Coding for Pulmonary & Critical Care Webinar
|
|
- Susanna Sherman
- 5 years ago
- Views:
Transcription
1 1333 Berrydale Drive, Petaluma, California (415) (800) FAX (415) Web Site-- Coding for Pulmonary & Critical Care Webinar Wednesday, September 12 & Thursday, September 13, :30 am - 12:30 pm PT To our Valued Customers, Special alert that impacts your reimbursements NOW. We have answers. CPT 2018 has unbundled moderate sedation from all Pulmonary procedures and has created a new series of moderate sedation codes which you are to use for your procedures when you provide/supervise this service. 1. You will need to develop a mechanism reporting this service for billing purposes 2. Detailed documentation, that you provided this service, will need to become part of your procedure documentation 3. Payment for your procedures in 2018 will be reduced to reflect unbundling of the moderate sedation. The only way to maintain your current payment for your procedures is to provide this service yourself 4. Medicare s final fee schedule for 2018 will reflect this reduction Please join us, Terry L. McVey, President
2 P U L M O N A R Y Sponsored by: rd Year McVey Seminars Presents A "VIRTUAL" Seminar on Coding & Reimbursement Solutions I C D-10-CM C P T H C P C S Pulmonary & Critical Care three hour sessions of coding for physicians and staff given by: Mr. Ray Cathey Certified Physician Assistant & Administrator Reimbursement Difficulties? While costs go up and revenue is lower, it is tough! We can assist NOW! Correct and accurate coding is the essential ingredient. Complete & rightful reimbursement is possible! Wednesday, September 12 & Thursday, September 13, :30 am - 12:30 pm PT Special Section: ICD-10-CM 2019 is here. There are 279 new codes, 143 revised codes and 51 deactivated codes. Medicare will now require your billing to provide more specific diagnosis codes than they have in the past year. Does your provider s documentation support using more specific codes? Using unspecified diagnoses may trigger payment denials or audits. How a Webinar Seminar Works: 1. Register by fax, mail or online. Cost is $285 per one of the following options - landline, computer or Ipad. 2. The audio/video portion for this course can be heard via landline, mobile or web browser. Major browsers on windows, MAC OS X & Linux. 3. You'll receive Dial-in access, and materials a few days before the program.
3 SEMINAR HIGHLIGHTS Coding, Reimbursement & Compliance Issues * What's included in Critical Care... and more importantly what's not included. * Physician supervison requirements and incident - to guidelines for Advanced Practice Providers (formerly referred to as NPPs). * We'll review how ICD-10-CM is impacting Pulmonary/Critical Care/Sleep payments * We'll discuss how your NPI Number & Taxonomy codes may impact reimbursement. * Beware of Templates and EMRs that encourage your practice to improperly code higher visit levels. * The OIG Work Plan continues to target Pulmonary services such as Home Sleep Studies and Polysomnography. Is your documentation ready for this scrutiny? * Proper use of shared visits with Advanced Practice Providers. Are you billing these correctly? * "Minor errors" can result in an $80,000 Overpayment Demand - Learn How to Stop It! * Top Notch Billing Practices to improve Point of Service collections. * Mastering CPT and HCPCS modifiers are essential for proper reimbursement. * What's happening with the Medicare "X" modifiers?. Coding Techniques That Work! * Overcome challenges in billing "Full" PFTs, Six Minute walks and X-rays. Coding Techniques That Work Cont.! * Clean claims...the Key to getting paid on the first try. Handling claims more than once costs the practice thousands of $$$ in lost revenue and time. * Learn techniques to "paint" an accurate picture of medical necessity. * Medicare proposes to completely revise the documentation guidelines for What will be the impact on your practice? * Pitfalls to avoid in coding Sleep Studies... the Do's and Don'ts. We have answers! * Documentation tips for Procedures... intubations, bronchoscopies, PICCs & Central lines, etc. Advanced Coding Techniques For Pulmonary/Critical Care/Sleep * Progress Notes must show indications for diagnostic studies and procedures ordered. Will your notes survive a RAC audit? * Are your Coding Patterns drawing unwanted attention as an Outlier by the payers? * The latest on billing for interventional Pulmonary procedures such as Right Heart Caths, "Super D" bronchs, thoracoscopies, etc. * Getting paid for multiple bronchoscopies. * Reimbursement tips on Nebulizer treatments and MDI demos on the same day of a visit. * The opportunity of billing Smoking Cessation counseling. * What are the latest Sleep Study guidelines? CAN'T ATTEND? Visit our website mcveyseminars.com for additional products and services available to support your practice's educational Note: 4 Like us on facebook and get a $5 discount for this seminar. We'll give you updates on seminars & coding alerts.
4 Implement Pulmonary/Critical Care/Sleep Specific Solutions * How the MIPS/QPP programs will effect your future Medicare payments. Are you reporting correctly to avoid up to 4% reduction in Medicare payments? * How should you code consultations & procedures on the same day. * How to report visits where we review biopsy or test results with patients. * Meaningful Use, PQRS and HIPAA Risk analysis are all rolled into the QPP but aren't going away. Know how to report them under the new system. About Your Seminar Leader... Ray Cathey, PA, FAAPA, CCS-P, MHA, MHS, CHCC, has a unique background in support of medical practices. He has assisted thousands of Physicians and staff across the U.S. over the past thirty five years. The result has been appropriate payments of insurance claims that would have otherwise been underpaid. Having degrees in health care administration and health care sciences, as a former registered nurse, and as one of the early certifications in the Physician Assistant Program, you will find Ray's knowledge extensive. His training and consulting work is based on current work-place experience and success in recovering maximum, rightful reimbursements for medical practices in both the fee-for-service and managed care/capitation arenas, as well as the newer reimbursement models, such as ACOs and medical homes. No one has trained more medical offices in insurance reimbursement across the nation. We count Ray Cathey as one of the top medical insurance coding and practice management experts in the country. We invite you to discover why and register today. Terry L. McVey, President V irtual Recordings Can't participate? Send Live audio DVD's of this program. $ $ for BOTH the live audio conference and DVD package. w Name(s) Payment Options We will discuss the 2019 ICD-10-CM changes that impact your practice and potential CPT changes available as of the seminar dates. conference form Name of Doctor/Group/Clinic Street Address (Suite Number) Office Phone Number City, State Zip Code Fax Number IMPORTANT: Write your address here (a link to all conference working materials arrives via ) Payment must be received prior to the conference Check enclosed for $ Make checks payable to McVey Seminars and mail to: 1333 Berrydale Drive, Petaluma, CA Fax to if charging by credit card Charge $ Exp. date Cardholders Signature ACT NOW! Yes we'd like to participate in the virtual seminar on Coding for Pulmonary & Critical Care on Wed., Sept. 12 & Thur., Sept. 13, 2018 from 9:30am to 12:30pm Pacific Time. Fee for participating is $ and that includes an access phone number, and/or link to connect to for this program with the ability to ask questions of our expert. *One phone line, computer or ipad per registration. address (Print Clearly) Coding for Pulmonary Sept. 12 & 13, :30 am - 12:30 pm PT (both days) Mastercard Visa Discover Card Amex. NOTE! You can register on-line now! Visit & click on "live webinars" under Specialties, then find your topic. You may also fax registration form with credit card to: (415)
5 W E PROVIDE ANSWERS * Costly Errors / Lost Revenue common to Pulmonary practices... and ways to fix them! * Mastering documentation of Medical Necessity is Key to Prompt Reimbursement. * Where to use modifier 25. When to use modifier 59. * What you can do to avoid Concurrent Care denials. * Documentation requirements for Six Minute Walks. * Utilize CMS' National Coverage Decisions (NCD) and Local Coverage Decisions (LCD). * Guidelines for Smoking Cessation, Xolair therapy, and much more.... * OIG coding targets.? The McVey Guarantee We unconditionally guarantee your full tuition for up to one year. After participating, if you did not feel the investment worthwhile, please write to us with your comments. We believe in the value of our seminars, teleconferences, virtual seminars and services - and we think you will too! For More Information If you have any questions regarding this seminar, the recordings available, on-site seminars or consulting please call TOLL FREE: The McVey staff welcomes your questions and we re here to help! web site: CEUs and Certificate of Completion This program has the prior approval of AAPC for 6 continuing eduction hours. Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor. (the Academy ) Other groups offering 6 C.E.U.'s are the Professional Association of Health Care Office Management ( ), the Professional Association of Healthcare Coding Specialists ( ), and the Practice Management Institute ( ). You also receive a McVey Associates, Inc. Certificate of Completion. 33RD YEAR PROVIDING THE HIGHEST QUALITY BUSINESS INFORMATION TO HEALTHCARE - THANK YOU, TERRY L. MCVEY, PRESIDENT
Advanced E/M Auditing: Secrets to Success
Advanced E/M Auditing: Secrets to Success Presented by Carrie Severson CPC, CPC-H, CPMA, CPC-I Senior Auditor, AAPC Client Services Why We Are Here OIG Report (OEI-04-10-00180) Coding Trends of Medicare
More informationWound Care Revenue Cycle Insights: Multiple Viewpoints. New Updates for 2013
Wound Care Revenue Cycle Insights: Multiple Viewpoints New Updates for 2013 WCB2013 Philadelphia, PA Birmingham, AL Chicago, IL Orlando, FL Houston, TX Las Vegas, NV St. Louis, MO San Diego, CA WCB2013
More informationCoding, Corroboration, and Compliance How to assure the 3 C s are met
Coding, Corroboration, and Compliance How to assure the 3 C s are met Sue Roehl, RHIT, CCS sroehl@eidebailly.com 701-476-8770 OIG 1996 - $23.2 Billion errors Figure 1 Insufficient/No documentation 46.76%
More informationTherapy Documentation: What is Reasonable and Necessary?
Therapy Documentation: What is Reasonable and Necessary? Presented By: Cindy Krafft MS PT, COS-C Director of Rehabilitation Consulting Services President - Home Health Section APTA June 15, 2010 243 King
More informationAlabama Rural Health Conference 03/25/2010
1 This resource is not a legal document. This presentation was prepared as a tool to assist our providers. This presentation was current at the time it was created. Although every reasonable effort has
More informationAdvanced Evaluation and. AAPC Regional Conference Chicago 10/27/12
Advanced Evaluation and Management AAPC Regional Conference Chicago 10/27/12 Jaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC jaci@practiceintegrity.com Disclaimer Information
More informationConnecticut Medical Assistance Program Refresher for Hospice Providers. Presented by The Department of Social Services & HP for Billing Providers
Connecticut Medical Assistance Program Refresher for Hospice Providers Presented by The Department of Social Services & HP for Billing Providers 1 Training Topics Hospice Agenda HIPAA 5010 Hospice Form
More informationOASIS-C2 Accuracy (Right Assessment Right Answer Right Care) Conference
OASIS-C2 Accuracy (Right Assessment Right Answer Right Care) Conference October 25-26, 2017 8:15 a.m. - 4:30 p.m. 15.6 Contact Hours Continuing Education Contact Hours awarded by Iowa Western Community
More informationtoday! Visit or call 800/
The bestselling Certified Coder Boot Camp is now available online! Register today! Visit www.hcprobootcamps.com or call 800/750-0584. Register 30 days in advance and save $200! Call HCPro at 800/750-0584
More informationCoding for the Practitioner
Coding for the Practitioner Prepared for Coalition of State Rheumatology Organizations National Rheumatology Fellows Conference February 2018 Presented by: Jean Acevedo, LHRM, CPC, CHC, CENTC Disclaimer
More informationOptima Health Provider Manual
Optima Health Provider Manual Supplemental Information For Ohio Facilities and Ancillaries This supplement of the Optima Health Ohio Provider Manual provides information of specific interest to Participating
More informationSAVE $100 SAVE $50. CDI Education classes forming now! Register up to 90 days before course start date and
CDI Education Register up to 90 days before course start date and SAVE $100 Coupon code: bcsave100 Register up to 60 days before course start date and SAVE $50 Coupon code: bcsave50 2013 classes forming
More informationThe Business of Medicine
The Business of Medicine Coding as a profession Objectives How the coder fits in Hospital vs. physician services Hierarchy of providers Reimbursement aspects Payers Medical necessity ABN 1 Regulations
More informationPayment Policy: High Complexity Medical Decision-Making Reference Number: CC.PP.051 Product Types: ALL
Payment Policy: High Complexity Medical Decision-Making Reference Number: CC.PP.051 Product Types: ALL Effective Date: 6/2017 Last Review Date: See Important Reminder at the end of this policy for important
More informationGrow Your Own Coders: Training Options for the Modern HIM World
Grow Your Own Coders: Training Options for the Modern HIM World Healthcon 2016 April Date 13, 2016 Presentation by Pamela Haney, MS, RHIA, CCS, CIC, COC Director of Presentation Training and byeducation
More informationJaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC Disclaimer
Advanced Evaluation and Management More than a roll of the dice? History Exam Medical Decision Making Jaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC jaci@practieintegrity.com
More informationCODING WORKSHOP OVeRVIeW
REVISED 2018 ACOG Brochure.qxp_ACOG Workshop 9/20/17 10:27 AM Page 2 CODING WORKSHOP OVeRVIeW In 2018, the ACOG Coding Workshops will continue focusing on improving clinical documentation in response to
More informationReadying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida
Readying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida February 6, 2015 Agenda Getting Re-Engaged for ICD-10 Systems & Tools Provider Training Case Studies Coder
More informationFlorida Health Care Association 2013 Annual Conference
Florida Health Care Association 2013 Annual Conference The Westin Diplomat Resort & Spa Session #21 Compliance = Confidence! Tuesday, August 6 2:30 to 4:30 p.m. Diplomat 1 & 2 Upon completion of this presentation,
More informationOUTPATIENT DOCUMENTATION IMPROVEMENT
OUTPATIENT DOCUMENTATION IMPROVEMENT Pam Brooks, MHA, COC, PCS, CPC Coding Manager Wentworth-Douglass Hospital Dover NH Disclaimer This presentation is for general education purposes only. The information
More informationSAVE $50 SAVE $100. Medicare Boot Camp. Long-Term Care Version classes forming now!
Medicare Boot Camp Long-Term Care Version *cannot be combined with any other discounts Register up to 90 days before course start date and SAVE $100 Coupon code: bcsave100 Register up to 60 days before
More informationMEDICARE DON T NAVIGATE ALONE! RULES & REGULATIONS. Medicare Boot Camp. Medicare Boot Camp. Medicare Boot Camp
Over 30,000 students trained through HCPro Boot Camps TM DON T NAVIGATE MEDICARE RULES & REGULATIONS ALONE! START WITH HCPRO Medicare Boot Camp Hospital Version Medicare Boot Camp Utilization Review Version
More informationRAC. Fall Classes. For national class dates and locations visit Register online & save $100! INFORMATION!
2009 Fall Classes For national class dates and locations visit www.hcprobootcamps.com. REDESIGNED COURSE INCLUDING ESSENTIAL RAC INFORMATION! Register online & save $100! www.hcprobootcamps.com 2009 Dates
More informationOBSERVATION CARE EVALUATION AND MANAGEMENT CODES POLICY
OBSERVATION CARE EVALUATION AND MANAGEMENT CODES POLICY UnitedHealthcare Oxford Reimbursement Policy Policy Number: ADMINISTRATIVE 232.10 T0 Effective Date: March 1, 2017 Table of Contents Page INSTRUCTIONS
More informationCDERC, CCS-P Vice President Strategic Development American Academy of Professional Coders
ICD-10-CM Implementation Part 3 Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, P COBGC, CEMC, CDERC, CCS-P Vice President Strategic Development American Academy of Professional Coders Goal This Webinar conference
More information9 TIPS FOR SURVIVING AFTER THE ICD-10 GRACE PERIOD ENDS. By Aine Cryts
9 TIPS FOR SURVIVING AFTER THE ICD-10 GRACE PERIOD ENDS By Aine Cryts BE SPECIFIC IN YOUR CODING "Specificity in documentation and diagnosis coding since the ICD-10 implementation is to be encouraged.
More informationRoadmap. AAH Best Practices and Mobility Documentation. Policy History. History Continued. History Understanding Documentation
Roadmap AAH Best Practices and Mobility Documentation May 2008 History Understanding Documentation MAE NCD Key Concepts Audits The WHY of MR CMS Requirements 1 2 Policy History Original National Policy
More informationCompliant Documentation for Coding and Billing. Caren Swartz CPC,CPMA,CPC-H,CPC-I
Compliant Documentation for Coding and Billing Caren Swartz CPC,CPMA,CPC-H,CPC-I caren@practiceintegrity.com Disclaimer Information contained in this text is based on CPT, ICD-9-CM and HCPCS rules and
More informationICD-10: The Good, Bad and Ugly
1 ICD-10: The Good, Bad and Ugly Presented by Ken Bradley Vice President of Strategic Planning and Regulatory Compliance Navicure 2 Navicure Learn more or request a demo at www.navicure.com 3 Follow Navicure
More informationPreparing for ICD-10: Education and Clinical Documentation
Preparing for ICD-10: Education and Clinical Documentation Agenda Background Road to Readiness Education Clinical Documentation Quick Start Today s presentation and recording will be sent to all attendees
More information"Strategies for Enhancing Reimbursement " September 16, 2015
"Strategies for Enhancing Reimbursement- 99080" September 16, 2015 Chat box feature Chat Box is available to you to ask questions or make comments anytime throughout today s webinar. Submit to Host and
More informationTelemedicine and Reimbursement
Telemedicine and Reimbursement Presented for : March 14 th 2018 About Acevedo Consulting Incorporated Acevedo Consulting Incorporated prides itself on not providing cookie-cutter programs, but a quality
More informationManaging Towards Compliance
Managing Towards Compliance Presented by Bruce Rappoport, MD, CPC, CPCO AAPC National Conference April 14, 2014 Disclaimer This presentation is designed to provide educational information in regard to
More informationBilling, Coding and Reimbursement Guide
Billing, Coding and Reimbursement Guide Revised June 2016 Disclaimer: The information in this document has been compiled for your convenience and is not intended to provide specific coding or legal advice.
More informationCertified Ophthalmic Executive (COE) Review Day
Certified Ophthalmic Executive (COE) Review Day Compliance Plan & Chart Audits Financial Disclosure The instructor acknowledges a financial interest in the subject matter of this presentation. Presented
More informationOur Services Include. Our Credentials
is a healthcare consulting and education firm providing services such as: IRO services, practice management and assessment services, A/R management and oversight, new practice set up that includes lease
More informationCloning and Other Compliance Risks in Electronic Medical Records
Cloning and Other Compliance Risks in Electronic Medical Records Lori Laubach, Partner, Moss Adams LLP Catherine Wakefield, Vice President, Corporate Compliance and Internal Audit, MultiCare 1 AGENDA Basic
More informationBehavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers. Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW
Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW Objectives Answer questions specific to FQHC and Primary
More informationFQHC Behavioral Health Clinical Network Retreat
FQHC Behavioral Health Clinical Network Retreat 1 Behavioral Health Services Agenda Provider Enrollment Review Policies and Procedure Review Behavioral Health Boot Camp Questions 2 1 Disclaimer The materials
More informationThe presenter has owns Kelly Willenberg, LLC in relation to this educational activity.
Kelly M Willenberg, MBA, BSN, CCRP, CHC, CHRC 1 The presenter has owns Kelly Willenberg, LLC in relation to this educational activity. 2 1 Medical Necessity when you submit claims Coding for qualifying
More informationRegister online and. For information, call 877/ or visit. Seattle, WA July NYC/NJ area July 27 31
Register online and SAVE $100! new Dates Added! 2009 Class Dates This course is an outstanding prerequisite to prepare for RAC audits. Overall, the course has exceeded my expectations, and I consider it
More informationICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP)
ICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP) Background ICD = International Statistical Classifications of Diseases and Related
More information8/28/2014. Compliance and Practical Challenges When Using Scribes: Just What the Doctor Ordered? Objectives of the Presentation
Compliance and Practical Challenges When Using Scribes: Just What the Doctor Ordered? Jerry Williamson MD. MJ. CHC. LHRM Objectives of the Presentation Definition of a Scribe Duties of a Scribe Regulatory
More informationUsing Education Codes Effectively and Legally in Clinical Sleep Education
SOUTHERN SLEEP SOCIETY 39 TH ANNUAL MEETING SOUTHERN SLEEP SOCIETY TECHNOLOGIST COURSE - 2017 Using Education Codes Effectively and Legally in Clinical Sleep Education Jayme R. Matchinski March 23, 2017
More informationDefensive Documentation for Long-Term Care
Defensive Documentation for Long-Term Care Strategies for creating a more lawsuit-proof resident record Tra Beicher RNC, ARM, HRM, CWS Contents About the author............................................
More information9/11/15. Reimbursement for Non- Physician Providers Real Life Practice Objectives
Reimbursement for Non- Physician Providers Real Life Practice 2015 John F. Bishop, PA, CPC, CPMA, CGSC, CPRC AAPA National Chair Reimbursement and ICD-10 Work Groups Principle, John Bishop and Associates,
More information9/25/2012 AGENDA. Set the Stage Monitoring versus Audit Identifying Risk Strategies related to an audit plan Corrective Action Plans Examples
The Art and Science of Designing a Physician Practice Audit : Unique Techniques Lori Laubach, Partner MOSS ADAMS LLP 1 AGENDA Set the Stage Monitoring versus Audit Identifying Risk Strategies related to
More informationElectronic Health Records - Advantages and Pitfalls of Documentation
Electronic Health Records - Advantages and Pitfalls of Documentation Kansas City, KS HCCA Regional Conference September 25, 2015 1:00 P.M. 2:00 P.M. Presented by: Cynthia A. Swanson, RN, CPC, CEMC, CHC,
More informationHFMA - Northern California. Otani Consulting Group Inc, Hawthorne Blvd, #216, Torrance, CA 90503
1 HFMA - Northern California 2 Module 2: Departments that Impact Accounts Receivables Clinical and Technical Departments that impact Account Receivables Financial Clearance (FC) Centralized Units Case
More informationSee the Time chapter for complete instructions regarding how to code using time as the controlling E/M factor.
2015 EM Survival Guides Chapter 1: Office or Other Outpatient Visit (99201-99215) You should apply 99201-99215 for E/M visits in the office or other outpatient setting. These codes distinguish between
More informationEmerging Outpatient CDI Drivers and Technologies
7th Annual Association for Clinical Documentation Improvement Specialists Conference Emerging Outpatient CDI Drivers and Technologies Elaine King, MHS, RHIA, CHP, CHDA, CDIP, FAHIMA Outpatient Payment
More informationCAH SWING BED BILLING, CODING AND DOCUMENTATION. Lisa Pando, Sr. Consultant GPS Healthcare Consultants
CAH SWING BED BILLING, CODING AND Lisa Pando, Sr. Consultant GPS Healthcare Consultants Learning Objectives: 1. Review Medical Necessity documentation specific to swing bed patients 2. Reasons to use the
More informationNHPCO Regulatory Recap for Activity from August 2011 Volume 1, Issue No.8
NHPCO Regulatory Recap for Activity from August 2011 Volume 1, Issue No.8 To: NHPCO Membership From: NHPCO Regulatory Team IN THIS ISSUE: CMS Help Prevent Fraud Campaign CMS Provider Compliance Group Outreach
More informationProviderNews2015. a growing issue TEXAS. Body mass index and obesity: Tips and tools for tackling
TEXAS ProviderNews2015 Quarter 2 Body mass index and obesity: Tips and tools for tackling a growing issue For adults, overweight and obesity ranges are determined by using weight and height to calculate
More informationBIG for LIFE Online Training Course
LSVT GLOBAL announces the BIG for LIFE Online Training Course for LSVT BIG Certified PT and OT professionals! The BIG for LIFE Online Training Course provides LSVT BIG Certified Clinicians with the tools
More informationRequired Data for Claim Forms (CMS-1500 & UB-04) Claim Submission Instructions (MLTC) Care Healthcare and VNSNY CHOICE Transition
2018 Provider Manual VNSNY CHOICE Appendix V Claims CMS-1500 Form (Sample) UB-04 Form (Sample) Required Data for Claim Forms (CMS-1500 & UB-04) Claim Submission Instructions (MLTC) ICD-10 FAQ Care Healthcare
More informationWhat To Do When An Audit Letter Comes
What To Do When An Audit Letter Comes Sarah Reed BSE,CPC,CPC-I AAPC Fellow 2 The speaker has no financial relationship to any products or services referenced in this program. This program is intended to
More informationMedicare Reimbursement Challenges. Financial Interest. Current Issues. Rose & Associates
Medicare Reimbursement Challenges ASCRS-ASOA Symposium & Congress Practice Management Program Boston, Massachusetts April 25-29, 2014 Presented by: E. Ann Rose Financial Interest E. Ann Rose is President
More information360 º REVENUE CYCLE TRAINING TOOLS IMPROVE CODING EFFECTIVE BILLING MAXIMIZING PATIENT REVENUE LEGAL COMPLIANCE OPERATIONAL IMPROVEMENT STRATEGIES
DOCUMENTATION IMPROVE CODING OFFERED BY: MAXIMIZING PATIENT REVENUE OPERATIONAL PERFORMANCE TRAINING LEGAL COMPLIANCE EFFECTIVE BILLING TOOLS PRINCIPLES COST-BASED REIMBURSEMENT OPERATIONAL IMPROVEMENT
More informationMedical Billing and Coding Career Guide
Medical Billing and Coding Career Guide Medical Billing and Coding Career Reference Guide Considering a medical billing and coding job? A career in medical billing or coding offers an opportunity in a
More informationObservation Care Evaluation and Management Codes Policy
Policy Number Observation Care Evaluation and Management Codes Policy 2017R0115A Annual Approval Date 3/8/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS You are responsible
More informationMedicare 101. Lisa Satterfield, ASHA director, health care regulatory advocacy Neela Swanson, ASHA director, health care coding policy
Medicare 101 Lisa Satterfield, ASHA director, health care regulatory advocacy Neela Swanson, ASHA director, health care coding policy Neela Swanson Director, Health Care Coding Policy, ASHA Disclosure
More informationRisk Adjustment and Hierarchial Condition Category Coding and Auditing
December 2, 2016 Risk Adjustment and Hierarchial Condition Category Coding and Auditing Risk Adjustment (RA) and Hierarchical Condition Category (HCC) coding is a payment model mandated by CMS in 1997,
More informationMid-Level Providers: What You Need to Know to Use Them Successfully in Your Practice
Mid-Level Providers: What You Need to Know to Use Them Successfully in Your Practice Presented by Sarah Reed, BSE. CPC Senior Managing Consultant Medical Revenue Solutions, LLC AAPC 2016 Disclaimer The
More informationThe CMS. Survey. Coordinator s. Handbook. Jeffrey T. Coleman
The CMS Survey Coordinator s Handbook Jeffrey T. Coleman Table of contents About the author... iv Introduction... v Chapter 1: Know your surveyor... 1 Chapter 2: Know your survey... 5 Chapter 3: Know the
More informationAutomated Licensing Information and Report Tracking System
Automated Licensing Information and Report Tracking System What is ALIRTS? ALIRTS is a web portal that enables health facilities to easily report annual utilization data and allows our customers to easily
More informationPatient Health Education: What Physicians Need to Know to Thrive in Today s Healthcare Environments
Patient Health Education: What Physicians Need to Know to Thrive in Today s Healthcare Environments Prepared by National Institute of Whole Health www.niwh.org Accredited by the Institute for Credentialing
More informationMedicare Part A Update
Medicare Part A Update Jennifer Bogenrief, JD Manager, Regulatory Affairs AOTA AOTA Specialty Conference: Effective Documentation Friday, September 12, 2014 1 Topics Medicare Therapy Documentation Requirements
More informationComplete Home Health Icd-9-cm Diagnosis Coding Manual 2012
Complete Home Health Icd-9-cm Diagnosis Coding Manual 2012 Download PDF ICD 9 CM 2015 for Physicians Volumes 1 and 2 Professional Complete Home. Time to Update your ICD-10-CM Implementation Plan by Teresa
More informationEMR Issues with Documentation, Coding and Audits
Financial Disclosure EMR Issues with Documentation, Coding and Audits Donna McCune, CCS-P, COE, CPMA Vice President Corcoran Consulting Group The instructor is a consultant for Corcoran Consulting Group
More informationTransitioning to ICD-10: An Action Plan for Practices
Transitioning to ICD-10: An Action Plan for Practices By Nancy M Enos, FACMPE, CPMA, CPC-I, CEMC 1 viterahealthcare.com/icd10 The Four T s of Transition to ICD-10: Timing, Training, Testing and Technology
More informationReimbursement Policy (EXTERNAL)
Subject: Consultations Reimbursement Policy (EXTERNAL) Effective Date: 01/01/15 Committee Approval Obtained: 06/06/16 Section: E&M/Medicine ***** The most current version of our reimbursement policies
More information9/17/2018. Critical to Practices
Critical to Practices Provides: Reviewing quality of care provided to patients. Education to providers on documentation guidelines. Ensuring all services are supported, and revenue captured. Defending
More informationRevenue Cycle T R A I N I N G. This program has been recommended for 16 CPE credits in the Specialized Knowledge Category
2 0 1 8 T R A I N I N G This program has been recommended for 16 CPE credits in the Specialized Knowledge Category Delivery Method: Group Live Prerequisites and or Pre Work: None Program Level: Basic NACHC
More informationIMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY
Global Surgery Policy Number GLS03272013RP Approved By UnitedHealthcare Medicare Committee Current Approval Date 04/09/2014 IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare
More informationDo I Have the Right Credential?
Do I Have the Right Credential? AAPC National Conference April 2013 Judy Wilson CPC,CPC-H,CPCO,CPC-P,CPPM,CPCI,CANPC,CMRS Jaci Johnson CPC,CPC-H,CPMA,CEMC,CPC-I Disclaimer Information contained in this
More informationReimbursement Environment
Reimbursement Environment 1 2017 Medicare Physician Fee Schedule Enhancing Integrative Medicine: CMS adopting additional care management codes in 2017 MPFS. Support patient centered and collaborative strategies.
More informationUNIVERSITY SPEECH AND HEARING CLINICS MEDICARE REQUIREMENTS SLP CPT CODES WITH PROFESSIONAL WORK VALUE
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA) UNIVERSITY SPEECH AND HEARING CLINICS MEDICARE REQUIREMENTS Dee Adams Nikjeh, PhD ASHA Health Care Economics Committee, Co-Chair AMA
More informationResponding to Today s Health Care Regulatory Environment
Responding to Today s Health Care Regulatory Environment St. Joseph s Health Michael R. Holper SVP, Compliance and Audit Services October 26, 2016 2014 Trinity Health. All Rights Reserved. 1 We operate
More informationUnique Billing for PCMH Transition of Care/HCC Risk Management
THE MEDICAL HOME SUMMIT MARCH 23, 2015 Unique Billing for PCMH Transition of Care/HCC Risk Management JAYNE BRYANT RN, BSN THERESA BAILEY, LVN JAMES L. HOLLY, MD MARCH 23, 2015 Criteria for New Codes 2
More informationAre they coming to get you! Todd Thomas, CCS-P
Are they coming to get you! Todd Thomas, CCS-P Who is coming for you? Medicare Administrative Contractors (MACs) Recovery Audit Contractors (RACs) Medicaid Recovery Audit Contractors (MACs) Comprehensive
More informationTop Audit Finding: Discrepancies in Secondary Diagnosis Assignment on Outpatient and Pro-Fee Claims
March 8, 2018 Top Audit Finding: Discrepancies in Secondary Diagnosis Assignment on Outpatient and Pro-Fee Claims By Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-approved ICD-10- CM/PCS trainer There is
More informationSharpen coding skills and reimbursement strategies during ICD-10 delay The Centers for Medicare & Medicaid Services (CMS) once again has extended the
Ambulatory Surgery Centers Sharpen coding skills and reimbursement strategies during ICD-10 delay The Centers for Medicare & Medicaid Services (CMS) once again has extended the deadline to begin using
More informationMANAGEMENT OPERATIONS FINANCIAL SEMINAR SYSTEM ANALYSIS DEVELOPMENT RISK HEALTH PROCESS CONTROLLING RISK DECISION CENTER BUSINESS STRATEGY INPUT LEVEL
OPERATIONS MANAGEMENT FINANCIAL SEMINAR INFORMATION DESIGN DEFINITION MANAGERS DECISION BUSINESS PROCESS FRAUD DEVELOPMENT QUALITATIVE PLANNING EFFECTIVE MANAGEMENT GOODS MARKETING CONTROLLING RISK SYSTEMS
More informationComprehensive Education for the GI Practice
PRACTICAL SOLUTIONS FOR THE GI PRACTICE Putting the Pieces Together Comprehensive Education for the GI Practice SEPTEMBER 8 9, 2017 OPERATIONS GI Practice Management 101: Practice Management Essentials
More informationMedical Billing & Coding Certificate Program with Clinical Externship
Louisiana State University Shreveport Division of Continuing Education and Public Service One University Place Shreveport, LA 71115-2399 https://www.ce.lsus.edu/ Contact: Angela Taylor 318.798.4177 continuing.education@lsus.edu
More informationUsing PEPPER and CERT Reports to Reduce Improper Payment Vulnerability
Using PEPPER and CERT Reports to Reduce Improper Payment Vulnerability Cheryl Ericson, MS, RN, CCDS, CDIP CDI Education Director, HCPro Objectives Increase awareness and understanding of CERT and PEPPER
More informationPayment System (OPPS)
Michigan Dept. of Community Health (MDCH) Outpatient Prospective Payment System (OPPS) Kathy Whited, Project Lead Sue Klein, Project Lead Sue Schwenn, Project Co-chair Karen Scott, Project Co-chair Claudia
More informationRegulatory Compliance Risks. September 2009
Rehabilitation Regulatory Compliance Risks September 2009 1 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation
More informationSurviving Targeted Probe & Educate
Surviving Targeted Probe & Educate PRESENTED BY: MELINDA A. GABOURY, CEO HEALTHCARE PROVIDER SOLUTIONS, INC. TARGETEDPROBEANDEDUCATE.COM INFO@HEALTHCAREPROVIDERSOLUTIONS.COM CMS expansion on Probe & Educate
More informationICD-10: The First 180 Days. Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair
ICD-10: The First 180 Days Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair Agenda ICD-10 Background and Timeline Provider Implementation Efforts Hospital Implementation Efforts
More informationJurisdiction Nebraska. Retirement Date N/A
If you wish to save the PDF, please ensure that you change the file extension to.pdf (from.ashx). Local Coverage Determination (LCD): Independent Diagnostic Testing Facilities (IDTFs) (L31626) Contractor
More informationPayment Policy: Assistant Surgeon Reference Number: CC.PP.029 Product Types: ALL
Payment Policy: Reference Number: CC.PP.029 Product Types: ALL Effective Date: 01/01/2014 Last Review Date: 03/01/2018 Coding Implications Revision Log See Important Reminder at the end of this policy
More informationPEARLS OF THE ACC CV SUMMIT: THOUGHTS FROM THE OYSTER BED OF CLINICAL PRACTICE
PEARLS OF THE ACC CV SUMMIT: THOUGHTS FROM THE OYSTER BED OF CLINICAL PRACTICE IN-ACC October 13, 2018 Linda Gates-Striby CCS-P, ACS-CA St. Vincent Medical Group Director Quality Assurance Lggates@ascension.org
More informationCDx ANNUAL PHYSICIAN CLIENT NOTICE
CDx ANNUAL PHYSICIAN CLIENT NOTICE - 2018 CDX Diagnostics is providing this annual notice in accordance with the recommendations made by the Office of Inspector General (OIG) as part of our CDx Compliance
More informationWhere do you fit in? STEMI System of Care. Saturday, May 16, a.m. to 12:15 p.m.
STEMI System of Care Where do you fit in? Fogelson Forum Auditorium 8200 Walnut Hill Lane Dallas, TX 75231 Saturday, May 16, 2015 8 a.m. to 12:15 p.m. CME presented by www.texashealth.org/cme Conference
More informationThe CMS Survey Guide Jeffrey T. Coleman
The CMS Survey Guide Jeffrey Jeffrey T. T. Coleman Coleman Contents About the Author......................................................... v Introduction............................................................
More informationFacility-Based Behavioral Health Program Professional Fees Reimbursement Policy Annual Approval Date. Approved By
Policy Number 2016RP505A Facility-Based Behavioral Health Program Professional Fees Reimbursement Policy Annual Approval Date 09/30/2016 Approved By Optum Behavioral Reimbursement Committee IMPORTANT NOTE
More informationSpring User Conference May Sandestin, FL Detailed Agenda
Day One: Monday May 16, 2016 3 6 p.m. Conference Registration 5 6 p.m. Customer Welcome and Orientation for First-time Conference Attendees 6 8 p.m. Welcome Reception Day Two: Tuesday May 17, 2016 7 a.m.
More informationEducation & Training Plan. Medical Billing & Coding Certificate Program with Clinical Externship. Student Full Name:
TYLER JUNIOR COLLEGE School of Continuing Studies 1530 SSW Loop 323 Tyler, TX 75701 www.tjc.edu/continuingstudies/mycaa Contact: Judie Bower 1-800-298-5226 jbow@tjc.edu Education & Training Plan Student
More information