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Conducting an APC Audit
Audioconference
October 2, 2008
Time: 10-11:30 a.m. CENTRAL TIME
Register for this event online:
October 2, 2008 ($295 per line)
Program Description
Getting paid quickly for outpatient services requires that your staff have a thorough understanding of the audits and reviews necessary to ensure correct coding and use of modifiers. Conducting an APC Audit will give them the global knowledge of the APC payment system that they need, along with specific information about critical compliance issues, how to develop an APC Integrity Program and issues that may be addressed in the Recovery Audit Contractor program. This audioconference begins with an overview of APCs and the encounter driven payment system, followed by key concepts and definitions. The session also includes a discussion of how the chargemaster interfaces with the coding system, how to develop policies and procedures that ensure correct coding and billing, and special areas of concern in an APC audit.
Learning Objectives:
At the completion of this program, the participant will be able to:
- Discuss the main features of the APC payment system.
- Explain how the APC grouping logic determines payment for outpatient services.
- Identify the critical aspects of compliance issues surrounding APCs and related encounter-driven systems.
- Appraise the extreme importance of correct coding and modifier utilization.
- Describe how to develop an overall APC Integrity Program.
- Delineate specific types of audits and reviews that are necessary to assure proper payment under APCs.
- Assess APC issues that may be addressed in the Recovery Audit Contractor program.
Who Should Participate
Outpatient 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:
October 2, 2008 ($295 per line)
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