March 27-30, 2022 HEALTHCON Schedule
Keynote
General Sessions
Session 1
Monday, March 28, 2022 | 10:45 - 12:00 PM
1A: Do You Really Understand the “With” Guideline?
The ICD-10-CM Official Guidelines state that: The word “with” or “in” should be interpreted to mean “associated with” or “due to.” The classification presumes a causal relationship between two conditions linked by these terms in the index. Many coders do not understand the significance of this rule. This presentation covers the most common coding errors that overlook this guideline.
1B: Increase Revenue With Correct Cardiac Intervention Coding
When your provider decides to perform another cardiac intervention after cardiac catheterization, it can be confusing trying to determine whether the catheterization can be billed together with the intervention. Mastering the hierarchy of the coronary interventions and add-on codes based on several coronary artery diseases can certainly add to revenue. Mastering the guidelines concerning when to report other coronary interventions can also add revenue that you do not want to miss. This presentation will address correct diagnosis reporting that links to correct procedural codes to help you avoid denials.
1C: A Deep Dive Into Shoulders
Coding for surgical procedures performed on the shoulder is one of the most challenging areas for many orthopedic coders. In this presentation we will review the anatomy of the shoulder and put the pieces together to accurately code surgical procedures. We will incorporate both NCCI guidelines and CPT® changes, as well as discuss controversial procedures such as reverse total shoulder, remplissage procedure, and superior capsule reconstruction.
1D: Examining the New Market-Based Hospital Inpatient Payment Methodology
CMS began collecting market-based (rather than charge-based) data in FY 2021 for use in the methodology for calculating inpatient hospital payments in 2024. Readiness and preparation are keys to mitigating the threat to provider revenues. This session will help you learn how to assess your facility’s current state and plan next steps in preparing for changes within your organization. It will include detailed illustrations of core concepts with examination of practical examples.
1E: Injection and Infusion Coding
Come with me as we explore all that goes into correct injection and infusion coding. With their own hierarchy and set of rules, these ‘little’ services can add up to big money and big problems if not captured correctly!
1F: How to Negotiate Payer Contracts Like a Pro
What are your peers doing with their payer contracts? In this session we will walk through numerous actual contract negotiations from real-life practice success stories and you will learn to advocate for your practice using proven techniques from a veteran contract negotiator. Most physician practices focus on cutting expenses instead of improving their revenue from non-governmental payers. A little focused effort on negotiating payer contracts can create much-needed money for your practice.
1G: Medical Necessity Denials – When and How to Appeal Them
Medical necessity denials continue to increase in volume for both professional and hospital services, and it is estimated that only approximately 20 percent of claim denials are appealed. In this presentation you will learn how to address and appeal these denials successfully while improving your coding, A/R, and ROI. A multifaceted approach is required and involves evaluating opportunities to avoid denials upfront but also learning how to fight them when the denial is unavoidable.
1H: Auditing Behavior Health Notes – More Than Words on a Page
This interactive auditing class will discuss the documentation requirements for psychology services, including the use of the crisis code. We will explore the CMS requirements for these services and look at some examples from recent TPEs. This is a great way to help your behavior health providers create better documentation that will support the CPT® and CMS guidelines.
1I: Maintain Compliance During Physician Vacancies
The COVID-19 pandemic taught us that even physicians get sick and have to take leaves of absence on occasion. This presentation will address how to handle physician vacancies while maintaining compliance with Medicare reassignment rules. You will learn the difference between locum tenens arrangements, reciprocal billing arrangements, and long-term leasing of employees from temporary agencies. The presentation will also cover proper billing and documentation, time limits, and the impact on patients.
1J: CMS 2022 Physician Fee Schedule Final Rule
Each year, the healthcare industry awaits the CMS Physician Fee Schedule Final Rule to have a blueprint of what to expect in regulatory changes, reimbursement modifications, and coding guidance. 2022 will usher in new regulations for telehealth delivery and direction on pathways post-public health emergency. In this session you will analyze the key outcomes of the final rule to develop organizational strategies for incorporating these new findings into internal strategic plans.
Session 2
Monday, March 28, 2022 | 01:00 - 02:15 PM
2A: Which Cut is the Deepest?
In this session we will discuss integumentary coding guidelines as they relate to lesion excision, debridement, and wound repair. We will cover the differences and the reimbursement issues faced. We will learn how to apply the proper modifiers and become familiar with the LCD policies for coverage by many insurance payers.
- Presenter:
Jennifer McNamara, Approved-Instructor, CPC, CPMA, CRC, CPC-I, CGSC, COPC -
- Time:
03/28/22 01:00 - 02:15 PM - Coding General
CPC CIC COC CRC
- Billing
CPB
- Practice Management
CPPM
- Compliance
CPCO
- Auditing
CPMA
- Coding Specialty
CRHC CSFAC COSC CUC CGIC CANPC CCPC CASCC CFPC CDEI CCVTC CENTC CPC-P CIMC CEMC CHONC COPC CDEO CGSC CPEDC COBGC CEDC CCC CPCD
- Time:
2B: Jumpstart Your Heart – The Electrophysiology of Your Heartbeat
Discussion and analysis of the heartbeat, including anatomy, terminology, and pathophysiology, are the focus of this session. In addition to the electrical pathway of the heartbeat, we will examine normal and abnormal rhythm EKG strips to help explain these conditions. Heart disease, including women’s heart health, will also be presented.
2C: Orthopedic Procedure Coding in the Office
This presentation will break down coding and documentation for office procedures commonly performed in the office setting. It will include discussion of when it is appropriate to bill an E/M service with modifier 25.
2D: The Ins and Outs of Inpatient Clinical Documentation Improvement
This session will focus on understanding the inpatient clinical documentation improvement process. We will review common trouble areas, as well as discuss how to develop a good clinical documentation improvement team and workflow.
2E: Proper Coding and Billing for OT, PT, and SLP Services
Therapy coding has experienced major changes over the past few years, and the changes continue to come. This session will review the proper selection and documentation of therapy evaluation codes. It will also discuss the new payment reductions for OTAs and PTAs in 2022 and the future of telehealth for therapy practitioners. In addition, we will review how to properly bill for timed therapy services and bill timed and untimed services on the same day.
2F: Conflict Resolution in the Workplace
Conflict resolution strategies allow you to increase workplace productivity by mitigating conflict when it first occurs. They also help you to improve morale and teamwork within the workplace. In this session you will learn to develop the skills you need to master the process of resolving conflicts.
2G: Turn Denials Into Dollars
In a rapidly changing and unstable healthcare reimbursement environment, protecting insurance revenue has never been more vital or challenging! Claim submittals following proper billing guidelines do not always result in the claims payment expected. This session offers valuable resources and takeaways that help equip and empower revenue cycle and billing teams with practical ways to combat claim denials and offsets that do not align with applicable federal and state laws. This interactive session is designed to leave you inspired to address denial tactics.
2H: Lessons Learned From the Road – “Don't Make My Mistakes!”
In this session we will discuss experiences from audits gone awry and look back to find a better way. This is an opportunity to note practices that make for complete, compliant audits with fewer problems and setbacks. We will also discuss when to say no to an audit.
2I: Understanding Release of Information – Mental Health and Substance Abuse
Mental health and substance abuse services have specific exceptions under HIPAA and the 21st Century Cures Act regarding release and/or disclosure of protected health information specific to mental health and substance abuse diagnosis and treatment information. This session will help you understand providers’ obligations under privacy laws, how and what information may be released in an audit or payer review, and key policies to consider in your practice to protect patient information.
2J: We Are AAPC! A Reminder of Our Code of Ethics
We will identify, review, and break down the AAPC Code of Ethics in this session, focusing on why the Code of Ethics is important and why we need to adhere to it both personally and professionally. We will discuss the importance of ethics in our billing and coding roles and define the difference between ethics and professionalism.
Session 3
Monday, March 28, 2022 | 02:45 - 04:00 PM
3A: What Exactly Is a Significant and Separately Identifiable E/M?
This session will help coders to determine when what has been performed and documented by a provider substantiates a significant and separately identifiable E/M. The National Correct Coding Initiative policy manual will be used as a reference to help make this determination without ambiguity. Not only will this content help coders appropriately review documentation already performed, but it will also help providers document properly proactively.
- Presenter:
Jeffrey Lehrman, CPC-A, CPMA -
- Time:
03/28/22 02:45 - 04:00 PM - Coding General
CPC CIC COC CRC
- Billing
CPB
- Practice Management
CPPM
- Compliance
CPCO
- Auditing
CPMA
- Coding Specialty
CGSC CPEDC CEMC CCPC CDEO CPCD CSFAC CGIC CPMS CENTC COPC COBGC CHONC CUC CRHC COSC CCC CANPC CEDC CCVTC CPC-P CFPC CIMC CDEI CASCC
- Time:
3B: Coding for Spine Procedures
This presentation will review spine anatomy and terminology as it relates to code selection. We will discuss the different fusion and laminectomy codes and when to use each, along with clarifying when to use excision vs. osteotomy vs. corpectomy codes. Practice examples will round out our session to solidify understanding throughout the presentation.
3C: Laboratory: Who Gets the Money?
In this session we will go over general laboratory billing guidelines and discuss governmental regulatory guidance such as PAMA and how to handle billing on the UB-04 and CMS-1500 forms. We will also discuss some of the top questions concerning laboratory billing and compliance.
3D: Charting the Way – Improve Your Review of Inpatient Records
This session is designed for inpatient coders as well as CDI professionals who want to increase their understanding of documentation review. Your ability to increase the quality of provider documentation begins with providing a quality review. Together, we will work through case scenarios and pinpoint areas to improve clinical documentation, identify query opportunities, and ultimately improve the accuracy of code assignment.
3E: ED Facility Leveling Explained
Facility E/M leveling is very different from professional E/M leveling. This presentation will go over CMS and the 2009 OPPS Final Rule guidelines in developing your own leveling model. We will review the differences between professional and facility E/M leveling requirements, as well as review the different models used by various emergency departments, such as ACEP’s model, a points system, and developing your own model. You will experience coding scenarios and examples using these various models. We will then venture into the payer denial trends of facility E/M leveling and discuss recommendations to overcome these denials.
3F: Achieving Operational Excellence
3G: Breaking Down Billing for New Drugs
Do you struggle with drug billing? Drug denials? Drug reimbursement? In this presentation I will break down the billing of novel therapies, unscramble the alphabet soup of acronyms, and provide you with a step-by-step process to ensure proper coding, billing, and reimbursement for drugs. I will include best practices, share reimbursement strategies specific to oncology drugs, and review prior authorization workflows that may work for you.
3H: Working with Legal Counsel to Prevent or Defend Audits
This session will focus on how to prevent audits from federal and commercial payers, and if necessary, how to respond to records requests and various audits from them. Integral in this presentation will be best practices for working with legal counsel to create and manage this process internally and with the auditors.
3I: Potential Liability of Billers/Coders in Healthcare Fraud Prosecutions
Law enforcement officials around the country are actively investigating and prosecuting allegations of healthcare fraud. Unfortunately, practice billers and coders are increasingly finding themselves under the government’s microscope. In this session we will discuss the current enforcement environment facing billers and coders. We will also discuss the steps you should take if you find yourself the focus of a government investigation.
Session 4
Monday, March 28, 2022 | 04:15 - 05:30 PM
4A: Modifiers: A Risky Business
To modify or not to modify, that is the question. Using modifiers inappropriately can create a huge compliance risk for providers. Unfortunately, when we learn to code, we are introduced to modifiers but not always taught their compliant use in depth. That all changes in this session! We will take a deep dive into some risky modifiers — the unbundling modifiers. At the end of this session, you will understand when E/M modifiers 25, 57, and 24 can correctly be reported. You will also learn the correct use of global surgery modifiers such as 58, 59, 78, 79, and more. Join in and let’s explore how to avoid the risky business of modifiers together.
4B: Peripheral Interventional Procedures
4C: Sight Seeing in DC
Teaching a session on the codes for ophthalmic services might pale in comparison to an E/M session — although they are essentially the bread and butter of an ophthalmology practice. Teaching when to use eye versus E/M codes can be tricky and a gray area topic to approach. There are variations and disagreements amongst the payers, so what do you do? In this session, we will explore best practices and how to create an optimum compliance path for your practice.
4D: Common Inpatient Audit Findings and How They Impact Your Facility
This presentation will cover the most common audit findings and how they impact your facility. We will discuss findings related to principal diagnosis selection, CC/MCC selection, and how it impacts the DRG. Discharge patient status and how it impacts the payment to the facility is also covered, as are patient safety indicator findings and what that means for the facility and 30 days readmission/mortality measure opportunities.
4E: Overview of Outpatient Facility Coding and Overview of 2022 HOPPS Changes
This session will cover a general overview of outpatient facility coding, as well as a deep dive into common conundrums with outpatient surgeries. A review of the new 2022 Hospital Outpatient Prospective Payment System (HOPPS) will also be included with a focused look at the impact of the rising number of procedures that have moved from inpatient to outpatient.
4F: Understanding Why Population Health is so Popular Now
This session will focus on understanding the increase in popularity of population health programs and their place in value-based care and ACOs. The session will review the fundamentals of population health and the coding and billing implications.
4G: The Magical World of Oncology Billing
Oncology billing can be challenging. This session will highlight common denials, authorization processes, place of service issues, and new chemotherapy medication procedures.
4H: Compliance Audits vs. Forensic Audits – Understanding the Difference
4I: Collection Issues: Best Practices, Tips, and Traps
4J: APP Documentation and Billing
Your practice is hiring a nurse practitioner, or perhaps a physician assistant. How can their services be coded? What can they do? How should they document? These and other questions will be answered in this informative and lively educational session. Don’t miss your chance to hear from one of our former national board members, Suzan Hauptman, as she speaks on one of her favorite topics.
Session 5
Tuesday, March 29, 2022 | 12:45 - 02:00 PM
5A: Guidelines for Sequencing
Sequencing ICD-10-CM codes has always been problematic for novice coders, but it must be mastered in order to understand its proper use in our everyday work. Many claim denials are due to improper sequencing, which leads to CPT® codes being linked to an incorrect diagnosis pointer. Even with electronic billing software, if the ICD-10-CM Alphabetic Index and Tabular List are not adhered to correctly, a clean claim will not be submitted, causing non-payment or improper payment rightfully due to the provider or facility. This presentation is designed to provide awareness of the guidelines and how the respective diagnosis code is impacted. Often the first code looked at is the only one used, which can lead to in-depth research, to ensure the claim submission is correct, not being completed. Most importantly, we, as coders, are responsible for reporting an accurate diagnosis for a patient and not reporting a diagnosis for them that they don’t actually have.
5B: Emergency Department Coding Complexities
The emergency department (ED) is a unique practice environment where clinicians care for a wide variety of conditions with varying levels of severity. Coding these visits poses its own unique set of challenges. This session will cover the practical side of how to best code enigmatic situations. Attendees will leave with an understanding of ED evaluation and management (E/M), critical care, and observation codes; the documentation required when working with other clinicians; codes and vital documentation for common ED procedures; and how to resolve many coding conundrums.
5C: 2022 CPT® Updates for Everything Endovascular
In this session we will review the 2022 updates for endovascular procedures, including new codes and changes in guidance from various societies over the past year.
5D: ICD-10-PCS in Pieces, Breaking Down Obstacles in Inpatient Coding
The goal of this presentation is to help strengthen inpatient coders’ understanding of the difficult aspects of ICD-10-PCS coding, such as obtuse procedures or commonly misunderstood aspects of ICD-10-PCS coding, to bolster their coding abilities. By breaking down specific areas identified to cause trouble, coders can strengthen their ICD-10-PCS coding skills.
5E: Outpatient CDI
5F: Benchmarking for Practice Success
This presentation provides an introduction to benchmarking. Change is always occurring. Do we ignore it or use a thoughtful approach? In this session, we will define benchmarking and review warning signs of what is changing in healthcare and measures to consider for your practice.
5G: Bringing Consumerism to the Patient Financial Experience
At the turn of the century, the banking and financial services sectors were finishing a monumental shift in their industry — consumerism. With the emergence of better-informed consumers that demanded transparency and a greater range of options, banks and financial institutions had to adapt or die. Thirty years and one pandemic later, consumerism is hitting healthcare. We are left with those same options: adapt or die. In this session, Wixom weaves history, analytics, and experiential frameworks together into an engaging and action-oriented presentation.
5H: Using Regulatory Guidance to Support Audit Findings
One of the most challenging and critical components of an effective healthcare audit is the ability to provide regulatory guidance references to support audit findings. This session provides an overview of the most relevant and impactful regulatory guidance that can be used by auditors for both physician and facility-based audits. In addition to reviewing 42CFR, Medicare Manuals, CPT® guidance, AHA Coding Clinic, and Local and National Coverage Determinations, this presentation will provide attendees with real-life scenarios and explanations on how to appropriately cite these references in an executive summary.
5I: TBD
TBD
5J: Understanding Current Cyber Threats, What You Can Do About It, and the Role HIPAA Plays in Your Cybersecurity
It may seem like the cyberthreats never end, and it’s the same attacks repeating themselves, but it’s not. The threat landscape is changing rapidly. In this session, we’ll discuss recent attacks, how they happened, and what you can do to prevent them or, at least, reduce your risk. We’ll also talk about the role that HIPAA plays in your overall cybersecurity profile. Hint, it may not be what you think.
Session 6
Tuesday, March 29, 2022 | 04:15 - 05:30 PM
6A: COVID Regulations Pre- and Post-pandemic
This session will cover telehealth, facility and provider rules that will stick around post-pandemic, and some regulations that will be temporary for the next few years. We’ll focus on compliant billing for COVID tests, vaccines, monoclonal antibody infusions, labs (including CLIA certifications required), correct revenue codes, and types of bills for facilities. Note, this presentation will be fluid as the pandemic changes.
6B: Let's Talk About Feet
Coding for procedures performed on the feet is one of the most challenging areas for many coders. In this presentation, we will review the anatomy of the foot and ankle, followed by putting those pieces together to accurately code surgical procedures. In the end, you will be as passionate about feet as the speaker.
6C: Livin’ la Vida Gastro
In this session, we will discuss advanced gastroenterology coding challenges, including procedures such as colonoscopy, endoscopic ultrasound (EUS), esophagogastroduodenoscopy (EGD), perioral endoscopic myotomy (POEM), and endoscopic retrograde cholangiopancreatography (ERCP). We will discuss payer issues, the documentation needed to support medical necessity, billing errors, CCI edits, proper use of modifiers, and Local and National Coverage Determinations applicable to this specialty. We’ll also talk about the issues with colonoscopy screenings and the pre-visit for screening. This presentation will cover both adult and pediatric conditions.
6D: Root Operations for ICD-10-PCS
What is the difference between excision and resection? What is included or should be considered for an incision and drainage (I&D) procedure? What qualifies for coding a device? Physicians generally do not document for the purpose of code assignment. This can be very problematic when clinical documentation and ICD-10-PCS coding guidelines do not match up. It is vital to establish the objective of the procedure when assigning codes; not doing this may lead to potential revenue loss for your facility. If you are new to inpatient coding or struggling with some of the procedural concepts, join us as we define some of the most challenging root operations.
6E: CPT® Coding for Electrophysiology Procedures
Electrophysiology (EP) is a specialized area of cardiology. EP procedures include those that identify the source of cardiac arrhythmias and treat them using a variety of methods. It is also used to determine if a patient is at risk for sudden death, in which case, a defibrillator may be placed. Pacemaker and defibrillator implantation and many of the maintenance procedures for these devices are performed in the EP lab. While coding EP studies might appear daunting at first, understanding the key terms and what services are separately reportable makes the task easier.
6F: TBD
6G: Coding and Billing for Psychiatry and Outpatient Mental Health Providers
Mental health services bring with them distinct documentation and coding requirements to support accurate billing. This session will help attendees understand the codes and guidelines for psychiatric services, psychological testing, health behavior assessment and intervention, applied behavioral analysis, and Screening Brief Intervention & Referral to Treatment (SBIRT) codes. We’ll review key psychiatry evaluation and management coding concepts, including relevant add-on codes. Outcomes from recent Special Investigations Unit (SIU) psychiatry-specific commercial payer audit experiences will be incorporated to emphasize the importance of understanding coding guidelines and payer reimbursement policies.
6H: Peer Review Audits and Escalation of Medical Necessity
In this session, we will review the definition of medical necessity as it relates to Medicare, Medicaid, and commercial insurance carriers. The objective of this course is to "relearn" the meaning of medical necessity and how working with physicians promotes greater insight. During the presentation, we will discover resources for medical necessity guidance and regulations. We will also discuss peer review and how this relates to medical necessity within the healthcare field.
6I: Don't Be Scared of Shared Billing
Medicare has covered shared billing between physicians and nonphysician practitioners for years. The Centers for Medicare & Medicaid Services temporarily removed the guidelines from the Medicare Claims Processing Manual and significantly changed the way shared services must now be performed, documented, and billed. Attendees will learn the new way to bill shared services and what needs to be documented to support a shared service, where a shared service may be performed, and under whose provider number the service may be billed.
6J: The Power of Networking
This session will tell the story of two women who used networking to move themselves up in the healthcare field from medical assistant/receptionist to owners of their own consulting businesses. This presentation is meant to inspire attendees as well as give them the tools to assist in skyrocketing their careers to the next level and above. When exiting the session with a handful of contacts, they will be working towards the future.
Session 7
Wednesday, March 30, 2022 | 10:45 - 12:00 PM
7A: The Neoplasm Table - Six Columns of Confusion
The six columns in the Neoplasm Table in ICD-10-CM coding are frequently misused and misunderstood. There is much confusion over how to use the unspecified and uncertain columns in particular. This session will cover the documentation needed, basic use of the table, and the tough question of when the table is no longer used and history codes are assigned. Anyone who codes will learn something in this fun and fast-paced lecture.
7B: Coding for Plastic and Reconstructive Surgery - the Medically Necessary Stuff
7C: Coding for Dignity in Death
When coding for hospice, choosing the code may seem rather obvious. However, the principal diagnosis can have a drastic impact on the patient's hospice experience, either granting or barring the treatments available. Just because someone is on hospice, it does not mean they are left to die, only that they forgo life-extending measures. Hospice patients still receive treatment, and depending on the code chosen, a patient might have access to dialysis or even physical therapy. These code choices can fundamentally change a person's last days and are arguably the most important codes used throughout the patient's lifetime.
7D: TBD
7E: The ABC's of ASC's
In this session, we will discuss the history of ambulatory surgery centers (ASCs). We will conquer the caveats of billing and coding in an ASC along with reimbursement guidelines. We will also delve into the nuances of Medicare, Medicaid, and commercial insurance payers' requirements and changes to the Medicare inpatient-only list for fiscal year 2022.
7F: Maximize Revenue Growth: Analyzing E/M Procedures
Accurate reporting of evaluation and management (E/M) services drives reimbursement. However, coding these services is still a major cause of confusion for many provider types. In 2020, Medicare's projected total of improper payments for E/M codes was over $3.2 billion and accounted for 11.9 percent of all improper payments. This session will pinpoint the areas where administrators should focus internal process reviews to ensure compliance and, therefore, maximum reimbursement such as proper documentation, medical necessity requirements, and internal audits to prevent under- and over-coding errors.
- Presenter:
Stuart Newsome -
- Time:
03/30/22 10:45 - 12:00 PM - Coding General
CPC CIC COC CRC
- Billing
CPB
- Practice Management
CPPM
- Compliance
CPCO
- Auditing
CPMA
- Coding Specialty
CSFAC CDEO CGIC CDEI CEMC CHONC COPC CIMC CUC CANPC CCVTC CGSC CPCD CFPC CEDC CPMS COSC CRHC CASCC CPEDC CPC-P CCPC CCC COBGC CENTC
- Time:
7G: A/R Management
7H: Counting of Data
We are now more than one year into the new evaluation and management (E/M) guidelines for office and other outpatient services. Even with the time-lapse, there are still some pressing questions and remaining ambiguity around assigning data points for medical decision making (MDM). Join us as we discuss some of these pain points: Does my test include interpretation? When should I assign credit for a lab order or review? What happens if the review takes place on a different date from the encounter? How much weight should I give to the “Data” MDM element if my other two categories are minimal or low risk? Get answers to your questions by fully understanding all the definitions around data and how to communicate these definitions to providers.
7I: FBI Healthcare Fraud Unit
Session 8
Wednesday, March 30, 2022 | 12:30 - 01:45 PM
8A: CMS Changes to Reporting Shared Services
CMS recently proposed important changes that will significantly impact billing shared services between physicians and nonphysician practitioners. These will be finalized by the time HEALTHCON commences and will be crucial updates that attendees need. In this session, we will review these changes including clarification on where shared services can be billed, requirements regarding who should bill for the shared services, and updates about what types of services can be billed as shared services.
8B: ENT Procedures, Surgeries, and Hot Topics
This session will encompass a review of coding an office visit with a procedure on the same day and use of modifier 25. Then we will explore coding for surgical interventions using steroid implants and stents, nasal cryoablation, and nasal wall implants. In addition, we will tackle other hot topics such as diagnostic scopes, eustachian tube dilation, and hypoglossal nerve stimulation, followed by a look at the global surgical package in relation to functional endoscopic sinus surgery (FESS), septoplasty, and post-op debridement. Lastly, we’ll discuss cerumen removal and how documentation can make all the difference.
8C: Coding for Women's Health
Knowing payer policies can help you identify common coding issues and ease the denial process. In this session, we will discuss services and procedures commonly performed in a gynecology office such as colposcopy, preventive services, contraception management, and office visits.
8D: TBD
8E: TBD
8F: Lessons in Leadership
8G: Clinical Denials: A Step-by-Step Approach
Denials have increased significantly as the electronic billing and remittance process has become increasingly sophisticated. Claims have less human contact. Computer-based payment algorithms search for key information according to payer contract requirements. The average cost to rework a claim is $25 (Healthcare Financial Management Association), and failing to rework denials results in a loss of revenue that supports your MTF’s operation and maintenance budget. A 10-step process we share in this presentation will enable you to successfully appeal the most common types of denials that you see from your payers.
8H: Let's Audit! From Sample to Report
Attending a solid review of audit fundamentals is essential, whether one is new to auditing or a seasoned professional. In this session, we’ll discuss identifying who to audit, report analysis for sample identification, review of the notes, development and creation of reports, and effectively delivering the feedback.
8I: Compliance in a Coder’s World
Exhibitor Schedule
Welcome Reception
-
- Time:
03/27/22 04:30 - 06:30 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Breakfast
-
- Time:
03/28/22 08:00 - 09:00 AM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/28/22 10:15 - 10:45 AM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Lunch Break
-
- Time:
03/28/22 12:00 - 01:00 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/28/22 02:15 - 02:45 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/28/22 04:00 - 04:15 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Breakfast
-
- Time:
03/29/22 08:00 - 09:00 AM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/29/22 10:15 - 10:30 AM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Lunch Break
-
- Time:
03/29/22 11:45 - 12:45 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/29/22 02:00 - 02:30 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/29/22 03:45 - 04:15 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Networking Breakfast
-
- Time:
03/30/22 08:00 - 09:00 AM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Break
-
- Time:
03/30/22 10:15 - 10:45 AM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Box Lunch Break
-
- Time:
03/30/22 12:00 - 12:30 PM - Coding General
CPC COC
- Billing
CPB
- Practice Management
CPPM
- Coding Specialty
CPC-P
- Time:
Expos
Additional Events
Teach the Teacher
$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.
- Presenter:
-
- Time:
03/26/22 08:00 - 04:00 PM - CEUs/CTUs: 8
- Price: $195
- Time: