Charge Capture

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Healthcare Charge Capture Courses

Revenue success depends on accurate and timely charge capture for services rendered in the healthcare setting. Failure in the charge capture process jeopardizes facility revenues, retards cash flow, and risks noncompliance and community dissatisfaction. Charge capture is based on clinical documentation, charge assignment, and reconciliation of charges for services provided in patient care. Charge auditors play an instrumental role in evaluating accurate charges, identifying systemic fractures, and implementing process improvement initiatives to prevent further cash flow retardation and rework.


*This program has the prior approval of AAPC for continuing education hours as indicated below. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
CentraMed has partnered with AAMAS to provide online educational courses.

CA Courses

Select Course Name AAPC
CEUs
AHIMA
CEUs
CMAS
CEUs/Domain
Cost
CA Series Charge Capture_Basic Fundamentals
  • Charge Capture_Basic Fundamentals includes eight courses: Charge Capture Auditing Principles and Practices, Charge Capture Steps to Auditing, Charge Capture Chargeable vs. Non-Chargeable, CPT Coding Introduction to CPT/HCPCS Coding, CPT Coding Injections and Infusions, Charge Description Master Fundamentals, MC Introduction to Standard Managed Care Reimbursement Methods, and Introduction to Process Improvement.
  • Charge Capture Auditing Principles and Practices provides an introduction to charge capture auditing: standards of auditing, ethics, the national auditing guidelines, benefits of auditing, basic knowledge needed to understand the role that auditing serves in the revenue cycle, how auditing impacts compliance, why complete clinical documentation is crucial to justify services, and a review of the tools used to complete a medical charge capture audit, including supporting documentation beyond the medical record.
  • The goal of charge capture auditing is to produce an accurate (clean) claim that represents the full economic value of the patient’s encounter, while adhering to all government guidelines, coding rules, and payer regulations and contracts. To accomplish consistent accurate audits, there are distinct steps an auditor must follow. Understanding these steps, along with a greater knowledge of the resources available for auditing, will help the charge capture auditor be consistent, accurate, and compliant while auditing, thereby ensuring “clean” claims and optimum reimbursement. Charge Capture Steps to Auditing reviews the types of audits performed and provides necessary education for completion.
  • Charge Capture Chargeable vs. Non-Chargeable explores age-old questions: is it chargeable, is it billable, and what is reimbursable? Everything is chargeable. However, the method used to capture each item is where the difference lies. A facility chooses how it is going to capture the cost of doing business, and this affects how everything is charged. Many items are included in the room charge, a procedure charge, bundled into case rates, or can be charged as an individual item. This philosophy is reflected in the CDM (Charge Description Master) and charging policies. It is important to remember that charging, billing, and reimbursement are not one-to-one ratios.
  • Current Procedural Terminology (CPT) is a complex part of the Healthcare Common Procedural Coding System (HCPCS). CPT Coding Introduction to CPT/HCPCS Coding is a walk-through of CPT and HCPCS classification systems, coding conventions, modifiers, and the National Correct Coding Initiative (NCCI). The user can test his/her knowledge by completing various multiple choice style questions. The answer key and rationales are provided.
  • Coding injections and infusions in the outpatient hospital setting can be a very daunting task. Lack of clinical understanding of procedures and services, confusing coding rules, and meticulous documentation requirements may be overwhelming for the coder. In addition, as most injections and infusion codes are hardcoded into a facility's charge description master, coding rules also impact charging and payers other than Medicare. CPT Coding Injections and Infusions addresses coding rules outlined by the AMA in the CPT codebook as well as payment requirements for reporting these services. Other topics include drug administration coding hierarchy for facility reporting, chemotherapy, therapeutic infusions and pushes, and hydration services. The user can test his/her knowledge by completing various multiple choice style questions. The answer key and rationales are provided.
  • The Charge Description Master Fundamentals course provides insight into the use of the Charge Description Master (CDM). It is designed to provide an introduction to the CDM, answer the basic questions such as the who, what, where, when, and how of the CDM, and to introduce basic terminology and definitions of the various components. There also is a discussion of how the CDM functions with the various departments of a facility.
  • MC Introduction to Standard MC Reimbursement Methods provides a better understanding of the various types of reimbursement methodologies. Understanding reimbursement methods will ensure the provider receives accurate and correct reimbursement for services rendered. The purpose of the managed care division is to review accounts to determine if the payer paid the expected reimbursement amount. The managed care auditor, analyst, and collector are responsible for the identification of incorrectly paid accounts and the collection of the amount owed by the payer.
  • To begin process improvement (PI), you must first understand what a process is. To simply define the word, it is the steps taken and decisions made to achieve a goal. Processes are a part of daily life, whether at home or work. Some process examples are: making a bed, writing a letter or e-mail, billing for services provided, ordering a part, or replacing a transmission in a car. While all processes involve steps, some are very complex and others are simple.
    7/I,II $329.00
Select Course Name AAPC
CEUs
AHIMA
CEUs
CMAS
CEUs/Domain
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