How hospital to hospital transfer policies impact billing and coding

Presented by:
Mary Devine, Director of Revenue Cycle – BESLER

Date
Thursday, May 17th – 12:00pm – 1:00pm CST

Description:

Federal Medicare regulations and each hospital’s own hospital-to-hospital transfer policy shape the process and requirements for transferring patients to other acute-care facilities or alternative care sites. Hospitals are responsible for coding the discharge bill based on the discharge plan for the patient. And, the discharge status code impacts billing and reimbursement. It is the responsibility of providers to ensure the discharge status code is correct, but too often a discharge status code of 02 is utilized incorrectly. To receive optimal and compliant reimbursement, hospitals and physicians rely on the selection of an appropriate discharge status code.

Key learning objectives:

  • Explore the factors that hospitals consider when making a decision to transfer a patient to another facility.
  • Highlight what hospitals must do to ensure that claims accurately reflect transfers and the application of different discharge status codes.
  • Identify common errors that occur due to unknown post-discharge status of patients and the impact those errors have on billing and reimbursement.
  • How the hospital to hospital transfer policy impacts physician billing.

Presenter

Mary Devine

Director of Revenue Cycle, BESLER

Mary leads the Revenue Cycle team at BESLER. Mary applies her clinical expertise to our underpayment decision making. She is involved in all of our engagements and provides mentorship to our validation team. Mary also has extensive background in appeals, which includes working with hospitals on inpatient and outpatient appeals for managed care and Medicare. She also has experience with Medicare at the Provider Reimbursement Review Board level. Mary is an RN with clinical experience in acute care and long term care, as well as for large teaching institutions. Mary is also an expert in the Revenue Cycle and was an Assistant Vice President of Revenue Cycle for a large health system in New Jersey.

Registration

Who Should Attend: CEOs, CFOs, COOs, Billing Office Managers, Patient Access Managers, Revenue Cycle Directors and similar positions.

Program Fee per site: FREE!

Please register online athttps://attendee.gotowebinar.com/register/1216848600737071106

If you have any questions, please call Niobis Queiro, Chapter Program Chair at (612) 873-8549 or email at niobis.queiro@hcmed.org.

Note: Dial in instructions will be provided at the time of registration for the webinar and printed materials will be available for download during the webinar.

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