Chargemasters: Proper Supply & Device Categorization
August 27 @ 11:30 am - 1:00 pm MDT
This session will address the difficult task of determining how to categorize supply items and devices in the chargemaster. Due consideration is given to the shifting stance and guidance provided by Centers for Medicare and Medicaid Services (CMS) over the past several years. Particular attention is given to APCs and associated coding concepts of “Not reporting separately” and “Not to be billed separately.” Categorization of supply items including drugs, is a difficult issue for hospital chargemaster personnel. The use of tiered pricing relative to supplies has led to charge compression and the need for CMS to modify the cost reporting process. Additionally, the changes that CMS is making to the cost report relative to devices and device definitions lends additional confusion to a difficult topic.
- List how supplies and devices can be categorized.
- Discuss what supply items are simply part of overhead expenses.
- Define the concept of “integral part” supply items and drugs.
- Explain CMS’s guidance relative to ‘not separately reporting’ and associated coding and claims filing processes.
- Describe the pricing process for expensive supply items and devices.
- Describe the impact of supply items and devices on Ambulatory Payment Classifications (APCs).
- Explain supply categorization and associated pricing relative to cost-to-charge ratios (CCRs).
- Describe the CMS changes to the cost-reporting process to address charge compression with supply items and devices.
Coordinators, billing and claims transaction personnel, compliance, and compliance officers, CFOs, managed care contract personnel, financial analysts, cost accounting personnel, financial planners and other hospital staff interested in billing and pricing.
Duane Abbey, PhD, CFP, Abbey & Abbey Consultants, Management Consultant and President
Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics for more than two decades.
His focus is in the areas of compliance, payment and delivery systems. In addition to consulting, he is an invited presenter for hospital associations, medical societies and other professional groups. Dr. Abbey is an established health care author.
The speaker has no real or perceived conflicts of interest that relate to this presentation.
August 20; 5:00 p.m. MDT | Registration fees are for one (1) connection.