HEALTHCON 2017 Session Catalog. May 7-10 Rio All-Suite Hotel Las Vegas, Nevada

Transcription

1 HEALTHCON 2017 Session Catalog May 7-10 Rio All-Suite Hotel Las Vegas, Nevada

2 The schedule will be a compilation of high quality educational sessions covering areas of Outpatient Coding, Billing, Auditing, Compliance, Inpatient Coding, and Practice Management. GS1 President's Welcome 5/7/2017 2:00 PM 3:00 PM Come hear AAPC s President, Bevan Erickson, discuss changes in healthcare and opportunities for AAPC members. Bevan Erickson, President AAPC Member Solutions 1.00 GS2 Emotional Intelligence or EQ 5/7/2017 3:15 PM 4:15 PM What is emotional intelligence or EQ? Where is your current EQ level? This session will provide an overview to emotions in our lives and careers and the competence behind awareness and management of them. Brian Ingles 1.00 EH1 Welcome Reception with Exhibitors 5/7/2017 4:15 PM 7:00 PM Come join 75+ exhibitors at the welcome recption where you get a chance to see all the latest and greatest services, products, and other resources to help you and your teams be the best you can be at your jobs! EH2 Breakfast with Exhibitors 5/8/2017 7:00 AM 8:00 AM KN Keynote with Governor Mike Leavitt 5/8/2017 8:15 AM 9:30 AM Founder and chairman of Leavitt Partners, Governor Mike Leavitt, helps guide healthcare organizations navigate through today s healthcare challenges as they transition to new and better models of care. Governor Leavitt former Secretary of Health and Human Services, Administrator of the Environmental Protection Agency, and three-time elected governor for the state of Utah will bring insight into the future of healthcare in an evolving landscape. Governor Mike Leavitt A CPT Assistant and How to Use It 5/8/2017 9:45 AM 11:00 AM During this session we will discuss how CPT Assistant articles are created and how to effectively use them to increase coding accuracy. We will review examples of coding gray areas and how CPT Assistant provides valuable information to clarify proper code use. Mark S Synovec, MD

3 1B Top 10 Errors in ENT Coding and Documentation 5/8/2017 9:45 AM 11:00 AM Believe it or not, Otolaryngology coding covers a wide range of procedures and four parts of the respiratory system the ears, nose, sinuses, and throat. ENT Providers use codes in the 20000, 30000, 40000, and 60000, and series of CPT codes. All of that territory provides plenty of opportunities for coding errors. Candice M Fenildo, CPC, CPB, CPMA, CPC-I, CENTC 1C Toughest Coding Concepts - Panel Discussion 5/8/2017 9:45 AM 11:00 AM A panel of multispecialty coding experts will host an interactive discussion of the most challenging coding concepts. The panel will respond to questions from attendees regarding specialty coding topics. The perspective of each panel member on these common issues will provide attendees with answers to their toughest coding questions. Caren J Swartz, COC, CPC, CPB, CPMA, CRC, CPC-I, CPCD; Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC; Ruby Catherine O'Brochta- Woodward, CPC, CPB, CPMA, COSC, CSFAC; Raemarie Jimenez, CPC, CDEO, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC 1D Denial Management in the OP Facility 5/8/2017 9:45 AM 11:00 AM This presentation will provide participants with an understanding of the impact of claim denials on an organization's revenue cycle. This interactive presentation will provide participants with examples of common claim denials and assist in identifying practical approaches to determining root causes and outline alternatives for correction and mitigation of them in the future. Participants will be able to take away a road map for developing and accessing effective denial management strategies to classify denials by reason, cause and other unique factors. Janet S Hodgdon, CPC, CRC 1E Catching Up with Coding Clinic Quarterly Update in Review 5/8/2017 9:45 AM 11:00 AM This session will offer an in-depth presentation of the both the challenges and opportunities of the coding advice and clarifications published in AHA s Coding Clinic 2017 first quarter update. Guidance will be reviewed highlighting necessary areas of education, operational issues and documentation challenges. Yvette M DeVay, CPC, CIC, CPC-I

4 1F Creating an Audit Plan for Physician Offices 5/8/2017 9:45 AM 11:00 AM Creating an audit plan for your office can be overwhelming given the multiple facets involved in the success of a practice. From creation to implementation, we will discuss the steps to create a successful audit plan and identify ways to tailor the audit plan to your practice. Having a successful audit plan in place will help your practice improve claims management processes, verify solid provider documentation for services performed, and increase compliance with applicable laws and regulations. Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I 1G Case Study - Value of Physician Revenue Integrity Team 5/8/2017 9:45 AM 11:00 AM Every physician group that has lived through a billing system implementation knows there can be growing pains when moving from a decentralized to centralized coding model, especially in the absence of a formalized Revenue Integrity team. A large integrated health care system in the Central Region, in collaboration with RSM US LLP (RSM), a national revenue cycle consulting firm, designed and implemented an Enterprise Physician Revenue Integrity team to support a 600+ provider practice. Tina Marie Hill, CPC 1H Countering Cyber Chaos: Everyday Strategies to Address Information Security, Risk, and Compliance 5/8/2017 9:45 AM 11:00 AM Course will give actionable advice on navigating complex regulatory requirements in the face of advancing technology like software-based medical devices, the cloud, and mobile devices. Half of healthcare data security breaches are caused unintentionally by lost or stolen devices, employee negligence, and third-party errors but many practices lack the financial and human capital required to adequately protect their patients PHI. Martin Ignatovski 1I New Physical Therapy Codes 5/8/2017 9:45 AM 11:00 AM Physical therapy codes have undergone major changes in In this session we will review the changes to the evaluation and reevaluation codes, documentation requirements, and reimbursement challenges. Wanda Evans PT, MHS, CKTP

5 1J Compliance, Don t Fall Prey to Penalties 5/8/2017 9:45 AM 11:00 AM Attendees will learn the seven elements OIG requires to have an effective compliance program. They will learn how to perform policy mapping to ensure all regulations are covered within their practice or medical organization s policies & procedures. Learn key principles utilized to ensure effective auditing. Lastly, learn how to create a culture of compliance and learn how to sustain it. Michelle Ann Richards, CPC, CPCO, CPMA, CPPM EH3 Lunch A with Exhibitors 5/8/ :00 AM 12:15 PM 2A E/M: Getting Paid for What You Do 5/8/ :15 AM 12:30 PM Charge capture in E/M has evolved beyond making sure a isn t a Coders must be attentive to length of visit, case management, patient phone calls, transitional care, and administrative services and exams. Is your provider documenting these services, and are you capturing all codes appropriate to the visit? Sandra Kay Giangreco, COC, CPC, CPC-I, COBGC; Kimberly Garner Huey, CPC, CPCO 2B Documentation for ED Visits with "Additional Work-Up" Planned 5/8/ :15 AM 12:30 PM One of the most debated areas of Evaluation/ Management (EM) code documentation is the Emergency Department (ED) and what constitutes 'additional workup planned' when using high level codes ( ) in an ED place of service for a physician claim. CMS leaves the definition to payer discretion as well as providers can also have their own definition. This module will help to clarify some of the common areas of documentation that should be in place if a high level E/M code is used in an ED place of service. Susanne E Myler, COC 2C Radiology: More than Just the Codes 5/8/ :15 AM 12:30 PM Radiology is a service offered by many healthcare organizations. Understanding the different modalities and the guidelines for billing radiology services can help your organization make sure that they are in compliance for coding and billing of imaging services to assure proper reimbursement. Kathleen G Bailey CPA, MBA, CPC, CPCO, CPMA, CPC-I

6 2D Dynamic Chargemaster Strategies and Emerging Trends 5/8/ :15 AM 12:30 PM Whether a seasoned chargemaster professional managing a corporate multi-facility chargemaster or new to a chargemaster role, an attendee will learn different and unique strategies to maintain a facility s chargemaster. As healthcare evolves with an attention on transparency increased use of data analytics has become imperative to analyze the charging structure and CDM management. This session will incorporate not only the fundamentals of CDM management, but will focus on emerging trends along with technology that is taking the static, flat charging environment into a dynamic integrated clinical charge capture system. Identification of missing revenue opportunity will be incorporated into this action-packed presentation using previous reporting practices and how to focus on problematic areas to stop the facility s revenue loss. Glenda Schuler, COC, CPC 2E Trending Issues in Inpatient Coding 5/8/ :15 AM 12:30 PM This presentation will cover issues which are currently trending in inpatient coding. Peggy Turner 2F How to Effectively Communicate Audit Results 5/8/ :15 PM 1:30 PM You ve performed a documentation audit and now you have to deliver the result to a provider. How do you prioritize the information? What is the best way to ensure compliance, now and in the future? We will learn from real case studies of successful audits exactly how to prepare a comprehensive, yet meaningful audit report, every single time. Lara M Smith, CPC, CEMC 2G Understanding Your Non-Physician Practitioners 5/8/ :15 PM 1:30 PM The process of billing for services rendered by Non- Physician Practitioners (NPPs) is a complex interaction of scope of practice under state law and the billing guidelines for the patient s payer. This presentation will equip attendees with the resources to issue spot potential compliance pitfalls associated with the use of nurse practitioners and physician assistants. Stacy Nicole Harper, JD, MHSA, CPC

7 2H Pathway to success for a regional HIE 5/8/ :15 PM 1:30 PM The presentation will define the role of HIE in care coordination across providers: acute, emergency services, ambulatory, public health, and long term postacute facilities; review interoperability and workflow enhancement opportunities and challenges; list lessons learned and best practices for systems integration which support user adoption and utilization; and describe user experience with value stories from HIE participants. Yvonne Hughes 2I Educating Providers in Risk Adjustment from a Clinical Perspective 5/8/ :15 PM 1:30 PM Specificity of documentation makes a huge difference in risk adjustment. Educating providers from a clinical perspective helps them better understand the verbiage and detail necessary to support their diagnoses and be compensated appropriately for severity of illness. Dr. Wymore will demonstrate ways she teaches providers to expand their thinking at the time of encounter for more specific ICD-10 coding and HCCs. Marian Wymore MD, CPC 2J Ransomware Prevent, Prepare, Respond, Recover 5/8/ :15 PM 1:30 PM Ransomware is one of the biggest threats to the Health Care industry and health information privacy says the U. S. Department of Health and Human Services (HHS). In 2016 the FBI reported 4000 daily Ransomware attacks and HHS classified them as HIPAA Breaches. This session will explain how to prevent, prepare for, respond to and recover from a Ransomware attack in compliance with the HIPAA Rules. Paul Hales, JD EH4 Lunch B with Exhibitors 5/8/ :30 PM 1:45 PM 3A Implementing the CMS Toolkit for EHRs in your Practice 5/8/2017 1:45 PM 3:00 PM Electronic Health Records have forever changed the content of medical documentation, and coders must grapple with new challenges brought on by the high volume of data. The risks associated with EHRs are everywhere! This session will help coders and providers identify common compliance problems, offer guidance from CMS, and provide solutions for your medical office. Jill M Young, CPC, CEDC, CIMC

8 3B The Ins and Outs of Urologic Coding 5/8/2017 1:45 PM 3:00 PM The presentation will look at new and existing technology in urologic treatments. Endoscopy, robotics, laparoscopy, and other surgical procedures will be discussed as well as necessary ICD-10-CM urologic diagnosis coding to report these procedures. Bundling issues and coverage policies from both Medicare and commercial insurers will be presented. Stephanie Nanette Stinchcomb, CPC; Susan L Crews, CPC 3C Foundations in Anesthesia Practice 5/8/2017 1:45 PM 3:00 PM The way that anesthesia services are billed is impacted by many variables, including the type of provider. This lecture will provide a fundamental understanding of anesthesia services to equip the coder with skills necessary to dissect the record and assign proper codes. Patrick Harper MD; Judy A Wilson, COC, CPC, CPCO, CPC-P, CPB, CPPM, CPC-I, CANPC 3D Outpatient Documentation Improvement in the Facility 5/8/2017 1:45 PM 3:00 PM Although many healthcare organizations utilize Clinical Documentation Improvement (CDI) Specialists in the inpatient setting to improve provider documentation, the idea of outpatient CDI specialists in the outpatient setting is not widely recognized. Learn how one hospital implemented a documentation improvement program in the outpatient setting to identify issues, reduce denials and appeals, implement creative solutions, and capture more complete clinical data. Pamela J Brooks, COC, CPC 3E ICD-10-PCS Challenges of the 2017 Code Revisions 5/8/2017 1:45 PM 3:00 PM This session with provide a detailed review of the ICD- 10-PCS codes which have resulted in the operational challenges of code abstraction, assignment, clinical documentation, and the DRG impact when procedures drive the DRG assignment. This session will take a closer look PCS coding as it relates to areas of potential impact, including; but, not limited to: the New Technology section codes; procedures involving the root operation control; and cardiovascular procedures involving multiple stents. Yvette M DeVay, CPC, CIC, CPC-I 3F Audit Scope and Selection 5/8/2017 1:45 PM 3:00 PM These two parts of the audit process set the tone for the whole audit. In this session we will discuss the steps needed and questions to consider to determine the scope and make the selection to ensure the audit provides the information that was requested. Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC

9 3G Population Health Management: Implications of Ethical Coding 5/8/2017 1:45 PM 3:00 PM As the health care industry moves toward quality-based reimbursement, it is important to understand how accurate documentation and coding play an important ethical role in population health management. Ethical coding for risk adjustment supports not only accurate reimbursement, but can address health disparities by allowing appropriate funding to flow to populations that may experience inequality in health care. Dennis Cowart, CPC, CPMA, CPC-I 3H Interventional Radiology, Cardiology and Vascular Surgery Coding Updates for /8/2017 1:45 PM 3:00 PM This session will review coding changes implemented for 2017 in the areas of Interventional Radiology, Cardiology and Vascular Surgery, including AV dialysis circuit coding, Angioplasty, Venoplasty, Conscious Sedation, Spine Intervention and Structural Heart intervention. Anatomical drawings, device images, examples and coding guidelines will be discussed. David Zielske, MD, COC, CIRCC, CCC, CCVTC 3I We re Not Just Coders ; the Expanded Role of Credentialed Members in Today s Healthcare 5/8/2017 1:45 PM 3:00 PM How many times have we heard you re just a coder? Well that is an outdated term! With the ever expanding healthcare field, what do your AAPC credentials say about you? How do you use them in your day-to-day different roles? Brenda Edwards, CPC, CDEO, CPB, CPMA, CRC, CPC-I, CEMC 3J MACRA - Don't Fall Apart...Fall in Place 5/8/2017 1:45 PM 3:00 PM Frustrations over the complicated new law known as MACRA are looming for physicians who are already drowning in change fatigue. In addition to evaluating APMs and MIPS practices have the daunting task of training, and need to create communication workflows to support conversations with individual providers about their performance under the problem, which for many will be complicated by weighted performance categories. Join Stephanie Cecchini to learn the basics, map a strategy, and implement a planned survival guild to help providers make the move smoothly and with as little disruption as possible. Stephanie Cecchini CHISP, CPC, CEMC EH5 Break with Exhibitors 5/8/2017 3:00 PM 3:45 PM

10 4A Coding Clinic for ICD-10-CM: What you Need to Know 5/8/2017 4:00 PM 5:15 PM Did you know that type 2 diabetes with DKA is reported with E13.10, even though type 2 diabetes is normally reported with a code from category E11? Coding Clinic for ICD-10-CM is a quarterly American Hospital Association publication that generates policies we must follow with the same attention as we follow the ICD-10- CM Guidelines for Coding and Reporting. This session will review important Coding Clinic rules for diagnostic coding, including the one for diabetic ketoacodosis. Sheri Poe Bernard, COC, CPC, CDEO, CPC-I 4B Infertility - Is Your Coding Reproductive? 5/8/2017 4:00 PM 5:15 PM Reproductive Endocrinologists and OB/Gyns often see patient's with infertility but the technology treating infertility has changed drastically over the past 5 years. As such, the coding has changed as well to keep up the new technologies that are making their way into the healthcare practice. New technology such as chromosomal screening and egg freezing is growing in popularity and can be covered by insurances, this presentation will show you how to code correctly for optimum reimbursement. Stephanie M Sjogren, CPC, CPMA, CPC-I 4C Techniques in Pacemaker/ICD Systems/Other Heart Systems 5/8/2017 4:00 PM 5:15 PM This session will discuss transvenous and leadless pacemakers as well as transvenous and subcutaneous defibrillators. Biventricular systems will also be discussed as well as left atrial monitors, cardiac ischemia detection systems, pulmonary pressure sensors and cardiac contractility modulation systems. David Dunn, MD, COC, CIRCC, CCC, CCVTC 4D Outpatient Clinic Coding 5/8/2017 4:00 PM 5:15 PM This presentation will provide fundamental medical coding skills for an outpatient hospital/facility and ASC setting. This interactive presentation will address common procedures, as well as applicable coding guidelines done in an ambulatory surgery center, wound and pain clinic. Participants will gain a broad knowledge in reviewing and assigning correct codes used for coding services in these areas. Gina L Hobert, COC, CPC, CRC, CPC-I, CEMC

11 4E Clinical Documentation Specialists (CDS) and Coding Alliance 5/8/2017 4:00 PM 5:15 PM Clinical Documentation Programs are built upon the need for accurate and compliant communication among the Healthcare Team striving for an interchange to most effectively depict the patient s severity of Illness and risk of mortality during the Inpatient or Outpatient encounter. Clinical Documentation Specialists today are most often charged with directing the accuracy of documentation within the health record and, from that documentation accuracy, codes are assigned (either by the CDS or, ultimately, the coder). No matter the coding convention (ICD 10-CM/PCS, CPT, etc.) or the grouped designated category (MS-DRGs, APR-DRGs, HCC, etc.), the results has the similar effects; aggregation to reflect patient Severity/Risk profiles and then ultimately, the corresponding outcomes (acuity, chronicity, fiduciary, etc.). Steve Robinson MS- HSM, PA-O, RN, SSBB, CDIP 4F What to do When an Audit Letter Comes 5/8/2017 4:00 PM 5:15 PM In this session Ms. Reed will discuss responding to audits from a variety of sources. Examples of the most common audit types will be discussed as well as how to respond and track those responses. In conclusion the audience will learn how to use those audit results in educating your practice. The audience in encouraged to bring examples of problematic external audits to the session. Sarah Jane Reed, CPC, CPC-I 4G The UPIC Revolution 5/8/2017 4:00 PM 5:15 PM The Unified Program Integrity Contractor (UPIC) will change the landscape of audit defense and reimbursement integrity. With UPIC contracts already being awarded, practices need to be fully aware of the many changes that will take place with the unification of The Centers for Medicare and Medicare Services (CMS) integrity work from multiple contractors to a single integrity contractor for each zone. The many compartmentalized processes that existed before will be streamlined and integrated into single auditor activities, which means cross-referrals and multipurpose reviews will greatly increase. These changes will requires practices under many different forms of review to heighten their level of compliance for all reviews in anticipation of multifaceted examination. This presentation will teach the essential of the UPIC program and how to be prepared. Stephen Bittinger JD

12 4H TBA 5/8/2017 4:00 PM 5:15 PM 4I Trump Care What Impact Donald Trump May Have on Healthcare s Future 5/8/2017 4:00 PM 5:15 PM With the newly elected Donald Trump as president and a republican majority lead house and senate many are asking what is at stake for the future of healthcare and the various initiatives that have been implemented under President Obama and the Accountable Care Act. This session will provide an overview of Trump s healthcare reform plans and discuss possible changes and implications to the healthcare system. Dan Schwebach, MHA, CPPM 4J Extraordinary Health for Busy Healthcare Professionals (This Means You!) 5/8/2017 4:00 PM 5:15 PM What's between you and extraordinary health? Time? Motivation? Habits? Simple lifestyle changes can make a big impact on your health. Find ways to get inspired & overcome inertia, denial, fear, and resignation. Even if you have chronic diseases, there are lifestyle changes, vaccines and screening tests that can improve your health and wellbeing. Marian Wymore MD, CPC EH6 Breakfast with Exhibitors 5/9/2017 7:00 AM 8:00 AM GS4 Codes - It's Not Always About Payment 5/9/2017 8:15 AM 9:30 AM Reimbursement models are ever changing and now emerging models will change how we get paid but does that mean the use of codes will change too? Learning how valuable data obtained from codes and how it can support any payment model (eg, MACRA and MIPS) can help transform your practice, your documentation and your physician buy in. Raemarie Jimenez, CPC, CDEO, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC 1.00 GS5 Legal Trends and Issues 5/9/2017 9:45 AM 11:00 AM This panel discussion, led by AAPC s Legal Advisory Committee, offers insights into today and tomorrow s most pressing legal concerns for medical practices and facilities facing increased financial scrutiny and regulation. Join us for this perennial favorite! AAPC Legal Advisory Board 1.00 EH7 Lunch A with Exhibitors 5/9/ :00 AM 12:15 PM

13 5A Navigating NCCI and its Modifiers 5/9/ :15 AM 12:30 PM Modifier 59 is the most abused modifier. Stop relying on software edits to tell you to place the modifier on a CPT code. Learn how to look up NCCI edits and appropriately apply modifier 59, XE, XP, XS and XU. Angela B Clements, CPC, CPC-I, CEMC, CGSC, COSC 5B Optimal Coding for your Diabetes Support Team 5/9/ :15 AM 12:30 PM Diabetes is the most incorrectly coded diagnosis most patients are coded as if they have no complications; therefore, the claims data does not accurately capture the intensity of the services provided. Many physicians are also not aware of the specific benefits offered by Medicare and other payers to treat diabetes. Guidelines for coding diabetes with recent changes will be discussed. Sheri Poe Bernard, COC, CPC, CDEO, CPC-I 5C Pediatric Ophthalmology Conundrums 5/9/ :15 AM 12:30 PM Dealing with pediatric ophthalmology patients is a complicated endeavor and the coding of all the nuances can be overwhelming as well as underwhelming in payment if not done correctly. In this session we will talk about the clinical conditions, the documentation necessary to capture the essential elements and how to overcome the coding limitations. Understanding the clinical condition is key to understanding the complexity of the pediatric patient and Dr. Curnyn will give her expert insight on these conditions often treated. Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CPC-I, CENTC, CGSC, COBGC, CPEDC; Kimberlee Curnyn MD 5D Revenue Cycle/OPPS in the Facility 5/9/ :15 AM 12:30 PM This presentation will provide participants with an outline of the finalized changes to APC reimbursement for calendar year 2017, with special emphasis on the general trend toward increased bundling of services and what that means to an organization. Additional areas to be covered will include, but not be limited to: Financial and operational impacts; Provider-based entity site-neutral payment provisions; New CPT and HCPCS codes; Add-on codes; Composite vs. Comprehensive APCs; Compliance concerns, including RAC, OIG, etc. Participants attending this session will take away an overall understanding of APC reimbursement, to assist in internally operationalizing and processing the changes affecting their organizations. Janet S Hodgdon, CPC, CRC

14 5E Registry Coding: Use Your Coding Experience to Enhance Your Career? 5/9/ :15 AM 12:30 PM This session will introduce you to the various types of registries, coding specifics and job opportunities with registry coding. We will discuss in-depth two of the most common registries - cancer and trauma registry coding by exploring the special terminology and coding used, as well as specific registry coding resources. We will discuss education opportunities and registry credentials. We will finish by working through some case studies to demonstrate registry coding in action. If you want to take your coding skills to a new level or are considering other coding opportunities, this is a session not to miss! Marianne Durling, CPC, CPCO, CIC 5F Forensic Auditing vs Compliance Auditing Understanding the Difference 5/9/ :15 PM 1:30 PM When asked to perform an audit it is important to understand the type of audit you have been asked to perform and on that basis, how you characterize and communicate the results. Forensic Auditing differs substantially from Risk Auditing based on the criteria that can be applied and the significance (from a disclosure perspective) of the results. This program will outline the difference between these two types of audits as well as clarify the types of criteria, how to delineate conditions of participation from conditions of payment, as well as the difference between coding and reimbursement rules and how these differences influence your audit conclusions. Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC 5G Accommodating Patient Request to Access and Amend the Health Record 5/9/ :15 PM 1:30 PM Are you ready for patients to routinely read and correct their health records? Do you understand the HIPAA Privacy Rule and patient rights? Are you ready to empower your patients to take an active role in their healthcare? Are you ready for Patient Generated Health Data (PGHD)? This presentation will prepare you for the healthcare consumer in the digital age! Michael Warner DO, CPC 5H How Healthy is Your Practice? 5/9/ :15 PM 1:30 PM This session will look at a case study showing a practice making changes in policies and procedures to improve the bottom line. We will look at reports for a variety of areas where tracking and monitoring can identify where the practice is healthy and areas where changes may need to be made. Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC

15 5I Creating Your Professional Path in Healthcare Compliance 5/9/ :15 PM 1:30 PM The health care compliance arena is a growing professional field. What is the best way for you to navigate your path in the compliance profession? What resources are available for those wanting to transition into the field of health care compliance? How can those who ve been in the compliance profession take that next step in their compliance career? What does the future hold for the profession? The answers to these and more questions will be discussed. Submit questions in advance to the speaker who is a seasoned compliance professional by ing him at cj.wolf@healthicity.com CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC 5J Laboratory Coding 5/9/ :15 PM 1:30 PM EH8 Lunch B with Exhibitors 5/9/ :30 PM 1:45 PM 6A Tales from the FBI Fraud Squad 5/9/2017 1:45 PM 3:00 PM Health Care Fraud continues to be a pervasive threat to Governmental and Private funding streams which support medical services. In this session, a Special Agent from the FBI will provide an overview of the Health Care Fraud threat, common fraud schemes and the impact medical professionals can have by helping protect the system. Thomas Daly 6B Coding and Billing for Wound Care 5/9/2017 1:45 PM 3:00 PM This presentation will address the terminology and the anatomy/physiology of both wounds and ulcers. We will explore the differences between acute and chronic wounds and the difference between wounds and ulcers, and their etiologies. We will look at wound classifications and treatment modalities and how we capture them, both procedurally and diagnostically, including modifiers and CCI edits. As we examine ulcer and wound treatment, we will learn about common standards of care and advanced treatment options. Lastly, hands on coding exercises will be offered for concrete understanding of the complexities of coding and billing for acute and chronic wound care. Linda Martien, COC, CPC, CPMA

16 6C In and Outs of Spine Surgery 5/9/2017 1:45 PM 3:00 PM In this session we will review reimbursement of recent changes in Spine procedures and the obstacles practices are encountering. We will provide tips to successfully overcome spine coding issues while working through your claims to give you a better understanding of reimbursement issues common to Spine Surgeons. Instrumentation code changes will be discussed in-depth. Barbara Cataletto, MBA, CPC 6D Understanding the Ambulatory Surgery Center 5/9/2017 1:45 PM 3:00 PM This session will cover all aspects of coding and billing for services in an Ambulatory Surgery Center. We will discuss covered surgical procedures from CMS and third party carrier policies. Review of CMS covered list of services and addenda s will be reviewed including ancillary services such as xray s, drugs, supplies, implants and laboratory procedures that may be separately reportable. Use of modifiers for CMS and third party payers will be reviewed. We will end the session with a review of a operative note(s). Brenda Chidester- Palmer, CPC, CPC-I, CASCC, CEMC 6E DRG Pitfalls: What to look for in Documentation to Code Comorbid Conditions 5/9/2017 1:45 PM 3:00 PM In this session, we will take a look at the documentation requirements for CC s and MCC s and how they affect the DRG assignment. In doing so, we will review notorious conditions which tend to attract auditor s attention and common mistakes made when choosing the ICD-10-CM codes. After completing the session, the participant should be able to: Understand common conditions which might trigger an audit Understand the documentation requirements for common MCC/ CCs. Understand how to use the assigned DRG as a way to quickly feel confident about the code assignment. How documentation and coding can affect the DRG Assignment. Heather Greene, CPC, CPMA

17 6F Coding Versus Auditing: Does it Boil Down to Medical Necessity 5/9/2017 1:45 PM 3:00 PM Coders are taught very strict guidance and rules of code selection look-up, proper order of selection, and linking codes correctly, but the art of abstracting medical necessity from the documentation is oftentimes not taught until one reaches the world of auditing. This creates problems in that coders typically assign the codes prior to claim submission which may mean that medical necessity is not evaluated. During this session, we will explore this difference and how to ensure that medical necessity can be extrapolated through all areas of coding and auditing. Shannon O'Tyson DeConda, CPC, CPMA, CPC-I, CEMC 6G Top Billing Mistakes and Myths 5/9/2017 1:45 PM 3:00 PM This panel of industry leading billers will address the most common billing mistakes and myths surrounding claims submissions. The interactive session will delve into your current issues and problem solve your billing nightmares. Come prepared to participate. Ann M Bina, COC, CPC, CPC-I; Yvonne D Dailey, CPC, CPB, CPC-I; Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CPC-I, CENTC, CGSC, COBGC, CPEDC 6H TBA 5/9/2017 1:45 PM 3:00 PM 6I Practice Management Do s & Don ts for Success 5/9/2017 1:45 PM 3:00 PM We will cover best methodologies for setting up your practice or medical organization for success. Hire the right people; learn about how engaged employees are more productive and have better patient outcomes. Learn best practices for enhanced financial oversight. Get a better understanding on solid quality and accountability measures that allow your practice to develop and be more sustainable & marketable. Michelle Ann Richards, CPC, CPCO, CPMA, CPPM

18 6J Risk in a Value- Based Purchasing Environment 5/9/2017 1:45 PM 3:00 PM Healthcare policy and payment is changing focus from the services delivered to the outcomes of the patient condition. In this environment the detailed nature of the risk, severity and complexity of the patients treated diagnoses and comorbidities is critically important. This presentation will cover: What does risk mean in this payment environment? What are current measures of risk and how do they factor into payment? How is risk used to adjust quality and payment? What are the strategies for improving the quality of data needed to succeed? Joseph C. Nichols, MD EX1 Anatomy Expo 5/9/2017 1:45 PM 4:45 PM Celebrate the wonders of human anatomy at our very popular AAPC Anatomy Expo. This fast-paced event offers an in-depth look into the complex machine we call the human body. Physicians from a variety of specialties will use anatomical models, devices, and videos to provide an insider s look at the anatomic and physiologic nuances of the body. Novice and expert alike will find this session fun, informative, and exhilarating EH9 Break with Exhibitors 5/9/2017 3:00 PM 3:45 PM GS6 E/M Ambiguities - Panel Discussion (Open Forum) 5/9/2017 4:00 PM 5:00 PM A panel of industry experts including auditing, compliance/legal, physician and payer representatives will host an interactive discussion of the most common problems with proper reporting of E/M services. The panel will respond to questions from attendees regarding troublesome E/M documentation and scoring issues. The perspective of each panel member on these common issues will provide attendees with valuable insight that can be applied when developing internal compliance policies for resolving these concerns. Jonnie Massey, CPC, CPC-P, CPMA, CPC-I; Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC; Michael Warner DO, CPC; Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC 1.00

19 Pre Run4One 5/10/2017 7:00 AM 8:00 AM $20 Donation AAPC is on a mission to promote better health, education, and wellness... and to nudge you a little left of your comfort zone! HEALTHCON 2017 will feature our third annual AAPC Run For One walk/run. This 4k event will give you a chance to network, meet AAPC leadership, and of course, donate to a worthy cause. Having fun is a key part of this event all skill levels are invited! From seasoned runner to sight-seeing stroller, there's room for everyone. Registrants will receive a wristband which can be proudly worn throughout the conference. Contact one of your representatives on the National Advisory or Chapter Association Board to arrange participating with others from your region. HEALTHCON donates ALL of the $20 registration fee to AAPC's Hardship Fund, which is used to help AAPC members in need. GS7 Hashtag, Pound, and Keeping up with the Code-ashian's 5/10/2017 8:30 AM 9:30 AM Healthcare has gone from medicine bags and house calls to the virtual world of telemedicine in less than 100 years. At the same time the new ways to conduct business, operate efficiently in our personal lives, and keep up with the Jones s ---typically become outdated before the majority of us can learn about them, let alone adopt them. Stephanie Cecchini, medical coding expert, public speaker, and healthcare executive, identifies six pillars of 21st century success for the men and women serious about making their #mark. Stephanie Cecchini CHISP, CPC, CEMC A Understanding New and Upcoming Healthplan Trends 5/10/2017 9:45 AM 11:00 AM In this session we will be going over upcoming trends in healthcare as covered by some of the most prominent health plans. Knowing where they are focusing their resources can help you better prepare your practices moving forward. 7B 5 Common Conundrums in Coding Knee Surgery 5/10/2017 9:45 AM 11:00 AM This session will discuss the terminology and anatomy involved with knee procedures. The session will discuss the approach of the procedure as well as coding synovectomy, chrondroplasty, loose bodies and more. Operative notes will be dissected to illustrate the documentation requirements and reimbursement guidelines for payers. Ruby Catherine O'Brochta-Woodward, CPC, CPB, CPMA, COSC, CSFAC

20 7C High Risk OB 5/10/2017 9:45 AM 11:00 AM Providing care to high-risk obstetrical patients often requires additional time, effort, and training. Coding for these patients offers a challenge to the coder. This session will discuss prenatal care, ultrasounds and antenatal testing, as well as delivery coding. Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC 7D Observation: Facility and Professional-- The Similarities and Differences 5/10/2017 9:45 AM 11:00 AM Two Sides of the Same Coin - Professional and Facility Coding This presentation will provide fundamental medical coding skills for observation services. This interactive presentation will address evaluation and management services provided to patients designated as "observation status" in a hospital. In addition, common services provided to patients in "observation status" will be addressed. Participants will gain a broad knowledge in reviewing and assigning correct codes used for coding both professional and technical components of these services. Gina L Hobert, COC, CPC, CRC, CPC-I, CEMC

21 7E Benefits Realization from Collaboration: Embracing and Integrating the focus on Clinical Data Integrity 5/10/2017 9:45 AM 11:00 AM Core Clinical documentation integrity has never been more vital since performance based payments are now directly linked to quality measures that require data and information. Health information governance, Quality Monitoring, Performance Indicators, Risk of Mortality and Severity of Illness, Evidence based Medicine, Coding and CDI programs provide significant benefit to the new payment models since they allow a deep dive into information collection processes, sources and uses. Effective care leads to the best patient outcomes, avoiding underuse or overuse of medical resources. Evidence-based care guidelines help providers and health plans drive effective care in their own work and through collaborative efforts in your organization. Everything old is new again! Utilization Review is a key component of a care coordination program working with CDI. One example is point of Entry Utilization Review staff play a very important role in reviewing and discussing admission decisions with providers. This includes ensuring that there is a clear order for the type of admission (inpatient, outpatient, observation), that documentation clearly supports the admission decision and orders for treatment support both the type of admission and medical necessity. Review at the point of entry is even more critical than in the past MIPS will start January 1, 2019 and consolidates existing quality and utilization-based programs, including the Physician Quality Reporting System (PQRS), the Value- Based Modifier Program (VBM), and the meaningful use Electronic Health Record (EHR) Incentive Program Certified EHR Technology (CEHRT). Providers, Nursing, Clinical Care Specialists, Health information management (HIM), Professional Coding and CDI professionals are at the center of assuring Clinical Documentation Integrity. Bonnie Cassidy MPA, RHIA, FAHIMA, FHIMSS

22 7F E/M Utilization Risk Analysis 5/10/2017 9:45 AM 11:00 AM It is a given that understanding E/M guidelines is critical for accurate and appropriate coding. Perhaps even more important, understanding how to benchmark E/M utilization is the key to developing advanced management strategies. This includes compliance risk assessments, financial impact analyses and understanding how to interpret variances from national and local comparative databases. Frank Cohen 7G Payer Communications Denials & Appeals 5/10/2017 9:45 AM 11:00 AM Ever been frustrated by the wall payers tend to surround themselves with? Ever seem like payers speak a foreign language? Then this session is for you! In this session we'll cover claims issues, denials and appeals, basic communications, and the importance of policy in the payer world. We'll discuss strategy and tactics of how we can begin to break down barriers to successful payer communications. Angela C Boynton, COC, CPC, CPCO, CPC-P, CPMA, CPC-I 7H Actions speak louder than words! 5/10/2017 9:45 AM 11:00 AM Communication is about more than just exchanging information. It's about understanding the emotion and intentions behind the information. Effective communication is also a two-way street. It s not only how you convey a message so that it is received and understood by someone in exactly the way you intended, it s also how you listen to gain the full meaning of what s being said and to make the other person feel heard and understood. MariaRita Genovese, CPC 7I Deeper than the Headlines: A Deep Dive into Recent DOJ and OIG Settlements 5/10/2017 9:45 AM 11:00 AM We all see the headlines. A physician practice settles for hundreds of thousands of dollars or a hospital/skilled nursing facility chain settles for millions of dollars. The press releases are helpful but are usually brief and over time they all start to sound the same. This session is designed to take a deeper dive into these settlement cases. What started the issue? What missteps were made that lead to legal action? How can my practice or organization prevent these same mistakes by improving our compliance program? We will examine court documents to get more detail than is typically provided in the press release or newspaper article. Submit questions in advance to the speaker who is a seasoned compliance professional by ing him at cj.wolf@healthicity.com CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC

23 7J Data Collection on Global Surgery Services (as Mandated by MACRA) 5/10/2017 9:45 AM 11:00 AM Everyone is talking about MACRA in terms of value-based incentives, MIPS and APMs but this session will alert you to a billing requirement that was enacted with the passing of MACRA. Attendees will learn about mandated claim submission requirements for services normally included in the global surgery package. CMS pushed back the implementation date of this requirement until July, 2017 so this is a good time to learn about these changes. Maryann C Palmeter, CPC, CPCO, CENTC 8A The EHR says it s a /10/ :15 AM 12:30 PM Leveling E/M services in an EHR can be perilous. During this session we will explore the parts of the electronic health that are off limits, and areas that are questionable for compliance when determining the E/M level for an encounter. We will apply CMS guidance to ROS, PSH, and template information in the EHR to E/M coding, with case studies from EHRs. Angela M Jordan, CPC 8B Documentation Requirements for Coding Hip Surgery 5/10/ :15 AM 12:30 PM This session will discuss the terminology and anatomy involved with hip procedures. The session will discuss the approach of the procedures in addition to arthroplasty, hemiarthroplasty, and revisions. Operative notes will be dissected to illustrate the documentation requirements and the lay terms to look for when coding. Ruby Catherine O'Brochta-Woodward, CPC, CPB, CPMA, COSC, CSFAC 8C Pediatric Coding Challenges 5/10/ :15 AM 12:30 PM Primary Care presents several coding challenges with the sheer number of services provided, limited time to provide them and the complexity of the codes involved. Many primary care physicians end up undercoding leaving out valuable codes that results in thousands of dollars of lost revenue every year. How can coders work with physicians to find missed codes, develop a plan for accurate coding and ensure maximum reimbursement? Sandra Kay Giangreco, COC, CPC, CPC-I, COBGC; Kimberly Garner Huey, CPC, CPCO 8D Coding Infusions and Medications Professional vs. Facility 5/10/ :15 AM 12:30 PM This presentation will go over proper Current Procedural Terminology (CPT) code selection for infusions and Healthcare Common Procedure Code System (HCPCS) selection and conversions to code accurately. Medicare has rules and guidelines for place of service, claim forms and documentation requirements which will be discussed in depth with case examples. Lisa Hornick, CPC, CPMA, CEDC

24 8E Transitional Care: Starting with the Basics; Building a Successful Model 5/10/ :15 AM 12:30 PM Are you looking at setting up a Transitional Care Program? If so, this is the session for you! We will be taking a look at the Medicare guidance and regulations for Transitional Care then walk through a successful implementation and continued use case study. After completing this session, the participant should be able to: Understand Medicare guidelines and regulations for Transitional care Case study of a successful transitional care team Discussion of pitfalls and solutions Marianne Durling, CPC, CPCO, CIC; Heather Greene, CPC, CPMA 8F Attorney Client Privilege, Self Reporting...What Am I Protecting Myself From? 5/10/ :15 AM 12:30 PM This session will convey an understanding of the attorney-client privilege and its protections within the provider/supplier forums as they apply to audits, investigations and voluntary disclosures/refunds. How intentional and mistaken disclosures affect a fluid audit or investigation as well as the mandates of a provider/ supplier s disclosure obligations to CMS in comparison to his/her/its privilege rights and work-product doctrines. Christopher Adam Parrella, JD, CHC, CPC, CPCO 8G Teaching Physician Guidelines - What Went Wrong? 5/10/ :15 AM 12:30 PM Kimberly Reid, CPC, CPMA, CPC-I, CEDC, CEMC 8H Telehealth: An Introduction to Implementation and Policy Considerations 5/10/ :15 AM 12:30 PM This presentation is designed to introduce the audience to how telehealth technology can be implemented in many innovative ways to demonstrate its impact on health care delivery. The presenter will provide background on the definition and use of telehealth and provide information on the national telehealth adoption landscape. The information shared will show that there are tremendous opportunities for hospitals, long term care facilities, social service agencies, and others to use telehealth to improve care, benefit communities and reduce health care costs. In addition the presenter will discuss telehealth policies and compliance, including challenges to the industry. The presenter will also discuss telehealth implementation, including industry best practices, lessons learned and areas of consideration for those seeking to implement telehealth projects. Discussions will include consideration of technology implementation, legal, policy and administration implications, and clinical considerations. Angela Evatt MPP, MA

25 8I Data Trends in Compliance and Auditing 5/10/ :15 AM 12:30 PM We have now had over a year s experience with ICD-10. How are we doing? What are the trends related to how effective we are reporting ICD-10 codes? This is just one of the areas of data trends we will be discussing in this session. We will cover additional trends as they apply to the areas of healthcare compliance and auditing, including trends associated with provider specialty, geographic location, and procedure and diagnostic coding. Jeff Young, MPH 8J Interpreting the NCCI Policy Manual for General Surgery 5/10/ :15 AM 12:30 PM This course will educate on the nuances of General Surgery coding, guided by the National Correct Coding Initiative (NCCI) Policy Manual. Specifics will include appropriate times to code biopsies with more extensive surgeries, appendectomies and hernia repairs with additional surgeries, and other general surgery guidelines. Christopher Chandler, CPC, CGSC GS8 HEALTHCON's Member Appreciation Luncheon 5/10/ :35 PM 2:00 PM Don t miss one of the best parts of HEALTHCON! Join us as we recognize professionals who serve, in a lighthearted, entertaining way. Visit with new friends and old, and network with your fellow healthcare professionals. What a great way to end this great event! This is a ticketed event, so if you plan to attend, be sure to register. AAPC 1.00

26 May 7-10 Rio All-Suite Hotel Las Vegas, Nevada See you in Vegas! For more information visit: HEALTHCON.com or call