New: Improving Your Operating Margins

Join us to learn more about your operating margins and how to improve them through changes in the revenue cycle.

Suggested Audience: Revenue cycle leaders, CFOs, and business office professionals

Upon completion of this training, you should be able to:

• Define an operating margin.
• List ways you can improve your operating margin.
• Identify high risk areas in the revenue cycle that affect the operating margin.
• Describe the importance of a positive margin.

New: Focus on Patient Access

Join us as we focus on Patient Access. We will discuss the important day-to-day tasks of the Patient Access staff including reviewing privacy compliance, forms, eligibility, and more. We will also discuss how managers can promote and encourage accuracy and compliance. Having a competent and conscientious Patient Access staff is the foundation of your revenue cycle. We want to help you find ways to make that happen with current and future staff in this department.

Suggested Audience: Revenue cycle staff and especially upfront registrations staff and managers.

Upon completion of this training, you should be able to:

• List the most important tasks of patient access staff.
• Describe the importance of knowing if a patient has Medicare FFS or Medicare Advantage insurance.
• Identify why an MSP questionnaire is important.
• List ways patient access managers can promote accuracy and compliance.

New: Common Issues Affecting Reimbursement

There are many issues that are affecting reimbursement in your hospital. Medicaid Recovery Audit Contractors are monitoring your billing practices. We will discuss what they are monitoring and how you can avoid an audit and/or takeback. You will learn the proper way to bill Medicare Inpatient Part B only claims, what to do when a patient you transferred is transferred back to you, when billing observation hours on a claim can wave a red flag for auditors, and many other situations that need focus in your hospital.

Suggested Audience: Billers, revenue cycle managers, business office managers, CFOs and other financial leaders

Upon completion of this presentation, you should be able to:

• List the steps to billing a Medicare Inpatient Part B only claim.
• Describe the process for Medicaid Inpatient to Inpatient readmissions.
• Identify when you can and can’t charge observation hours.
• Explain what services provided to nursing home patients can be billed to Medicare.
• Identify when to use JW/JZ modifiers.

Reminder: If you are a subscriber or grant participant organization, login prior to course enrollment, these courses may be available to you without out-of-pocket expense.

All courses can be found in the School of Revenue Cycle Management.