Coding, Compliance and Provider Education Manager / Loudoun Medical Group P.C / Leesburg
Sessions by Corella Lumpkins
Group discounts are available for teams.
1.25 CEU
Grapevine B
Mon, May 4 at 10:45 AM CDT (03:45 PM UTC)
75 MIN
2G | CPT® Modifier 59 vs. CMS X-Modifiers: History, Application, and Compliance Risks
This session demystifies CPT® modifier 59 and the CMS X-(EPSU) modifiers, explaining their origins, intent, and distinctions. Using real-world clinical case studies, attendees will learn when and how to apply these modifiers appropriately, what documentation is required to support their use, and how to avoid common misuse that can trigger payer audits or denials. Participants will leave with practical tools to ensure accurate coding, compliant claims, and defensible documentation.
2G | CPT® Modifier 59 vs. CMS X-Modifiers: History, Application, and Compliance Risks
This session demystifies CPT® modifier 59 and the CMS X-(EPSU) modifiers, explaining their origins, intent, and distinctions. Using real-world clinical case studies, attendees will learn when and how to apply these modifiers appropriately, what documentation is required to support their use, and how to avoid common misuse that can trigger payer audits or denials. Participants will leave with practical tools to ensure accurate coding, compliant claims, and defensible documentation.
What does it really take to move AI from idea to implementation in revenue cycle management? In this panel discussion, industry experts who have been directly involved in AI adoption will share real-world perspectives on planning, piloting, and implementing AI solutions within RCM environments. Panelists will discuss how they evaluated opportunities, approached process change, measured return on investment, and assessed the operational and workforce impact of these technologies. Attendees will gain practical insight into the decisions, challenges, and lessons learned along the way, along with a clearer understanding of how AI is reshaping roles, workflows, and performance across the revenue cycle.
4G | CPT® Category II: Coding for Quality and Value-Based Contracts
As healthcare shifts toward value-based payment models, accurate CPT® Category II coding has become essential for capturing quality performance, meeting payer contract requirements, and maximizing incentive payments. This session will provide a clear overview of CPT® II codes — what they are, how they differ from Category I codes, and their role in quality reporting programs such as MIPS, HEDIS, and commercial value-based contracts. Attendees will learn how to apply CPT® II codes to document quality measures, close care gaps, and ensure alignment with payer incentive structures. Real-world coding examples and case studies will demonstrate best practices, common pitfalls, and strategies for integrating CPT® II coding into daily workflows without sacrificing productivity.
4G | CPT Category II: Coding for Quality and Value-Based Contracts
As healthcare shifts toward value-based payment models, accurate CPT® Category II coding has become essential for capturing quality performance, meeting payer contract requirements, and maximizing incentive payments. This session will provide a clear overview of CPT® II codes — what they are, how they differ from Category I codes, and their role in quality reporting programs such as MIPS, HEDIS, and commercial value-based contracts. Attendees will learn how to apply CPT® II codes to document quality measures, close care gaps, and ensure alignment with payer incentive structures. Real-world coding examples and case studies will demonstrate best practices, common pitfalls, and strategies for integrating CPT® II coding into daily workflows without sacrificing productivity.
Ask the Expert Series: CDI and Risk Adjustment Panel
In-Person Only Session with first pick seats to our Elite Healthcare Innovator attendees | Join us for this insightful panel of clinical documentation improvement and risk adjustment experts to get your most pressing questions answered. From best practices to regulations and nuances, the panel will help you tackle those tough topics you struggle with on a daily basis. Come prepared with your questions to make this interactive session the most beneficial for you. This panel of experts can help you understand what is needed for you to succeed in CDI and risk adjustment.
