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Hospitalists:Coding,Billing & Reimbursement
This Webinar is over
Date | May 24, 2017 |
Time | 12:00 PM EDT |
Cost | $198.00 |
Online
|
Description :
- Do hospitalists perform only inpatient services or can their services include outpatient services.Do hospitalists have to code and bill for their services?
- What are hospitalists?
- Are there special credentialing concerns for hospitalists?
- Can hospitalist code and bill separately from the attending and surgical physicians?
- Are hospitalists usually physicians or non-physician practitioners?
- Are there special concerns about post-operative services provided in the hospital?
- Are there any special documentation requirements for hospitalist services?
- Is there anything unusual about enrolling hospitalists through the CMS-855s
- What about enrolling hospitalists with private payers?
- Are there any unusual compliance concerns with hospitalists?
- To discuss the concept of hospitalists.
- To understand the hospitalist model and how this approach is used by hospitals.
- To appreciate the clinical advantages of using hospitalists.
- To understand the need for special medical staff considerations.
- To discuss how hospitalists are reimbursed for their services.
- To appreciate the use of specially trained non-physician practitioners.
- To understand the special documentation, coding and billing concerns that arise with hospitalists.
- To appreciate the need for careful credentialing.
- To appreciate overall cost-benefit returns in using hospitalists.
- To understand how hospitalists relate to the Medicare global surgical package.
- To appreciate enrollment challenges through the CMS-855 forms.
- What Are Hospitalists?
- Qualifications, Education and Training
- Core Competencies
- Physicians vs. Non-Physician Practitioners
- Typical Specialty Areas
- Employment Arrangements
- How do Hospitalists Perform Their Services?
- Typical Hospitalists Activities
- Coordination of Care
- Interfacing to Attending and Specialty Physicians
- Inpatient versus Outpatient Services
- How Are Hospitalists Paid For Their Services?
- Coding and Billing for Hospitalists
- Medicare versus Private Third-Party Payers
- Enrolling Hospitalists Through the CMS-855 Forms
- Coordinating with Primary Care Physicians
- Organizing Activities for Proper Coding and Billing
- Surgeon to Hospitalist Relationship for the Medicare Global Surgical Package
- What Special Administrative Concerns Should Be Considered
- Medical Staff Organization Interface
- Credentialing
- Gaining Billing Privileges
- Special Utilization – Teacher, Consultant, Team Member
- Quality Improvement
- Compliance Issues
- Cost and Benefits of a Hospitalist Program
- Overall Costs
- Reimbursement Considerations
- Clinical and Documentation Quality
- Quality of Care
- Patient Relationships
- Sources for Further Information
- Hospital Analysts
- Compliance Personnel
- Financial Officers
- Utilization Review Personnel
- Quality Assurance Personnel
- HIM Coding Staff
- Hospital Billing Staff
- Medical Staff Organization Directors and Personnel
- Physician
- Non-Physician Practitioners
- And Other Interested Hospital Personnel.
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