William l. malm, ND, RN, Revenue Cycle Management Workshoppromos.hcpro.com/pdf/ET70640.pdf · ED & Clinics Revenue Cycle Management Workshop StrategieS for laSting SucceSS facultY

ED & Clinics Revenue Cycle Management WorkshopStrategieS for laSting SucceSS

facultYWilliam l. malm, ND, RN, is the practice director for revenue cycle management consulting and the Revenue Cycle Institute within the consulting division at HCPro, Inc. He has more than 20 years of experience in clinical and financial healthcare and has served as a compliance officer, revenue cycle specialist, and chargemaster specialist. Having performed over 100 chargemaster analysis engagements, his specialty is in the resulting operations, including education, audit, and postimplementation reviews. In addition, he has acted as a compliance officer and director of revenue integrity for several facilities and specialized in revenue cycle corrective-action

plans and implementations at midsized hospitals. He currently practices as an emergency department nurse and specializes in emergency department revenue cycle management. Additionally, he is nationally involved in the RAC program defense with hospital clients.

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Hospitals undercharge or overcharge every day for emergency room and clinic services because of complex billing requirements.

Further complicating the situation is the fact that regulatory requirements are in a state of constant flux. And now the recovery audit contractor (RAC) program is in full swing, threatening to take back payments.

do you have a revenue cycle management plan in place to achieve success?

William L. Malm, ND, RN, HCPro’s revenue cycle management practice director, will break down the complexities of eD and clinic revenue cycle processes, with an eye toward accurate charging for procedures. This one-day program will demystify what’s separately billable and what’s integral.

HCPro, the most trusted name in healthcare compliance, introduces the Revenue Cycle institute. The Revenue Cycle Institute is designed to create successful strategies to confront and manage today’s challenging reimbursement and compliance concerns.

The Institute encompasses all aspects of patient access, charge capture, coding, billing, reimbursement, and denial management, with a focus on regulatory oversight and compliance.

For more information call 877/233-8734 or e-mail [email protected].

Download a free white paper on revenue cycle management at www.hcpro.com/revenuecycle. to register, call 800/650-6787 or visit

www.hcmarketplace.com/seminars

topics include

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location & accommodationSThe Ritz-Carlton, New Orleans921 Canal street | New Orleans, LA 70112 RESERVaTiONS: 800/826-8987 HOTEl TElEPHONE: 504/524-1331 WEB SiTE: www.ritzcarlton.com DiSCOuNTED ROOm RaTE: $229 CuTOff DaTE: August 29, 2008

Reservations must be made by August 29, 2008. Rooms are available on a first-come, first-serve basis and may sell out before the August 29, 2008, cutoff date. Make your hotel reservations immediately to guarantee availability and be sure to mention HCPro, Inc., to receive your discount.

The Ritz-Carlton, located just minutes away from Louis Armstrong International Airport, welcomes visitors with genuine southern hospitality and singular flair. From its premier location on the edge of the French Quarter, enjoy numerous antique stores, art galleries, restaurants, shops, and more. Walk down legendary Bourbon street and listen to a live jazz, rock, or blues band. This convenient location also offers easy access to three challenging golf courses, the superdome, Audubon Aquarium of the Americas, and Audubon Park and Zoological Garden. The hotel also features a newly renovated 25,000-square-foot destination spa with twenty-two treatment rooms and a spa Café.

are you having trouble staying on top of all medicare’s regulatory requirements? come to ED & Clinics Revenue Cycle Management Workshop and get back on track.

Your organization will lose or win every year based on the way you categorize each service . . . it’s essential to be in the know, remain compliant, and capture all the revenue you’ve earned!

ED & Clinics Revenue Cycle management Workshop will provide a framework that clinical and financial managers can use to ensure that all charging, billing, and compliance processes are in place to achieve revenue integrity. It will cover a range of issues, including medical necessity, incident-to, and billing for specific products and services inherent in treating eD and clinic patients.

The current regulatory environment demands rock solid compliance policies and procedures requiring additional staff attention.

During this program, you’ll learn: • The role of the chargemaster and chargemaster software • When it’s inappropriate to hard-code procedure codes within the chargemaster • How to manage injections and infusions • Whether your organization is getting appropriately reimbursed for orthotics • And much more

Who Should attend • Chargemaster managers • Auditors • Revenue cycle managers • Compliance officers • Internal RAC auditors • Business office/revenue/reimbursement professionals • Case managers • Nurse managers in eDs and clinics • HIM directors/coding managers

continuing educationPlease visit us at www.hcmarketplace.com/seminars for more information about continuing education credits that will be provided for this program.Continuing

Educationfrom HCPro

5 way

s to

regi

ster

Phone: 800/650-6787

fax: 800/738-1553

e-mail: [email protected]

online: www.hcmarketplace.com/seminars

mail: fill out the attached registration form and mail to: hcPro, inc. 200 hoods lane, P.o. Box 1168 marblehead, ma 01945

Program informationTo register, call 800/650-6787, fax the attached registration form to 800/738-1553, or visit www.hcmarketplace.com/seminars.

Schedule 7:00 am–8:00 am Registration & continental breakfast 8:00 am–12:00 pm seminar 12:00 pm–1:30 pm Lunch (on your own)1:30 pm–4:00 pm seminar Morning and afternoon breaks announced by your faculty.

regiStration feeS and What’S included standard rate $595 individual attendee; $2,380 team of five

The program includes a day of intensive, interactive learning, the seminar workbook, refreshment breaks, and CE credit.

SPecial Pricing for multiPle ProgramSED & Clinics Revenue Cycle management Workshop and Observation Status Symposium October 1–3, 2008 | $1,255 (15% savings off the standard rate)

indiVidual Pricing for other neW orleanS ProgramSObservation Status Symposium | October 2–3, 2008 | $895

© 2008 HCPro, Inc. HCPro, Inc., is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks.

on-Site educationCan’t make it to the seminar? HCPro, Inc., provides on-site educational opportunities. Call us at 800/650-6787 for more information.

New Orleans

ED & Clinics Revenue Cycle Management Workshop: Strategies for Lasting Success—October 1, 2008

cancellation PolicY—Visit www.hcmarketplace.com/seminars or call 800/650-6787 for details.

facultY diScloSure of VeSted intereSt—HCPro, Inc., has a conflict-of-interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentation materials. It is not assumed that these financial interests or affiliations will have an adverse effect on faculty presentations; they are simply noted here to fully inform the participants.

americanS With diSaBilitieS act—If you require special accommodations in order to participate in this educational activity, please contact us at 800/650-6787.

oBSerVation StatuS SYmPoSium

eXtend Your StaY in neW orleanS an eXtra tWo daYS and join uS for the oBSerVation StatuS SYmPoSium, octoBer 2–3.

This symposium will demystify observation status for a wide range of hospital professionals, with an eye toward uniting clinical, compliance, and financial professionals to solve the patient status conundruum.

agenda • Overview of the revenue cycle management process – Organize the flow of patient documents and billing documents – Understand and be able to identify key components within the revenue cycle

• Registration and eMTALA – ensure accurate registration processes – Overview of eMTALA requirements in the eD

• Medical necessity – Understand how medical necessity differs from clinics to emergency department – Minimize provider liability for medically unnecessary testing

• Incident-to requirements for facilities – Understand incident-to requirements for emergency departments and

provider-based clinics

• Charging and billing for facility e/M services (clinic e/M, eD e/M, critical care, trauma) – evaluation and management coding and billing – Critical care coding and billing – Trauma coding and billing

• Billing for ancillary tests, services, and drugs – Distinguish included items/services when providing critical care – Understand documentation and billing for injections and infusions – Determine which services are considered integral

• Billing for supplies and prosthetics/orthotics – Determine when these items can be billed by a facility – Keys to learn the importance of revenue coding – How to identify items and place them in your chargemaster

• Auditing processes – Tips to audit concurrently – How to do retrospective audits with chargemaster compliance

• steps to process patients from eD to observation – Create processes to ensure appropriate placement into the correct patient status – establish documentation requirements when changing from eD/clinic to observation

• Composite APC and high-level e/M requirements – Learn the basics of composite APCs and observation status–knowing what

you need.

learning oBjectiVeS At the end of the seminar, attendees will be able to:

• Create and/or evaluate charging mechanisms based on the 11 criteria set forth by CMs

• Understand the documentation requirements for critical care and trauma services

• state the requirements of the emergency department and/or clinic in assignment of observation status

• Recognize the implications of recovery audit contractors’ focus on one-day stays

• Understand the overall importance of ensuring that incident-to criteria have been met prior to charging the Medicare program

• Recognize the requirements of billing orthotics and prosthetics

• Understand the importance of the chargemaster in compliant billing for services, tests, supplies, and pharmaceuticals in the emergency department and clinics

make your

reservations by

august 29 and

SaVe!

alSo Being held in neW orleanS . . . oBSerVation StatuS SYmPoSium | octoBer 2–3, 2008

Attend both ED and Clinics Revenue Cycle management Workshop and the Observation Status Symposium and sAVe!

To register call 800/650-6787 or visit www.hcmarketplace.com/seminars. ask about special group rates!

Faculty and agenda subject to change.

to register, call 800/650-6787 or visit www.hcmarketplace.com/seminars

Stay an extra

2 days and attend the

observation Status

Symposium!











Educationfrom HCPro

5 way

s to

regi

ster

Phone: 800/650-6787

fax: 800/738-1553












New Orleans



















you need.









make your

reservations by

august 29 and

SaVe!






Stay an extra


observation Status

Symposium!











Educationfrom HCPro

5 way

s to

regi

ster

Phone: 800/650-6787

fax: 800/738-1553












New Orleans



















you need.









make your

reservations by

august 29 and

SaVe!






Stay an extra


observation Status

Symposium!











Educationfrom HCPro

5 way

s to

regi

ster

Phone: 800/650-6787

fax: 800/738-1553












New Orleans



















you need.









make your

reservations by

august 29 and

SaVe!






Stay an extra


observation Status

Symposium!

ED & Clinics Revenue Cycle M

anagement

Workshop

Str

ateg

ieS fo

r la

Stin

g S

uc

ceS

S

fac

ult

YW

ill

iam

l. m

al

m, N

D, R

N, is the practice director for revenue

cycle managem

ent consulting and the Revenue C

ycle Institute within

the consulting division at HC

Pro, Inc. H

e has more than 20 years

of experience in clinical and financial healthcare and has served as a com

pliance officer, revenue cycle specialist, and chargemaster

specialist. Having perform

ed over 100 chargemaster analysis

engagements, his specialty is in the resulting operations, including

education, audit, and postimplem

entation reviews. In addition,

he has acted as a compliance officer and director of revenue integrity

for several facilities and specialized in revenue cycle corrective-action plans and im

plementations at m

idsized hospitals. He currently practices as an em

ergency departm

ent nurse and specializes in emergency departm

ent revenue cycle managem

ent. A

dditionally, he is nationally involved in the RA

C program

defense with hospital clients.

200 Hoods Lane Marblehead, MA 01945

AN

HC

PR

O, IN

C., s

eM

INA

R

OCTOBER 1, 2008 THE RITZ-CARLTON | NEW

ORLEANS, LA

ED & Clinics Revenue Cycle Management WorkshopOCTOBER 1, 2008 | THE RITZ-CARLTON | NEW ORLEANS, LA

MT70640

contact PerSon name: Attending the seminar: Yes No

Title: Dept:

Organization:

Street Address:

City: State: ZIP:

Tel: Fax: E-mail:

name of regiStrantS (Seminar confirmation will be sent via e-mail.)

1st Name: Title:

E-mail:

2nd Name: Title:

E-mail:

3rd Name: Title:

E-mail:

4th Name: Title:

E-mail:

fifth member is free!

Name: E-mail:

Select Your method of PaYment: (Payment is due immediately upon receipt)

Check enclosed (payable to HCPro, Inc.) Please bill my organization with PO #

Bill my credit card (check one): VISA MC AmEx Discover

Signature Account # Exp. Date

Required for authorization Your credit card bill will reflect a charge from HCPro, Inc.

regiStration feeSStandard rate $595 individual attendee $2,380 team of five

SPecial Pricing for multiPle ProgramS $1,255 ED & Clinics Revenue Cycle Management Workshop and Observation Status Symposium | October 1–3, 2008 (15% savings off the standard rate)

regiStration form—fax to 800/738-1553, call 800/650-6787, or visit www.hcmarketplace.com/seminars.

call for special offers for teams larger than five participants.

ED & Clinics

Revenue Cycle M

anagement

Workshop

St

ra

teg

ieS fo

r la

St

ing

Su

cc

eSS

Hospitals undercharge or overcharge every day for em

ergency room

and clinic services because of complex billing requirem

ents.

Further com

plicating the situation is the fact that regulatory requirem

ents are in a state of constant flux. And now

the recovery audit contractor (R

AC

) program is in full sw

ing, threatening to take back paym

ents.

do you have a r

evenue cycle m

anagement

plan in place to achieve success?

William

L. M

alm, N

D, R

N, H

CP

ro’s revenue cycle managem

ent practice director, w

ill break down the com

plexities of eD

and clinic revenue cycle processes, w

ith an eye toward accurate charging for

procedures. This one-day program

will dem

ystify what’s separately

billable and what’s integral.

HC

Pro, the m

ost trusted name in healthcare com

pliance, introduces the R

evenue Cycle institute. T

he Revenue C

ycle Institute is designed to create successful strategies to confront and m

anage today’s challenging reimbursem

ent and com

pliance concerns.

The Institute encom

passes all aspects of patient access, charge capture, coding, billing, reim

bursement,

and denial managem

ent, with a focus on regulatory

oversight and compliance.

For m

ore information call 877/233-8734 or e-m

ail revenuecyclem

anagement@

hcpro.com.

Dow

nload a free white paper on revenue cycle m

anagement

at ww

w.hcpro.com

/revenuecycle.to register, call 80

0/650

-6787 or visit w

ww

.hcmarketplace.com

/seminars

topics include

medical necessity,



services, and much m

ore!

Stay an extra


observation Status

Symposium!

Documents

William l. malm, ND, RN, Revenue Cycle Management Workshoppromos.hcpro.com/pdf/ET70640.pdf · ED & Clinics Revenue Cycle Management Workshop StrategieS for laSting SucceSS facultY