How Payment is Determined: Outpatient Facility vs. Physician Practice

Presenter: Sandra Kay Giangreco, CPC, CPC-H, CPC-I, COBGC
Broadcast On: 7/13/2011
10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
On Demand Availability: Immediately following live event
Presentation Length: 60 minutes
Attendee Rating:
2 CEU

A

Coding Billing Auditing Mgmt

Overview:

Please join us to learn more about the myriad of insurance payment methodologies including percent of charge payments, contractual arrangements and cost based payment. We will take an in depth look at Medicare’s payment systems for physician offices verses outpatient hospitals and APC assignment.

You Will Learn:

Various insurance payment methodologies and how they apply to you and your facility
CPT code assignment and APC Grouping for outpatient hospital payment
Importance of the hospital’s Charge Description Master File in the assignment of CPT codes for APC grouping.

The correct assignment of coding nomenclature is critical in today’s highly regulated atmosphere, from both an economical and compliance perspective. This webinar is meant to broaden your understanding of CPT and APC code assignment and its direct relation to reimbursement for your facility

CEU approved for all CPCs, CPC-Hs, and CPC-Ps

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Earn up to 2 CEUs (per attendee)

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* Webinar Policy: Webinars are for single-office (one physical office location, e.g. a conference room) use only and may not be rebroadcast, shared or disseminated. Each webinar subscription or purchase entitles the user to one online connection or one back-up phone line – use of more than one phone line and phone conferencing is prohibited. AAPC local chapters or other groups of individuals representing multiple companies or separate offices within a single facility do not constitute a "single-office" and may not share a single event or webinar subscription. All webinar subscriptions expire December 31.

About The Presenter

Sandy Giangreco, CCS, CPC, CPC-H, COBGC, CPC-I, PCS and is a Compliance Audit Manager with a national auditing firm. She resides Loveland, Colorado. She has 20+ years experience in medical records management, coding, auditing and compliance in both the hospital and outpatient setting. Her unique blend of “hands-on” experience, formal education in health information management, and national speaking engagements have brought her to CHAN where she audits facilities and physician practices coding and billing practices while ensuring documentation is done appropriately. Sandy has done a variety of seminars and workshops both locally and nationally on coding, documentation, and Medicare and Medicaid policy. She has strengths in the areas of OBGYN, General Surgery, Cardiology and Radiology Coding. She continues to do both regional and national presentations for groups such as AHIMA, CHIMA, AAPC and WMS. She was the past President of the Appleton, WI Area Chapter of the AAPC in 2007 prior to relocating to Colorado.