Sunday, August 6, 2023
Pre-Conference
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8:00 AM - 4:00 PM, ET
| 8.00 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CDEI, CDEO, CEDC, CEMC, CGIC, CGSC, CHONC, CIC, COBGC, COPC, COSC, CPB, CPCD, CPEDC, CPMS, CPPM, CPRC, CRC, CUC
Pre: Teach the Teacher
Topics to include Teaching with Codify, Most Missed CPC Concepts w/eBooks, Teaching Neurodivergent and How to Properly Self-Evaluate as an Instructor.
Earn 8 CTUs or 8 CEUs for participation in this workshop.
4:00 PM - 6:00 PM, ET
| 2.00 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CRC, CRHC, CUC
Pre: Chapter Officer Appreciation Event
Current chapter officers are invited to our Officer Appreciation Event which is slated to be motivational as well as informative. We'll meet from 4:00 to 6:00 pm, concentrate on networking and education, have some light refreshments, and earn 2.0 CEU. You'll have time afterwards to meet up with friends for dinner!
Monday, August 7, 2023
Pre-Conference
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8:00 AM - 9:00 AM, ET
| 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: AAPC Wants Thought Leaders – That Means You!
Share your knowledge — learn how to become an AAPC content contributor from AAPC’s Head of Publishing, Leesa Israel. Healthcare is a vast and ever-changing area, and we continually learn. The best way to learn is from each other! Each AAPC member has knowledge and experience from which other members can benefit — including you. If you have news or ability that can help other healthcare business professionals share it with AAPC’s 220,000 members by becoming an author for Healthcare Business Monthly and more.
Introductory
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9:00 AM - 9:45 AM, ET
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Rookies: Learn the Ropes
General Session
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10:00 AM - 11:15 AM, ET
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CRC, CRHC, CUC
GS1: Conference Welcome
11:30 AM - 12:45 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
GS2: Emerging Technology Compliance
Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CGSC, COPC, Approved-Instructor; Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor
New technology is being implemented at a blazing fast pace, but how does this new technology impact your compliance program? Learn from a panel of experts how to navigate the ever changing landscape of new technology compliance. Ask questions and find out best practices for review of new technology coverage, working with payers, auditing processes and how to work with operational teams and RCM teams to ensure compliant adoption.
Exhibit Hall
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12:45 PM - 2:00 PM, ET
EH1: Lunch with Exhibitors
Breakout Session 1
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2:00 PM - 3:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCVTC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COPC, COSC, CPB, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
1A: Chronic Care Management: A Solution to Better Patient Health and Care
Christine Hall, CPC, CPB, CPMA, CRC, CPC-I, CEMC
This presentation will cover what chronic care management (CCM) and complex CCM are, as well as principal care management. You will learn who can provide and who can receive each, what the coding and billing requirements are, and what constitutes a comprehensive care plan.
2:00 PM - 3:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CFPC, CPB, CPEDC, CPPM
1B: Let’s Start at the Very Beginning
Carrie Smith Christy, CPC, CPMA, CEMC, CPEDC
Pediatric coding starts from the day a baby is born and lasts until the child transitions to adult services. This presentation will look at all aspects of pediatric coding, including newborn hospital codes, NICU, circumcisions, preventive visits, labs, immunizations, screenings, and the role states and insurance companies play when it comes to modifiers and guidelines.
2:00 PM - 3:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CDEO, CEMC, CPB, CPCO, CPPM
1C: Taking the Pain Out of Pain Management
Amy C Pritchett, AAPC Fellow, CPC, CPCO, CDEI, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC; Kristen R Taylor, CPC
In this session we will discuss all aspects of outpatient pain management from registration to procedure billing and coding. We will discuss pain contracts, urine drug screens, and multiple ways to stay compliant with new guidelines.
2:00 PM - 3:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CCC, CCVTC, CDEO, CEDC, CEMC, CFPC, CGIC, CGSC, CHONC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CRHC, CUC
1D: Auditing Behavioral Health Documentation
Susan Marie Roelant, CPC, CPCO, CPMA, CEMC
This presentation will explore the documentation requirements for behavioral health services and what to look for when auditing records. Examples will incorporate CMS guidelines and current examples of TPE audits that have been conducted for the use of psychiatric diagnostic evaluation codes 90791 and 90792.
2:00 PM - 3:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CSFAC, CUC
1E: The Legalities of an Appropriate History and Exam
Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC
The AMA E/M guidelines no longer require quantifiable elements for history and exam. The new guidelines require a medically appropriate history and exam. In this session we will discuss best practices for compliant documentation to support the new guidelines for both outpatient and inpatient encounters. We will discuss what is the purpose of the medical record and how the information contained in that record can and may be used.
Breakout Session 2
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3:45 PM - 5:00 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CCC, CCVTC, CDEO, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COPC, COSC, CPB, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
2A: Traverse the Trail of Diagnostic HCC Codes Through the Risk Adjustment Forest
Dawn Carter, CPC, CPCO, CDEO, CPMA, CRC; Khushwinder Singh MD MHA, CPC, CPCO, CPMA, CRC
Come travel the pathway of diagnostic HCC codes from inception of medical charts through claims all the way to the summit of risk adjustment. In this session we will discuss the importance of accurate HCC coding in value-based care and show coders the nuances they need to learn about HCC pathways. Coders will learn how to help their providers document around prospective diagnoses that optimize the RAF score in a compliant way.
3:45 PM - 5:00 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCVTC, CDEO, CGSC, CIRCC, CPB, CPCO, CPPM
2B: Congenital Interventional Cardiology Coding: Are You Up to Date?
Monica Wright, CPC, CPCO, CPMA
Several new CPT® codes have been introduced into the congenital interventional cardiology space over the past few years. Learn the ins and outs of the existing codes and new codes coming in 2024 in this informative presentation.
3:45 PM - 5:00 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CANPC, CDEI, CIC, CPB, CPCO, CPPM
2C: Inpatient Coder Today, Inpatient CDIS Tomorrow
Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC
If you’re an inpatient coder looking to transition into the world of clinical documentation improvement (CDI), this session will show you the activities and job functions that cross over between coding and CDI. We will discuss key coding guidelines around secondary and other diagnoses that CDI specialists issue queries on, as well as some of the nuances around pathology and other diagnostic reports. Many facilities are now opening the door to coders as CDI specialists. Will you be ready when presented with the opportunity?
3:45 PM - 5:00 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM
2D: Best Practices for Conducting Site Visits
Paulina Davis, CPC
Come ready to gain valuable insight into preparing for a site visit and bring tips back to the office to incorporate into your planning. In this session you’ll learn the difference between surveillance and site visits and the benefits of each strategy and acquire insight on preparing for a provider interview. Attendees will walk away with the knowledge of why site visits are important, how to document findings and record-keeping tips, and key takeaways.
3:45 PM - 5:00 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COPC, COSC, CPB, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
2E: Risk and Pro-Fee Auditing With the E/M Guidelines: Doing the Two-Step Shuffle
Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Colleen Gianatasio, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CPC-I
Risk adjustment is all about the diagnosis with some very unique rules for what counts for risk. The AMA documentation guidelines have placed a lot of emphasis on documenting a thought process and outlining risks to patients and severity of the condition(s). Do these two worlds collide or connect? This session will address that thought as we consider both angles and dissect a few visit notes.
Exhibit Hall
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5:00 PM - 7:00 PM, ET
EH2: Welcome Reception
Tuesday, August 8, 2023
Exhibit Hall
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8:00 AM - 9:00 AM, ET
EH3: Breakfast with Exhibitors
General Session
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9:00 AM - 10:15 AM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COPC, COSC, CPB, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
GS3: E/M Panel
Samuel Le Church MD, MPH, CPC, CRC, CPC-I; Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
During this session, an expert panel made up of a physician, coder, auditor, payer and representative from the AMA will answer audience questions regarding The E/M guidelines for office visits.
10:30 AM - 11:45 AM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, CIRCC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
GS4: Diagnosis Coding Insights from the Experts Panel
Heather Greene, CPC, CDEO, CIC, CPMA, CRC, Approved-Instructor; Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC; Lori A Cox, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC; Colleen Gianatasio, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CPC-I
Led by a panel of experts from various backgrounds, this discussion offers perspective into the often blurred lines of the proper rules surrounding diagnosis coding for professional fee coding, risk adjustment coding, and facility coding. The panel will review hospital inpatient medical records and compare what diagnosis codes would be acceptable/reportable based on the focus of the billing: the provider, facility, or risk adjustment.
Exhibit Hall
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11:45 AM - 1:00 PM, ET
EH4: Lunch with Exhibitors
Breakout Session 3
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1:00 PM - 2:15 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPCO, CPPM
3A: Understanding the Neurodivergent Mind
Kaitlyn Brack, CPC, CEMC, CFPC, CPEDC, Approved-Instructor
We’ve all felt the recent shift from a growing neurodivergent workforce. In this highly interactive session we’ll discuss what neurodivergent means and how different neurological conditions can impact our teams. Helpful insights from neurodivergents will be presented to promote a successful work relationship with everyone on your team.
1:00 PM - 2:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CDEI, CDEO, CGSC, COSC, CPB, CPCO, CPPM
3B: Spine Fusion Confusion
Deni Adams, CPC, CPB, CPPM, CEMC
Join me for a brief overview of the spine structures leading into a full review of spine fusion coding. We will break down an op note to identify the correct code choices for each fusion type and hardware used. Coding examples will round out the session to solidify our understanding.
1:00 PM - 2:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CIC, CPB, CPCO, CPPM
3C: Inpatient Coders: What’s on Your Radar?
Heather Greene, CPC, CDEO, CIC, CPMA, CRC
Coders should understand positive impact appropriate coding has on the facility. In order to facilitate correct coding, the coder should be able to identify risk areas and have an understanding of how they may be able to mitigate risk. In this presentation we will take a look at the top risk areas that should be on an Inpatient coder’s radar. Including the documentation standards and possible query opportunities and DRG changes.
1. Identify inpatient coding risk areas
2. Discuss documentation standards
3. Understand query opportunities
1:00 PM - 2:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM
3D: Capitalizing on Revenue: How to Find Those Missing Dollars
Lori A Cox, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC
Whether you work for a small practice with a few providers or a large multi-million dollar healthcare system, chances are your practice is leaving money on the table. In this session we’ll root out the revenue that practices don’t even know they’re losing. E/M services, HCPCS Level II drug code units, and missed add-on codes are all areas that show significant loss of capital. We’ll look at how to perform audits to increase your practice’s bottom line.
1:00 PM - 2:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, CIRCC, COBGC, COPC, COSC, CPB, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
3E: Analyzing the 2021 E/M CMS Data: Insights for Audits
Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
During this session we will review the shifts in the E/M level distribution for top specialties from 2021. We will discuss how to utilize this data to approach E/M audits and how to benchmark providers. We will also discuss gray areas in guidelines that can impact audit findings.
Breakout Session 4
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2:45 PM - 4:00 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPCO, CPPM
4A: Diversity, Equity, and Inclusion: Understanding Microaggressions
L Renee Bradley, CPC, CPC-P
Microaggressions stem from unconscious bias or misunderstanding of groups of people who are different from us. They are indirect, subtle discrimination against members of a marginalized group, usually taking the form of a statement, action, incident, or exclusion. Rarely are these actions intentional, but they still create great harm and erect barriers between individuals. This presentation will help you understand what microaggressions are and how to deal with them within your work environment.
2:45 PM - 4:00 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CHONC, CPB, CPPM
4B: The Magical World of Oncology Billing
MariaRita Genovese, CPC
Oncology billing can be challenging. This session will highlight common denials, authorization processes, place of service issues, and new chemotherapy medication procedures.
2:45 PM - 4:00 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CIC, CPB, CPPM
4C: What You Need to Know to Be a Successful IP Coder
Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor
This session will review the differences between IP and OP coding. We will talk about the important elements and regulations you need to understand if you want to make the transition from OP coder to IP coder. We will also talk about education, jobs and advancement for IP coders.
2:45 PM - 4:00 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CEMC, COPC, CPB, CPCO, CPPM
4D: The Incident-To Rule: Common Misconceptions and Fraud Liability
Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC
This advanced interactive session will outline, through common examples, the more problematic elements of the CMS incident-to rule, which is applicable to outpatient services. This program will address the compliance risks associated with reporting services under this rule. Attendees will be asked to work through a number of common scenarios to “operationalize” their understanding of some of the more commonly problematic components of the rule, which include:
• What it means to establish that care is “integral although incidental” to the physician’s professional service
• How licensure issues impact compliance with the Incident-to rule under the auxiliary person definition.
• How or if the rule applies to care supervised by non-physician practitioners.
2:45 PM - 4:00 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, COSC, CPB, CPCO, CPPM
4E: E/M in Orthopaedics - an Auditor's Perspective
Angela B Clements, CPC, CPMA, CEMC, CGSC, COSC, Approved-Instructor
In this session, we will discuss E/M documentation supporting a level of service related to the Orthopaedic Specialty. What information are we stretching and giving credit for that could put the practice at risk in an external audit? How do we educate our providers to have documentation that supports the level of service that was coded?
Breakout Session 5
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4:15 PM - 5:30 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM
5A: Coding and Billing Split/Shared Services
Beverly A Strube, COC, CPC, CPMA, CPC-I, CEMC, COBGC
Split/shared coding and billing is undergoing rapid changes. This Medicare concept is very confusing to providers and it’s not getting any easier. This presentation will include the current state of split/shared billing and the planned future of the concept. We will also discuss best methods for explaining the concept to the provider community.
4:15 PM - 5:30 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
5B: It’s a Cruel, Cruel Summer: The Transition from V24-V28 Risk Adjustment Model
Amy C Pritchett, AAPC Fellow, CPC, CPCO, CDEI, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC
In this session, we will discuss HCC coding and Risk Adjustment “with a twist”. We will begin by delving into the complicated world of Risk Adjustment and end with the transition from V24 to V28 for Medicare Advantage plans. The session will also include easy, at-a-glance changes and how they will affect reimbursement; not only in the ACO but, across Medicare Advantage Organizations. Please join me for this highly interactive and informative session!
4:15 PM - 5:30 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CEDC, CPB, CPCO, CPPM
5C: Capitol”-ize on Facility Emergency Department Leveling
Caroline Znaniec; Amy Lee Smith, COC, CPC, CPMA
This session will provide background and guidance in the historical development of hospital emergency services facility levels, with a discussion of the pressures from payers to reduce spending and from the regulatory bodies to increase transparency. By the end of the session, we will:
• Understand the intent of CMS’ eleven guidelines for the development of emergency services facility levels.
• Discuss the growing pressures from payers and regulatory bodies to support emergency levels and strategies to mitigate the risk of reduced revenues from denials and down-coding, in a transparent environment.
• Understand varied methodologies in the development of a facility’s guidelines, including pros and cons of each.
• Identify opportunities for improvement in current facility methodologies and immediate next steps to assess and implement positive change.
4:15 PM - 5:30 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM
5D: Finding Balance Between the Physician and the Auditor
Shannon O'Tyson DeConda, CPC, CPMA, CPC-I, CEMC
Being an auditor is a complex job. You must talk, walk, and look the role, know your stuff, but never lose your cool. You must analyze and review superiors, then educate them on found deficiencies, staying pleasant and approachable the entire time. The job can feel like a tightrope from which you might fall at any time. This session will walk you through tips and facts on building and maintaining a stellar auditor reputation.
4:15 PM - 5:30 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CFPC, CGIC, CIMC, CPB, CPCO, CPEDC, CPPM
5E: E/M Audits for Primary Care
Jacob Swartzwelder, CPC, CIC, CRC, CEMC, Approved-Instructor
Join us as we discuss the latest updates and changes in E/M coding and documentation guidelines as they pertain to primary care, exploring primary care audit risks in each MDM section! Attendees will walk through practical tips and strategies for improving documentation accuracy and completeness in the primary care setting. We will also cover common errors and pitfalls in E/M documentation that primary care providers should be aware of to avoid denials or payer audits. The importance of ongoing education and training for primary care providers and their staff to ensure continued compliance with E/M guidelines and best practices will be reviewed. Overall, attendees will come away from the lecture with a better understanding of the E/M auditing process as it applies to primary care, and with practical strategies for improving their documentation and coding practices to ensure compliance and accuracy in E/M documentation and coding for primary care.
Wednesday, August 9, 2023
General Session
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9:00 AM - 10:15 AM, ET
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
GS5: Apathy and Burn Out Panel
Heather Greene, CPC, CDEO, CIC, CPMA, CRC; Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC; Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CGSC, COPC, Approved-Instructor; Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor
Not only do we get code changes every year , we get policy changes throughout the year, and then there was/is COVID and all the upheaval from that situation. Are we performing at maximum potential? Do we even want to anymore? If you are tired and overwhelmed, you are not alone. This panel session is an opportunity to share ideas of how to avoid or decrease the feeling of "burn-out" and apathy as we continue to "get the job done". What are the signs and what can we do? Come join us for a great conversation!
Breakout Session 6
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10:30 AM - 11:45 AM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM
6A: Defusing Denials
Shannon O'Tyson DeConda, CPC, CPMA, CPC-I, CEMC
As an operating expense, denials are one of the costliest. They represent duplicative work that, in many cases, could have been prevented. In this session we’ll discuss the big picture to be considered, including analyzing denials for better understanding of the scale and source of the volume, the type of denials (whether billing or documentation), and proactive measures that can alleviate future denials.
10:30 AM - 11:45 AM, ET
| 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CEDC, CIC, COSC, CPB, CPPM
6B: Grasping Wrist, Hand, and Finger Coding
Karen M Bowman, CPC, CPMA
By the end of this presentation, attendees will be able to easily identify basic anatomic parts; understand the difference between flexor and extensor tendons and how these impact coding for repairs; grasp the idea of hand and wrist fracture treatments; code complex wrist and hand procedures; and know where to turn for help.
10:30 AM - 11:45 AM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CIC, CPB, CPCO, CPPM
6C: Industry Inpatient Coding Standards of the Medical Record
Shannon Cameron MBA MHIIM CPC, CPC, CPC
This session will cover facility coding as it relates to common denials and top misreported DRGs per recent CMS and OIG feedback. In addition, we’ll review conundrums and challenges organizations face during the facility revenue cycle process and ways to determine if your facility is
compliant.
10:30 AM - 11:45 AM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM
6D: Understanding NCD's, LCD's and Payer Guidelines to Improve your Compliance
Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor
This session will focus on the how best to utilize CMS NCD's, MAC LCD's and Payer guidelines to improve your compliance, revenue and be better positioned for any necessary appeals. This information is invaluable as you create coding guidelines and system logic rules.
10:30 AM - 11:45 AM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CCC, CCVTC, CDEO, CEMC, CPB, CPCO, CPPM
6E: E/M Audits for Cardiology
Sharon Jane Oliver, CPC, CDEO, CPMA, CRC, Approved-Instructor
In this session we will be dissecting the information in an actual patient's encounter. We will evaluate the documentation (HPI, exam, diagnosis, assessment) to determine the accuracy of the medical record. Also, we will take a look at the progression of the patient's condition. Open discussion is encouraged as we evaluate to show the various view points on determing the level of service and accurate reporting of the diagnosis.
Breakout Session 7
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12:00 PM - 1:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
7A: Using Modifiers
Christina Lynn Deeke, CPC, CEDC
This presentation will teach proper use of the most commonly used modifiers through incorporated examples. You’ll learn about modifiers that impact revenue, updated modifiers for 2023, and tips on how to avoid denials.
12:00 PM - 1:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM, CUC
7B: CPT® Coding Changes for Urologists
Edna Rosa Maldonado, CPC
In this session we’ll review coding changes that affect urology practices and how to make the necessary changes to submit clean claims. We’ll cover medical necessity and proper documentation, bundling edits by different carriers, and how to stay on top of these changes.
12:00 PM - 1:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM
7C: Top 5 Documentation and Revenue Tips in Rural Health Clinics and Federally Qualified Health Centers
Gary W Lucas, MSHI
In this webinar session we will review opportunities for Rural Health Clinics (RHC) and Federally Qualified Health Centers (aka Community Health Centers) to improve their clinical documentation, professional coding, and medical billing with a focus on the unique CMS rules and regulations we face when reporting our valuable health services to our various insurance entities. Your clinical providers (ex. MD, PA, NP, CP, CSW), facility leaders (ex. CFO, revenue cycle managers, office managers), are invited to join in along with professional coders and medical billers.
The overall focus of the class is to help you generate 100% of the revenue you are entitled to, but no more than you are allowed. All content is presented from the perspective of a CMS-approved RHC/FQHC with a focus on details found within CMS Claims/Benefits Manuals Chapters 9 and 13.
12:00 PM - 1:15 PM, ET
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM
7D: Key Strategies for Compliance Walk-throughs
Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, Approved-Instructor
Compliance walk-throughs are the lifeblood of a compliance program. In this session we’ll discuss the importance of compliance walk-throughs and key areas to look at, including sample language for communication and follow-up.
12:00 PM - 1:15 PM, ET
| 1.25 CEUs COC, CPC, CPC-P, CEDC, CEMC, CPB, CPPM
7E: 911 - Emergency in DC: How to Level E/M Services in the ED
Lori A Cox, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC
Coding for Emergency Room E/M services can be tricky but interesting at the same time. Since time is not a factor for these levels, we will focus solely on the MDM. We will look at E/M case examples together – from straightforward injuries to complex trauma patients. This will be an open, interactive discussion with time for Q&A.
