Life Care Plan Costing: The Basics, Applications, and Challenges
April 28, May 19 and June 9, 2023
Noon PT, 1:00 pm MT, 2:00 pm CT, 3:00 pm ET
Length: 6 Hours Total (2 Hours per Session)
Credits: 6.0 CEs of the following credits have been applied: ABVE, CCMC, CDMS, CLCP-MSCC, CRCC, CVE-CWA-CCAA, CNLCP (Pending Approval)
Cost:
Members: $120 // Non-Members: $150 // Students: $60
Series Description:
Three two-hour sessions will be offered on Life Care Plan Costing. The first webinar will focus on understanding how data is captured from healthcare bills and why the data is reliable. The second webinar will focus on actual applications in life care plans. The third webinar will focus on how to defend the use of cost data in depositions and work through case studies.
Friday April 28, Session 1:
Understanding the Basics of Healthcare Cost Data, Rebecca Busch
This session will provide the fundamentals of how healthcare is paid for. This will help life care planners understand the backbone of how charges are generated. It will provide basic information about selecting costs for a life care plan and give life care planners general concepts to explain the basis for their cost selection.
Friday May 19, Session 2:
Development of future medical/surgical cost/charge scenarios utilizing the medical coding system and medical database charges, Ann Maniha
This session will describe the development of cost/charge scenarios including the identification of an appropriate code followed by the application of a charge capture data source. Further, examples of how to navigate different types of healthcare services and avoid pitfalls will be provided.
Friday June 9, Session 3:
Pulling it all together: The basics, application, and IARP Standards of Practice for Life Care Planners, Standard 14, Rebecca Busch
This session will incorporate subject matter presented in sessions 1 and 2 followed by an application of charge capture data research as the supporting foundation within a life care plan. The methodology will also demonstrate approaches that are consistent with IARP Performance Standard #14. Final points are considerations to help the life care planner support the financial aspect of the life care plan in the context of IARP performance standards.
Presenters
Rebecca Mendoza Saltiel Busch, RN, CCM, FIALCP, CFE
Rebecca Mendoza Saltiel Busch, RN, CCM, FIALCP, CFE, is the founder and CEO of Medical Business Associates, Inc. (MBA), established in 1991 as a minority, woman-owned Medical Data Auditing and Healthcare Consulting firm. In addition to authoring six books, Rebecca has been granted seven U.S. data analytic design patents. Recognized as an expert in her field, Rebecca has developed countless life care plans and reviewed hundreds of thousands of medical charges for whether they are Usual, Customary and Reasonable (UCR). She currently provides technical investigative, audit, and review expertise to various government agencies, health care providers, and legal clients.
Ann Maniha, RN, CLCP, CMC
Sylvia "Ann" Maniha is a Registered Nurse, Certified Life Care Planner, and Certified Medical Coder. She obtained her CLCP in 1998 and CMC in 2004. In the early 2000's, Ann began developing a methodology pertaining to the use of the medical coding system and healthcare pricing databases to create surgical and medical procedure pricing scenarios for the life care plan. She has written several articles on the subject in addition to several presentations/webinars. Her background includes experience in life care planning, medical case management, research and specialty nursing care including orthopedics, post-anesthesia care unit, outpatient surgery, medical-surgical, substance abuse and psychiatry. She developed "Life Care Planning for the PC, a life care planning software for Microsoft Word and Corel WordPerfect. She has published three articles pertaining to medical coding and pricing associated with life care planning. A member of the International Academy of Life Care Planning (IALCP), a section of the International Association of Rehabilitation Professionals (IARP) and the proud recipient of the "Cheryl L. Jasper Memorial Recognition Award" in September 2015.
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Julia Renner
Director of Professional Development
International Association of Rehabilitation Professionals
1000 Westgate Drive, Suite 252
St. Paul, MN 55114
(651) 379-7290
juliar@rehabpro.orgwww.rehabpro.org------------------------------