Our 2023 Agenda

General Sessions

Conference Welcome

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TBA

E/M Panel

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During this session, an expert panel made up of a physician, coder, auditor, payer and representative from the AMA will answer audience questions regarding the 2021 E/M guidelines for office visits.

  • Presenter:
    TBA
    • Time:
      05/21/23 03:15 - 04:30 PM, CT

Keynote:

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TBA

Legal Trends Panel

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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!

  • Presenter:
    TBA
    • Time:
      05/23/23 09:00 - 10:15 AM, CT

Payer Panel

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TBA

  • Presenter:
    TBA
    • Time:
      05/23/23 10:30 - 11:45 AM, CT

Alternate Career Paths and Opportunities in RCM Panel

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TBA

  • Presenter:
    TBA
    • Time:
      05/23/23 02:30 - 03:45 PM, CT

Networking Breakfast

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TBA

  • Presenter:
    TBA
    • Time:
      05/24/23 08:00 - 09:00 AM, CT

Keynote:

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TBA

Session 1

Monday, May 22, 2023 | 10:30 - 11:45 AM

1A: Thinking Like an MD for E/M Services

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What is going on in a physician’s mind when performing and documenting an E/M service? How does a physician apply MDM concepts from a clinical perspective? In this presentation, we will use case examples to discover how a physician mentally processes a patient encounter; what is, or is not, being said between the lines in a medical encounter; and clinical examples of signs, symptoms, and diseases E/M coders should recognize.

  • Presenter:
    CJ Wolf MD MEd CPC COC, COC, CPC
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CCVTC CDEO CANPC CENTC CRHC COPC CFPC CSFAC COSC CEDC CPC-P CHONC CPEDC CCC CIMC CPMS CCPC CEMC CDEI CPRC CGSC CPCD COBGC CASCC CGIC CUC

1B: Unravelling the Complexities of Arthroscopic Procedures of the Shoulder, Hip, and Knee

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Come learn the intricacies of shoulder, hip, and knee scope procedures. By the end of the presentation, attendees will be confident in coding these cases, educating providers on documentation improvement, and challenging medical necessity and bundling denials.

  • Presenter:
    Jessyka Burke, CPC, CASCC, COSC
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CDEO CASCC CPC-P CANPC COSC

1C: Radiation Oncology Coding

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Radiation oncology coding has nuances unlike any other specialty. In this session, I will cover the basics of radiation oncology coding and the use of roadmaps in the coding world.

  • Presenter:
    Lisa Howard, CPMA, CRC
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P CHONC

1D: Inpatient Coding – Getting Back to Basics

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In this presentation, we will get back to the basics of inpatient coding. We will start with facility coding guidelines and make our way to billing and coding for inpatient claims. We will also discuss the impact on the revenue cycle when inpatient-only procedures are improperly billed as outpatient procedures.

1E: What’s Up With DRGs?

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This session will cover facility coding as it relates to common denials and top misreported DRGs per recent CMS and OIG feedback. After a brief refresher on how DRGs are coded and billed, the presentation will focus on ways to ensure compliance. Conundrums and challenges organizations face during the facility revenue cycle process will be reviewed, as well as ways to determine if your facility is compliant.

  • Presenter:
    Shannon Cameron MBA MHIIM CPC, CPC
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC CIC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P

1F: How to Manage Leadership in a Changing Landscape

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When a new colleague joins the team, they bring their own personal mindset with them. This can be challenging when different generations work together. In this session, we will learn to facilitate communication and work styles between multigenerational teammates. Learn how to help others go outside of their comfort zones to work in harmony.

1G: Rural Healthcare and Medicaid Expansion

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The RHC/CAH system codes and bills using its own set of guidelines. The Medicaid expansion that is sweeping our nation is overwhelming! My presentation will break down the new guidelines and give a clear and concise pathway for coding, as well as appealing claims under MC expansion payers. I will diagram the coding and claim submission process with an interactive module, along with a compliance program for each payer. We will drill into clean claims and the appeals process for denials. Join me to learn to successfully navigate this new and upcoming nationwide trend.

  • Presenter:
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPEDC CHONC CDEI CSFAC CPCD COSC CEDC CCVTC CRHC COBGC CDEO CPRC CGIC CIMC CENTC CCPC CASCC COPC CFPC CGSC CUC CPC-P CEMC CANPC CCC

1H: Risk Mitigation Audits and Why They Are Necessary

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This presentation explains what risk mitigation audits are and why they are imperative to any organization. Risk mitigation audits review trends in the industry to uncover the diagnoses that pose the highest risk for inaccurate coding. They also can assess an organization for root cause analysis, allowing for more focused areas of education. While primarily focused on risk adjustment, the information in this session can be applied to any coding specialty.

1I: Crafting Surgical Letters and Cost Estimates

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Medical offices are often asked to prepare a surgical letter that outlines the costs of a future surgery or procedure. While you may be familiar with the charges that your office will generate, how do you estimate the reasonable charges for surgical facilities, the cost of anesthesia, neuromonitoring, and pre- and postoperative care such as physical therapy, medications, and equipment? Learn how from a life care planner who has prepared hundreds of cost projections for medical care.

  • Presenter:
    Dawn Cook
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC CIC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CASCC CPRC CUC COSC CPCD CGSC COBGC CPC-P CANPC CSFAC CCVTC COPC CGIC

1J: Workplace Violence Considerations and Verbal De-escalation Strategies

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The introduction of H.R.1195 (the Workplace Violence Prevention for Health Care and Social Service Workers Act) requires healthcare providers to establish a workplace violence plan. This presentation discusses the necessity of a workplace violence plan, outlines the core requirements, and addresses verbal de-escalation techniques that staff can use as a component of preventing workplace violence.

  • Presenter:
    Heather Rothstein, CPCO
    • Time:
      05/22/23 10:30 - 11:45 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Coding Specialty
      CPC-P

Session 2

Monday, May 22, 2023 | 01:00 - 02:15 PM

2A: Modifier 25 – The Significant, Separate, and Identifiable Case Studies

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In this session, we will unpack modifier 25 by reviewing case scenarios with detailed explanations. This interactive presentation will gauge the opinions of attendees and their approach on how to educate providers.

  • Presenter:
    Maya Turner, CPC
    • Time:
      05/22/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CEMC CSFAC CFPC CEDC CCPC CIMC CENTC CANPC CPRC COPC CCVTC CUC CGIC COBGC CDEI CPC-P CGSC CRHC CPEDC CPCD CHONC CCC CDEO CPMS COSC

2B: Pathophysiology of Heart Diseases

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Heart disease is among the top killers in the United States. This presentation will address the top recorded diagnoses pertaining to heart disease, how the diseases progress, and what steps can be taken through the care plan to correct a condition. How other organ systems may be impacted will also be addressed.

2C: The Complex World of Clinical Genetics: Billing, Coding, and Compliance

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In the field of genetics testing, there is a significant challenge when it comes to billing, reimbursement, prior authorization requirements, and compliance standards that impact healthcare providers and laboratories. This unique field is riddled with nuances that are often too complex for even the most experienced coders and compliance officers to navigate. In this session, we will break down the most common coding and compliance issues related to the field of molecular genetic diagnosis.

2D: The ABC’s of ASC’s

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In this presentation, we will discuss the basics of ambulatory surgery center (ASC) coding. We will conquer the caveats of facility coding guidelines, billing, and coding for ASC claims. We will also delve into the impact that improperly billed claims for outpatient procedures have on the revenue cycle.

2E: Provider-Based Billing

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Many physician practices have become employed by hospitals. These practices provide their services in a clinic or office that is considered part of the hospital, and thus utilize provider-based billing. Learn how provider-based models operate, how they are billed, compliance concerns, and what resources you can use to ensure compliance.

  • Presenter:
    Pamela J Warren-Brooks, COC, CPC
    • Time:
      05/22/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P

2F: The Art of Practice Management

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This presentation offers intermediate-level tips for successful management of a medical office, including hiring/retaining staff; training/ongoing education; patient-focused QI; and effective billing/AR. Join me to practice three keys to practice management success (accuracy, compliance, and continuous monitoring) through an escape room exercise. Participants will leave with an immediate implementable checklist to improve and monitor their medical practice along with proven AR reduction steps.

  • Presenter:
    Sheila Sampath, CPB
    • Time:
      05/22/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Coding Specialty
      CPC-P

2G: Monitoring Medical Necessity: Do You Need Help?

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Medical necessity should be the underlying reason for performing and billing any healthcare service. Sometimes, however, you might not know what is, and is not, medically necessary. This session will highlight the concepts of medical necessity from a healthcare compliance program perspective, initial monitoring tools for screening for medical necessity, and a deep dive into compliance auditing concepts for medical necessity issues.

  • Presenter:
    CJ Wolf MD MEd CPC COC, COC, CPC
    • Time:
      05/22/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P

2H: Telehealth: OIG Audit Prospective and Fraud Schemes

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The OIG is actively targeting telehealth services in its investigation of fraud schemes and compliance audits following the lifting of restrictions put in place during the COVID-19 public health emergency. I will address the changes in CMS guidelines, audit documentation, and rampant fraud schemes from an OIG compliance and legal perspective.

  • Presenter:
    Lisa Castillo, CPC-A/ Brenda Beal, CPC
    • Time:
      05/22/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CEMC CPC-P

2I: Compliance Plan- Why Should I?

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Many practices are striving to implement an effective compliance plan. Compliance can be seen as just another “requirement” in the growing list of regulations for a practice. It can be difficult to implement and maintain a compliance plan in the midst of an ever-changing healthcare system. The focus of this session will be to define compliance and provide understanding of the components of an effective compliance plan as well as methods to identify risks in your practice. We will discuss ways to develop a culture within your organization that is supportive of compliance. We will also be discussing steps that can be taken to develop or enhance the current culture to better support the implementation and ongoing efforts of compliance. This session will provide you with the tools needed to develop a “right size” compliance plan for your practice as well as clarify the quality-of-care efforts that may be affected by compliance.

2J: Common Sense Tips for Effective Use of Your Time

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Some people seem to have all the time in the world to do everything they want to do. Others spend their days rushing from task to task and never finish anything. We all have the same number of hours in the day, it’s just that some people use their time more effectively. This session covers some of the basic principles of time management to help you navigate the fast-paced world of practice management and medical coding.

  • Presenter:
    Robert A Pelaia Esq., CPC, CPCO
    • Time:
      05/22/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Session 3

Monday, May 22, 2023 | 02:45 - 04:00 PM

3A: Modifier 59: The Other Misused Modifier

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As a follow-up to the modifier 25 presentation, let’s now look at the other confusing modifier: 59. CMS and other payers are scrutinizing this modifier, so we will look at how and when to use it and how to query physicians if the operative note is unclear. We will review the NCCI manual and talk about how payers apply NCCI edits.

  • Presenter:
    Lori A Cox, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC
    • Time:
      05/22/23 02:45 - 04:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Auditing
      CPMA
    • Coding Specialty
      CHONC CASCC CENTC CUC CPRC CPCD COSC CANPC CCVTC CGSC CSFAC CCC CPC-P

3B: ER coding 2023 and beyond

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TBA

3C: Coding and Billing for Psychiatry and Outpatient Mental Health Providers

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Mental health services bring with them distinct documentation and coding requirements to support accurate billing. This session will help attendees understand psychiatric service codes and guidelines, with a review of high-level concepts unique to mental health. We’ll review key psychiatry evaluation and management coding concepts, including relevant add-on codes. Outcomes from psychiatry-specific audit experiences and frequently seen errors in private practice outpatient settings will be incorporated to emphasize the importance of understanding coding guidelines and payer reimbursement policies.

  • Presenter:
    Laurie Bouzarelos, CPC
    • Time:
      05/22/23 02:45 - 04:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P CEMC CDEO

3D: Mastering ICD-10-PCS Coding

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The goal of this session is to strengthen inpatient coders’ understanding of the difficult aspects of ICD-10-PCS coding to bolster their coding abilities. We will break down both basic and difficult concepts, guidelines, and procedures using operative reports and examples.

  • Presenter:
    Kathryn Williamson, CPC, CDEI, CIC, Approved-Instructor
    • Time:
      05/22/23 02:45 - 04:00 PM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CUC CDEI CPRC COSC CEMC CCPC CASCC CEDC CCVTC COBGC CPC-P CGIC CHONC CANPC CCC CSFAC CPMS CGSC CDEO COPC CENTC

3E: Facility-Based Coding in Emergency Medicine

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Facility coding for emergency medicine services is often confused with professional coding. The two are quite different, however, and often this confusion creates billing conundrums for facilities. This presentation will cover the differences between the two with examples of common denial and audit trends based on current industry feedback and address changes which impact the ED from the 2023 OPPS Final Rule.

  • Presenter:
    Shannon Cameron MBA MHIIM CPC, CPC
    • Time:
      05/22/23 02:45 - 04:00 PM, CT
    • Coding General
      CPC CIC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P CEDC

3F: Provider Responsibility in Payer Contracts

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TBA

3G: NCCI and Modifiers for Ortho – Do We Really Understand the Risk?

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Unbundling modifiers is commonplace in an orthopedic practice. But often, our education around the use of modifiers doesn’t fully convey the underlying reason we may need them, or the risks involved in using them inappropriately. After this session, attendees will understand the reasoning behind the appropriate application of modifiers from the authoritative resources of NCCI and AMA CPT®.

3H: Managing the Physician and Auditor/Coder Relationship

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As an auditor, it is important to maintain a good rapport with providers. In many ways, they are our customers. This session will explore maintaining a healthy, respectful working relationship with providers from first impressions through maintaining a partnership based on knowledge and respect.

3I: Regulatory and Compliance Headwinds in Medicare Risk Adjustment

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Come learn about the latest in Medicare risk adjustment, including findings from OIG and HHS audits and the departments’ recommendations and action plans to address coding compliance issues. We will discuss the findings, FCA implications, and the impact on the future of risk adjustment, HCC coding, and value-based care.

3J: Successful AI Integration for Healthcare

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In this session, we’ll discuss AI and machine learning and their uses and implications in a healthcare setting. Topics covered will include an overview of AI/machine learning, types of software products available for the healthcare market, and how to select the appropriate software. We will also discuss what might be next in the integration of these fields into more healthcare settings, including the future of computer-assisted coding (CAC).

  • Presenter:
    Jessica Miller, CPC
    • Time:
      05/22/23 02:45 - 04:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Session 4

Monday, May 22, 2023 | 04:15 - 05:30 PM

4A: Achieving Pair-fection with NCCI

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This session provides an overview of the history of the National Correct Coding Initiative (NCCI), including how to read and use the procedure-to-procedure edits and guidelines. We’ll explore how to compliantly apply modifiers to NCCI edit pairs through examples and also review the history and application of MUEs.

  • Presenter:
    Norma Ann Panther, CPC, CIRCC, CPMA, CPC-I, CEMC, CHONC
    • Time:
      05/22/23 04:15 - 05:30 PM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P CENTC CIMC CPEDC CEMC CUC CPCD COPC CSFAC CCVTC CGSC COSC CASCC CEDC CDEI CDEO COBGC CHONC CANPC CPRC CCC CRHC CFPC CCPC CGIC

4B: Coding and Bundling Challenges in Urology

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This presentation highlights urology procedures that are bundled and commonly denied. We will also delve into medical necessity and the appropriate use of modifier 59.

  • Presenter:
    Edna Rosa Maldonado, CPC
    • Time:
      05/22/23 04:15 - 05:30 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Auditing
      CPMA
    • Coding Specialty
      CUC CPC-P

4C: Questions from a Dermatologist

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This presentation offers a deep dive into the most common dermatology coding questions asked during provider education sessions. I will provide thorough responses to questions such as, “When should I hold for path?” and “Why am I being denied for multiple biopsies?”

4D: Conquer the Rocky Mountain of Hospital High-Risk Areas

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This session will review the various areas of high risk for hospitals. I will cover both inpatient and outpatient facilities and review risk areas for coding, billing, regulatory, and privacy. We will look through the lens of staff, administration, compliance, and outside auditors as we examine some common and uncommon risks areas.

4E: Coding for Complexity – What the 2023 OPPS Rule Means for ASCs

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The 2023 OPPS rule addresses the issue of additional payment for complexity in the ASC setting, similar to the complexity adjustment for outpatient hospitals. Join me to learn about the new HCPCS Level II code structure and which procedures qualify for this additional payment.

  • Presenter:
    Monica Wright, CPC, CPCO, CPMA
    • Time:
      05/22/23 04:15 - 05:30 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P CASCC

4F: Coaching to Improve Employee Performance

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Coaching is a skill that allows leaders to develop more effective and meaningful working relationships with their employees. Coaching in the workplace leads to improved employee performance because it helps each team member feel recognized and valued. Join me to learn more about this valuable skill.

  • Presenter:
    MariaRita Genovese, CPC
    • Time:
      05/22/23 04:15 - 05:30 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

4G: Unpacking the Global Package

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In this presentation, we will discuss the global surgical package and some of the misconceptions that lead to improper coding and reimbursement. We will review elements to the physician fee schedule and the various fee indicators that direct proper modifier assignment for various code sets, as well as common scenarios and how they affect the revenue cycle.

4H: Hospital/Observation 2023

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We have been applying the new 2023 guidelines since January. Now it is time to do some spring cleaning and see how we are interpreting the guidelines and applying the new rules. In the session we will discuss the changes to the hospital and observation codes and guidelines and look at some documentation examples. Bring your questions and bring your thoughts to share. It is time to attempt to clean up some confusion

4I: Risk Adjustment Panel

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TBA

4J: The Impact of Risk Adjustment on Accountable Care Organizations

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Risk adjustment has a tremendous impact on the success of accountable care organizations (ACOs). In this session, attendees will learn about the evolution of risk adjustment and the role HCC coding plays in an ACO. As ACOs begin to take on more risk, understanding the impact of risk adjustment and HCC coding is vital to the success (or failure) of ACOs.

Session 5

Tuesday, May 23, 2023 | 01:00 - 02:15 PM

5A: Risky Business: The Continuity of Risk and Revenue Impact of MDM for E/M

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The most subjective component of MDM is risk. A thread of continuity for risk exists throughout all components of MDM. This session will reveal the relation of risk to problems and data reviewed, enabling coders and auditors to recognize indicators that impact risk overall and mitigate subjectivity, thus impacting revenue.

  • Presenter:
    Stuart Newsome
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P CEMC

5B: Dissecting Medical Necessity

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Medical necessity is more important than ever as we face the changing guidelines for E/M services. In this session, we will examine and discuss the many components of medical necessity and how we can sharpen our skills to better support our providers as we help them improve their documentation.

5C: The Obstacles of Ophthalmology Coding

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Join me as I discuss the intricacies of ophthalmology coding. I will provide detailed information on eye injections, the reasons for them, diagnoses, and how to code them. I will also touch on the various eye conditions and treatments/procedures available with coding, as well as new treatments and coding for cataract procedures.

  • Presenter:
    Karen F Perry, CPC, CPB, CPC-I
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P CEMC COPC

5D: The Appeal Process from Denial to Completion

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Appealing denials requires a multitude of decisions. Determining which denials are appealable, how to complete an appeal, how often to appeal, and how far to appeal can be overwhelming. This presentation will focus on the entire process from start to finish.

  • Presenter:
    Holly Ridge, CPC, CPMA
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P

5E: Grand Ole Tips for Home Health and Hospice Documentation and Coding

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Clap your hands and stomp your feet for some tips and tricks on proper documentation and coding for Home Health and Hospice! These care settings have very complex requirements, different from what we’re used to in either the facility or professional worlds, but the regulations are quite interesting. We’ll cover the range of Medicare benefits, required documentation, high-level billing and coding processes, and tips for auditing these areas from a HH/H agency perspective, from a physician and facility documentation perspective, and from a billing/coding perspective. We will touch on inpatient hospice as well as in-home hospice and the various levels of care for both home care and hospice. This will be a fast-paced, high-level session on a topic new to many of you.

  • Presenter:
    Amy Lee Smith, COC, CPC, CPMA
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

5F: Navigating MIPS Quality Reporting

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This session will focus on the four MIPS categories of the MACRA Quality Payment Program: quality, promoting interoperability, cost, and improvement activities. We will take a deep dive into what this program is all about, the various ways to report, scoring methodology, payment adjustments, and shared savings. Attendees will learn how to earn small practice or complex patient bonus points, as well as industry best practices and what practices need to be doing now for next year’s submission.

  • Presenter:
    Corella Marie Lumpkins, CPC, CPCO, CPB, CPPM, CPC-I
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CANPC CASCC CDEO CCPC CCC CSFAC CGSC CIMC CCVTC COPC CENTC CRHC CPRC COSC CGIC CDEI CPEDC CHONC CFPC COBGC CPC-P CUC CEDC CPCD CEMC

5G: Excellent Revenue Cycle From Anywhere, USA

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Current studies indicate that practices are finding it challenging to run successful revenue cycles with remote staff, including remote managers. This presentation will give attendees practical direction on how to create, maintain, and manage effective and efficient revenue cycle processes with an entirely remote team.

5H: Auditing 2023: What Happens in the Office Now?

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Attendees will walk through recent updates to the Office and Other Outpatient Evaluation and Management guidelines. We will discuss new auditing pitfalls in the office setting, how to reduce organization compliance risk through Evaluation and Management coding policy, and provider education best practices to maximize updated guidelines.

5I: Basic Steps in Measuring an Effective Compliance Program

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TBA

  • Presenter:
    Astara N Crews, CPC, CPEDC
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P
  • Presenter:
    • Time:
      05/23/23 01:00 - 02:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Session 6

Tuesday, May 23, 2023 | 04:15 - 05:30 PM

6A: Coding Secrets From a Family Physician

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“Oh, there’s a code for that?” If you often hear this from your primary care providers, they are probably not documenting all of their work. This presentation offers an overview of high-yield codes to ensure your practice gets paid for everything your providers do.

6B: Nashville EntertainmENT: Can you hear the music?

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This session will encompass a review of the anatomy and the function of the ear. Understanding the ear anatomy is critical when it comes to using the correct CPT codes to describe the procedure(s) performed. Discussion will include treatment and diseases of the ears. From cerumen removal, eustachian tube dilation, injections, amplification, dizziness, Meniere’s disease, hearing loss and other common ENT ear complaints.

6C: Trust Me, I’m a Surgeon

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This presentation will focus on fraud, waste, and abuse of vascular codes. A case study involving vascular procedures will be presented. Attendees are encouraged to think outside of the box when conducting an investigation of vascular codes.

6D: Gender Neutral Birth Certificates and Transgender Identification in the EMR and Billing

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TBA

  • Presenter:
    Kathy Burkhardt, MSL, RHIA
    • Time:
      05/23/23 04:15 - 05:30 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

6E: Don't Be Singing The Folsom Prison Blues - Understanding & Utilizing NCD, LCD & Payer Guidelines

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This session will focus on the how best to utilize CMS NCD's, MAC LCD's and Payer guidelines to improve your compliance, revenue and be better positioned for any necessary appeals. This information is invaluable as you create coding guidelines and system logic rules.

6F: The Credentialing Challenge: How quickly can a provider see patients and get paid?

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What is credentialing and why is it so important? Credentialing a new provider can seem like a daunting task, but with the right tools and workflows, anyone can master it. I will break down the fundamentals of credentialing: what is it and why do it, share best practices, payer requirements, and how the role of Credentialing Specialist has evolved.

6G: Time for Your RCM Checkup

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Maintaining a healthy revenue cycle management is important to the success of every practice. In this session, I will show you how to calculate both your NCR and GCR. We will discuss important metrics for every practice, as well as denial management. Join the discussion to improve the health of your RCM.

6H: Identifying/Avoiding Errors In Fraud Enforcement Investigations

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This presentation will provide attendees with a definitional understanding of the terms fraud, waste and abuse. Next attendees will be exposed to issues impacting identification of potentially fraudulent conduct; material misrepresentation and intent. Attendees will also be exposed to the appropriate role of experts and finally, through a series of case examples, attendees will be exposed to a number of common audit errors that compromised the government’s false claims act allegations.

6I: Proactive Compliance to Protect Reimbursements

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This session will cover the various compliance activities providers can implement now to prevent and, if necessary, defend reimbursement audits from federal and commercial payers.

  • Presenter:
    Courtney Tito
    • Time:
      05/23/23 04:15 - 05:30 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P

6J: The Risk Game - Payment and Documentation Guidelines

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Risk adjustment is all about the diagnosis with some very unique rules for what counts for risk. The AMA documentation guidelines have placed a lot of emphasis on documenting a thought process and outlining risks to patients and severity of the condition(s). Do these two worlds collide or connect? This session will address that thought as we consider both angles and dissect a few visit notes.

Session 7

Wednesday, May 24, 2023 | 10:15 - 11:30 AM

7A: Hidden Gems In the ICD-10-CM Coding Manual

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This session will explore the ICD-10-CM code book in detail, including guidance on how to quickly find coding specifics. Anatomical illustrations will be explored, along with an explanation of how to use the tabular list as a major source for medical terminology and anatomy/physiology. Current coders will walk away with a better understanding of how to find and apply guidelines to enhance their productivity and accuracy. Future coders preparing for the CPC® exam will benefit from becoming more familiar with the ICD-10-CM code book.

  • Presenter:
    Jennifer Shennel Simmons, CPC, CPC-I
    • Time:
      05/24/23 10:15 - 11:30 AM, CT
    • Coding General
      CPC CIC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPEDC CCVTC CCC CPRC CEDC CENTC CFPC CCPC CEMC CPCD COBGC COSC CASCC CDEI CGIC CDEO CPC-P COPC CIMC CUC CHONC CGSC CRHC CSFAC CANPC

7B: 2023 CPT Coding Updates for Interventional Radiology and Cardiology, an Expanded View

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This session will focus on the 2023 CPT code updates for IR and Cardiology procedures, with a review of existing CPT coding for dialysis circuit intervention, pulmonary arterial intervention (including thrombolysis, thrombectomy, revascularization embolization), and percutaneous congential heart diagnostic and interventional procedures.

7C: Infusion Confusion

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Current infusion and injection administration coding concepts were established in 2006. With no significant changes since, coders and clinicians continue to struggle with documentation and service reporting. This session will explore common terms and concepts for infusion and injection documentation, coding, and billing. A tool will be introduced to reinforce coding accuracy.

  • Presenter:
    Kelly C Loya, CPC, CPC-I
    • Time:
      05/24/23 10:15 - 11:30 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CHONC CANPC CPC-P CDEI CDEO

7D: Dissecting Inpatient Coding and CDI

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We all know about the famous phrase "if it's not documented, it didn't happen." Well, in this presentation, you will learn the importance of proper dissection in inpatient coding. This will also cover the benefits of proper research methods to better identify keywords and processes to be able to select proper ICD-10-CM and PCS codes. Also, CDI has been growing more and more everyday, and this will combine how the methodology of researching can create a more powerful and effective CDI program!

7E: Outpatient Treatment of Autism and Related Disorders

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TBA

  • Presenter:
    Kathy Burkhardt, MSL, RHIA
    • Time:
      05/24/23 10:15 - 11:30 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P CPEDC CEMC CFPC

7F: Establish and Hardwire a High-Performance Culture with a Workload System

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One of the most common reasons employees leave organizations is a feeling of workload imbalance or unfairness in their work unit. Without consistent accountability, organizations are at risk for both inefficient flow and losing their high-performing staff, creating a detrimental impact on their entire practice. By establishing a system with clear expectations and measures for individual and team performance, you can increase engagement, teamwork and productivity - laying the basis for optimal clinical flow. This session will help attendees will learn key strategies to hard-wire and improve processes and build an engaged team-based culture, while reducing the frequency of workload imbalance and intensity of training new staff.

  • Presenter:
    Adrienne Lloyd, MHA, FACHE
    • Time:
      05/24/23 10:15 - 11:30 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

7G: Win The Audit and Recoupment Game

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In a "Rapidly Changing and Unstable Healthcare Reimbursement Environment,” Protecting insurance revenue received and entitled for services rendered in good faith, has never been more vital or challenging!! The best defense is a good offense, utilizing compliant based strategies. This session offers valuable takeaways that help equip and empower executive, revenue cycle and claims management teams on practical ways to safeguard against improper audit attempts and offsets that do not align with federal and state laws.

  • Presenter:
    Karlene Dittrich, CPC, CPMA
    • Time:
      05/24/23 10:15 - 11:30 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

7H: Improving Coding/Audit Result Accuracy and Communicating/Coding Audit Results Effectively

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This presentation will provide the attendee with risk analysis techniques, which are necessary to ensure the legal accuracy of audit results. Legally accurate findings are necessary to avoid audit error that would otherwise incorrectly create voluntary disclosure risk. Attendees will also learn how to identify findings that are not technically errors, but are nonetheless indicative of post payment risk and how to differentiate such findings so that physicians/providers/decision-makers can make informed choices about disclosure and/or corrective action.

7I: The 2023 Medicare Physician FEE Schedule Final Rule. What's new, what's changing?

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Learn about CMS’s 2023 Medicare Physician Fee Schedule reimbursement and coverage changes which include telehealth, E&M, behavioral health and many more.

7J: Compliance Panel

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TBA

Session 8

Wednesday, May 24, 2023 | 11:45 - 01:00 PM

8A: The Ins and Outs of Medicare Wellness

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If you are in the primary care world, it is no secret that Medicare wellness visits are performed in the office. There are strict documentation guidelines for them, but just how strict are they? And where do we find the documentation requirements? Are they the same as a preventive visit? Join this session to learn the answers to these questions as we discuss documentation guidelines, tools, educational tips for providers and coders, and potential denial areas.

8B: Diving Into Diagnostic Radiology

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Come learn about common errors and best practices for diagnostic radiology documentation and coding. This presentation will dive into documentation requirements needed to support common diagnostic radiology procedures. We will also review common coding errors that can be avoided as we work with radiologists to educate them on coding guidelines.

  • Presenter:
    Nate Felt, CPC
    • Time:
      05/24/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P CDEO

8C: 2023 Hernia Repair Changes and Other Abdominal Surgeries

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The hernia repair codes were completely changed at the beginning of 2023! The AMA deleted most of the old hernia repair codes and created a completely new set of codes. CMS has also made major changes to the reimbursement of these new hernia repair codes. This course will cover both the AMA and CMS changes. It will also cover the NCCI pairs, coding grey areas, and documentation tips for abdominal surgeries to help you coach your providers on how to document and bill appropriately for abdominal surgeries.

  • Presenter:
    Christopher Chandler, CPC, CGSC
    • Time:
      05/24/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC CIC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P CASCC CGSC CANPC CDEI CDEO

8D: ECMO Topic

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TBA

  • Presenter:
    Louis Jimenez, RRT, CHT
    • Time:
      05/24/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CIMC CPC-P

8E: Outpatient Facility Coding

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Understanding the types of services and coding knowledge for capturing revenue in an outpatient facility setting while ensuring that the seventy-two hour rule has been followed. Discussing of the importance of charge capture, custom system edits and Medicare rules surrounding bundling. Broad overview of NCD/LCD and how they impact ABN use.

8F: Benchmarking for Practice Success

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Benchmarking key areas of a medical practice improves performance. This session will underscore the importance of benchmarking by showcasing three specific areas: improving efficiency, maximizing revenue, and enhancing patient satisfaction. Case studies will be utilized to focus on how to implement effective benchmarking in your practice.

8G: How to better utilize Medicare coding resources (including online only manuals) for physician billing

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Session will discuss pre-auths, payer policy, and what billing situations you could be in that the CMS manuals can answer.

  • Presenter:
    Tyler Griffeth, CPC, CPRC
    • Time:
      05/24/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

8H: Hitting the High Notes of Revenue Cycle Auditing

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Let’s talk about why our colleagues shouldn’t sing the blues if they’re audited! We will discuss why we do chart audits, how to perform them, and how and to whom to communicate results. This session will include a high-level overview of auditing; we’ll cover topics such as why audits are important, best practices for setting up audit tools and writing reports, and we will walk through a quick step-by-step audit “checklist” while sharing tips and examples along the way.

  • Presenter:
    Amy Lee Smith, COC, CPC, CPMA
    • Time:
      05/24/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

8I: The Essential Role of Coders and Auditors in Risk Adjustment Litigation

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This presentation will examine the important role of diagnosis coding in False Claims Act litigation involving Medicare Advantage risk adjustment. Learn about the current status of FCA whistleblower complaints involving risk adjustment, who files them, the theories of liability pursued (and not pursued) by the government, and the continuing compliance risk presented by inaccurate or unsupported codes.

  • Presenter:
    Edward Baker
    • Time:
      05/24/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC CRC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Compliance
      CPCO
    • Auditing
      CPMA
    • Coding Specialty
      CPC-P

8J: Communicating With Providers

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Communicating with providers is a necessary skill for coders, auditors, and CDI professionals. This presentation is designed to help healthcare professionals understand the importance of clear and accurate communication. We will explore appropriate approaches to both verbal and written communication.

Exhibitor Schedule

Welcome Reception

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TBA

    • Time:
      05/21/23 04:30 - 06:30 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Breakfast with Exhibitors

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TBA

    • Time:
      05/22/23 08:00 - 09:00 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Morning Break with Exhibitors

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TBA

    • Time:
      05/22/23 10:00 - 10:30 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Lunch with Exhibitors

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TBA

    • Time:
      05/22/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Afternoon Break with Exhibitors

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TBA

    • Time:
      05/22/23 02:15 - 02:45 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Breakfast with Exhibitors

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TBA

    • Time:
      05/23/23 08:00 - 09:00 AM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Lunch with Exhibitors

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TBA

    • Time:
      05/23/23 11:45 - 01:00 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Afternoon Break with Exhibitors

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TBA

    • Time:
      05/23/23 03:45 - 04:15 PM, CT
    • Coding General
      CPC COC
    • Billing
      CPB
    • Practice Management
      CPPM
    • Coding Specialty
      CPC-P

Expos

Anatomy Expo

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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.

Additional Events

Teach the Teacher

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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.

Register Here

  • Presenter:
    TBA
    • Time:
      05/20/23 08:00 - 04:00 PM, CT
    • CEUs/CTUs: 8
    • Price: $195

HEALTHCON Rookies - Learn the Ropes

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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.

Register Here

  • Presenter:
    TBA
    • Time:
      05/21/23 01:00 - 01:45 PM, CT
    • Price: Free
Register

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