Chargemaster (CDM) Policies 101
This complimentary webinar will cover best practices for chargemaster management policies and procedures for hospitals and health systems.
Craneware has implemented new chargemaster processes and tools in nearly 1/3 of US hospitals, and often we find teams operating without clear chargemaster policies and procedures. This presentation will provide a step-by-step guide to help your team define your CDM policies and procedures, as well as ways to improve upon existing written policies.
The following topics will be covered:
- Policies and Procedures – why they are important, critical elements
- How to create or update your CDM Policies and use a policy approval checklist
An overview of standard CDM policies:
- CDM Maintenance
- Charge Reconciliation
- Room and Bed Charging
Recommended for:
- Chargemaster Managers and Coordinators
- Revenue Cycle and Revenue Integrity Leadership
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How can pharmacy and financial teams improve pharmacy reimbursement by fixing common data gaps between the purchase history, the pharmacy formulary and the chargemaster?
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- The health system’s approach to correcting missing and incorrect multipliers, invalid HCPCS and other common revenue cycle issues
- Pharmacy revenue integrity best practices in Cerner Pharmnet
Share the Love!
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How can pharmacy and financial teams improve pharmacy reimbursement by fixing common data gaps between the purchase history, the pharmacy formulary and the chargemaster?
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- Pharmacy revenue cycle and revenue integrity challenges and how the one health system addressed them
- Pharmacy Cost-to-charge analytics
- The health system’s approach to correcting missing and incorrect multipliers, invalid HCPCS and other common revenue cycle issues
- Pharmacy revenue integrity best practices in Cerner Pharmnet
Share the Love!
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Connecting Pharmacy Cost Management and Reimbursement in Cerner PharmNet
How can pharmacy and financial teams improve pharmacy reimbursement by fixing common data gaps between the purchase history, the pharmacy formulary and the chargemaster? This webinar will cover: Pharmacy revenue cycle and revenue integrity...
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Develop a better understanding of how to manage the ever-changing payor requirements for outpatient Medical Necessity and Prior Authorization. Revenue Cycle expert Becky Kinsella will discuss the importance of communication and physician education in the development of Medical Necessity and Prior Authorization protocols, and share medical necessity best practices.
This webcast is being produced with the IL AAHAM and HFMA of Greater St. Louis, but registration is open to all. After this webinar you will be able to:
Recommended for:
Healthcare provider participants from the financial, clinical, and operational areas who want to understand better how to utilize the CDM in achieving best outcomes.
- Identify opportunities to reduce outpatient Medical Necessity and Prior Authorization denials
- Better understand the importance of utilizing Medical Necessity tools to ensure revenue integrity
- Learn how to develop and implement a best practice approach to Medical Necessity
- Understand the importance of accurate diagnosis coding and documentation
- Develop an understanding of the differences between Medical Necessity, Prior Authorization and Clinical Criteria requirements
- Learn how these requirements interact with Compliance
Share the Love!
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Develop a better understanding of how to manage the ever-changing payor requirements for outpatient Medical Necessity and Prior Authorization. Revenue Cycle expert Becky Kinsella will discuss the importance of communication and physician education in the development of Medical Necessity and Prior Authorization protocols, and share medical necessity best practices.
This webcast is being produced with the IL AAHAM and HFMA of Greater St. Louis, but registration is open to all. After this webinar you will be able to:
Recommended for:
Healthcare provider participants from the financial, clinical, and operational areas who want to understand better how to utilize the CDM in achieving best outcomes.
- Identify opportunities to reduce outpatient Medical Necessity and Prior Authorization denials
- Better understand the importance of utilizing Medical Necessity tools to ensure revenue integrity
- Learn how to develop and implement a best practice approach to Medical Necessity
- Understand the importance of accurate diagnosis coding and documentation
- Develop an understanding of the differences between Medical Necessity, Prior Authorization and Clinical Criteria requirements
- Learn how these requirements interact with Compliance
Share the Love!
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Preventing Medical Necessity and Prior Authorization Denials
Develop a better understanding of how to manage the ever-changing payor requirements for outpatient Medical Necessity and Prior Authorization. Revenue Cycle expert Becky Kinsella will discuss the importance of communication and physician education...
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The US Healthcare system continues its drive towards improved quality of care and reduced healthcare costs by shifting patient care from independent, fragmented healthcare entities to integrated healthcare systems that align facility, physician, and ancillary services. The result is an increased push for hospitals to expand their physician networks through physician contracting and ownership. Hospital revenue integrity departments are now managing more professional services than ever. This complimentary educational webinar will cover the key differences hospital revenue cycle departments need to understand when managing physician charge capture. The webinar will include best practices for managing professional service charge capture and effective physician communication.
An up-to-date and accurate CDM is vitally important to the financial stability and success of a healthcare organization. Regardless of the payment methodology, the CDM remains the linchpin of the revenue cycle. Healthcare leaders within the financial, clinical, and operational realms benefit from solid understanding of the CDM in the fast-changing value cycle for healthcare.
Learning Objectives:
- Identify charge capture variances between facility and professional services
- Comprehend key differences in professional and facility coding and regulatory reference data
- Effectively manage professional service charge capture in an integrated health system
- Understand how to engage professional service providers in improving health system revenue integrity
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Incorporating Physician Charge Capture in an Integrated Healthcare System [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => incorporating-physician-charge-capture-in-an-integrated-healthcare-system [to_ping] => [pinged] => [post_modified] => 2018-06-22 10:56:38 [post_modified_gmt] => 2018-06-22 10:56:38 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=29355 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 1 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 29355 [post_author] => 2 [post_date] => 2017-02-10 20:15:50 [post_date_gmt] => 2017-02-10 20:15:50 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000" _builder_version="3.2.2"][et_pb_row _builder_version="3.2.2"][et_pb_column type="4_4"][et_pb_video _builder_version="3.2.2" image_src="https://craneware.wpengine.com/wp-content/uploads/2018/06/physician-charge-capture-for-hospitals-webinar.jpg" play_icon_color="#0c71c3" max_width="65%" module_alignment="center" border_width_all="2px" box_shadow_style="preset3" border_color_all="#ecf0f1" src="https://craneware.wpengine.com/wp-content/uploads/2018/06/2017-02-Incorporating-Physician-Charge-Capture-in-an-Integrated-Healthcare-System.mp4" /][/et_pb_column][/et_pb_row][et_pb_row _builder_version="3.0.106" use_custom_width="on" custom_width_px="750px" module_class="webinar-body-text"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
The US Healthcare system continues its drive towards improved quality of care and reduced healthcare costs by shifting patient care from independent, fragmented healthcare entities to integrated healthcare systems that align facility, physician, and ancillary services. The result is an increased push for hospitals to expand their physician networks through physician contracting and ownership. Hospital revenue integrity departments are now managing more professional services than ever. This complimentary educational webinar will cover the key differences hospital revenue cycle departments need to understand when managing physician charge capture. The webinar will include best practices for managing professional service charge capture and effective physician communication.
An up-to-date and accurate CDM is vitally important to the financial stability and success of a healthcare organization. Regardless of the payment methodology, the CDM remains the linchpin of the revenue cycle. Healthcare leaders within the financial, clinical, and operational realms benefit from solid understanding of the CDM in the fast-changing value cycle for healthcare.
Learning Objectives:
- Identify charge capture variances between facility and professional services
- Comprehend key differences in professional and facility coding and regulatory reference data
- Effectively manage professional service charge capture in an integrated health system
- Understand how to engage professional service providers in improving health system revenue integrity
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Incorporating Physician Charge Capture in an Integrated Healthcare System
The US Healthcare system continues its drive towards improved quality of care and reduced healthcare costs by shifting patient care from independent, fragmented healthcare entities to integrated healthcare systems that align facility, physician,...
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