3:30 p.m. including time for questions/answers. Continental Breakfast, lunch and breaks are provided. Program Site Radisson Hotel Bismarck Phone: E. Broadway Ave Rates: $109 flat rate + tax Bismarck, ND Room block released October 19, 2014 Registration NDHA/HFMA Member Fees: 1 st and 2 nd Registrant $ per person Additional Registrants $ per person Non-member Fees $ per person A member hospital is referred to as an individual facility, not a hospital system. Fees reflect the cost of program development, administration, promotion, faculty expenses, materials, lunch and break items. A late fee of $25 will be added if registration is received after November 10, NDHA wishes to take those steps required to ensure no individual with a disability is excluded, denied service, segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids and services. NDHA reserves the right to cancel or reschedule due to an insufficient number of registrants or other unforeseen circumstances. Registration fees, less a $25 cancellation fee are refundable if notice is received five working days prior to the program date. Registrants unable to attend may send an alternate. No shows will be billed. Space is limited!! Certificates of attendance will be provided for all participants.

4 Chargemaster Updates /20/2014 Organization Address City/State/Zip Phone 1. Registrant Name Title 2. Registrant Name Title 3. Registrant Name Title 4. Registrant Name Title Registration NDHA/HFMA Member Fees: 1 st and 2 nd Registrant $ per person # x $179 = $ Additional Registrants $ per person # x $159 = $ Non-member Fees $ per person # x $300 = $ TOTAL DUE = $ For additional information, contact Pam Cook at pcook@ndha.org or (701) You may register for this program in any of the following ways: Mail this completed form to: North Dakota Hospital Association PO Box 7340, Bismarck ND Fax this form to (701) Online at under Education

5 If you do not receive a confirmation , please contact our office.