APC Coordinators Medical Records Directors Chargemaster Coordinators Emergency Department Managers CFOs & Finance Directors Outpatient Department Coders & Managers Reimbursement Specialists Regulatory Specialists Coders & Billers Compliance Officers Billing Managers Patient Accounts Managers Clinic Administrators Ambulatory Surgery Directors Business Office Managers Consultants

8:00 - 9:00 a.m. Registration
Continental Breakfast and Refreshments

9:00 - 9:10 a.m. Day 1 Introduction

9:10 - 10:10 a.m.
Keynote: What Medicare Has in Store
for You in 2005
Improve your outpatient PPS operations and coding and billing practices and prepare for
the expected financial impact of the 2005 APC final rule by joining conference favorite Andrea Clark, RHIA CCS CPCH, president, Health Revenue Assurance Associates, Chapel Hill, N.C., as she outlines Medicare’s latest changes to APCs. She reviews the financial impact based on current payment rates, highlights HCPCS/CPT code changes you must be aware of and informs you of important key outpatient PPS issues to help you through the entire year.

10:10 - 10:30 a.m. Refreshment Break

10:30 a.m. - 12:00 p.m.
How to Avoid Common Outpatient Coding Errors and Come Out on Top
Outpatient coding presents a never-ending challenge to facilities due to increased changes in coding guidelines, technology, surgical techniques and Medicare direction through the CCI, LCDs and NCDs. In this valuable session, Pat Maccariella-Hafey, RHIA CCS CCS-P, director of education, Health Information Associates, Pawleys Island, S.C., alerts you to 11 areas of outpatient coding that present your biggest challenges and shares tips to resolve them.

12:00 - 1:15 p.m. Lunch – on us (Network with your peers!)

1:15 - 2:45 p.m.
Get Your Entitled Reimbursement in the ED by Taking Control of Your Chargemaster
Billing and coding errors in the ED can cost your hospital hundreds of thousands in entitled reimbursements. Discover how to properly use your ED’s chargemaster to reduce costly errors and lower your claims-error rate. Join Kathy Dean, CPC CPC-H, hospital outpatient consultant, Administrative Consultant Service, Shawnee, Okla., as she reveals how to optimize your ED reimbursement by building chargemaster items for procedures and points out frequently missed charges for services performed in the ED. Take knowledge back to your facility about APC reimbursement and compliance issues that will impact the financial outcomes of your ED.

2:45 - 3:00 p.m. Refreshment Break

3:00 - 4:00 p.m.
What You Won’t Find in the OIG Work Plan 2005: Guidance to Code Correctly, Capture Proper Charges and Avoid an Audit
From excessive modifier and unlisted CPT code use to erroneous coding, there are many billing issues that could raise red flags for HHS’s Office of Inspector General (OIG) and make you the target of an audit. This informative session headed by Jules Enatsky, RT BSN CPC-H, manager, Parente Randolph, Harrisburg, Pa., helps keep you on top of the latest outpatient PPS compliance issues that will be examined by the OIG in the coming year. Also learn about problems posed by duplicate service billing without modifiers, understand the fine line between billing fraud and coding errors and get pointers on how to make your compliance plan more efficient and effective.

4:00 - 5:00 p.m.
Coding Tips to Claim Entitled Reimbursement for 2 Key Radiology Services:
IMRT and 3-D Simulation
Drop the ball when it comes to IMRT and 3-D simulation coding, and you could be leaving a ton of cash on the table. Join Sally Eggleston , MBA, RT(T), director of business development, Revenue Cycle Inc., Austin, Texas, as she shows you steps to take to ensure that you’re not only coding correctly for these common radiology procedures, but that you’re also documenting this service properly. Discover how proper modifier use is essential when coding for IMRT and 3-D simulation, and also find out ways to make sure you’re receiving every dime you’re legally due in reimbursement.

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