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. |