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© Copyright 2009 American Health Information Management Association. All rights reserved.
Getting the Most Out of Your Revenue Cycle
Audio Seminar/Webinar January 29, 2009
Practical Tools for Seminar Learning
Disclaimer
AHIMA 2009 Audio Seminar Series • http://campus.ahima.org/audio American Health Information Management Association • 233 N. Michigan Ave., 21st Floor, Chicago, Illinois
i
The American Health Information Management Association makes no representation or guarantee with respect to the contents herein and specifically disclaims any implied guarantee of suitability for any specific purpose. AHIMA has no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this audio seminar, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this program. AHIMA makes no guarantee that the use of this program will prevent differences of opinion or disputes with Medicare or other third party payers as to the amount that will be paid to providers of service. As a provider of continuing education the American Health Information Management Association (AHIMA) must assure balance, independence, objectivity and scientific rigor in all of its endeavors. AHIMA is solely responsible for control of program objectives and content and the selection of presenters. All speakers and planning committee members are expected to disclose to the audience: (1) any significant financial interest or other relationships with the manufacturer(s) or provider(s) of any commercial product(s) or services(s) discussed in an educational presentation; (2) any significant financial interest or other relationship with any companies providing commercial support for the activity; and (3) if the presentation will include discussion of investigational or unlabeled uses of a product. The intent of this requirement is not to prevent a speaker with commercial affiliations from presenting, but rather to provide the participants with information from which they may make their own judgments.
Faculty
AHIMA 2009 Audio Seminar Series ii
Stacie M. Smith, MBA, RHIA
Stacie Smith, MBA, RHIA, is a senior HIM consultant with Precyse Solutions in Wayne, PA. Ms. Smith has over 15 years of experience as a manager and consultant in the HIM field. She has participated on 2 practice briefs for AHIMA and held many capacitates in state and local HIMA.
Karen Youmans, MPA, RHIA, CCS
Karen G. Youmans, MPA, RHIA, CCS, is president of YES HIM Consulting in Largo, FL. Ms. Youmans has over 25 years of experience as a manager, educator, and consultant in the HIM field. She has also written numerous articles on health information topics, and is the author of Basic Healthcare Statistics for Health Information Management Professionals, published by AHIMA.
Table of Contents
AHIMA 2009 Audio Seminar Series
Disclaimer ..................................................................................................................... i Faculty ......................................................................................................................... ii Objectives ..................................................................................................................... 1 Definitions of the Revenue Cycle ..................................................................................... 1 Common Reasons for Lost Reimbursement .................................................................... 2-3 Top 10 Revenue Cycle Mistakes .................................................................................... 3-4 Presentation Outline ....................................................................................................... 5 Revenue Cycle Performance Indicators .......................................................................... 5-6 The Revenue Cycle Team or A/R Task Force .................................................................. 6-7 Sample Revenue Cycle Team Objectives .......................................................................... 8 Typical Measurements/Indicators ..................................................................................... 8 Example Best Practice Standards ................................................................................. 9-11 The HIM Role on Revenue Cycle Team ............................................................................ 11 Processes Within HIM to Target ...................................................................................... 12 Accurate Clinical Documentation ..................................................................................... 12 A CDI Program Would benefit an Organization if: ............................................................. 13 Elements to a Successful CDIP ....................................................................................... 13 HIM’s Role in a CDIP ..................................................................................................... 14 CDIP Committee ...................................................................................................... 14-15 CDI ....................................................................................................................... 15 Unbilled Management .................................................................................................... 16 The HIM Role in Unbilled Management ............................................................................ 16 HIM Factors for Successful Lower DNFB .......................................................................... 17 Information Systems ..................................................................................................... 18 Unbilled Management Example Grids ......................................................................... 18-19 HIM Report Samples ................................................................................................. 20-21 Chargemaster .......................................................................................................... 21-22 Chargemaster Team ................................................................................................. 22-23 Case Mix Index ........................................................................................................ 23-24 Future Areas of Focus .................................................................................................... 25 Revenue Cycle Challenges .............................................................................................. 25 Sample Suggested References ........................................................................................ 26 Resource/Reference List ........................................................................................... 26-27 Audio Seminar Discussion and Audio Seminar Information Online ...................................... 28 Upcoming Audio Seminars ............................................................................................ 29 Thank You/Evaluation Form and CE Certificate (Web Address) .......................................... 29 Appendix .................................................................................................................. 30 Resource/Reference List ....................................................................................... 31 CE Certificate Instructions
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 1
Notes/Comments/Questions
Objectives
Provide the purpose and role of HIM in revenue cycle managementIdentify demands and complexities in managing the revenue cycleIllustrate different approaches for solutions for managing revenue
1
Definitions of the Revenue Cycle
“The processes and associated suite of software applications required to manage the registration, charging, billing and
payment collections tasks associated with a patient encounter.”
*2007 HIMSS Analytics Report
“All administrative and clinical functions that contribute to the capture, management, and
collection of patient service revenue.”* HFMA Glossary
2
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 2
Notes/Comments/Questions
Common Reasons for Lost Reimbursement
1) CDM• Invalid CPT®/HCPCS codes• Illogical revenue code assignments• CDM description inconsistent with AMA
standards• CPT®/HCPCS codes not in CDM• New items & services not on CDM• Surgical codes• Explosion codes• Lack of department reviews
3
Common Reasons for Lost Reimbursement
2) Billing• Inconsistency between CDM & charge
screens/charge tickets• Inaccurate charge entry• Routine supplies• Non-covered services (ABN not obtained)• Not using payer-specific CPT® codes• Modifier assignment• ER mapping system
4
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 3
Notes/Comments/Questions
Common Reasons for Lost Reimbursement
3) Coding• Documentation lacking• Lack of Coding Education• Documentation does not support Medical
Necessity• Modifiers - appropriate/inappropriate use• Modifier assignment - accommodated in
CDM or assigned at time of billing• Local Coverage Determination (LCD)
5
Top 10 Revenue Cycle Mistakes
1. Rely on back-end rework to correct front-end errors;
2. Don’t report revenue cycle metrics to operational managers;
3. Don’t confirm payment prior to service;
4. Rely on post date of service billing and collections to pursue all patient payments;
6
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 4
Notes/Comments/Questions
Top 10 Revenue Cycle Mistakes
5. Have rigid payment requirements;6. Rely on physicians to correctly and
completely document services rendered;
7. Focus sporadically on quality and training;
8. Allow accountability for results to be somewhat fuzzy;
7
Top 10 Revenue Cycle Mistakes
9. Leave performance metrics as an afterthought; and
10. Use nonstandard definitions and procedures for recording errors, denials, an write-offs.
8
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 5
Notes/Comments/Questions
Presentation Outline
AR Task Force – KarenCDI – StacieUnbilled Management – KarenCDM – Stacie
9
Revenue Cycle Performance Indicators
Define, measure, and interpret indicators that go beyond gross receivables, cash and A/R daysDevelop a comprehensive set of key indicator graphs to communicate revenue cycle performanceRelate indicators to one another and understand processes that support achievement of results
10
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 6
Notes/Comments/Questions
Revenue Cycle Performance Indicators
Understand best practice goals, upper and lower control limits, and the importance of managing trendsPerform a mini-assessment of your revenue cycle operations using an improved financial indicators checklist as well as related process stepsUse a rigorous set of metrics to help drive continuous improvement
*HFMA 2005 11
The Revenue Cycle Team or A/R Task Force
1. Champion the need to have a Revenue Cycle Team or “A/R Task Force”;
2. Determine membership of the Team;3. Assess the baseline knowledge of the Team
members;4. Determine the necessary education for all
Team members;5. Define Team Goals and set Ground Rules for
meetings;6. Identify and Define Data Needs and
Sources;12
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
The Revenue Cycle Team or A/R Task Force
7. Standardize Language and Data Reporting;8. Develop Key Indicators/Measurement
along the entire Revenue cycle; 9. Perform a Gap Analysis;10. Define Team and Facility Responsibilities
(e.g. Identify Appropriate Types of Issues for the Team to address);
11. Prioritize Issues and Problem Areas;
13
The Revenue Cycle Team or A/R Task Force
12. Educate your Team (Ongoing);13. Educate your Facility (Ongoing);
• Revenue cycle manual• Clinical staff• Targeted problem areas• Annual updates
RegulatoryCoding
14. Coordination of upgrades/updates; and15. Your work is ongoing…
14
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 8
Notes/Comments/Questions
Sample Revenue Cycle Team Objectives
Identify issues resulting in increased A/RPrioritize issues to addressDiscuss intermediate measurements/indicatorsCommunicate issues to appropriate areasSolve problems collaboratively Distribute educational material and provide trainingReview denials and actively discuss appeal process and successDevelop a “map” or “blueprint” on how to bring up new services
15
Typical Measurements/Indicators
DNFB $ (Discharged Not Final Billed)A/R daysBill hold days% and $ of write-offs% of clean claims% of RTPs (Return to Provider)% of denials% of accounts missing documents# of query forms% of late charges% of accurate registrations 16
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 9
Notes/Comments/Questions
Example Best Practice Standards
Overall pre-registration rate of scheduled patients ≥ 98%Overall insurance verification rate of scheduled patients ≥ 98%Average registration interview duration ≤ 10 minutesData quality compared with pre-established dept standards ≥ 99%Master patient index duplicates created daily as a percentage of total registrations ≤ 1%Collection of elective services deposits prior to service 100%
*July, 2007 Healthcare Financial Mgmt 17
Example Best Practice Standards
Late charge hold period 2-4 daysLate charges as a percentage of total charges ≤ 2%Chargemaster duplicate items 0%Chargemaster revenue code lacks necessary HCPCS/CPT-4 code 0%Chargemaster item price less than hospital OPPS APC rate 0%HIPAA compliance electronic claim submission rate 100%
*July, 2007 Healthcare Financial Mgmt 18
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 10
Notes/Comments/Questions
Example Best Practice Standards
Bad debt write offs as a percentage of gross revenue ≤ 3%DNFB A/R days (includes late charge hold period) ≤ 4-6 A/R daysOverall denials rate ≤ 4%Medicare return to provider denials rate ≤ 3%Appeal denials overturned rate 40 – 60%Inpatient charts coded per coder/per day 23-26
*July, 2007 Healthcare Financial Mgmt 19
Example Best Practice Standards
Observation charts coded per coder/day 36-40Ambulatory surgery charts coded per coder/per day 36-40Outpatient charts coded per coder/day 150-230ED charts coded per coder/per day 150-230
*July, 2007 Healthcare Financial Mgmt 20
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
Example Best Practice Standards
AHIMA vs. HFMAAHIMA HFMA
ED 120/day ED 150-230/dayAncillary 240/day Ancillary 150-230Amb Surg 40/day Amb Surg 36-40Inpatient 24/day Inpatient 23-26
21
The HIM Role on Revenue Cycle Team
Great knowledge baseLiaison between all areasCoding a common focusCoded Data ExpertsCoding Accuracy and ConsistencyCase mix AnalysisDRG/APC ExpertsEducation / presentations / trainingsDocumentation expertsHolder of the “Rework” Effort
22
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
Processes Within HIM to Target
Demographic collection and MRNMedical information collectionComplianceDocumentation enhancementCoding educationDNFBChargemaster (CDM)Data quality reviewFailed claims reviewThird-party coding and billing audits
23
Accurate Clinical Documentation
Improves Patient Quality CareImproves Coded Data AccuracyReduces Claims Denial, Which Will Improve Financial Performance
24
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 13
Notes/Comments/Questions
A CDI Program Would Benefit an Organization if:
A collaborative multidisciplinary approach to concurrent documentation does not exist in your facilityThe impact of MS-DRGs for your facility is being reviewed and analyzedYour CMI does not accurately reflect the acuity of patients treated in your facilityMedical Staff CMEs have not included topics such as documentation, POAs or comparative data reportingA backlog of retrospective physician queries for inpatients impacts the flow of the revenue cycle in your facility
25
Elements to a Successful CDIP
Brief overview:A program that is founded in strong business principlesInterdepartmental “buy in”Coordination of Multi-servicesKey Players and TrainingTracking, measures, scope, and communication
26
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
HIM’s Role in a CDIP
Some of the roles that HIM can be involved in with a CDIP include:• Managing/partnering with CDS• Working with the CDSs to help educate
the physicians • Working with the CDSs to get the most
appropriate MS-DRG
27
CDIP Committee
Members may include• HIM Director• Coding manager• Case Management/UR• CDI Specialist• Finance• Revenue Cycle Director• Compliance Officer• CFO
28
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 15
Notes/Comments/Questions
CDIP Committee
Roles of the committee• Establish the roles/expectations of the
committee/members• Set goals with target dates• Identify the procedures• Establish metrics• Review/monitor reports/trends• Monitor the Return on Investment• Define the population
29
CDI
Keys to a successful CDI program• Documentation• Education• Documentation• Education• Documentation• Education
30
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 16
Notes/Comments/Questions
Unbilled Management
RTP/Denials ManagementResponse to Business Office/PFS RequestsEdit Correction (OCE and Groupers)Policy Development Based on Corporate GuidanceData Presentation Data AnalysisWrite Off PreparationAdditional Documentation Requests
31
The HIM Role in Unbilled Management
Be responsible for our portion of the revenue cycle “pie”Typically if an account appears on the DNFB report, it is assumed that it is “due to coding”Differentiate what’s in your bucket, and what’s not, using unbilled “reason codes” via your abstracting system
32
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
HIM Factors for Successful Lower DNFB
Coding experienceDocument imaging supportPhysician involvement in coding policyNewsletter communicationsHIM credentialsAutomated workflow management
33
HIM Factors for Successful Lower DNFB
Formal cross-departmental groupsInformal cross-departmental communicationHIM participation in Revenue Cycle MgmtEstablished and realistic HIM coding expectationsCross-training of HIM codersAvailability of coding talentEducation in RCM processes for staff
34
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 18
Notes/Comments/Questions
Information Systems
“Effective Revenue Cycle Management (RCM) strategies will depend on next generation clinical and financial information systems to address RCM from a care-based perspective in order for organizations to fully realize their revenue potential as the paradigm of reimbursement continues to shift towards payment based on quality and performance.”
*2007 HIMSS Analytics Report 35
Unbilled Management Example GridsMR ACCOUNTS WITH NOTES AS OF 08/24/2007ACCT NBR PATIENT NAME PT DSCHRG CHGS ------------------------------------------------------------------------------------Missing Cardiac CathXXXXXXXX NAME DAY 08/14/2007 1341.10 XXXXXXXX NAME DAY 08/21/2007 12392.85
TOTAL FOR Missing Cardiac Cath 2 13733.95
Registration Pt Type IncorrectXXXXXxXX NAME DAY 06/20/2007 1526.80 XXXXXxXX NAME DAY 06/22/2007 2984.60 XXXXXxXX NAME DAY 06/26/2007 2529.80 XXXXXxXX NAME DAY 07/12/2007 3550.00 XXXXXxXX NAME DAY 07/18/2007 4149.80 XXXXXxXX NAME OP 07/31/2007 1813.00 XXXXXxXX NAME OP 08/09/2007 3236.20 XXXXXxXX NAME OP 08/12/2007 3156.30
TOTAL FOR Registration Pt Type Incorrect 8 22946.5036
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 19
Notes/Comments/Questions
Unbilled Management Example GridsMD Query
XXXXXxXX NAME DAY 07/03/2007 5754.70 XXXXXxXX NAME DAY 07/05/2007 2563.85 XXXXXxXX NAME DAY 07/10/2007 7468.40 XXXXXxXX NAME DAY 07/11/2007 4063.40 XXXXXxXX NAME DAY 07/11/2007 4190.80 XXXXXxXX NAME IP 07/28/2007 29229.22 XXXXXxXX NAME IP 07/30/2007 7474.70 XXXXXxXX NAME IP 07/31/2007 11981.95 XXXXXxXX NAME IP 08/05/2007 11223.45 XXXXXxXX NAME IP 08/07/2007 7660.85
TOTAL FOR MD Query 10 91611.32
37
Unbilled Management Example Grids
TOTAL FOR Missing OP Report 18 332192.01
TOTAL FOR Illegible Order - Lab 13 6786.60
TOTAL FOR Missing Path 1 3334.05
TOTAL FOR LAB 105 31000.30
TOTAL FOR Illegible Order - Rad 5 2161.85
TOTAL FOR Invalid Dx - DI 18 18815.85
38
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
HIM Report Samples
CodeableGoal $(Below)
Goal Variance
of Codeable
Not Codeable
Goal $(Below)
Goal Variance of
Not Codeable
Average $/Claim of Codeable
Average $/Claim of Not Codeable
# Accts Total $ # Accts Total $ # Accts Total $IP 58 149,905 52 603,951 110 753,855 2,585 11,614
SDS 266 656,505 64 225,131 330 881,636 2,468 3,518ED 322 294,228 44 55,820 366 350,048 914 1,269
OP/Other 168 127,174 57 44,127 225 171,302 757 774Totals 814 $1,227,813 217 $929,029 1,031 $2,156,842 $1,600,000 -$372,187 $800,000 $129,029 $1,508 $4,281
Note: two days of A/R
Medical Records Coding, Post Bill Hold
Codeable Not Codeable* Total
39
# Accts Total $CATHCHRGDATE 6 1,265 211
CO 1 1,593 1,593DS 1 8,919 8,919
DUPDX 3 2,063 688HP 31 86,912 2,804
LAB 24 102,668 428MC 28 255,809 9,136
NEW 1 2,769 2,769NR 9 8,341 927NS OP 31 188,238 6,072
PATH 10 91,960 9,196QUERY 9 68,463 7,607
RRAD
SC 32 23,661 739SO
SUP 1 91 91TD TH TO 7 67,703 9,672TC
CODE 4 13,926 3,481CXL
PNAUD 2 758 379SWINV 2 227 113
SIGNSCAN ZERO
SCMOB 2 400 200SCMRI 11 2,903 264 script missing MRISCCAR 2 358 179 script missing CardiacTotals 217 $929,029 $4,281
Medical Records Not Codeable, Post Bill Hold- Not Codeable Average
$/Claim Reason Descriptioncath report missingreview charges - Business Officedate missing on scriptconsultation missingdischarge summary missingduplicate account numbersdiagnosis missinghistory & physical not dictatedlab report missingmissing chartpending load of new codesnever received chart from unitNot Scannedop report not dictatedpathology report missingphysician clarification requiredreadmitted patientradiology report missingscript missingrecord signed out of medical recordssupplies onlydischarge summary pending transcH&P pending transcriptionop report pending transcriptionconsult pending transcriptionneeds codingcancelled procedureprogress note missingauditsocial work reviewInvalid diagnosisscript missing physician signaturescanned account.00 dollar accounts that had charges droppedscript missing MOB
40
Getting the Most Out of Your Revenue Cycle
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Notes/Comments/Questions
HIM Report Samples
5.395.565.695.505.69Days Unbilled
$ 16,733,962 $16,660,776$17,238,624 $ 16,957,903 $17,632,033 Total Unbilled
$862,872 $789,568 $358,968 $ 1,174,009 $381,901 Series Outpatients
$5,343,641 $4,903,840 $5,310,786 $ 3,456,803 $5,613,900 OutpatientDiagnostics
$421,172 $356,367 $426,444 $ 326,114 $423,086 ED
$1,876,037$3,142,776 $2,499,974 $ 2,869,799 $2,570,750 Ambulatory Surgery
$8,230,240 $7,468,224 $8,642,452 $ 9,131,178 $8,642,396 Inpatient
Coding Dollars
12/30/2007
Year toDate Avg
QuarterlyAvg
Month toDate AvgGoalWeek
EndingFunction
41
Chargemaster
What is a Chargemaster (CDM)?• The CDM is a listing of all services and
procedures, and related charges provided to patients. To allow the hospital to charge for services and procedures, the CDM contains required descriptions and codes in support of the billings of services to patients or third-party payers in compliance with federal, state and local payor requirements. The CDM is used also for a basis for cost accounting/decision support and clinical effectiveness, inventory management and other analyses of operations.
42
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 22
Notes/Comments/Questions
Chargemaster
Revenue codes and the CDM play a significant role in the Revenue CycleThe CDM is in the divers seat of all the facility charges.The CDM must be current, comprehensive and compliantAnnual review of the CDM is highly recommended
43
Chargemaster Team
Develop a team to consist of:• CDM Coordinator• HIM• PFS• Registration• Compliance• Charging departments• CFO
44
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 23
Notes/Comments/Questions
Chargemaster Team (cont.)
Functions of the CDM team• Annual review of complete CDM• Monthly meetings• Develop a monthly calendar of departments
to review• Determine if charges/codes are
revised/added/deleted.• Education of other committee members• Monitor the process established to receive,
distribute, and implement Program Memorandums from the FI, state governments or other applicable parties
45
Case Mix Index
Why should you concentrate on CMI• Hospital payment under the PPS
depends on the MS-DRG assigned to Medicare cases.
• Small movements in the case mix can mean substantial gains or losses in revenue
46
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 24
Notes/Comments/Questions
Case Mix Index
How do you calculate the CMI• Case mix can be calculated by averaging
the MS-DRG weight for all hospital inpatients.
• Case mix is based upon the relative weights assigned to the MS-DRGs.
• The relative weights compare the average resources consumed in MS-DRGs.
• Case mix is calculated as:• the sum of all MS-DRGs relative weights/by
the number of Medicare cases
47
Case Mix Index
CMI analysis• Determine time frame of review• Number of cases per MS-DRG• Top diagnosis and procedures• Age/Sex distributions• Payer• Admission/discharge patterns• Mean LOS by case groupings• Identify trends and patterns• Review recent changes• Coding and Billing processes
48
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 25
Notes/Comments/Questions
Future Areas of Focus
According to HFMA white paper “Strategies for Improving the Revenue Cycle”here are the futureareas of focus
0
10
20
30
40
50
60 FrontEndClinical/CarePoint ofServiceOverall
RevenueCaptureBack End
ChargemasterStrategicPricing
49
Revenue Cycle Challenges
Implementing an IT or vendor solution without the resources required to support processes/systems, adequate return on investment and appropriate selection processesImplementing registration or check-out procedures in the ER has also been problematic
50
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 26
Notes/Comments/Questions
Sample Suggested References
HCPCS Level II Code Book
ICD-9-CM Code Book
Medical Necessity C/O Medicare Learning Networkhttp://www.cms.hhs.gov/medlearn/default.asp
Local Medicare Review Policies www.cms.hhs.gov/mcd
CPT-4 Coding Book
Medicare Program Memos & Transmittalswww.cms.hhs.gov/transmittals
HFMA publications
AHIMA publications and BoK
AHIMA 2007 Coding Productivity Survey
51
Resource/Reference List
AHIMA Communities of Practice (CoP) at www.ahima.org• Charge Master CoP• HIM Revenue Cycle Management CoP
AHIMA online course, “A Guide to Revenue Cycle Management”. Part of the “Coding Assessments and Training Solutions” distance education program:http://campus.ahima.org/campus/course_info/CATS/CATS_newtraining.html
52
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 27
Notes/Comments/Questions
Resource/Reference List
FORE Library HIM Body of Knowledge (BoK) Articles• AHIMA Journal article, “HIM Spin on the Revenue
Cycle” by Karen Youmans, 3/2/04http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_022536.hcsp
• Research study, “Best Practices in Revenue Cycle Management” by Margret Amatayakul, 8/1/05http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_032056.pdf
• AHIMA Journal article, “Benchmarking RCM: Best Practices to Enhance the HIM Role in Revenue Cycle Management” by Margret Amatayakul and Mitch Work, 3/2/06http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_030859.hcsp
53
Resource/Reference List
AHIMA Convention presentation, The Evolution and Implementation of Clinical Documentation Improvement” by Ruthann Russo and DathleenDunleavy, 9/23/02 http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok2_004302.pdf
AHIMA Journal article, “Ten steps to Successful Chargemaster Reviews”, Journal of AHIMA 72, no.1 Maureen Drach, Althea Davis, and Carmen Sagrati.http://library.ahima.org/xpedio/groups/documents/ahima/bok2_00509.hcsp
AHIMA Convention presentation, “Revenue Cycle Management” by Staci Sudberry Smith, RHIA, RN, CCS, CHFP and Karen Youmans, MPA, RHIA, CCS, 10/14/08
54
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AHIMA 2009 Audio Seminar Series 28
Notes/Comments/Questions
Audio Seminar Discussion
Following today’s live seminarAvailable to AHIMA members at
www.AHIMA.orgClick on Communities of Practice (CoP) – icon on top right
AHIMA Member ID number and password required – for members only
Join the Coding Community from your Personal Page under Community Discussions, choose the Audio Seminar Forum
You will be able to:• Discuss seminar topics • Network with other AHIMA members • Enhance your learning experience
AHIMA Audio Seminars
Visit our Web site http://campus.AHIMA.orgfor information on the 2009 seminar schedule. While online, you can also register for seminars or order CDs, pre-recorded Webcasts, and *MP3s of past seminars.
*Select audio seminars only
Getting the Most Out of Your Revenue Cycle
AHIMA 2009 Audio Seminar Series 29
Notes/Comments/Questions
Upcoming Seminars/Webinars
HIM in the Revenue Cycle: What You Need to Know to Talk to Your CFOFebruary 5, 2009
Mastering Injection and Infusion CodingFebruary 12, 2009
How CDI Programs Result in Quality Coded DataFebruary 19, 2009
Thank you for joining us today!Remember − sign on to the
AHIMA Audio Seminars Web site to complete your evaluation form
and receive your CE Certificate online at:
http://campus.ahima.org/audio/2009seminars.html
Each person seeking CE credit must complete the sign-in form and evaluation in order to view and
print their CE certificate
Certificates will be awarded forAHIMA Continuing Education Credit
Appendix
AHIMA 2009 Audio Seminar Series 30
Resource/Reference List ....................................................................................... 31 CE Certificate Instructions
Appendix
AHIMA 2009 Audio Seminar Series 31
Resource/Reference List
http://www.cms.hhs.gov/medlearn/default.asp www.cms.hhs.gov/mcd www.cms.hhs.gov/transmittals www.ahima.org http://campus.ahima.org/campus/course_info/CATS/CATS_newtraining.html http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_022536.hcsp http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_032056.pdf http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_030859.hcsp http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok2_004302.pdf http://library.ahima.org/xpedio/groups/documents/ahima/bok2_00509.hcsp
To receive your
CE Certificate
Please go to the AHIMA Web site
http://campus.ahima.org/audio/2009seminars.html click on the link to
“Sign In and Complete Online Evaluation” listed for this seminar.
You will be automatically linked to the
CE certificate for this seminar after completing the evaluation.
Each participant expecting to receive continuing education credit must complete the online evaluation and sign-in information after the seminar, in order to view
and print the CE certificate.
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