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SEE OUR FULL AGENDA BELOW

The Revenue Integrity and Chargemaster Boot Camp provides education on chargemaster and revenue integrity concepts in a classroom format. The program will relate the chargemaster function to cost reporting and key operational issues, such as clinical documentation, charge capture, and HIM coding. It will also provide context for chargemaster maintenance within revenue integrity processes, which can help avoid denials and improve clean claim rates for Medicare and other payers.

AGENDA
Day 1

Module 1: Revenue Integrity Overview and Resources
Module 2: Eligibility Principles
Module 3: Benefits, Coverage and Medical Necessity
Module 4: Provider Types, Licensure, Enrollment, & Privileges
Exercises: Concepts of Revenue Integrity
Module 5: Charge Description Master Structure and Charge Capture Principles
Module 6: Claims Submission Fundamentals and Code Edits
Module 7: Special Medicare Billing Issues
Exercises: CDM Structure, Claims and Billing Issues

Day 2

Module 8: Strategies and Key Issues by Revenue Code: Routine Services and Observation
Module 9: Strategies and Key Issues by Revenue Code: Ancillary Services
Module 10: Strategies and Key Issues by Revenue Code: Other Departments
Exercises: Routine and Ancillary Services by Revenue Code
Module 11: Introduction to Payment Systems
Module 12: Outpatient Prospective Payment System (OPPS)
Module 13: Medicare Physician Fee Schedule (MPFS)
Exercises: Payment Systems
Module 14: Charge Description Master Management and Maintenance Strategies
Module 15: Denial Management
Module 16: Payer Contracting Strategies
Exercises: Strategies for CDM Management, Denials and Payer Contracting

Course Outline/Agenda subject to change.

Have a group to train? Bring this boot camp to your organization!

Bring our industry-leading instructors to your facility to teach one of our existing Boot Camps or a program customized specifically for your organization.

customerservice@hcpro.com | 800-650-6787 | www.hcmarketplace.com

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MAGNET(TM), MAGNET RECOGNITION PROGRAM(R), and ANCC MAGNET RECOGNITION(R) are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). HCPro is not affiliated in any way with the Institute for Healthcare Improvement (IHI).