PHIMA | Pennsylvania Health Information Management Association

Audio Conference: Compliant Billing – Challenges and Suggestions in the Current Regulatory Environment

Date and Time	April 23, 2009 1:00-2:00
Program Type	Audio Conference
Sponsor	PHIMA
Speaker	Jean Russell, MS, RHIT, CIC Partner Epoch Health Solutions, LLC Jean Russell has over thirty years of healthcare and information system experience. Her areas of expertise include healthcare reimbursement modeling and the Medicare outpatient and inpatient prospective payment systems (APCs, APGs and DRGs), as well as Charge Description Master (CDM), outpatient coding, inpatient coding, compliance, case mix analysis and medical record data quality reviews. Jean’s education includes an M.S. from the University of Houston in Biomedical Engineering with a minor in Information Systems; a B.S. from Colgate University in Biology; and her RHIT from the independent study program through the American Health Information Management Association. Jean is also a Certified Interventional Radiology coder.
Pricing	PHIMA Premiere MEMBER: (has paid both AHIMA and additional PHIMA $20 dues) $50 per participant MdHIMA MEMBER: $50 per participant NON-MEMBER: (has not paid both AHIMA and additional PHIMA $20 dues) $70 per participant FACILITY (1 phone line with multiple participants) $120
CEs	1
Contact	Lorri L. Luciano, RHIA PHIMA Executive Director 610-554-7928

Description

Hospitals are continually striving to keep pace with Medicare initiatives including the expansion of the RAC program, and continuing pressures from OIG and other compliance-related organizations. Patient Accounting and HIM are on the front line with responsibilities to ensure that billing and coding are accurate and complete. This presentation will address some of the most significant challenges facing hospitals today, and provide suggestions for implementing denial management and monitoring protocols. The cost of implementing these programs is quickly off-set by the increase in appropriate reimbursement and decrease in compliance exposure.

	Registration Type	PHIMA Premiere Member (has paid both AHIMA and additional PHIMA $20 dues) MdHIMA Member Non-Member (has not paid both AHIMA and PHIMA dues) Facility
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