Education and Training

Medicare and Medicaid rules can be overwhelming and education is a vital component to every successful revenue cycle management and compliance program. Our customized training addresses every setting and discipline, delivering critical information to your physicians and revenue cycle team.  

Hot Education Topics

Ambulatory Patient Groups - Provider Consulting Solutions provides an introduction to the New York State Medicaid Ambulatory Payment Group (APG) payment methodology, as well as the impact on HIM, clinical staff and hospital finance at a deeper level of discussion. Understand steps facilities should be taking related to APGs along with a discussion regarding the financial impact and coding implications associated with the new payment system.

All Patient Refined-DRGs - For Medicaid inpatient fee-for-service reimbursement, NYS Department of Health transitioned to the 3M All Patient Refined Diagnosis Related Groups (APR-DRGs) December 1, 2009. In many ways, APR-DRGs represent a major departure from the various DRG classification systems that have been used since the early 1980s. APR-DRGs classify patients according to their reason for admission, severity of illness and risk of mortality. APR-DRGs use a 16 step methodology to assign a DRG. We provide an overview of the impact APR -DRGs have on clinical documentation, coding and billing.

ICD-10 - Learn what transitioning to ICD-10 means to your facility, the expected areas of financial impact, and the steps you can begin taking to ensure successful transition. Education focuses on:

• Impact across personnel, productivity and system processes
• Existing manual processes such as encounter forms
• Resources available within your hospital to build a 5010/ICD-10 transition team
• General equivalency mappings, outsourcing and parallel testing
• Sequencing upgrades while coordinating with external interfaces/vendors

PCS continually seeks to identify areas of educational opportunity and welcomes recommendations from providers regarding topics for educational forums.

Offering the most up-to-date information available through:

•  On-site training
•  Workshops
•  Webinars
•  Teleconferences
•  On-line training

PCS supports your education initiatives by offering the following:  Pre-training analysis of issues  Presentations  Personalized tools  Summary report  Follow-up evaluation  Refresher courses