• Your own copy of the 2005    APC final rule, complete with    addendums A, B, D, E, H,    I and J • A blueprint for your facility’s   own internal auditing • Worksheets to help you navigate    Medicare’s on-line billing system • Reports, tip-sheets and billing   documents so you can identify   missed revenue opportunities   and understand the APC   financial impact

7:30 - 8:00 a.m.
Continental Breakfast and Refreshments

8:00 - 8:10 a.m. Day 2 Introduction

8:10 - 9:15 a.m.
Coding and Billing Properly for Fracture Treatment, Splinting and Strapping,
and Orthotics
These procedures remain among your toughest challenges. Kathy Dean, CPC CPC-H, hospital outpatient consultant, Administrative Consultant Service, Shawnee, Okla., shows you how to code fracture treatment and orthotic devices correctly to realize your hospital’s full reimbursement potential. Find out how to determine when it’s appropriate to code fracture treatment versus charging for a splinting or strapping procedure and see the correct way to charge for orthotic devices that are applied in the ED. Dean specifies the type of documentation that is needed in a patient’s record to correctly code fracture treatment and splinting and strapping, and points out the difference between a prefabricated orthotic and a custom fabricated orthotic, and the way to properly bill for these devices.

9:15 - 9:30 a.m. Refreshment Break

9:30 - 10:30 a.m.
Use Data Mining to Identify Your High-Risk Billing Patterns —
Before the Government Does
You can’t fix your billing problems without first spotting them, and data mining is the key. Both the government and whistleblowers already use it, so you can, too. Finding your vulnerabilities boosts compliance and helps ensure you receive entitled reimbursements. Join Linda Robinson, RN CPC, and Jules Enatsky, RT BSN CPC-H, managers for Parente Randolph, Harrisburg, Pa., as they show you how to play the government’s data-mining game and what to do with the information you uncover. Discover how the government and whistleblowers use data mining and what to do when you uncover billing problems.


10:30 a.m. - 12:00 p.m.
Internal Auditing Techniques to Secure APC Revenue Integrity
Andrea Clark, RHIA CCS CPCH, president, Health Revenue Assurance Associates, Chapel Hill, N.C., returns to share auditing techniques for the most common procedures performed in ambulatory surgery, ED and ancillary settings. Participate with hands-on examples which include documentation, reports and tip sheets, along with billing documents to identify missed revenue. Create your facility’s own internal auditing blueprint for 2005, as well as a step-by-step analysis for your APC revenue-impacted departments. You won’t want to miss this session!

12:00 p.m. Adjourn

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