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HIPAA Compliance: Learning from Mistakes Others Have Made
Recorded Webinar
To date, more than $135 million in HIPAA fines and penalties have been imposed since the HIPAA violation enforcement began.
This webinar will closely examine actual HIPAA enforcement case examples to see what areas of HIPAA compliance were not clearly met. The goal is to help organizations try and avoid HIPAA data breaches.
The webinar will cover what requirements organizations need to have in place and how to mitigate risk. If your organization is subject to an enforcement investigation, you will be required to show the government you have all the necessary documentation in place for safeguarding patient Protected Health Information and indicate how you addressed all required security safeguards.
Venue: Recorded Webinar
Elevate your Excel prowess with this training. Aimed at users already versed in Excel's core functions (SUM, X/VLOOKUP, COUNTIF etc), this course introduces users to some of the new innovative functions added since 2020, exclusively available to Microsoft 365 and Excel 2021 users. These cutting-edge tools are designed to streamline your formula creation process, enhance your data interaction, and expand your analytical capabilities. Embrace the simplicity of extracting unique values, sorting and filtering datasets, creating dynamic, self-updating lists and much more! Whether you’re looking to improve efficiency, accuracy, or both, these features will set you on a path to becoming an Excel ninja. Ensure your skill set remains at the forefront of technological advancements with these essential, transformative functions that redefine what's possible in Excel. Topics We’ll Explore UNIQUE: Extract distinct values effortlessly FILTER: Refine your data with precision SEQUENCE: Generate ordered lists automatically SORT & SORTBY: Arrange your data with ease CHOOSECOLS & CHOOSEROWS: Select specific data segments TEXSPLIT, TEXTBEFORE, and TEXTAFTER: Manipulate text data like never before VSTACK: Merge arrays vertically with simplicity Who Should Attend? This intermediate-level training is tailored for Excel users eager to learn the cutting-edge functions exclusive to Microsoft 365 subscribers and Excel 2021 users. Prior to attending, confirm with your IT department whether your subscription includes these features.
A hospital chargemaster is a comprehensive list of a hospital's products, procedures, and services. Everything from prescription drugs to supplies for diagnostic tests has a unique price listing in the chargemaster. Major components include revenue codes that reflect the site of service and applicable CPT/HCPCS codes that indicate the service provided/charged. Poor matches between these code sets may lead to distorted cost centers, lost revenue, charges bundled that should be separately reported and incomplete departmental charging. Webinar’s Goals Understand chargemaster code functions Understand revenue leakage resulting from poor chargemaster structure Understand why correct departmental charging is vital to revenue integrity Appropriate training for charge entry staff Billing attention to posted charges Who Should Attend Chargemaster Maintenance Staff Compliance staff Billers Coders Revenue Cycle Managers & Staff Risk Management Charge entry staff
Many providers have seen a significant increase in claims delays and outright denials. The reasons may be many, but focused attention to three major elements can improve your results. Documentation, Coding & Billing work together to support adequate reimbursement. Weaknesses in any of these areas will affect the ability to capture optimal revenue. Documentation is the Foundation of Every Patient Encounter. Record pertinent facts, findings, observations about past & present illnesses, examinations, tests, treatments and outcomes Documents the care of the patient Facilitates planning immediate treatment Monitor patient’s healthcare over time Tells the patient’s story Strong Documentation drives the coder’s ability to capture all conditions that are relevant to the current encounter. The primary reason for the encounter must be clear. Secondary conditions that require management or affect the current encounter should be addressed by the provider. Problem lists can be misleading. Is the condition current or a historical occurrence no longer requiring treatment? Documentation and coding will support accurate claims billing serving to decrease the liklihood of payer delay or denial. These 3 functions are strongly intertwined. It is imperative that providers and staff collaborate to protect revenue, reduce reworking of the claim, and maintain a strong cash flow. Patient satisfaction is heavily influenced by the provider’s proficiency in obtaining correct and timely payment. Target Audience Chargemaster Maintenance Staff Physicians Practice managers Medical assistants Nurses Compliance staff Billers Coders Revenue Cycle Risk Management Charge entry staff
Areas Covered A major component of successful revenue management is accurate charging for services provided. Charges must be identified, posted timely and completely. Hospital charge capture is typically handled by the department that provided the service. Professional charges may be posted by the provider. In either case, the function may be a low administrative priority with little to limited training for charging activities. Coordination between departments may not be established. Accountability for correct charging may be minimal. There may be no formal policies or baseline controls for correct charge capture. Different systems may be used for charging and reconciliation An effective charge audit can identify lost revenue opportunities Webinar’s Goals Understand the importance of accurate charge capture Tips for charge review Departmental charge capture errors & omissions Revenue leakage resulting from charging errors Reduce non-compliance exposure Improvement of operational efficiency Enhance patient satisfaction Key Points Why Errors Occur Multiple departments entering charges Charge master may be incorrect or incomplete Error in number of units selected Error in item selection Inactive charge New service not added Incorrect revenue code/cost center System conversions Overreliance on claims scrubber Target Audience Physicians Practice managers Medical assistants Nurses Compliance staff Billers Coders Revenue Cycle Risk Management