The schedule is a compilation of high quality educational sessions covering areas of outpatient coding, billing auditing, compliance, inpatient coding and practice management.
Genes play a role in almost all human diseases, and genetic and genomic insights are transforming medical research. 15 years ago, it took 20 leading research centers several years and it cost over $3 billion to determine the first human genome sequence. Today with “next-generation” sequencing, we're able to sequence a patient’s genome in as little as one day at a cost of less than $1,000. We are still at an early stage of our knowledge (we don't yet know the function of three fourths of our genes, there are only about 650 validated drug targets today, it is difficult to interpret the DNA regions located between genes, and we are just learning how to fix mutated genes). Nevertheless, gene panels, whole exome sequencing, and whole genome sequencing are being adopted widely in medical care. The U.S. healthcare system is being forced to adapt to change rather quickly as this genomic revolution promises to make medicine more predictive, more precise, and more personalized.
Join Bevan Erickson, AAPC’s President, 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.
Join this interactive general session where attendees will have the opportunity to discuss hot topics and current healthcare trends with AAPC’s panel of experts: the current and upcoming NAB officers (seven total). We may not resolve every healthcare challenge during this session, but we can recognize what changes are on the horizon and prepare for industry improvements.
Come listen to HealthEquity founder, Dr. Stephen Neeleman, as he discusses how health savings accounts (HSAs) are impacting the way people purchase, consume, and provide healthcare. Understand diverse ways in which the business of healthcare is evolving, and how those changes will affect your career and daily job responsibilities.
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!
Join us for an interactive session for revenue cycle and learn how to combat tricky billing issues. In this session, you can get your tough questions answered from industry experts in the field including consulting, billing and health plan perspectives. In-depth knowledge from these key stakeholders will help you figure out your most pressing revenue cycle questions. All participants will get an opportunity to text in their most pressing questions for answers and share in the powerhouse of industry knowledge.
MACRA is alive and rolling forward. Whether you feel overwhelmed, in the dark, or confident in your approach to the new legislation, you need a plan because it will affect your revenue stream. This session will take a fun, yet meaningful, approach on how to understand and effectively implement the Quality Payment Program in your office.
$20 | 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. What a great way to end this great event!
Monday, April 09, 2018 | 09:45 - 11:00 AM
It is in the news. This topic is quickly becoming front and center with the OIG, AMA and Capitol Hill. Many states are creating new laws to monitor the issue. If this is that big on their radar then the coding and reporting becomes a major focus as well. Opioid use does not just affect patients in one specialty, this can impact the patient’s care from any provider in any place of service. In this session we will discuss the issue, review some of the initiatives that are currently in place to address opioid use and abuse, look at some current statistics and we will talk about the correct coding as we walk through some case studies.
This session will cover heart valve procedures, both open and transcatheter. We will also review LCDs/NCDs and clinical trial programs. We will take an in-depth look at TAVR/TAVI, open mitral, aortic, pulmonary, tricuspid procedures and the associated diseases. ICD 10 and operative note examples will be reviewed.
One of the more difficult struggles in Ophthalmology coding is understanding all the components necessary for correct code selection via testing performed. This session will explain those diagnostic testing functions, how to identify them in documentation and how to properly interpret for coding.
This session will focus on the selection of diagnosis codes in the outpatient setting. Clear specific and complete documentation can promote accurate coding and compliance, and thus decrease denials. Focus on chronic conditions such as Neoplasm, Heart Failure, Diabetes, COPD/Asthma, ESRD/CKD, and Non-pressure/Decubitus Ulcers. Sample queries with 2018 coding updates/guidelines.
This presentation will focus on Inpatient CDI Fundamentals and the coder's role as part of the CDI team. This session will discuss the CDI team members’ roles and responsibilities to each other and to the facility. We will cover elements of a diagnosis, and fundamentals of risk adjustment compliance, clinical validation and escalation policies. We will also cover physician engagement in understanding DRG's and HCC's. This discussion will also feature case study examples of common conditions and implementation strategies impacting MS-DRG assignment and risk adjustment coding.
This session will outline the development of the portion of the False Claims Act requiring providers to voluntarily disclose and refund overpayments from federal health plans. We will additionally review in detail the final regulations associated with this statutory requirement. Attendees will learn (based on comments to the final regulations) what triggers a disclosure obligation, when “knowledge” of an overpayment exists triggering the 60 day rule, the risks and penalties for non-disclosure as well as late disclosure and the process for submitting a proper disclosure. Finally, we will review enforcement actions against practices that did not comply with the requirements of the rule.
Billing teams (and teams in general) break for many reasons. When you finish this session, you will be able to better: assess the quality and effectiveness of your current billing staff; understand what causes a team to underperform; determine if your billing team needs to be rebuilt; and recognize when your team has trust issues that directly affect the production and efficiency of the team. Plan to reorganize your billing department. Build a communication-oriented, results-driven billing team. Measure your new team's performance.
Ethical behaviors in healthcare are not always guaranteed. Sometimes law/regulations, behaviors of colleagues, and even our own moral compass can cause conflict. In this session, we will take a brief look at ethics from a theoretical perspective, and take an interactive look at case studies for discussion within the session.
Can you make definitive repayment decisions from a coding audit? Yes? No? or Maybe? In this session you will learn some common errors practices have made in determining payback rates based on a coding audit and some next steps to protect your practice from over calculating error rates. We all want to be paid fairly for our services, and work very hard to avoid mistakes. Sometimes mistakes occur even in the most protected environment – we will discuss some strategies to implement if/when your auditing team (internal or external) reveals error.
Many corporate compliance programs focus on activities within the control of the organization, implementing policies and monitoring employees. Effective compliance programs also consider activities that are not under full control of the organization, but are outsourced to business partners. Whether creating financial relationships with referral sources, transferring protected health information, or delegating decisions regarding clinical competence, these vendor relationships implicate a number of compliance requirements for the organization which can be minimized through an effective vendor management program. During this presentation we will 1) identify the laws governing vendor relationships; 2) assess compliance risk associated with delegation of activities to vendors; and 3) discuss strategies to implement an effective program within your organization.
Monday, April 09, 2018 | 11:15 - 12:30 PM
During this session, we will discuss the potential changes to the E/M Documentation Guidelines that are being evaluated. We will review case examples and determine how overall code selection will be impacted using some of the models being discussed. This will be an interactive session where the audience will be encouraged to share their best recommendation. Working together we have a chance to provide feedback that can improve one of the most commonly reported professional services. Come be part of the solution to a complex coding structure.
This session features a discussion of the most common questions and issues surrounding ultrasound and duplex coding. Required documentation for these exams will be presented and case studies will be used to assist coders in deciphering documentation for correct coding of ultrasound and duplex exams.
This session will include an overview of 2018 CPT drug screening codes. We’ll discuss the different testing methodologies and their proper place of service. We’ll review billing and documentation guidelines for drug testing. Discussion on the differences between presumptive, definitive, chemistry and therapeutic drug testing. Review of claims and denials and the steps taken to get them paid.
Learn how to properly interpret documentation for pain management charts. This session will aid coders by strengthening anatomy and medical terminology skills. Attendees will receive guidance in CPT coding, applying NCCI coding guidelines and specifics and information on how to properly use applicable modifiers. Advanced level coders would benefit from this as a refresher.
The presentation covers a variety of unique and challenging scenarios that have resulted in patient privacy breaches or patient identity theft but are scenarios that no one ever thinks about or would suspect during their day to day processes. This session will help you strengthen your privacy practices and create new policies for protecting patient identity while working through these situations you probably never thought about before.
You've done the hard work of the audit; now it's time to report the results and educate the providers. This session discusses the reporting concerns based on the nature of the audit: proactive; educational; or attorney-client privilege. We will discuss perspectives on statistics to provide and we will review reporting formats, offering tips to ensure that the results are understandable and actionable.
Medicare will require ordering professionals to consult specified AUC prior to ordering advanced diagnostic imaging services. This mandate is not just a “radiologist issue” as the requirements could significantly impact performing entities and ordering professionals of all specialties. Attendees will learn what it takes to comply with this regulation and its impact on claim submission requirements, MIPS, and outlier ordering professionals.
What is Pay-For-Value and are you ready? An umbrella term for initiatives aimed at improving quality, efficiency, and value of health care, these initiatives provide financial incentives, decrease cost and achieve optimal outcomes. 75% of all payer contracts will move into an alternative payment model by 2020. 11% of commercial payments were value-oriented in 2013. CMS’s goal is to shift 55% of FFS to quality-based payments by end of 2016. We will also cover MACRA with MIPS and APM's
Is your provider documenting the elements of the physical exam performed or are they deleting items from a “normal” template to represent the work? Many providers document a detailed or comprehensive level Review of Systems (ROS) and Exam on all patients – because the template is there. The template has 9 or more elements which may be more than the selected E&M level requires. They then spend significant time reviewing complete ROS or comprehensive Exam to erase any items that are listed as normal. They then spend additional time re-documenting what the patient actually has. If they miss “erasing” an item, the chart will be in conflict and most likely fail on audit. This lecture will show a methodology for documenting what the E&M code requires in a forward thinking environment. The provider can always document more. This approach is a time saver, is compliant and results in relevant documentation of the patients. 2-5-8 represents the exam elements of office E&M services level 3,4 and 5 and helps define the methodology.
Coders are continually called upon to make decisions that impact how healthcare services are billed to third party government payors such as Medicare and Medicaid. Join AAPC Legal Advisory Board Member Robert Pelaia as he reviews the building blocks of an “effective” billing compliance program. Participants attending this session will take away a general understanding of the U.S. Federal Sentencing Guidelines, the OIG Model Compliance Guidelines, the 2017 OIG Work Plan, the Provider Self-Disclosure Protocol, the OIG Special Advisory Bulletin on Exclusions and the OIG Resource Guide to Measuring Compliance Program Effectiveness.
Monday, April 09, 2018 | 01:45 - 03:00 PM
Preventive services are often misunderstood in the clinical setting. If utilized correctly, the services themselves can provide a recurring revenue stream but also allow physicians to flesh out other services that patients need and are vital to their health and the health of the medical practice. Providers will often attempt to bill a preventive service in addition to problem visits and services. Navigating payers and policies to determine correct coding and billing will also be discussed.
We all know that surgery requires focused, detailed actions by the surgeon. In this session we will review the necessary elements of an operative report. We will detail where to look for important information such as medical necessity and elements of documentation that support code selection.
We will review fundamental coding principles for coding with a primary focus on GI procedures. The participant will review coding principles, learn keywords to help in an audit, receive answers to commonly asked questions. We will also discuss diagnostic vs. screening vs. therapeutic endoscopy procedures. Tips for effective delivery of audit results will round out the session.
The Charge Description Master (CDM) is the backbone of the revenue stream of the hospital. This presentation is designed to present the different components of the Charge Master. Discuss some best practices for maintaining a CDM and how to get departmental accountability to review their CDM annually. Additionally, charge reconciliation fundamentals will be discussed and some suggestions on how you can shift the culture of your organization to have this be an everyday routine.
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 including why we want to implement Transitional care and an overview of the TCM staffing rules and billing guidance.
The RACs are back with more tools at their disposal than ever before. New technologies are being employed by CMS and private payers, giving auditors an inherent advantage over providers. Attendees will learn the methodologies payers use to identify high-risk providers and what can be done to mitigate the risk of recoupment. Specifically, attendees will be oriented to the tools and data available to build a risk-based audit plan that will identify the greatest risk events by provider, by code and by modifier. The session will include a complete tool box, including documentation, worksheets, templates and sample reports to begin the process of building a risk-based audit plan.
Understanding how to use modifiers not only impacts reimbursement but gives the coder a clearer perspective on when they are appropriate to use.
This presentation will discuss the current technologies being used in healthcare and how they impact those involved in patient care, revenue cycle and records management areas. We will discuss how to learn more about these technologies and how to embrace them as we move into a more technologically driven healthcare system.
Bring your questions to this interactive session that will have panel members who represent the risk adjustment industry, soup-to-nuts!~whether you code for inpatient, physician office, or risk adjustment auditors, we will be speaking your language. A physician expert will be at the table to answer your documentation questions, and we will even have a panelist who crunches the RAPS data for Medicare Advantage as well as private risk pools under the Affordable Care Act
This interavtive 75 minute session will give the audience a clear roadmap to what defeuse counsel in the healthcare regulatory arena are looking for in an expert witness. The session will include topics such as "what is an expert witness", "legal requirements for providing expert witness testimony", and "qualifying as an expert witness."
Monday, April 09, 2018 | 04:00 - 05:15 PM
Physician office coders are expected to follow the American Hospital Association's Coding Clinic for their diagnostic coding, but many organizations do not subscribe to this important resource. This session will review new guidance from Coding Clinic in 2017 that affects our diagnostic coding for 2018 and beyond.
This session includes female anatomy and terminology to offer a better understanding of correct code selection for hysterectomy, pelvic repairs, and colposcopy. We will also dive into specific CPT® and ICD-10-CM coding for wellness visits and CMS BPP exams.
This session will discuss the statistics on malignancy of the breast, liver, colon, skin and lung. Coding scenarios and brief operative notes will be presented with coding rationale provided.
Knowing the pathology of the disease process often will help you determine if you have the correct code category and if you have the highest specificity within that category.
The RAC’s are back and all eyes are on us. This session will bring you up to speed on the current RAC program. We will cover the current RAC status, review recent CMS changes to the RAC program, review of appeal status and recent settlement agreements. We will also discuss the Medicare Administrative Contractor (MAC) and current Technical Probe and Educate (TPE) program, as well as the Unified Integrity Contractor (UPIC). We will review current audit areas and provide tools you can use in your denial management process.
If you work in a teaching physician practice or if you work with a community provider that takes a resident on rotation this session is for you. In this interactive audit session, the Teaching Physician Guidelines will be reviewed with a practical application. What does a payer want to see in the notes audited and how do they review and count certain elements differently than with non-resident documentation. This will not only help you be prepared for an audit but will aid you in your own compliance audits internally. In addition, we will discuss the elements needed for a comprehensive attestation by an attending provider. You are invited to bring not only questions but problem scenarios to discuss.
Law enforcement investigators and prosecutors are serious about holding an organization and its management accountable for its actions. During this session, we will examine what the government expects and the steps you can take to better ensure that your health care organization is on the right compliance track.
Practices run with fewer resources and tensions can be high. Learn how to use lean processes for drilling down to root causes through reporting to take the drama out of emotionally charged and unproductive situations. Understanding the right reports to run can take the drama out of situations and allow you to focus on the data for continual improvements and the crucial buy in you need from key stakeholders.
This session will help participants explore all the possibilities available in coding whether they are seeking their first codingjob or looking to make a change. Participants will learn resume and interviewing tips as well as how to effectively utilize networking in their search.
HHS/OCR Phase 2 HIPAA Compliance Audits found widespread violations among Covered Entities and Business Associates – violations that that can be avoided with step-by-step procedures that follow the HIPAA Rules. This interactive session explains the steps in plain language and provides a compliance roadmap including easy-to¬-use blueprints for Security Rule Risk Analysis-Risk Management, Privacy Rule patient access to PHI and compliant Notice of Privacy Practices and Breach Notification Rule compliance.
Tuesday, April 10, 2018 | 11:15 - 12:30 PM
This advanced course will illustrate industry differences. A brief overview of CMS vs. HHS vs. CDPS will be reviewed, with emphasis on harder topics and real scenarios found in record review. The class will cover lessons learned from this year's HHS HRADV from the perspective of an active IVA (Initial Validation Auditor) and how the HHS model differs from the CMS model.
This session will review coding changes implemented for 2018 in the areas of Interventional Radiology, Cardiology and Vascular Surgery, including endovascular aortic and iliac aneurysm repair, varicose vein therapy, tumor ablation, bone marrow biopsy, and structural heart intervention. Anatomical drawings, device images, examples and coding guidelines will be discussed.
This session will review the many changes and bundling issues regarding shoulder procedure coding. We will also discuss the ongoing issues with shoulder arthroscopy procedures and how CCI guidelines and edits have changed and evolved over the years. New techniques and procedures are being performed in the shoulder area and we will discuss correct coding and documentation such as arthroscopic superior capsular reconstruction (ASCR).
As outpatient facility coding and billing differs greatly from inpatient facility billing and coding, it is important to understand the differing payment systems. During this course, we will review the Outpatient Prospective Payment System (OPPS) and its impact on the Ambulatory Payment Classification System (APC) for outpatient coding and billing services. This course will also take a look at the 2018 OPPS final rule and how the 2018 changes will affect coding and billing for ASC's.
Be confident as an administrator or manager to lead revenue cycle activity in your practice by applying leadership skills, key metrics, and communication specific to RCM. You will leave renewed on how you can solve problems, lead process improvement, and set the right culture for a strong revenue cycle.
This course will cover experiences with probe audits performed by a Medicare Administrative Contractor (MAC). We will discuss the audit process and coding guidance based on the audit feedback. Specifics will include appropriate times to report 99233 based on complexity and time.
Mental health services bring with them distinct documentation and coding requirements to support correct billing for services. This presentation will focus on documentation requirements specific to mental health services, evaluation and management coding for psychiatry, a review of incident-to guidelines specific to mental health providers, and proper billing for services provided. The presentation will conclude with recommendations for attendees to set up their own internal compliance review to verify the documentation, coding and billing in their practice setting meets or exceeds industry expectations.
Corporate breaches continue to succeed because attackers can steal the legitimate identities of your employees and use those identities to attack your infrastructure. Far deadlier than malware based attacks, identity based attacks can go undetected for months or years. Attackers have changed their methods from the now outdated malware-based attacks to the evolved identity based attacks. Learn about attacks in the healthcare industry, among others, and how next generation machine learning and analytics can detect and stop identity attacks.
We'll discuss how a culture of compliance is supported by an organized compliance audit program. Using a coding error as an example, we'll discuss the possible actions and consequences from a compliance aspect. We'll touch on: OIG Work Plan; internal audits; Medicare reporting and returning of self-identified overpayments.
You’ve provided the services, the physician deemed the procedure/service to be appropriate for the patient…so why aren’t you getting paid? We will tackle this question during this session and provide you with some actionable steps to avoid many of those pesky medical necessity denials. Many healthcare organizations that accept Medicare are writing off large sums of unpaid claims due to medical necessity denials. Depending on the volume and types of claims, this can be crippling for your organization.
Tuesday, April 10, 2018 | 01:45 - 03:00 PM
With the necessary increase in nurse practitioners and physician assistants in our practices and facilities, it is more important than ever to help your practice with incorporating them into the patient flow while knowing how to report their services in the most compliant manner while keeping the revenue cycle moving.
Optimizing performance is critical to success in a value-based environment. This session will address ways to TRANSFORM business process and clinical work flow, ENGAGE physicians, staff, and patients, use ANALYTICS in the business and clinical decision making, and MEASURING outcomes that meet the expectations of the triple aim.
With all the changes, bundling and unbundling of codes it is hard to keep up with everything. During this breakout session we will look at the fusion codes, decompression codes, instrumentation and cage coding as well as the many options for a discectomy. But one of the most important aspects is the Medicare policy that is taking form regarding medical necessity issues relating to ICD-10 diagnosis conditions.
The OPPS Final Rule indicated that TKAs were moved from the inpatient only list as of 2018. Learn about the coding, financial, clinical and risk implications that this change may bring to your practice and facility and how you can be prepared to adjust to this new patient-care model.
Discuss the effect of accurate quality coding has on an organization, including Governmental denials (RAC, MAC, QIO, and more), Quality scores (Hospital & Physician) such as mortality rate, readmission rate, CORE measures, PSI (Patient Safety Indicators), etc. What you can do to reflect accurate, and complete coding, along with gaining the support of the hospital organization.
This session will focus on auditing tips that will assist in the proper analysis and coding of physical medicine services. Common reporting errors associated with physical medicine modalities and procedures will be discussed to include techniques for correct coding of services notwithstanding descriptive errors for the service(s) at issue. We will also address how to evaluate conformance with contact requirements to include analysis of the level of contact required. Finally, we will review CPT® and CMS time-based service reporting rules. Examples from actual cases will be used throughout the presentation to illustrate these concepts.
Compliance is the anti-fraud tool used to assist providers and staff understand the definition of / prevention of healthcare fraud. Compliance should outline steps needed to educate staff on how to prevent healthcare fraud occurrences. Come to this session to learn what is healthcare fraud and come up with a plan to educate your providers and staff to protect your healthcare entity!
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.
As a coder, you are at the front lines when it comes to the origins of a medical claim. This session will focus on red flags to be aware of when coding a claim, and what to watch for prior to that claim being sent to the insurance company. The reality is that healthcare claims are reviewed and analyzed for suspected fraud, waste and abuse. To help from a coding perspective, this session will focus on defining fraud, waste, and abuse, and how you can prepare for an independent audit. We will also discuss the perspective of an insurance company and what tools they use to benchmark and analyze claims data, and what steps your organization can take to understand your own internal benchmarks.
Making the decision to out-source services, whether nationally or internationally, often is made at the highest levels of an organization even though the front line feels the biggest impact. This interactive session presented by Ann Bina CCO for CS EYE and Laurie Zabel, Chief Sales Office for Knack Global, will review steps an office can take to help support this administrative decision while still ensuring the work is completed timely and compliantly. This presentation will not address the decision making process, rather time will be spent on ways to ensure a smooth transition and ways to manage roadblocks that may be encountered.
Wednesday, April 11, 2018 | 09:45 - 11:00 AM
In this presentation attendees will learn about medical record documentation guidelines specific to office-based evaluation and management coding. We will use our Top 10 E/M Chart Audit findings (“Top E/M Office Visit Chart Audit Findings,” AAPC Healthcare Business Monthly, April 2017) as a tool to help participants understand the importance of accurate and complete documentation to support correct evaluation and management coding. In conclusion, we will provide tools attendees may use in their office settings to evaluate areas for E/M documentation and coding improvement.
This session will cover the complete bariatric surgery process including patient requirements, insurance requirements, revisions, and reconstruction.
Documentation tips to satisfy the medical necessity requirements of national and local coverage determinations, including proper use of modifiers and the National Correct Coding Initiative.
So often coders are frustrated with the inability to accurately code infusions/injections within our Outpatient Departments due to lack of adequate documentation. Once the realities of lost revenue are revealed among the team, they become energized and engaged in documentation improvement. This presentation will give examples of appropriate documentation and associated outcomes.
Quality Payment Programs are a driving force within the new Quality Revenue Cycle. Understand how coders and clinical documentation improvement professionals are a key component of success within these programs through Hierarchical Condition Category coding (HCCs) and quality measures.
Auditing is the really the only way to confirm if your coding and documentation is compliant. A proper audit begins with defining a scope that will address what is really needed beyond just stating “it’s time for an audit”. Once the scope is defined determining how best to make the selection of claims can be equally challenging. These two are by far the most important steps in the audit process. Audits can be performed on any portion of the patient experience as well as any part of the claim processing and any part of the medical record and how it is obtained. With so many choices, and not always a budget to accommodate auditing everything, it becomes crucial to spend time at the beginning making careful choices so that the end product provides pertinent information and not just information. We will use real life examples to create a discussion on determining the scope and selection.
To maintain fiscal fitness and boost patient satisfaction and loyalty, healthcare providers need visibility into when and how much they will be paid–by whom–and the ability to better navigate obstacles to payment. This course will summarize the issues surrounding self-pay collections (patients with no insurance, high deductible plans, or patient balances after insurance pays) and will present strategies for successfully collecting the patient’s self-pay balances. This course will also discuss the utilization of collections agencies and collections attorneys.
Panelists having expertise in billing/coding, compliance/legal and payer issues surrounding telemedicine services will address attendee questions on this emerging area of service. Based on the questions presented, attendees will be provided with an understanding of relevant terminology (e.g. Originating site, Distant site) as well as issues involving the performance requirements for Telemedicine/Telehealth Services, technology requirements, permissible/ineligible providers, ineligible site locations, permissible services, reporting requirements (codes/modifiers), reimbursement for the provider as well as the site and credentialing issues for telemedicine providers. Bring your questions on these topic areas so that they can be addressed by our industry experts!
The presenter will review the most important and recent OIG and DOJ enforcement cases and how to learn from these cases and to improve your compliance program to avoid similar problems.
Critical Care is such a misunderstood category of E&M services, and truly presents a burden for physician educational sessions. However, during this session we will define the exact intent of the code and what coding guidelines would expect vs. common clinical interpretation- then we will take these rules and apply them to actual critical care notes. This session will provide an educational review of guidance and rules versus opinion and will translate that review into hands-on auditing and coding application of critical care services.
Wednesday, April 11, 2018 | 11:15 - 12:30 PM
Tips on how to present yourself professionally, in person, via email and on social media. Identify key social media pitfalls. Explore common errors seen on resumes, during interviews and on social media websites. Discuss characteristics and conduct of the professional inside and outside the office. Discover behaviors on social media sites and how they can negatively impact your professional network.
During this session we will discuss the pathophysiology of COPD, diagnostic testing, treatment options and documentation requirements to support the ICD-10-CM codes.
Presentation will help you stay in compliance while billing for your anesthesia providers. It will take you through what must be documented and how to add to the documentation when needed. What needs to be documented to be able to bill for the Lines/Block, TEEs and ultrasound guidance. The sessions will cover how to keep your providers in compliance and ensure you are in compliance while billing for your providers. It will also show you what you cannot bill for and will give you the critical billing rules for your providers.
Many coders and auditors have heard the term FQHC, but how should that impact your coding and auditing of E&M, procedural and ancillary services? How are incident-to services viewed in the FQHC? What leniencies are granted to FQHC's that an auditor/coder should take into consideration? During this session we will review what makes FQHC coding/auditing different from a regular clinical encounter review of these same services, as well as discuss the similarities of these places of service.
This session will give an in depth discussion on the following: 1) correct code assignment based on provider documentation; 2) we will identify when it is appropriate to query the provider; 3) I will provide the best strategy for formulating the query; 4) a thorough review of the pathophysiology and disease indicators that drive the query will be covered.; and 5) the presenter will cover the new, international definition of sepsis. The goal of the session is to help the coder and auditor become knowledgeable and successful in the use of these complex ICD-10-CM codes.
Discussion of cyber threats facing healthcare and the types of audits and steps an organization should be taking to reduce their risk and exposure.
A compliance officer has many responsibilities even when working in a specialized nook like billing compliance. Take a look at a compliance officer’s job responsibilities to learn what this position entails. Learn which key skills will increase your chance of success in this position. Delve into sample emails, hotline calls, and audit findings to gain a unique perspective on compliance deficiencies and opportunities.
What are your peers doing with their payor contracts? Walk through numerous, actual contract negotiations from real-life practices’ success stories. Learn to advocate for your practice, using proven techniques from a veteran contract negotiator. Most physician practices focus on cutting expenses instead of improving the revenue to the practice from non-governmental payors. A little focused effort on negotiating payor contracts can create much-needed money for the practice. You can do it! Negotiating your payor agreements can be the difference your practice needs for maintaining profits and independence in these complex times.
In this interactive session Dr Reed will discuss medication types and their roles in the disease process. He will review dosing and abbreviations as well as disease process in relation to dosage and medication. These discussions are to help coders better understand how medication is used in the process of Medical Decision Making (MDM). As Risk adjustment becomes a larger role in the coder profession it is more and more important that coders understand medication management. Dr Reed invites you to bring your questions for group discussion.
Payment Integrity is a rising trend in the health insurance and healthcare industries. Join us as we discuss what it is, what it means and how it affects coders and revenue cycle. We'll look specifically at long-term support services and see what payment integrity means to the next generation of retirees seeking healthcare and how you can be ready if a payment integrity audit hits your organization. Included in our discussions will be data analytics, algorithmic analysis, and how big data may be targetting your organization, and how to be prepared for the next level of data-driven audit analysis.
Start your day off right with a nutritious breakfast made with yogurt. Yogurt offers an ideal blend of protein and carbohydrates as part of a healthy breakfast. So join the exhibitors this morning for a Greek Yogurt Bar, which will include; dried fruits, honey, nuts, berries, and purees. Sponsored by: DecisionHealth
Nothing says “Good Morning” like a warm bowl of oatmeal! So head to the Exhibit Hall for today’s hot oatmeal bar. Toppings will include raisins, brown sugar, dried fruits. Oats provide your body with many benefits, and eating oatmeal for breakfast is a great way to add fiber and nutrients to your day. So don’t miss this heart-healthy breakfast. Sponsored by MedKoder
Satisfy your sweet tooth with a Mickey Mouse Rice Crispy treat during this final chance to visit with our exhibitors.
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.
Network with the thought leaders of your specialty in our general networking session. New this year, this event will be interactive and specialty focused to help you get the most out of HEALTHCON. Expand your network with AAPC employees, National Advisory Boards, subject experts and other industry colleagues while earning prizes and enjoying coffee. This is a session you absolutely can’t miss.
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.
$195 | This 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.
Prices Varies by Certification | 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 Saturday, April 7 (8:00 AM - 1:40 PM) Book check at 7:00 AM Price varies by certification
$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.
No Cost | All officers and prospective officers are invited to meet with members of the AAPC Chapter Association on Saturday, April 7 from 5:30 pm to 8:30 pm. It's a great way to kick off HEALTHCON 2018 and we will have all of the information you need to govern your chapter successfully in 2018. 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 while you are in the happiest place on earth! 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.
$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.