What: an in-depth discussion on the facility side of critical care charges by Virginia Gleason, CPHRM, CCM, CDIP a subject matter expert from nThrive; Patient to Payment Revenue Cycle Solutions
Who: We highly encourage ER Teams to meet with business office staff (billing & coding) and watch together- great cross-over topic between clinical documentation and billing and coding requirements
Why: During 2016/2017, the MT Flex Program & MT Trauma Systems combined efforts in a project involving 17 critical access hospitals aimed towards improving reimbursement for trauma related services. Through that project, a knowledge gap was identified in regards to proper documentation and billing of the critical care time spent in ERs while caring for critically ill/injured patients. The goal of this program is to increase knowledge of critical care requirements and the documentation necessary for accurately reflecting critical care time.
About Virginia Gleason:
Virginia is a committed problem-solver who has a diverse background in acute care hospital operations and regulatory compliance with 25+ years of experience in academic, acute care, county, critical access and children’s hospital settings specializing in Case Management, Utilization Review, Compliance and CDI program design, implementation, regulatory guidance and education. She has a proven ability to develop and implement or reinvigorate hospital operations.
Virginia joined nThrive 7 years ago following many years in private practice representing hospitals, health-systems and physician practices. Her legal practice focused exclusively on the complex area of healthcare regulations. She brought not only her legal background but her clinical and administrative experience to her professional consulting career. Her experience in healthcare ranges from bedside nursing, working as a medical practice manager and billing supervisor to the corporate practice of law. Through her broad healthcare background she has developed a professional consulting career in which she is known to provide thoughtful and successful solutions for complex operational and regulatory problems.
Additionally, Virginia is an experienced public speaker and has provided highly rated education for local, state and national organizations in a wide array of healthcare matters. She is a top-rated speaker for ACMA, AHIMA and HFMA with audiences that have included all levels of healthcare professionals from physicians and nurses to CEOs, CFOs, patient financial services and HIM staff.
Education: ASN, BS Healthcare Administration, MPA with emphasis in Healthcare Policy, Juris Doctorate. Institutions: University of Providence, University of North Dakota
Accreditation/Certifications: Certified in Healthcare Compliance, Certified Professional in Hospital Risk Management, Certified Case Manager, Certified Documentation Improvement Professional
Please contact any of us for more information:
Alyssa Johnson; MT Trauma System Manager
Email: [email protected]
Carol Kussman; MT Trauma Coordinator
Email: [email protected]
Jennifer Wagner; MT Flex Program