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Protecting revenues and ensuring compliance is more important now than ever, and revenue cycle, compliance and health information management (HIM) leaders must have a clear understanding of the nuances of the patient status codes in the Post-Acute Care Transfer (PACT) rule. Recently, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report on Medicare overpayments due to patient status codes/discharge disposition under the PACT rule. As a result, the Centers for Medicare & Medicaid Services (CMS) unleased the Medicare Administrative Contractors (MACs) to recoup overpayments and conduct audits for PACT payment accuracy.
For acute care facilities, this action should be a red flag: revenue is on the line and compliance risks are high when it comes to the proper use of patient status codes.
During a RACmonitor webcast, nationally recognized HIM authority Gloryanne Bryant will provide the knowledge and tools to mitigate the financial and compliance vulnerabilities posed by PACT rule. She'll breakdown the OIG's report, explaining the findings and identifying potential compliance risks. She'll provide a clear understanding of the PACT rule to help improve the capture of accurate patient status codes, and explain risks, gaps and vulnerabilities with discharge disposition documentation and UB04 claims. Gloryanne will provide action steps to start taking today to improve compliance, protect revenue and reduce the risk of audits and takebacks.
Register now, and enhance revenue cycle efficiencies and reimbursement, reduce the risk of penalties and audits, and ensure compliance with the PACT rule.
Why This is Relevant:
Protecting revenue and mitigating the risk of audits and takebacks is more important now than ever. The Centers for Medicare & Medicaid Services have unleashed the MACs to recoup overpayments identified by the OIG and to audit for PACT payment accuracy. Understanding the PACT rule and OIG targets will enhance revenue cycle efficiencies and reimbursement through identified gaps in discharge disposition/patient status code determination.
Learning Objectives:
- Learn about the compliance risks with discharge disposition/patient status
- Review the IPPS PACT rule requirements and the many patient status codes
- Enhance your knowledge of OIG report regarding patient status and the PACT rule
- Identify risks, gaps and vulnerabilities with discharge disposition documentation and UB04 claims
- Improve accuracy, data integrity and compliance with PACT rule
Who Should Attend:
Compliance directors and managers, revenue cycle directors and managers, health information management directors and managers, inpatient coding professionals and consultants, patient financial services directors and managers, discharge planners, auditors and educators.
Webcast Access Privileges: Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available. For more information about webcast pricing and requirements, click here.
About the Presenter
Gloryanne H. Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer
Gloryanne is an HIM Coding professional and Leader with more than 40 years of experience. She has an RHIA, CDIP, CCS, CCDS, and is an AHIMA-Approved ICD-10-CM/PCS Trainer. In the past she was the National Director of Coding Quality, and Education for a national healthcare system. She was also the key national leader for ICD-10 Coding Education and Training across eight regions from 2010 to mid-2016. Prior to May 2009, she was the Corporate Senior Director of Coding HIM Compliance for Catholic Healthcare West (CHW) Dignity Healthcare for more than eight years.
Gloryanne has conducted numerous educational programs on ICD-10-CM/PCS and CPT coding. In addition, she's provided MS-DRG, APR-DRGs, APC (OPPS), HCC, CDI (Clinical Documentation Improvement), leadership and compliance seminars and workshops for hospital and physician-based coding staff, Coding, CDI and HIM Leaders, and others.
In June 2000, Gloryanne received the "CHIA Literary Award" from the California Health Information Association (CHIA) for her many articles related to clinical documentation improvement, compliance, data quality integrity, ethics and coding. In 2003 she received the CHIA award for "Distinguished Member"; June 2015 she received the CHIA "HIM Champion Award" for her extensive advocacy work for and with ICD-10 implementation; and in 2017 the CHIA "Volunteer Award". Gloryanne received the AHIMA Triumph Award" in the category of HIM "Champion" in 2007. She received the Northern California HFMA Award for "Author of the Year" four times for numerous healthcare compliance and regulatory articles and in 2017 she received the "Silver Award" for her many professional contributions. Gloryanne is a member of the ICD10monitor editorial board and a popular guest on Talk Ten Tuesdays.
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