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Conducting a DRG Audit
Audioconference
August 28, 2008
Time: 10-11:30 a.m. CENTRAL TIME
Register for this event online:
August 28, 2008 ($295 per line)
Program Description
Accurate DRG coding can improve your hospital's financial performance and prevent unnecessary paperwork and payment delays. This audioconference will give your staff the skills to audit their work and identify errors before problems arise. The audioconference begins with an overview of diagnosis-related groups and case-rate systems, including the Case Mix Index and the new severity refinement - CCs and MCCs. This is followed by a discussion of key definitions, concepts and documentation rules. Problem DRGs also will be reviewed, along with special issues that affect coding.
Learning Objectives:
At the completion of this program, the participant will be able to:
- Discuss the DRG payment system including the new severity refinement.
- Explain how the DRG grouping logic determines payment for inpatient services.
- Identify the critical aspects of compliance issues surrounding DRGs, including related case-rate payment systems.
- Validate the significance of developing the correct principal diagnosis.
- Compare the role of secondary diagnosis and procedure codes for proper DRG grouping through CCs and MCCs.
- Evaluate the process in auditing special combinations of DRGs.
- Discuss auditing for special features of DRGs, including the Present on Admission indicator, discharge status and interfaces to various outpatient services.
- Critique the process of conducting a DRG audit, the purpose, process and outcomes that can be expected.
- Identify DRG issues that may be addressed through the Recovery Audit Contractor program.
Who Should Participate
Inpatient Coding/Billing staff
Internal Auditing staff
Finance staff
Compliance staff
Faculty
Duane Abbey, PhD, CFP, Abbey & Abbey Consultants
Duane Abbey is a management consultant and president of Abbey & Abbey Consultants. For more than 20 years, Abbey has provided health care consulting on compliance, payment and delivery systems for hospitals, physicians and medical clinics. In addition to his consulting work, Abbey is frequently invited as a presenter for hospital associations, medical societies and other groups. He also has published articles and books on health care topics. He earned his graduate degrees from the University of Notre Dame and Iowa State University.
The views expressed by the speaker do not necessarily reflect the policies or opinions or the Wisconsin Hospital Association.
Registration Information
Fee
$295.00 for one phone line per site
Please register only one name per connection.
Additional phone lines will be billed at $295.00 each.
How the Audioconference Will Work
Dial-in instructions, on-line login instructions and any other reference materials will be emailed to each registrant approximately three days prior to the conference. If you do not receive them by this date, please email lgeishirt@wha.org.
It is the responsibility of the registrant to access presentation materials prior to the day of the event. If your e-mail address changes, you do not receive an e-mail with instructions from WHA, or if you are unable to open presentation materials, please contact Lisa Geishirt at WHA two days prior to the event to allow time to address the issue.
Substitution, Transfer and Cancellation Policy
Cancellations received in writing up to five business days prior to an event will be given a full refund less a $50 processing fee. No refunds will be given for cancellations received less than five business days prior and day-of-program no-shows. Substitutions are accepted.
Register for this event online:
August 28, 2008 ($295 per line)
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