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Presented by Sandy Sage RN, HomeTown Health, LLC

Chargemaster 101:Key Elements in the Chargemaster

October 12, 2017

A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO THE Iowa Small Hospital Improvement

Program (SHIP) Grant FY 17, IA Contract #5888SH01 and the Georgia Small Hospital Improvement Grant FY 17

WEBINAR ETIQUETTE

Hospital Transformation Consortium

•All attendees are in “Listen Only” mode•Questions or comments?- Open “Questions” pane in

dashboard.

- Type in comments or questions.

- Comments will be monitored

throughout webinar.

- Questions will be addressed at

end of the webinar.

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•This webinar will be recorded and emailed to you to share with others

on your team.

•Handouts are available for download in the Handouts pane and will be

emailed out to attendees after the

webinar.

WEBINAR RESOURCES

Hospital Transformation Consortium

GROUP PARTICIPATION

Hospital Transformation Consortium

Are you on this webinar with a group?

If so, please enter:first/last names and email addresses of those in attendance with you in the

Questions Pane.

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Welcome & Introductions Desi Barrett,

HomeTown Health, LLC

Chargemaster 101: Key Elements Sandy Sage RN,

HomeTown Health, LLC

Upcoming Events & Resources Sandy Sage

HomeTown Health, LLC

AGENDA

Last Month’s To Do List� Determine who at your facility is responsible for

maintaining your Chargemaster.

� Download your Chargemaster into an excel spreadsheet. Include:� Item code

� Revenue code

� Description

� Department

� CPT/HCPCS code and any modifiers

� Charge amounts

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Poll

Question

Prior To Do List

� Each department manager should have been provided with a copy of their department’s Chargemaster

� Each manager should have looked over and become familiar with their department’s Chargemaster

� All department managers should be on this webinar!

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Poll

Question

Learning Outcomes

� List the key elements in a Chargemaster

� Describe the purpose of a revenue code

� Identify how CPT codes are used

� List commonly used modifiers and their purpose

� Identify the two ways a CPT code may end up on a claim

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What is a Chargemaster?

It is the foundation of the

hospital

Revenue Cycle

What is a Chargemaster?

A Chargemaster is also called a Charge

Description Master or CDM

It is a master file built within the hospital information system.

It contains multiple data elements related to the charges that are assigned to items and

services used or provided for a patient.

Every item in the Chargemaster is

assigned a set price used to generate bills.

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Why should it be maintained?

1. It drives hospital reimbursement

2. It provides data for reporting

3. It ensures financial and governmental compliance

4. It provides information for your cost reporting

5. It helps create clean claims

6. It is the most important communication tool between providers and payers

What if it isn’t maintained?

1. Decreases cash flow

2. You are unable to do accurate data gathering/reporting

3. It makes you vulnerable to audits and penalties

4. You are unable to accurately report your costs

5. Increase claims edits which creates a backlog and decreases cash flow

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Key Data Elements

Charge code or item number (mnemonic)

Description

GL number

Department

Price/Charge

HCPCS/CPT code

Revenue code

Sample

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Charge/Item Codes

Charge or item codes are hospital specific and are not part of the actual billing process.

They are used to identify items in the charging process for the hospital staff.

Usually department specific.

Descriptions� Long and Short Descriptions

� Long details the procedure or supply

� Short for order entry system

� Example: MRI Abdomen Without Contrast

MRI Abd w/o

� System specific for # of characters

� The long description is patient friendly

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GL Codes

� GL – General Ledger

� Allows charges to be mapped to the correct financial ledger for cost reporting.

� Allows your CFO to track revenue and cost

� Check with the CFO for more information specific to your hospital

Department Codes

� Identify the department the service was performed in

� Gives credit to the department for services or supplies

� Allows departments to manage their budgets

� Can be used in cost reporting

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Revenue Codes

What is a revenue code?

4 – digit number, Zero is in front 0XXX

Identify where the patient was when they received care or services or the type of supplies they received

Allows hospitals to use the same CPT code in multiple departments

Most revenue codes have sub-categories that better define where a service was performed or where care was provided.

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Revenue Codes

Revenue codes are an important

communication tool between providers and

insurers.

Revenue codes are an important

communication tool between providers and

insurers.

A charge on a UB-04 and on a CMS-1500 will be rejected if it is missing

a revenue code.

A charge on a UB-04 and on a CMS-1500 will be rejected if it is missing

a revenue code.

Revenue CodesRoom and Board

� 11X – Private room*

� 12X – Semi Private room*

� 13X – Semi Private > 2 beds*

� 14X – Private Deluxe*

� 15X – Ward Room*

� 16X – Other room and board

� 17X – Nursery

� 19X – Subacute care

� 20X – Intensive Care

� 21X Coronary Care

� X=1 – Medical/Surgical/Gyn

� X=2 – OB

� X=3 – Pediatric

� X=4 – Psychiatric

� X=5 – Hospice

� X=6 – Detoxification

� X=7 – Oncology

� X=8 – Rehabilitation

� X=9 - Other

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Revenue Codes

� 270 – General supplies

� 271 – Non-sterile supplies

� 272 – Sterile supplies

� 273 – Take home supplies

� 274 – Prosthetic/Orthotic devices*

� 275 – Pacemaker*

� 276 – Intra-ocular lens*

� 277 – Take home Oxygen

� 278 – Implants*

� 279 – Other supplies/devices

*may need CPT/HCPCS

� 250 – General drugs

� 254 – Drugs incidental to Dx proc.

� 255 – Drugs incidental to Radiology

� 256 – Experimental drugs

� 258 – IV solutions

� 259 – Other Pharmacy

� 634 – Erythropoietin < 10,000 units

� 635 – Erythropoietin > 10,000 units

� 636 – Drugs with detail coding

� 637 – Self-administered drugs

� Supplies � Drugs

Revenue Codes

� 300 – General

� 301 – Chemistry

� 302 – Immunology

� 304 – Non-routine dialysis

� 305 – Hematology

� 306 – Bacteriology & Microbiology

� 307 – Urology

� 311 – Cytology

� 312 – Histology

� 314 - Biopsy

� 381 – Packed Red Blood Cells

� 382 – Whole blood

� 383 – Plasma

� 384 – Platelets

� 385 – Leucocytes

� 386 – Other components

� 390 – General blood storage

� 391 – Blood Administration

� Laboratory � Blood

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Revenue CodesRadiology

� 320 – General

� 321 – Angiocardiography

� 322 – Arthrography

� 323 – Arteriography

� 324 – Chest X-ray

� 350 – General CT scan

� 351 – Head CT scan

� 352 – Body CT scan

� 359 – Other CT scan

� 340 – General Nuclear Medicine

� 341 – Diagnostic NM

� 342 – Therapeutic NM

� 343 – Diagnostic Radiopharm.

� 344 – Therapeutic Radiopharm.

� 610 – General MRI

� 611 – Brain MRI

� 612 – Spinal Cord MRI

� 619 – Other MRI

Revenue CodesIV Therapy

� 260 – General

� 261 – Infusion Pump

� 262 – IV Therapy Pharmacy service

� 264 – IV Therapy supplies

GI Services� 750 – General

� 759 – Other GI services

Operating Room

� 360 –General

� 361 – Minor Surgery

� 362 – Organ Transplant

� 367 – Kidney Transplant

Anesthesia� 370 – General

� 371 – Incident to radiology

� 372 – Incident to other services

� 374 - Acupuncture

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Revenue CodesOther Imaging

� 401 – Diagnostic Mammography

� 402 – Ultrasound

� 403 – Screening Mammography

� 404 – PET scans

� 409 – Other imaging services

Respiratory

� 410 – General

� 412 – Inhalation services

� 413 – HBO

� 419 – Other Respiratory services

� 460 – Pulmonary Function

� 730 – EKG

� 731 – Holter Monitor

� 732 – Telemetry

Other Revenue CodesTherapy

� 420 – Physical Therapy

� 430 – Occupational Therapy

� 440 – Speech Therapy

� XX1 – Visit

� XX2 – Hourly

� XX3 – Group rate

� XX4 – Evaluation or Re-evaluation

� XX9 - Other

Other

� 330 – Chemotherapy

� 370 - Anesthesia

� 450 – Emergency Room

� 480 – Cardiology

� 510 – Clinic

� 610 – MRI

� 710 – Recovery Room

� 720 – Labor and Delivery

� 761 – Outpatient Treatment

� 762 - Observation

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Other Revenue CodesOther

� 740 – EEG

� 771 – Vaccine Administration

� 780 – Telemedicine

� 800 – Inpatient Dialysis

� 900 – Behavioral Health

� 921 – Peripheral vascular lab

� 990 – Patient Convenience Items

Pro Fees

� 960-970-980

� 963 – Anesthesia – MD

� 964 – Anesthesia – CRNA

� 972-974 - Radiology

� 981 – ER

� 982 – Outpatient Department

� 983 – Clinic

� 987 – Hospital Visit

CPT Codes

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What is a CPT code?

Current Procedural Terminology is a code set licensed and maintained by the American Medical Association (AMA).

Each code describes a service or supply that can be provided.

The codes are designed and used to communicate information to the government and insurance providers.

Communicated codes are used for financial, administrative and analytic purposes.

Originally developed for physicians

CPT Codebook

� Sold by the American Medical Association

� Contains rules and guidelines related to the codes

� CPT Professional

� Includes CPT codes, Modifiers, Summary of additions, deletions and revisions, and more in the addendums

� HIM, Lab, Radiology, OR and Billing departments should all have a copy of the CPT codebook!!

� Chargemaster updates will need to come from departments that understand CPT codes

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CPT Codebook

� It is important to note that CPT codes are updated January 1st of every year.

� Some payers may give a grace period but some will not.

� Have your charges updated and the new codes ready to go on the 1st of the year.

What is a CPT code?� CPT codes describe supplies or procedures, they

are NOT diagnosis codes.

� A CPT code is considered by CMS to be Level I codes.

� CPT codes are 5 numerical digits

� Separated into 6 sections:� Evaluation and Management 99201-99499

� Anesthesiology 00100-01999

� Surgery 10000-69990

� Radiology 70010-79999

� Pathology and Laboratory 80000-89399

� Medicine 90281-99199

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What is a CPT code?

� CPT codes determine provider reimbursement for outpatient claims (OPPS) (EDITS)

� When CPT codes are billed with ICD-10 diagnosis codes they describe why the patient was seen and what services were provided

� In outpatient coding using a CPT code without an ICD-10 code will result in no reimbursement

� Inpatient claims do not require reporting of CPT codes

CPT Code Examples

� When can a CPT code be used more than once in your Chargemaster? When services are done in more than one area.� IV Injection 96374

� IM Injection 96372

� Foley Catheter Insertion 51702

These 3 procedures can be done in multiple departments including ER, OP, Observation, OR, etc. All of these areas have different revenue codes.

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Multiple Departments

� When a CPT code is in your Chargemaster in different departments the revenue code will communicate to the payer to let them know where the patient was when the procedure or service was provided.

� Best practice is to charge the same price for CPT codes that are in the Chargemaster multiple times.

� Don’t charge $75 for an injection in the ER and $150 for the same injection in another outpatient department.

CPT Book Descriptions

� Descriptions may include wording like: “physician”, “qualified healthcare professional”, or “individual”.

� This does NOT mean that hospitals cannot report those codes.

� Some code descriptions DO limit where the procedure can be performed like: “Home Health”, “Hospital” or “Office.*

� Some codes have notations that they cannot be billed with other specified codes.

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Component Codes� Also known as Comprehensive codes.

� A component code may be a “lesser” code that only describes part of a more comprehensive procedure. When the comprehensive procedure is done the component code cannot be billed in addition to the comprehensive code.

� 73630 – X-ray of foot complete

� 73660 – X-ray of toes (included in the 73630)

� Cannot bill together on same date of service without a modifier

"CPT copyright 2017 American Medical Association. All rights reserved.CPT is a registered trademark of the American Medical Association."

HCPCS Codes

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HCPCS CODES� Level II codes

� Primarily used to identify products, procedures and supplies that are not included in the CPT Level I codes.

� Ambulance, DME, implants, drugs, supplies, etc.

� Maintained by CMS, updated quarterly

� A temporary HCPCS code may be assigned if it is not time for the new code updates.

� Codes will be replaced by permanent codes and cross walked to new codes

https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Downloads/HCPCSLevelIICodingProcedures7-2011.pdf

HCPCS CODES� HCPCS codes are alpha-numeric, 5 digit codes.

� The first digit is the alphabetic digit and usually signifies the type of item being described.

� Medicare may require you to continue to use a HCPCS code when other payers are requiring a comparable CPT code

� Both codes must be put in the Chargemaster for billing.

� Your financial system will be programmed to use the correct code depending on the payer being billed.

https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Downloads/HCPCSLevelIICodingProcedures7-2011.pdf

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HCPCS CODES� Example of a service where you will use both a HCPCS

code and a CPT code:

Mammogram

77067 and G0202 Screening mammography, bilateral, including (CAD)

77066 and G0204 Diagnostic mammography, including (CAD) when performed; bilateral.

77065 and G0206 Diagnostic mammography, including (CAD) when performed; unilateral.

� CMS is using the G codes because their systems are not ready to process the CPT codes

Modifiers

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What is a Modifier?

2-digit code used to communicate more detailed information related to a service or procedure.

Lends specificity to a CPT or HCPCS code without changing the meaning of the original code.

Modifiers can affect your reimbursement

Some modifiers can be “hard coded” in your Chargemaster, some are added by your coders.

What is a Modifier?

You can find approved modifiers in the addenda in

the back of the CPT code book.

The book will give you the modifier

and the description for use.

Some codes may need more than one

modifier applied.

Up to 4 per code are allowed

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2 Types of Modifiers

• Affect the payment• Should always be in

the first field

Pricing ModifiersPricing

Modifiers

• Provides additional information

• Use after the pricing modifier

Informational Modifiers

Informational Modifiers

When to use a Modifier?

� When payment may be increased or decreased

� To identify if it’s a technical or professional service

� To identify repeated services

� To identify an increased, reduced or unusual service

� To identify a specific body area

� To designate unilateral or bilateral procedures

� Other

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Commonly Used Modifiers� Modifiers that may be in the Chargemaster:

� 91 – Repeat Laboratory Test

� 76 – Repeat Test or Procedure (not lab)

� LT – Left side (of body)

�RT – Right side (of body)

� 50 – Bilateral procedure (both sides)

�QW – Laboratory Waived Test

Commonly Used Modifiers�Therapy Modifiers that may be in the

Chargemaster:

� GP – Outpatient physical therapy

� GO – Outpatient occupational therapy

� GN - Outpatient speech therapy

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Commonly Used Modifiers

�Modifiers that should NOT be in the Chargemaster:

�59 – Distinct procedure or service

�52 – Reduced service

�53 – Discontinued service

�73 – Discontinued surgery prior to anesthesia

�74 – Discontinued surgery after anesthesia

These affect reimbursement!

Modifiers not in CDM

�JW – Drug amount discarded, not administered

�GA or GX – An ABN was given

�GY or GZ – An ABN was not given

�E1 or E2 – Eyelids

�FA to F4 – Finger modifiers

�TA to T4 – Toe modifiers

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Other Modifiers�Anesthesia Modifiers can affect your reimbursement

�AA – Services performed by Anesthesiologist

�QX – CRNA service with medical direction

�QZ – CRNA service without medical direction

�Medical direction- when a physician directs the CRNA the type and amount of anesthesia to be given.

�Does not mean that a surgeon is in the room

�If you use QX, reimbursement is cut 50%

More on QZ

When services are “personally performed” by an anesthesiologist (modifier AA) or a CRNA (Modifier QZ), there should not be a second claim billed by another anesthesiologist or CRNA with a modifier

indicating “medical direction of” an Anesthesiologist for a procedure on same patient

on the same day.

Practitioners may work under the same or different Tax IDs.

In either scenario, it is the responsibility of each

practitioner to file correctly for the services provided.

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Other Modifiers�Modifier TC is to identify the Technical

Component of a test, usually Radiology.

� It is generally assumed that if an exam is billed on a hospital claim (UB04) that it is the technical component.

�Some payers will deny CPT codes with TC attached.

Modifier Don’ts�Do not use a modifier to bypass claim edits

�Do not use modifiers on a claim that contradict each other, Example:

�You should not use an LT modifier and a 50 modifier on the same code (left and bilateral contradict)

� Left kidney removal and bilateral kidney removal would not work together

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Modifier Don’ts� Do not bill a LT and an RT on the same date of

service

�Example: 8 am you charge an x-ray of the right arm for a patient in the ER. At 10 am the doctor wants an x-ray of the left arm. Do not charge the LT and the RT, you must charge a bilateral exam.

Who Assigns the Codes?

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CPT/HCPCS CODES�Charge Master assigned codes

� Lab, Radiology, ER Levels, Nursing Procedures, Pharmacy

�Examples: Injections, Infusions, All x-rays, All Lab, other nursing procedures

� Codes flow from the Chargemaster to the bill

� Modifiers may be applied after charging by HIM

CPT/HCPCS CODES

�HIM assigned codes

�Surgical/ER procedures 10000-69999

�Examples: Major surgeries done in OR, suture procedures in the ER

�Every procedure that is coded by HIM, with a CPT code, MUST have a charge from your Chargemaster associated with it!

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REVIEW� Everything you ever wanted to know about revenue

codes and how they communicate to the payer location, type of service or supply and how it should be paid.

� CPT and HCPCS codes, where to find them, how to use them and who applies them.

� Modifiers, how, when and why to use them.

� Charging for services, where the charge goes and how it gets there.

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Learning Outcomes

� List the key elements in a Chargemaster

� Describe the purpose of a revenue code

� Identify how CPT codes are used

� List commonly used modifiers and their purpose

� Identify the two ways a CPT code may end up on a claim

But we aren’t done today……….

Let’s Get Started!!

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Treatment/Observation

OP Treatment Room� Revenue Code 761

� Treatment Room CPT Code 99211 or 99212

� 99211 – Simple Assessment

� 99212 – Procedure without CPT code

� ONLY charge the treatment room if you are doing a procedure without a CPT code!

� Payers will NOT pay both unless a completely separate Evaluation and Management has been done!

� Procedures without a CPT could include enemas, dressing changes, blood pressure checks etc.

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OP Procedures

Dept RC Description CPT code Price

OP 761 Foley Catheter Insertion 51702 $000000

OP 761 Change G tube 43760 $000000

OP 761 Gastric Intubation/Lavage 43753 $000000

OP 761 PICC line Insertion 36569 $000000

OP 300 In and Out Specimen Collection P9612 $000000

OP 300 FSBS 82962 $000000

Any OP procedure done in a treatment room or at the bedside of an Observation patient should be charged and billed with revenue code 761.

OP Treatment Room

� Charge Injections and Infusions using either revenue code 761 for site of service (OP) or 260 for IV therapy.

� If a patient comes in with an order for an injection or infusion, DO NOT charge for the treatment room.

� Remember: Injections and infusions will be charged in multiple departments, be consistent with pricing.

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Observation� Revenue Code – 762

� If a patient is admitted to Observation from an outside source i.e. doesn’t come through ER or SDS, you must add a charge for Direct Admit.

� G0379 – Direct Admit to Observation

� G0378 or 99218– Observation per hour

� Always bill injections and infusions RC 761 or 260

Nursing Managers

Sit down

Sit down with your copy of the CDM, the HCPCS code book and the AMA CPT code book.

Go

Go through the charges in revenue codes 761 and 762

Check

Check to make sure everything you do for outpatients is listed in the correct revenue code

Confirm

Confirm that you have a charge for Direct Admit to Observation –G0379

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Nursing Managers

Identify

Identify any codes that are in your CDM that are no longer active (Not in the code book)

Remove

Remove or delete any inactive codes

Add

Add any missing procedures with the correct revenue code (761)

Check

Check to make sure you have a process in place for correct charging

Respiratory Therapy

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Respiratory Therapy (RT)

� There has been new CMS guidance for Respiratory services issued in 2017.

� Respiratory service charges are being more and more restricted in the outpatient hospital setting.

� It is important for all RT staff to know what can and can’t be charged and the frequency allowed.

� This is a department that is subject to audit for overcharging units of service based on the numbers allowed by the Medically Unlikely edits.

Respiratory Revenue CodesRC Description

410 General Respiratory Service

412 Inhalation Services

413 Hyperbaric Oxygen Therapy

419 Other Respiratory Services

460 General Pulmonary Function

469 Other Pulmonary Function

730 General EKG

731 Holter Monitor

732 Telemetry

739 Other

740 EEG

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Respiratory

� Respiratory CPT codes are found in the Medicine section of the CPT code book starting with CPT code 94002

� If you are a hospital that does not keep ventilator inpatients you cannot bill CPT code 94002 if you initiate a ventilator in the ER for transfer, only the ER Level charge will be paid.

� Read the CPT code RT section carefully to familiarize yourself with the special rules for this department.

Respiratory Rules� 94010 – Spirometry measures expiratory airflow but if you

do spirometry before and after an inhalation treatment;

94060 should be charged. You would not charge the 94010 spirometry nor the 94640 inhalation treatment.

� 94150 Measurement of Vital Capacity is only reported when it is the only test done.

� 94011-94013 pulmonary function tests are reported for infants through 2 years old only.

� There are many more rules that you will read related to what codes can and cannot be billed and reported together

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94640 Inhalation Treatment

� Treatment of acute airway obstruction with inhaled medicine or to induce sputum for diagnostic testing.

� If these drugs are given back to back or continuously to exceed one hour, report with 94644 and 94645 not 94640.

� The inhaled medication can be charged and reported separately.

� Medicare will NOT pay for 94640 and 94644 or 94645 on the same date of service.

94640 Inhalation Treatment2017 CMS NCCI manual, Chapter 11, page 25 effective 1/1/17

If inhalation treatments are administered to patients as an outpatientservice, including services administered in the EmergencyDepartment, CPT code 94640 should only be reported once duringan episode of care regardless of the number of separate inhalationtreatments that are administered.

An episode of care begins when a patient arrives at a facility fortreatment and terminates when the patient leaves the facility.

If a patient receives inhalation treatment during an episode of careand returns to the facility for a second episode of outpatient carethat also includes inhalation treatment on the same date of service,the inhalation treatment during the second episode of care may bereported with modifier 76 appended to CPT code 94640.

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Respiratory Rules

� 94664 – Teaching a patient to use an inhaler can only be charged once per day. Do not bill on the same day with 94640 Resp Tx unless it is done on a separate visit.

� 94760 – Pulse oximetry ONCE PER DAY

I see this frequently as an error on claims!!

Routine use of pulse oximetry is non-covered (ER)

Respiratory 94760

� Pulse Oximetry is covered for the following diagnoses

� Signs/Symptoms of acute respiratory dysfunction

� Chronic Lung Disease, severe Cardiopulmonary disease, of neuromuscular disease involving respiratory muscles

� Multiple traumas

� Monitor for potential adverse reactions to medication

Do not charge when used for routine vital signs or standing orders on a swingbed unit or other sub-acute unit

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Pulmonary Rehab

� G0424 - - Pulmonary rehabilitation, including aerobic exercise (includes monitoring), per session, per day

� Georgia Medicaid does NOT cover this HCPCS code.

� Most Medicare contractors have a policy regarding using this code so check your local LCDs.

� Other G codes that you may need in your CDM are:

� G0237, G0238 and G0239

Respiratory Managers

Sit down

Sit down with your copy of the CDM, the HCPCS book and the AMA CPT code book.

Start

Start at 94010 and go page by page to make sure that every exam you do is listed in your CDM.

Check

Check your revenue codes against the list in this webinar handout. Correct if needed.

Confirm

Confirm that your descriptions are correct and up to date

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Respiratory Managers

Identify

Identify any codes that are in your CDM that are no longer active (Not in the code book)

Remove

Remove or delete any inactive codes

Add

Add any HCPCS codes that are required for Medicare billing. Notify your BOM

Check

Check that your department assignments are correct

December 14th Webinar

RadiologyRadiology

EKG/EEGEKG/EEG

Emergency RoomEmergency Room

Operating RoomOperating Room

TherapyTherapy

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To Do List

� Go through the departments discussed today and identify any missing or invalid codes and correct.

� Make sure that the departments we will be discussing on the next webinar are in the hands of those department managers for review.

� Send me any questions you have about today’s webinar or the departments that will be discussed next time.

CONSORTIUM SUPPORT:

WEBSITE DASHBOARD

IOWA

www.hthu.net/iahtc

GA/FL

www.hthu.net/htc17

Contact us for password

PROGRAM CALENDAR

“Cheat Sheet”

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ResourcesResourcesResourcesResources

Monthly Newsletter

Visit the Dashboardto be added to the mailing list!

Upcoming Events

Date Time Title Description

October 17 11 am EST CDI Role #3 Nurses and Scribes

October 24 11 am EST Payor Matrix MCO update and Payor Matrix

October 27 1 pm EST HCAHPS Provider Engagement

November 13 1 pm EST MIPS Clinical Practice Improvement

November 17 1 pm EST RHC-CQI Introduction & Identifying Clinic Issues

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Questions?

Questions about these resources or Upcoming

Events?

Contact:

Sandy Sage, Financial Program Lead

Sandy.Sage@hometownhealthonline.com

or

Jennie Price, SHIP Program Manager

jennie.price@hometownhealthonline.com

TELL US HOW WE DID!

A survey will launch after this webinar

closes: please take a moment to give us

your feedback on the training, speaker,

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else you can share!

If there’s something we can help your

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10/12/2017

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References

� https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Downloads/FAQ-Mammography-Services-Coding-Direct-Digital-Imaging.pdf

� https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Downloads/HCPCSLevelIICodingProcedures7-2011.pdf

� https://www.aarc.org/wp-content/uploads/2014/10/aarc-coding-guidelines.pdf