Dr. Karen DeSalvo has spent her career supporting better health for individuals and communities across the world. She most recently served as Acting Assistant Secretary for Health at the U.S. Department of Health and Human Services (HHS), a position President Barack Obama nominated her for in May of 2015. Dr. DeSalvo has overseen historical changes across public health, including ensuring access to quality, affordable healthcare, and updating the approach to information distribution in the health system, among others. She was the Health Commissioner for the City of New Orleans, where she lead the development of a public hospital and transformed the outmoded health department to one that has since achieved national accreditation and recognition. Dr. DeSalvo has received numerous honors, including recognition as one of Modern Healthcare’s 50 most influential physician executives and leaders and 100 most influential people in healthcare in 2014, 2015, and 2016.
Join Bevan Erickson, AAPC’s CEO, for his State of AAPC address. He will cover exciting new and upcoming developments within your organization, why we’re moving in these directions, and how these evolutions will impact your daily life, both inside and outside of work.
We need to be honest with ourselves: our behavior may be holding us back in our careers. With the high use of non-face-to-face communication (eg, social media and email), it is easy to be unprofessional and feel there are no consequences. If this is you, you could be holding yourself back from getting that first job after getting certified or the promotion you want so badly. If you are difficult to deal with, you lose respect from your providers, supervisors and co-workers. In this session, we will help you confront the reality of this behavior and give you tips to overcome it for a successful outcome.
As a U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) special agent, Tony Maffei’s department is responsible for investigating Medicare and Medicaid fraud and abuse allegations. His presentation explains cautionary healthcare fraud tales from OIG investigations. He will give you a glimpse into a recent high-profile investigation in East Tennessee, which indicted a doctor who operated a mobile allergy clinic that billed millions in allergy treatments – including CPT® 95165 – for non-covered sublingual immunotherapy and resulted in a guilty plea. In this General Session you’ll learn how improperly billing for CPT® 95165, evaluation and management (E/M) codes appended with modifier 25, and allergy skin testing can get you in deep trouble. Because your providers’ reputations and livelihood are at stake when it comes to fraud and abuse of healthcare dollars, this is a topic you won’t want to miss.
This panel discussion, led by AAPC’s Legal Advisory Committee, offers insights into today's – and tomorrow’s – most pressing legal concerns for medical practices and facilities facing increased financial scrutiny and regulation. Join us for this perennial favorite!
How will this affect you? This session will discuss the upcoming changes to the E/M Documentation Guidelines released in the Final Rule, and what changes to expect in the years to come. We will review case examples and determine how overall code selection will be impacted applying changes to the guidelines. This will be an interactive session where the audience will be encouraged to share their best practices. Come be part of the solution to a complex coding structure.
This informational and motivational session inspires busy healthcare professionals to pay attention to their own health. If you are tired, stressed, battling with your weight, or have any medical issues like hypertension or diabetes, please come to learn simple lifestyle changes that can make a big impact on your health and well-being. Get motivated to take necessary actions to improve your health and vitality, prevent (or manage) chronic diseases, and find out which vaccines and screening tests are recommended for you. Don’t add another HCC to your own body! Dr. Wymore will provide relevant codes.
Monday, April 29, 2019 | 09:45 - 11:00 AM
Career opportunities are exploding! But how do we prepare for them, and how do we set ourselves apart? What does it take to transition from a coder to an auditor, appeal writer, educator, or consultant? We will explore options for preparing ourselves to move forward. Glean lessons learned from a hiring manager.
With only three requirements needed to report critical care, one would think this would be an easy code to support. However, thats the first and "critical" mistake many make. There also seems to be a disconnect between coders and clinicians with interpretation, expectations, and requirements needed to support critical care. This course will dive into the clerical and clinical areas many are afraid to venture within critical care. When coders and clinicians collaborate and work together, critical care becomes easier to identify and report. This course will help identify those troublesome areas and fill those gaps to ensure a fully supported claim is submitted.
Dr. Plichta's presentation, "Breast Overview: From a Surgeon's Perspective", will highlight multiple aspects of breast cancer, including risk factors, imaging, and diagnosing and treating breast cancer.
With the current culture of our country, a patient may find themselves unable to participate in regular visits to their PCP/Healthcare Provider. The Emergency Department visit may be their only visit to a provider throughout the entire year. With this in mind, how do we guarantee that all diagnoses are properly documented for the patient's Medicare? Through proper code capturing, coding specialists can optimize appropriate diagnosis assignment, empowering the patient with the necessary capitation of their Medicare benefits for next year. But how? By focusing on the clinical picture of the patient, and painting the proper documentation for each encounter. Whether profee or facility, both sides can be successful at helping the patient, the facility, and the provider.
Code a trauma patient from Ambulance, ER, OR, ICU, Floor, Discharge, Rehab (PT), Home Health, Multi-Specialty Follow Up. Learn to abstract and what documentation you can code from. Highlight why terminology and anatomy is important for the coder
Too many times we walk in the door to meet with a provider to review their coding and auditing reports to be met with the eye roll of, UGH, they are back! During this session we will provide a teach-the-teacher, interactive session on the best how-to’s for positive provider engagement for positive impacts on compliance. This will include not only guidance and teaching tips, but it will also include a sample report review and walkthrough on how to build the best report, what to include, and most importantly – how to present it.
Gender identity can generate confusion with EMRs and insurance companies. They both require every patient to be identified as either male or female, and coverage is based on that gender marker for gender-specific treatments. Understanding the codes, criteria requirements, insurance and EMR barriers will greatly improve the overall patient safety, experience, and ensure the most appropriate codes are applied for coverage.
We’ll discuss how to create a best-practice Revenue Integrity Department to secure revenue for today and beyond. This session is designed to be an engaging and informative session for the best practices in creating a world class Revenue Integrity Department to secure every dollar due to an organization, no more, no less.
We all know how important our certifications are. But sometimes getting the right information to decision makers is problematic. This session will dissect a solid coding scrubbing program and share the benchmarks, wins and losses. The details are always in the data, and proving how much is to gain can be found in the numbers.
How does the opioid crisis impact our provision of healthcare? This panel discussion will bring a physician, pharmacist, and legal perspective to discuss how the opioid crisis happened, the current activity and resources available to combat the crisis, and the risk management strategies being implemented by different providers and organizations.
Monday, April 29, 2019 | 11:15 - 12:30 PM
Do you know how to dissect a clinical note and apply the correct History, Exam and Medical Decision Making levels? What is a history compiled of? Can you decipher between a Review of Systems or a History of Present Illness? How many systems are required to be examined for a detailed/comprehensive exam? What is included in the Medical Decision Making? Do you know the difference between work-up planned vs no work-up planned? What effect can it have on your E/M level? We will review the different components of MDM and learn about data review elements some coders/providers don't even realize can increase the MDM. How do you put this all together to come up with the final E/M code? In this session we will dissect actual clinical notes and accurately choose the History, Exam and MDM based upon documentation.
Coders for OB/GYN services must now deal with issues such as additional postpartum services in the "the fourth trimester," hospitalist/laborist services, restrictions on ultrasound services, and much more. Unfortunately, the code sets have not kept up with the changing environment. What is the coder to do? This session will provide clear and specific guidance in responding to the new "normal" in OB/GYN.
In this course we will look at Chapter five, concentrating specifically at the substance abuse categories. We will delve into documentation requirements of top diagnoses and how the coding guideline “with” can affect the Principal/first listed diagnosis. This class is for all levels of coders.
Avoid common oncology coding pitfalls with these tips. This presentation focuses on ICD-10-CM coding and guideline assignment. A range of topics will be covered including best practices in neoplasm code assignment steps, coding a history versus an active neoplasm, neoplastic and treatment complications, biochemical recurrence, neuroendocrines and more.
This session will focus on current hospital compliance issues. These will include OIG work plan topics, as well as using the PEPPPER report and other methods of discovery for possible compliance concerns. We will also discuss some recent DOJ and OIG findings and their importance. Our goal is to help create a well-rounded compliance office with the necessary resources to stay current. This session will be beneficial for those working in compliance as well as those looking to move into compliance roles.
Hospice care is coming under scrutiny like never before. With the increasing numbers of Medicare Targeted Probe and Educate (TPE) processes, in this session we'll look at hospice billing requirements and take a deep dive into documentation criteria across the interdisciplinary group and how it relates to the TPE process. Our goal will be to help those facing the TPE process and what can be done to avoid costly audits long-term and create defensible documentation habits for hospice providers.
This session will define and introduce clinical documentation improvement (CDI) into a setting previously untouched - the physician office. As MACRA is implemented and greater focus is on correct physician coding, realtime CDI in the practice is imperative. Beyond diagnosis documentation and coding, CPT coding is still critical, as well as other pressures, such as Quality reporting, HEDIS measures and medico-legal concerns. We will focus on how physician offices of every size and specialty can improve their documentation. Who should be responsible for such efforts? How can we prepare them? What should be the primary focus? Our aim is to equip practices with the tools to implement CDI for success!
More and more practices are using non-physician practitioners (NPP) as a way to provide better services to their patients. However, the coding can be very complicated. This course will review coding documentation guidelines when physicians work with NPPs in a collaborative manner such as: shared services, incident-to, scribe, and more.
Interactions between providers and patients, staff and patients, and providers and hospital employees play a major role in how patients perceive their hospital or physician visits. There are several ways to ensure that the patient is having a positive experience.
You want to get certified or just earned your certification, so now what? This session will cover using social media to build your network, resume writing skills specific to coding/billing positions, interview skills/tips/tricks, and a discussion of what the "Apprentice" truly means. You will leave with a bag of tools to land the perfect job in this business.
Monday, April 29, 2019 | 01:45 - 03:00 PM
Join us to learn of our trial and errors, as well as how an effective auditing program enhances education with both providers and coding staff using Healthicity as its platform.
We’ll study aortic anatomy and disease, as well as the various endovascular procedures to repair them. We’ll also discuss thoracic and abdominal aneurysm coding conventions. What is a fenestrated graft? Explore the various grafts as they relate to the codes. We’ll visit the NCCI policy manual, NCD, and LCD. We’ll also explore payer policies.
Learn about quality measures that directly impact radiology services and be prepared for changes coming in 2019. Attendees will gain a deeper knowledge of the MIPS system, current participation requirements, and claims-based versus registry reporting. Understand documentation challenges for each measure and how measure reporting impacts coding workflows.
Choosing a CPT code can often be much different than choosing the correlating PCS code. When dealing with your coding counterpart (facility/physician), how do you ensure you’re comparing apples to apples? We’ll take a look at some of the basic PCS definitions and compare them to their CPT equivalents to avoid miscommunication.
Revenue integrity is essential to any organization's financial health. Conducting internal audits within the Revenue Cycle uncovers revenue opportunities often overlooked as well as ensures current charging processes remain vigilantly compliant. Attendees will review key areas during the session to take back to their facility and confirm accurate reporting practices are being followed and uncover lost revenue opportunities.
The Affordable Care Act requires all physician practices, regardless of size, to implement a “right–sized” compliance plan for their office. This session will focus on the components of operating an effective compliance plan for your practice as well as providing information on common compliance risks to a practice such as coding and documentation, the electronic health record, outliers and those identified on the Office of Inspector General’s 2018 Work plan. Recommended areas for ongoing monitoring and auditing of the elements will also be reviewed.
What is the OIG up to? Did you know that the OIG is reviewing a sample of global surgeries to determine the number of post-operative services documented in the medical record compared to the number of post-operative services reported in the data collected by CMS? This is just one example of what is on the OIG Workplan. In this session we will discuss the new investigations added to the 2019 OIG Workplan with deeper dive into some of the high risk areas. We will also present some Corporate Integrity Agreement case studies. And finally, we'll review how staying updated on the activities of the OIG can assist you with your internal compliance efforts.
You've learned the Essentials of Risk Adjustment and now you want to learn more. This session will allow participants the chance to review some chart review challenges as it pertains to accurately coding for risk adjustment. We will dissect and code charts for some of the most prevalent chronic conditions like diabetes, COPD, and congestive heart failure.
Running a practice in today's healthcare environment is messy at best. Most often we are stuck in the weeds just trying to make it through the day. By learning how to best benchmark key tasks in our practice we can tie that into system reports to get the best gains and to show the value behind those gains in order to influence all stakeholders.
Modifier 25 is likely the most confusing and misused CPT modifier of all time. The OIG targets this modifier constantly, and CMS has published many reports on the millions of dollars paid incorrectly due to this simple little modifier. During our presentation, we will have an interactive conversation on the proper use of modifier 25, along with advice on how to discuss this potentially harmful modifier with your providers. Actual case examples will be discussed and clues given on how to audit records with modifier 25.
Monday, April 29, 2019 | 03:45 - 05:00 PM
Have you noticed your PCP using a computer or phone? If so, come and learn how Telemedicine Services can benefit their practice. We will discuss the CPT codes, modifiers, coding guidelines and provide some documentation tips. Can my specialist provider benefit from this service? Yes indeed! Come and learn how to change your provider's method of patient care.
Skin cancer is one of the top 10 forms of cancer, with it climbing up the list every year. To adapt, more dermatologists are becoming trained in MOHS surgery, so billers and coders must adapt as well! This course will cover the procedure itself, proper coding of the procedure, and how to avoid common billing pitfalls to have it paid the first time, every time!
The high dollar costs of orthopedic procedures means there is high risk associated with coding for orthopedic surgeons. This presentation will dive into common orthopedic coding issues. This will include a review of CPT, NCCI and AAOS guidelines to help you more accurately code for orthopedic surgeries. Discussing these guidelines with orthopedic surgeons can be difficult. This presentation will give a practical clinical look at orthopedic coding that will better prepare you for working with orthopedic surgeons.
This presentation describes documentation challenges faced by clinicians. It defines common challenges that can be overwhelming and links key “asks,” to specific initiatives, and explains, through examples, how documentation can affect the physician, patient, revenue, resources, and public profiles. Recommendations for engaging physicians will be provided.
Hospital inpatient coders must understand operational and financial structures that do not directly involve coding. Severity of illness, risk of mortality and DRG reporting directly affect the hospital's case mix - a structure that strongly indicates the hospital's financial health. Although not entirely based upon coder's reporting, coders do heavily influence the outcome. Learn these facts that indicate you are on board with keeping the hospital financially viable.
The audit process and plan must change to adapt to the changes in the delivery of healthcare services and the changes in the payment methodology. This presentation will address how to update the scope of an existing audit plan to adjust to the changing environment of the healthcare setting and payment policies. The presentation will introduce real life examples of these changes and suggest how they can be incorporated into the scope of the audit. The new audit plan should be able to recognize risk and verify reimbursement.
Understanding the importance of proper coding and compliance with all governing rules and regulations is critical for provider reimbursement and to avoid litigation and potential criminal charges. We will discuss examples of fraud investigations and common questionable coding scenarios by specialty and provider compliance, including: chiropractic, DME, pain management, anesthesia, co-surgeon rules and unbundling practices.
There are many unique documentation requirements for E/M services in the skilled setting as well as the long-term care, assisted living and independent living. We will share documentation tips you can teach to your providers to help support medical necessity.
Since the implementation of ICD-10-CM/PCS, the role of the coder has diversified and new trends in productivity have emerged. Previous standards used for benchmarking productivity required a focus on transactional coding, whereas current standards call for a more relational approach. This presentation will focus on why tracking coder productivity is important along with distinguishing best practices for establishing benchmarking standards for coding specializations.
In the ever changing environment of healthcare, artificial intelligence (AI) and robotics are continuing to progress rapidly. What does this mean for our coding industry and what role does the traditional coder have in this space? Can the coding arena be replaced without the “human coder” being involved? We’ll explore several areas affected by technology in the coding / auditing space and discuss areas of opportunity for today’s coding professional and the role they have in shaping the future.
Tuesday, April 30, 2019 | 11:15 - 12:30 PM
Medicare and other payers are focusing on chronic disease management and paying separately for services such as Chronic Care Management, Transitional Care Management, and Advance Care Planning. This session defines coverage and requirements and will discuss tips for developing documentation guidelines and coding policies for those services that physicians may already be providing.
“This session will review the 2019 CPT code updates for complex percutaneous interventions performed in the Interventional Radiology and Cardiac Catheterization labs, along with review of what we learned in 2018. Case examples and procedure descriptions will be included throughout the talk. CMS, AMA and other physician societies comments and recommendations for these codes will be discussed. Questions are welcomed throughout the talk.”
The skin is the largest organ of the human body. It is amazing the repair techniques that can be accomplished by using the skin in ways once thought to be science-fiction. We will explore the concepts of tissue transfers, rearrangement, flaps and grafts along with the appropriate coding for each topic. With audience participation, some attendees will assist with demonstrating the concepts while performing these procedures using lemons.
The opioid epidemic has created a number of rules and regulations on how to combat its effects. When providers are performing urine drug testing within the application of prescribing these opioids, it can create multiple issues. Some of these issues that will be discussed in this session are how patients can be affected by physicians both over- and under-prescribing medications in response to fears of having their licenses revoked. Also, we'll discuss the frequency and medical necessity surrounding both presumptive and definitive UDT administration. Fraud, waste and abuse will also be discussed as the financial incentives for providers and labs can be very lucrative.
Are you having trouble coding ICD-10-PCS? Once you understand the root operation of the code set, the light bulb will go on for you. Together we will simplify what was once a challenge. You will ask yourself, "Where have you been all my life?!"
In this session we will define the forensic process and its application to auditing of healthcare service billings. We will also review industry standard guidance for auditing of healthcare claims published by the OIG Office of Audit Services, the federal rules of evidence relative to expert testimony and their relevance to the performance of a forensic audit, the steps of the process for performing such an audit and the circumstances for which a forensic audit is performed and the implications for the findings of such an analysis.
According to Dr. Singh, risk adjustment is a platform and a common ground that accommodates the various health information entities like the health information data from its inception as medical chart notes and ICD-10 codes, claims data and its submission processes, data-mining for the quality metrics, transitional care management, data triggers for the utilization management (especially in the realm of managed care), and many more processes in its natural pathway for the delivery of healthcare.
This presentation provides an overview regarding key Medicare guidelines you should consider when reporting/billing professional services. Topic highlights include: nonphysician practitioner (NPP) services, Medicare "incident to" rules, split/shared services, signature requirements, ABNs, supervision of diagnostic tests, place of service codes and other billing tips. Take away NPP and split/shared services tools to incorporate into your international compliance policies and procedures.
With the cost of medications on the rise, especially with new immunotherapies, it’s imperative to be able to set workflows in place to ensure maximum reimbursement and be able to identify resources that can help patients with free drug and/or copay assistance. Ensuring Financial Clearance is completed prior to servicing the patient is important as most insurance carriers are no longer allowing retro-active authorizations. Authorizations are not the only concern, it is also important that the medication is ordered for what it is FDA approved for. While Off-Label use of medications seems to be growing, not many insurance carriers will provide reimbursement. This session will provide resources and information needed for maximum reimbursement from insurance payers for infusion services & resources that are available to help patients with out of pocket costs.
DOJ guidelines now require that federal prosecutors first resolve cases against individuals in possible misconduct for civil and criminal violations before resolving corporate cases. As a result, the personal liability of administrators, coders and billers has increased greatly. In this session, we will discuss your potential liability and ways to reduce your potential exposure.
Tuesday, April 30, 2019 | 03:45 - 05:00 PM
Did you know that CMS recently changed their guidelines regarding the use of student documentation? Did you know they also made changes to GME coding guidelines? This course will help you be up to date on these changes and how they may impact your practice. The current coding and documentation requirements for GME services will be reviewed, along with the areas of risk associated with using GME and student documentation.
This presentation will focus on wound care for lower extremity ulcers. After a brief overview of the Integumentary System, we will discuss venous leg ulcers, pressure ulcers and diabetic foot ulcers and how they are treated. We will also review coding and documentation tips for coding ulcers and debridements.
Back pain giving you a headache? In this session you will learn how to decipher those tricky operative notes by taking a hands-on approach. Attendees will walk away with a better knowledge of the spine anatomy and terminology that may not always be fully understood. By understanding anatomy and the terminology of the spine, the relationship between the musculoskeletal and nervous systems will become more evident, along with why both subsections should be referenced in most spine cases. We will also be taking a look at the guidelines for CPT, ICD-10 and CCI.
This presentation will be on various surgical and non-surgical approaches to wound care, appropriate coding on allografts and surgical procedures, what not to do with regard to CMS guidelines to prevent rejection, as well as billing for nursing homes and assisted living facilitated for wound care services.
This session will cover facility coding as it relates to common denials and top misreported DRGs per recent CMS and OIG feedback. In addition, the presentation will review conundrums and challenges organizations face during the facility revenue cycle process, and ways to determine if your facility is compliant.
Risk and compliance issues are ever-changing. Documentation audits are a fundamental part of the continuous quality improvement process, but they are also a cornerstone in the economic aspects of medicine. But all audits are not alike, and there are many factors to be considered before the first sample is selected. In this presentation, we will look at audit design, sample selection, and reporting. Methods for effective sample selection will be reviewed. Other important considerations include audit timing, benchmarking, and reporting. The importance of good documentation for clear results and effective communication will also be discussed.
Key strategies to Build Ethics into Your Coding Compliance Program: Understanding where your vulnerabilities lie and how to mitigate risk is essential for coding compliance. This session will explore how to identify and avoid unethical coding situations and present steps to resolve ethical issues when they occur. The audience will benefit from an actual whistleblower story and what being a whistleblower entails. The role of a whistleblower takes its toll in the form of isolation and mental and emotional strain. There are many misconceptions that it’s all about a guaranteed payday. However, the reality is that most of the time, there are better solutions available.
PCC's Lynne Gratton, CPPM, explores front desk best practices related to scheduling, patient check-in, insurance verification, copay and prior balance collection. Understand the importance of the front desk when it comes to your practice's workflow and collection process.
Without safeguards in place, records could reflect an inaccurate picture of the patient's condition. Physicians are responsible for reviewing and removing all pre-populated information to ensure that only patient-specific data for that visit is recorded. Often copy/paste or copy/forward allows irrelevant data to be pulled in by the default template. Inaccurate templates cause increased physician queries and affect revenue cycle.
Risk adjustment that is appropriate for the severity of a patient’s condition depends on accurate diagnosis coding that effectively represents the patient’s disease process and associated complications to the highest specificity allowed by ICD-10 CM. Understanding HCC's and how to communicate with physicians the importance of specificity can set your practice on a course for success.
Wednesday, May 01, 2019 | 09:45 - 11:00 AM
E/M coding is as essential to a physician's practice as the patient room and the office staff. Nearly every specialty reports E/M services and now with the changes upon us, how can we best adapt them to our day-to-day job and, better yet, that of our providers? This session will dive into the changes, the proposed changes, and the wave of the future around the documentation.
How much do you really know about all the hypertension-related codes found in the alphabetic index of ICD-10-CM? Which ones risk adjust? How much do your providers know? Learn from a family medicine physician certified in coding and auditing how you and your providers can select hypertension-related codes accurately.
Learn to recognize queues from the record to identify critical care cases to prevent overcoding of over documented non-critical cases and learn to identify clinical documentation improvement feedback opportunities for providers to improve appropriate, compliant capture of critical care cases. Also learn when to code critical care and procedures together.
One of the most demanding areas of outpatient coding is compliant coding and billing for Infusions & Injections. This presentation will explain compliant documentation, coding and billing for Infusion services.
This presentation will focus on when and how to properly query a physician. We'll also discuss the importance of the four key aspects of documentation that impact the query process. Since the implementation of ICD-10 CM/PCS, understanding how to develop the statement of the issue is key, as documentation involves more specificity than before.
Auditing for E/M Consultation Services has been confusing auditors for years. In January 2010 CMS took a stance by no longer reimbursing providers for CPT consultation codes (99241 -99245 and 99251 – 99255). Since then many organizations have given up entirely on billing for consultation services. Unfortunately, by giving up you could be under-billing services or leaving money on the table. During this session, you’ll learn how your organization can continue to report and get paid for consultation services. Join me to learn how the real-world application of E/M Consultative Services can benefit your organization. We’ll cover: • Consultative Services: Clinically vs. Billing • Which Payers Allow for Consultative Services • Documentation Tips and Tricks
Are you struggling with understanding HEDIS and how to make the HEDIS season easier? The HEDIS Documentation and Coding seminar is for you. Angeline Ford is a provider educator specializing in HEDIS with a solid understanding of what the payers are reviewing to close gaps.
A “MUE” is not the high-pitched noise a crying cat makes but rather an acronym for “Medically Unlikely Edits” which are unit of service claim edits designed to reduce the Medicare Part B paid claims error rate. Attempts to resolve denials resulting from these edits are often handled incorrectly, as the rationales and underlying policy are misunderstood. Learn the rules for MUEs and you will be purring like a kitten.
Participants will gain a better understanding of how a CDI program can be successfully implemented in the physician office setting.
Beyond Coding is an interactive session in which the participants will learn about using their skill set and experience in the role of a Subject Matter Expert. The session will be conducted as a workshop in which the participants will create a personal assessment and build a plan of action.
Wednesday, May 01, 2019 | 11:15 - 12:30 PM
In this session we will cover Preventive Services from A to Z. We will include a robust conversation on when it is appropriate to bill an E&M services with Preventive. We will discuss the documentation criteria for the various Medicare Preventive Services, including the IPPE, AWV and many others. We will also include some useful tools and sites to assist you in your coding, compliance and education efforts.
Discuss the up-to-date information on accurate code assignment of CPT codes, modifiers, and diagnoses for Colon and Rectal Surgery to ensure clean claim submission and receive accurate payment. Understanding the difference in co-surgeon and assistant surgeon in colorectal procedure and the impact on payment.
During this session you will be provided real world inpatient encounters to audit. They will vary from initial inpatient, subsequent inpatient, observation, and critical care. Attendees will be provided a few minutes to audit the note themselves, and then we walk through each note in detail (line by line) and answer all questions regarding what counted toward each level of service. An inpatient-specific audit tool and documentation cheat card will be provided to each attendee of this session.
In the ever-changing world of Health Information Management, the focus on auditing and education is increasingly critical. To meet these needs, auditors are morphing into the role of educators. This evolving role requires the development of new skills needed to educate based on audit data. How do we teach adult learners to maximize information absorption? This presentation will dig into the skills required providing key tips in PPT construction, speaking skills and how to abstract more from audited data.
This presentation will highlight the current state of the Opiod Crisis in the United States and provide data that Health Information Professionals can use to apply geographically specific claims information when making strategic decisions regarding heathcare costs and services.
Each of these rules allow providers to legitimately misrepresent the provider of service. Each rule, however, contains very specific requirements detailing when such a misrepresentation is permissible. We will detail the key elements of each rule as a basis for identifying the issues to look for when auditing claims submitted under either of these rules.
As coders, we depend on official guidance to shape our decisions as we abstract charts. What do we do when we come across a situation not addressed by any official coding source? This session will identify questions to ask before developing a policy, policy research, development, and communication, and why and when to retire an internal coding policy.
The Medicare Access and CHIP Reauthorization Act revolutionizes reimbursement to physicians. It will no longer be simply what level of service was billed, but there will also be consideration of quality improvement activities and prevention of disease. What changes will physician practices need to make in their documentation, coding, and billing to survive the change in reimbursement? How can professional coders assist in these efforts?
Many of you may already use Medicare resources, such as the Claims Processing Manual, NCCI Manual, and Physician Fee Schedule. This course will provide tips on how to use these resources to help you get the maximum benefit from them for physician coding. These resources will help you understand documentation requirements, code correctly, and know when to appeal denials.
HIPAA has been around for over 23 years but consistent and active enforcement has really only been going on for the last 6-7 years. The most recent enforcement efforts have show an emphasis on the following areas which we will discuss in this session: The necessity for performing a HIPAA Security Risk Assessment and how to get started yourself, missteps with Business Associates and Business Associate Agreements (BAA), the HIPAA Privacy Rule is still important, even in this day and age of electronic technology
Take this chance to stop by the exhibit hall, visit the exhibitors, network with peers and have lunch.
Take this chance to stop by the exhibit hall, visit the exhibitors, network with peers and have lunch.
Take this chance to stop by the exhibit hall, visit the exhibitors, and network with peers.
Take this chance to stop by the exhibit hall, vivist the exhibitors, network with peers and have lunch.
Take this chance to stop by the exhibit hall, vivist the exhibitors, network with peers and have lunch.
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 and Clinical Experts 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.
Among the Lungs
Come take a look at lung diseases, both common and rare, through the bronchoscope. What does a bronchoscopy entail? We’ll journey from the vocal chords to the distal airways, showing the normal anatomy and some disorders as we go.
Cardiovascular interventions have evolved over the years due to technological innovations. Come see and handle many of these devices, including angioplasty balloons, stents, wires, catheters, and filters. Take a turn touching and deploying in models of the blood vessels.
Pelvis Presley: All Shook Up
Come discuss potential abnormalities in the female pelvic anatomy, exploring insights from the perspective of a Pelvic Reconstructive Surgeon.
Dimensions of Dementia
Let’s determine how to recognize different neurocognitive disorders by examining related symptoms and neuroanatomy.
Are Sleeping Disorders Keeping You Awake?
Don’t let sleeping disorders make you restless. Come examine the equipment used in the treatment of obstructive sleep apnea. We will demonstrate equipment use, components, and patient interphase. The information we discuss will help us all breathe a little easier!
So, It’s Cancer – What Now?
Enter the life of an anatomic pathologist as they evaluate common malignancies providing diagnostic and prognostic information to provide optimal care of cancer patients. We will discuss the workup of the initial diagnostic material and the follow-up excisional specimen, as well as appropriate CPT coding for these services.
Take the pulse of ICD-10 coding for the cardiac conduction system and review how pathologies of that system lead to cardiac arrhythmias.
Pokes Over Pills
Do you ever wonder what happens in a procedure suite during interventional pain procedures? Injections to drug pumps, radiofrequency ablation to spinal cord stimulation – come see what options are available! Get your hands on some of the tools utilized in a pain practice.
Be Bad to the Bones
Let’s review bone anatomy specifically connected to osteopenia and osteoporosis. ICD-10 and CPT codes will be discussed in connection with appropriate coding for medication and imaging for screening and management for these conditions.
Learn more about a dynamic and progressive business at our AAPC Facility Expo. See the future and learn from the best of the present. You might learn the latest in documentation, coding, billing, electronic medical records, compensation, and many other things. Whether you are a facility veteran or an interested observer, so much is happening, you will be enthralled. The Facility Expo promises a mix of new information and fun.
Become a Clinical Sleuth for Audit-Proof DRGs
This Session will look at the top 10 new ICD10 CM diagnosis code changes for 2019 and the supporting clinical parameters, which need to be documented in the patient record. Clinical findings, provider orders and treatment aimed at the diagnosis are all necessary components for supporting diagnosis code selection. Inpatient stays are coded prospectively after discharge using the principal ICD 10 CM diagnosis code as the basis for DRG assignment. Avoid down coding for DRGs by knowing what to look for to support diagnosis code selection.
Get the Upper Hand on Audits and Denials
This session will cover some ways to get ahead of payer audits and denials using a variety of methods and digging into your data. We will do a brief review of available data sources then we will do some interactive scenarios to help you focus in on what matters the most and looking for red flags by using the variety of sources available.
Is This Really a Surgical Complication?
In this session we will explore some “common” conditions that may potentially be classified as a surgical complication. The inpatient coder should understand some of these conditions are inherent to the procedure performed, unavoidable in many cases and not a complication at all. Documentation is key! We will review some case examples and identify instances where a query may be needed for clarification and proper code assignment.
Emergency – Stop Leaving Money in the ER
We will discuss common problems with charge capture and coding in the ED impacting the facility revenue. Learn best practices for determining the ED facility E/M codes. We will review the complexities of critical care, observation services, fracture care, drug administration, and fracture care. This is an interactive session and participants will be encouraged to share their best practices.
Creating a Compliant Query Tool Kit
Provider documentation is first and foremost the foundation for good patient care. With that said, it is a miracle some of our patients survive! In today’s economic climate, the facility is also dependent on good clinical documentation for its fiscal survival. What is the best way to achieve this in a compliant and non-leading manner? Come discuss the when, why, and how to approach the provider with the written query for “pertinent" clinical findings in the medical record.
Sequencing HIV Disease
With HIV turning into Aids there are diagnosis that move the condition being Asymptomatic to Symptomatic. Most only know the three dx that are listing in most ICD manuals but there are something like 15 to 30 conditions. I could speak to those and the coding guidelines, sequencing details and principle dx.
$295 | At this half-day session, participants will learn a structured approach to process improvement using a variety of lean tools. Through the use of case studies, round table discussions, and examples from attendees, you will see how you can apply lean concepts to day to day process and operations improvement activities. Some concepts we will cover are DMAIC, process mapping, process analysis through data collection tools, root cause analysis, creating an effective team, and more. Attendees will be awarded a Lean Six Sigma White Belt Certificate at the conclusion.
$299 | This review was designed to focus on both the common and most challenging coding concepts of the CPC exam. The review provides review of key concepts, test taking tips and strategies, and a review of most commonly missed questions. This exam review will not teach coding and not meant for a beginner.
$295 | 2 Days This Two Day course will dive into the exciting field of Risk Adjustment! Whether you are interested obtaining your CRC or looking to improve your skills and knowledge - this interactive course for you! Participants will learn the difference between the different models of risk adjustment. During this course there will be hands on practice in applying official coding guidelines while identifying documentation deficiencies for diagnosis coding and the most common conditions in risk adjustment.
$195 | This 2019 workshop provides certified instructors with tools to improve their teaching and communication skills. This is also a great opportunity to network with other instructors. Earn 8 CTUs or 8 CEUs for participation in this workshop.
Cost Varies | AAPC certifications are the gold standard for the business of healthcare and are held by more than 96,000 professionals. Those who obtain these credentials are critical to compliant and profitable medical practices/facilities. These credentialed individuals also typically earn 20% more than non-certified employees. AAPC credentials increase your chances of being hired and retained in a competitive job market
$395 | The Yellow Belt program is a full day that builds on the white belt and basic knowledge about the concepts of Lean and Six Sigma. We drill deeper into the use of the tools, applying their practical nature to the practice. We will use case studies and exercises as well as an interactive approach to learning more about these concepts. The need for the medical practice to become more efficient, understand that there are mechanisms that are available all lead to the goal of improved patient care. By digging deeper into the concepts the participant will gain a greater understanding of how to achieve this goal. Attendees will be awarded a Lean Six Sigma Yellow Belt Certificate at the conclusion of the session. The key point is we dig deeper into and apply a practical approach to the use of the tools We want the participant to be able to understand terminology and be able to implement improvement steps when they return to their practice.
No Cost | All officers and prospective officers are invited to meet with members of the AAPC Chapter Association on Saturday evening. It's a great way to kick off HEALTHCON 2019, and we will have all of the information you need to govern your chapter successfully. This is a chance to meet with other officers just like you, ask lots of questions, and compare the way that you get things done... what works and what might be better. Take home ideas for presentations, find ways to identify the best speakers for your meetings, and join in a great opportunity for networking with your peers. HEALTHCON is a great place to meet people, and officers can be some of your best networkers. Bring your ideas to share and plan to soak up information! Hope to see you there.
No Cost | Is this your first HEALTHCON? Then this is the session for you! This session will be as informative as it is interactive. Learn about using our app, logging CEU codes correctly, networking best practices and other information that will help you get the most out of your HEALTHCON experience.
$0 | Take a coding stretch and recharge during our hour long yoga class. Enjoy a warm, energizing class where you can stretch your body, catch your breath, and elevate your being. No mats or special apparel is necessary, but if you have those supplies, feel free to bring them. All experience levels welcome!
$0 | Don’t miss one of the best parts of HEALTHCON! Join us as we recognize professionals who serve, in a light-hearted, entertaining way. Visit with new friends and old, and network with your fellow healthcare professionals while enjoying a delicious breakfast!