2010 AAPC National Conference

The Local Chapter Officer Training meeting was such a success last year that the format has been expanded to three hours. We have also extended the invitation not only to current and past chapter officers, but also to those interested in becoming officers. There will be breakout sessions specific to each type of chapter officer, and other training in areas such as leadership skills and dealing with difficult people. The American Academy of Professional Coders Chapter Association (AAPCCA) will be leading the training as they work with local chapters and members to continue to grow, be successful and uphold a higher standard.

0.5 CEU
Join new National Advisory Board President Terry Leone and all the rest of the NAB as they set the Nashville Conference in motion. They'll start the whoopin' and hollerin' off with a bang, and maybe even throw in a little boot scootin' boogey!

2.0 CEUs
Esteemed members of AAPC's Legal Advisory Board offer their insights into today - and tomorrow's - most pressing legal concerns for medical practices and facilities facing increased financial scrutiny and regulation. Come armed with questions that can be presented in an atmosphere of anonymity.

The AAPCCA has a challenge for you to come and celebrate your chapter’s uniqueness! Attend the “Get To Know Your Local Chapter Event“ which will be THE ultimate place to be on Sunday evening! Join us for an evening of celebrating our own unique creativeness; enjoy networking with a background soundtrack highlighting our host the music city of Nashville’s diverse musical culture.

So come and show off your chapter’s uniqueness by setting up a table to highlight your chapter, promote your area, have games, dress up, go all out or keep it chapter related show off what your chapter accomplished this year. Have a small chapter or if your chapter only has 1 to 2 members attending national conference pool resources with other chapter’s close to you and have one table to shine that spotlight on how creative your region or state and your chapter is.

If your chapter is up to the challenge, please contact Freda Brinson at freda.brinson@aapcca.org to register your chapter or to register a group of chapters for a table and start your creative juices flowing!

Scrambled Egg
Breakfast Potatoes
Crispy Bacon
Country Sausage
Buttermilk Biscuits with Sawmill Gravy
Assorted Breakfast Breads and Pastries
Fresh Diced Fruit Salad
Served with Freshly Brewed Coffee, Decaffeinated Coffee, and a selection of International Hot Teas

.5 CEU
Reed Pew, President and CEO of AAPC, will present his annual 'State of the AAPC' address at our opening general session. Come find out what's working, what's being worked on, and what the future holds for AAPC members.

Farris Jordan, PhD

1.0 CEU
Dr. Jordan is a licensed psychologist, and an expert at dealing with stress. He has authored four books and numerous articles on the prevention of mental and physical illness. He has received national recognition for his research on the effects of stress by personally participating in highly stressful events such as Brahma Bull riding, NASCAR race driving, sky diving, alligator wrestling, and more. He has given over 2,000 keynote presentations to clients such as WalMart, Bristol-Myers, HGTV, Fox News, and other corporations and U.S. governmental agencies. Come prepared to laugh and to learn how to control your own stress levels!

Cynthia A Trapp, CPC, CPC-I; Abraham Morse, MD

1.5 CEUs
In this session, we will review the clinical situations in which urodynamic evaluations are typically used. Dr. Morse will provide cases and descriptions/illustrations of the various parts of the procedure. We will review the basic structure and application of urodynamics codes. There will be plenty of time for questions.

Course Objectives

• Examine the need and techniques for urodynamics testing
• Review what makes up these tests to assure proper understanding
• Identify correct coding depending on each situation

Cynthia A Everlith, CPC

1.5 CEUs
This course will focus on trauma injuries to the hand. We will present a 180-degree picture using actual case studies from injury to repair, to coding the case. You will all be hand coding experts by the time we are done.

Course Objectives

• Identify codes normally reported for serious hand injuries
• Understand the evaluation, treatment, and documentation of complex hand wounds
• Review case presentations to identify the most accurate and compliant coding

David Zielske, MD, CPC-H, CIRCC, CCC

1.5 CEUs
This advanced session will review CPT coding as it pertains to neurovascular interventional procedures. A basic review of catheter placement guidelines, imaging documentation, and bundling issues with some interventions will be discussed, along with the many of catheter-based neurointerventional procedures performed in labs around the country. We will include numerous anatomical discussions, review angiographic images, and practice coding several complex neurointerventional cases. The session will invite questions throughout these reviews. Audience participation is encouraged.

Course Objectives

• Understand catheter placement and diagnostic imaging codes pertaining to the neurovascular system
• Review the myriad complex interventional procedures performed in the CNS vascular system and their correct coding
• Understand bundling issues faced when coding complex neurointerventions
• Review the documentation necessary for accurate coding for neurointerventional procedures

Rose Moore, CPC, CPMA, CPC-I, CEMC

1.5 CEUs
As part of the Fair Credit Reporting Act of 2003, the Federal Trade Commission (FTC) and other regulatory agencies have issued joint regulations - commonly referred to as the Red Flag Rules - regarding the detection, prevention, and mitigation of identity theft, which went into effect November 1, 2009. Although banks, financial institutions and debit/credit card companies are most affected by the Red Flag Rules, some of the obligations apply to other entities considered creditors, including health care providers. By establishing an account that permits a patient to make multiple payments, a health care provider is considered a creditor maintaining covered accounts, and is subject to certain provisions of the Red Flag Rules. Such health care providers are required to implement a written medical identity theft program.

Course Objectives

• Learn to identify a Red Flag
• Learn how the Red Flag Rules affect your practice
• Learn the difference between HIPAA and Red Flag security rules
• Adopt practical tools such as action plans, policies, and procedures
• Learn implementation techniques to assist your office
• Assure compliance with these new federal regulations

Anna M. Grizzle, Esq.; Lynn Keaton-Cockrell, CPC, CPC-H, CPC-I, CEMC

1.5 CEUs
Health care providers face unprecedented regulatory and enforcement challenges today. These challenges are never more apparent than when considering several recent enforcement initiatives. With the high stakes associated with medical claims and contract audits, which recent enforcement initiatives should keep you up at night? This session will focus on approaches and options for health care providers seeking to address Zone Program Integrity Contractor (ZPIC), formerly known as Program Safeguard Contractor (PSC), Recovery Audit Contractor (RAC), and Medicaid Integrity Contractor (MIC). Learn about objectives and differences of these audit initiatives; key target areas; examples of common mistakes that trigger these audits; how to avoid common mistakes; use of NCDs and LCDs to ensure appropriate documentation; and managing the appeals process to minimize financial risks.

Course Objectives

• Examine and overview, seeing objectives and differences of these audit initiatives
• Identify key target areas for each initiative
• See examples of common mistakes that trigger these audits
• Learn recommendations on avoiding the common mistakes
• Practice the use of NCDs and LCDs to ensure appropriate documentation
• Manage the appeals process to minimize financial risks

Shelton Hager, MD, CPC, CPMA

1.5 CEUs
This session will show you how to document, or help your physicians document, the clinical information they manage in a chronic visit. When a physician examines a patient with a chronic condition, he/she may not document all the medical decision components. Dr. Hager will demonstrate what happens in the exam room, and through this session, help attendees learn what often has not been documented.

Barbara A Love, CPC, CPC-H

1.5 CEUs
This presentation will review the Teaching Physician Guidelines for evaluation and management services, primary care exception areas, and surgery. We will also give the background of the guidelines.

Course Objectives

• Review the guidelines to guarantee understanding
• Discuss appropriate attestations when working with residents/fellows in providing E/M service, in primary care exception sites and when performing surgery
• Review endoscopy procedures; minor, high risk and complex procedure requirements for single surgeries; and two overlapping surgeries

Cured Ham, Smoked Turkey, Slow Roasted Beef & Genoa Salami
Swiss & Cheddar Cheeses, Lettuce, Tomato, Onion, Pickles
Grain Mustard, Herb Mayonnaise
Rye, Wheat and White Breads
Old Fashioned Potato Salad
Chefs Choice of Desserts
Includes Iced Teac and Water Service

Kimberley Jean Pollock, CPC

1.5 CEUs
Are you breaking your back trying to understand laminectomy and fusion codes like these? 1) 22851 vs 20931 – The doctor dictated placement of a “device” but does the “device” really constitute use of 22851 or is the correct code 20931? CMS has identified 22851 as a high volume/fast rising utilized code. Explore the controversies, understand the products, and learn the correct coding. 2) Interspace vs. Segment – confused about whether to bill the procedure using the number of interspaces or vertebral segments? Well, you aren’t alone.

Course Objectives

• Describe the difference between CPT 22851 and 20931
• Identify at least two vendor products for 22851 and 20931
• Apply correct coding principles to laminectomy and fusion codes
• Discuss the coding dilemmas surrounding the posterior lumbar interbody fusion code (22630)

Brian Dobbins, MD; Kerin Draak, CPC, CEMC, COBGC

1.5 CEUs
Female patients increasingly are seeking out less invasive methods of treating gynecologic issues. Combined with technological advances, a rapid adoption of minimally invasive procedures is occurring. This allows physicians to treat more women in an office or outpatient setting that in the past would have required more extensive use of the operating suite. This lecture will review these procedures, their indications, and the coding implications.

Course Objectives

• Review new trends in office and outpatient gynecology
• Review procedures expanding minimally invasive treatment options for women
• Discuss the coding and billing challenges minimally invasive procedures present

Susan Ward, CPC, CPC-H, CPC-I, CEMC, CPCD, CPRC

1.5 CEUs
Join us as we take a look at several different types of breast reconstruction following mastectomies. Our discussion will include immediate and delayed reconstruction with tissue expanders, Latissimus dorsi flap, and TRAM flap reconstructions. There will be pictures and detailed explanations to understand the proper coding of these incredible surgeries.

Course Objectives

• Participants will understand the proper use of CPT codes 19340 – 19380 in addition to the proper ICD-9-CM codes
• Participants will also have the opportunity to see real-life operative reports to best understand the documentation needed for proper coding

Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC

1.5 CEUs
We will go over the issues that abound in the implementation of ICD-10. Learn what to look for in your practice or facility during the planning and implementation phases such as gap analysis, business plans, documentation issues, and communication. This session is a must for anyone involved in implementation.

Course Objectives

• Clinical documentation issues in ICD-10
• Performing a gap analysis
• Developing a business plan for ICD-10 implementation
• What to expect during the implementation process

Stephanie G Ellis, CPC

1.5 CEUs
This session will provide useful information on everyday issues that arise related to coding and billing issues for Ambulatory Surgery Center (ASC) facilities. Some issues to be covered include: Medicare compliance issues, correct modifier usage for ASCs, terminated procedures, procedures not on the Medicare ASC List, documentation issues, correct coding/billing of implants in ASCs, revenue codes, and procedures frequently mis-coded in ASCs.

Course Objectives

• Learn how to code and bill in a more compliant manner and not leave money on the table when billing ASC procedures
• Learn what to look for to avoid documentation issues that cause coding errors/discrepancies in coding for ASCs
• Learn the ins and outs of Medicare rules for billing terminated procedures
• Learn how to correctly use modifiers for ASC billing to cut down on billing errors and help reduce denials
• Learn about fraud and abuse issues for ASCs
• RAC audits and how to respond to them will be discussed
• Learn how to code and bill correctly for frequently miscoded procedures performed in ASCs

Jonnie Massey, CPC, CPC-P, CPMA, CPC-I

1.5 CEUs
This quick-hits sessions will deliver red flags and coding tips for emerging trends that may trigger an audit. Learn about the miscoded services and procedures that are getting attention. You may be surprised at what may cost you money in audit paybacks.

Course Objectives

• Identify areas where you may find miscoding
• Learn what steps you can take to ensure correct coding and billing
• Take home codes and scenarios to watch out for

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC

1.5 CEUs
Practice makes perfect. In this session as we audit E/M notes, we will discuss the gray areas in selecting the appropriate E/M services. 1995 and 1997 CMS Documentation Guidelines will be discussed, as well as tools you can use to become proficient in auditing E/M services.

Course Objectives

• Audit notes using 1995 Documentation Guidelines
• Audit notes using the 1997 Documentation Guidelines
• Review gray areas in selecting E/M codes
• Review tools to obtain proficiency in selecting E/M codes

Celebrate the wonder of the human anatomy at the AAPC Anatomy Expo. This fast-paced event offers an in-depth look into the complex machine we call the body. Roll up your sleeves and learn from the experts! These nine doctors will use anatomical models, devices, videos, and their knowledge to instruct as you move from station to station. You will be divided into intimate groups of fellow coders for an insider's look at the anatomic and physiologic nuances of the human body. Whether novice or expert, you will find this session fun, informative, and exhilarating.

Shelly M Cronin, CPC, CANPC, CGIC, CGSC; Jason Wellen, MD

1.5 CEUs
Enter the exciting world of the OR and learn about different abdominal surgeries for kidneys and pancreas. Learn from a surgeon about how these procedures are performed, and what one actually looks like through a video and slide presentation. Then translate this OR experience into ICD-9-CM and CPT coding and documentation guidelines.

Course Objectives

• Learn the anatomy of the kidney and pancreas
• Understand the surgical procedures for these organs
• Learn the common ICD-9-CM and CPT coding, along with different guidelines and tips for coding these procedures

Terry Leone, CPC, CPC-P, CIRCC, CPC-I

1.5 CEUs
The speaker will review the coding rules for percutaneous biopsies, abscess/fluid drainages, and arthrograms, including image guidance and modifiers. We will examine the differences of joint injections, arthrography, and joint pain management.

Course Objectives

• A review of the surgical CPT, Supervision and Interpretation codes and guidances
• Correct modifier usage
• Review of billing/coding rules

Lisa L Jensen, CPC

1.5 CEUs
Maximize reimbursement through knowledge with your fellow attendees. Ensure your practice is not missing additional services that could be billed. Learn about common pediatric procedural coding with modifiers, well visits, immunizations, and complex care of medically fragile children in both the outpatient hospital and inpatient settings.

Course Objectives

• Learn how to better code for the appropriate reimbursement
• Learn codes available for high risk and medically fragile children
• Understand what documentation is necessary to code accurately

Nancy M Enos, CPC, CPC-I, CEMC

1.5 CEUs
The Patient-Centered Medical Home (PCMH) is a team-based model of care led by a personal physician, who provides continuous and coordinated care throughout a patient's lifetime to maximize health outcomes.

• Learn the history, components, and benefits of the PCMH
• Understand how to manage the transition to the PCMH
• Discuss demonstration projects and reimbursement, including CMS incentives (PQRI and E-prescribing) and NCQA
• Review current CPT reimbursement for patient oversight and guided care

Timothy P Blanchard, JD; Georgette Gustin, CCS-P, CHC, CPC

1.5 CEUs
Handling potential overpayment situations has become more challenging than ever with recent changes in false claims law. This session addresses these changes and how to evaluate provider refund obligations, including audit design considerations, sampling/extrapolation vs. claim-by-claim refunds, documenting compliance reviews, appropriate disclosures with voluntary refunds, and working with counsel and consultants.

Course Objectives

• Understand the implications of recent changes in the law affecting overpayment situations
• Appreciate the implications of audit design considerations
• Understand the importance of documenting compliance reviews and appropriate disclosures with voluntary refunds
• More effectively work with legal counsel and consultants
• Identify and avoid common missteps in handling overpayments

Jill M Young, CPC, CEDC, CIMC

1.5 CEUs
Your physician may be paid based on the CPT codes billed, but proper ICD-9-CM is equally important when it comes to getting claims paid, as well as compliance with HIPAA coding standards. Learn what the top bad habits in diagnostic code selection are, and how to work with your physicians to attain a higher degree of accuracy and compliance in your coding and how all of this will be affected with ICD-10.

Course Objectives

• Participants will understand the nuances of ICD-9-CM code assignment and discover how to pinpoint coding guidance in the index, tabular section, appendices, and tables within the code book
• Participants will learn why coding just enough to meet medical necessity requirements is not enough
• Participants will learn what some of the most common advanced diagnostic coding errors are

Lashelle Walker, CPC, CPC-H, CPC-I

1.5 CEUs
This presentation will focus on specialty procedures performed within radiation oncology care. We will briefly discuss IMRT, IGRT, HDR, SRS, and SBRT procedures. We will also include a review of the CPT description and coding guidelines for specialty procedures within radiation oncology.

Course Objectives

• Review appropriate modifier usage and discuss standard bundling issues
Receive the most up-to-date industry standards for radiation oncology
• Understand how the various elements of care fit together

Lasagna with Meat Sauce
Farfalle and Marinara with Chicken
Alfredo Penne Primavera
Fresh Romaine Lettuce, Caesar Dressing, Parmesan Cheese, Herb Croutons and Garlic Bread
Tiramisu
Includes Iced Tea, Water and Coffee Service

Assorted Non-Fat Yogurts and Low Fat Granola
Fresh Diced Fruit and Dried Fruits
Grain Cereals with Skim Milk
Assorted Non-Fat & Bran Muffins and Fruit Preserves
Freshly Brewed Coffee, Decaffeinated Coffee, and a selection of International Hot Teas

Deborah Grider, CPC, CPC-H, CPC-P, CPMA, CPC-I, CEMC, COBGC, CPCD

1.0 CEU
ICD-10-CM is the diagnostic coding system that is expected to replace ICD-9-CM sooner than you think. In a world in which documentation remains a coder's number one problem with physicians, how can we seamlessly move from a system with 17,500 codes to a system with 155,000 codes? We'll give you some ideas. We will discuss preparation of implementation and analysis of ICD-10-CM for physician practices, hospital departments, and payers small or large. This session will provide a basic understanding of the new classification's conventions, guidelines, and specifications; develop your familiarity with new terminology; accelerate the learning curve; demonstrate your understanding and preparedness with this important new classification; help you understand the latest regulatory issues involved with the conversion to ICD-10-CM; and provide guidance as to steps you can take to get ready.

• Understand the key steps in ICD-10-CM/PCS implementation preparedness
• Understand what documentation issues need to be addressed prior to implementation
• Review mapping and crosswalking examples
• Understand the impact on the health care industry with the implementation of ICD-10-CM/PCS

Kimberley Jean Pollock, CPC

1.5 CEUs
It's not hard – it’s just brain surgery! Learn neurosurgery coding in 1.5 hours with the nation’s leading neurosurgery coding expert. An overview of neurosurgical procedures – brain, spine, and peripheral nerve surgery - and how to choose the right code will be discussed. Brain tumors, aneurysms, endoscopic vs. open skull base surgery, and shunts are just a few of the cranial coding topics included. Also, an overview of spine surgery coding will be presented including codes for discectomy, laminectomy, fusion, instrumentation, and bone grafts.

Course Objectives

• Discuss the coding principles for cranial, spine, and peripheral nerve surgeries
• Name three activities included - and three not included - in the global surgical package for neurosurgical procedures

Donald Slider Crumbo, MD

1.5 CEUs
An overview of percutaneous cardiac interventions will include rationales and techniques for services including angioplasty, bare metal and drug eluting stents, rotational and directional atherectomy, and ancillary procedures such as intravascular ultrasound and functional flow reserve. Percutaneous valve therapies, including valve replacement, will be discussed as well as ASD/patent foramen closure and VSD repair.

Course Objectives

• Recognize and identify the difference between angioplasty, stent placement and atherectomy
• Understand the use of IVUS and FFR in the catheter lab
• Live video will be shown to enhance the educational experience

Brenda Chidester-Palmer, CPC, CPC-I

1.5 CEUs
This session will tackle the issues of performing a sick visit on the same day as a preventive visit. Many physicians perform both services, but do they document both? Join us as we discuss CPT guidelines, CMS/Medicare guidance, third-party payer policy, and documentation issues.

Course Objectives

• Define/determine what a significant problem is
• Why documentation matters in this scenario
• What the reimbursement issues are

Cindy Feickert, CPC, CPC-I

1.5 CEUs
This presentation will educate you about the revenue cycle and the new role of the coder, including how to manage the revenue cycle from coding through denials. Participants will come away from the presentation with new ideas about how coders can affect the revenue cycle, including report samples and goals and objectives for coders.

Course Objectives

• Discuss in detail the medical professional billing cycle, including where coding fits in the revenue cycle
• Describe what the role of the coder is and how they affect the revenue cycle to maximize reimbursement
• Learn practical tools for management and implementation of the coder as a revenue cycle specialist, and tools for the practice

Julie E Chicoine, Esq., CPC

1.5 CEUs
This presentation will provide an overview of basic principles regarding the current health care fraud enforcement environment, including an overview of federal fraud and abuse laws, Office of Inspector General (OIG) compliance program requirements, as well as OIG enforcement provisions, such as corporate integrity agreements and similar settlement agreements.

Course Objectives

• Understand key Federal laws and regulations governing health care fraud and abuse
• Understand the OIG compliance program elements and how to ensure ongoing compliance and/or implementation in their place of employment
• Learn fraud and abuse areas of risk relevant to physician practices
• Review compliance implications arising from health care reform

Jonnie Massey, CPC, CPC-P, CPMA, CPC-I; John Hahn, DPM, ND

1.5 CEUs
Explore the anatomy of the foot and ankle with a podiatrist and a coder. Learn about common foot and ankle conditions and how to properly code them. When is a bunionectomy medically necessary vs. cosmetic? Do those nails really need to be trimmed by your doctor? Find out what is covered by the insurance carrier and what may not be covered. Have you waited too long to see the podiatrist? If so, what are the consequences? Codes and pictures of procedures will be reviewed, as well as discussion of common foot and ankle ailments. This will be a dynamic presentation - don't miss it!

Course Objectives

• Learn to properly identify anatomy of the foot and ankle for accurate identification and coding
• Understand common foot and ankle conditions
• Identify the difference between covered and non-covered services

Lynn Marie Myers, MD, CHC, CPC

1.5 CEUs
As more and more physicians implement electronic medical records (EMRs) into their practices, new challenges arise. Hear one group’s experiences with these challenges, and how they equip their providers with the knowledge and support to overcome the audit hurdles of EMRs.

Course Objectives

• Discuss integrity issues in EMRs
• Discuss the E/M challenges regarding key components from the dual perspective of user and reviewer
• Discuss inherent flaws in EMRs that create challenges for users and auditors
• Show examples of auditing issues

Susan E. Ziel, BSN, MPH, JD
An increasing number of health care providers are entering into Settlement Agreements and Corporate Integrity Agreements ("CIA") with the Health and Human Services' Office of Inspector General ("OIG"). The implementation of a CIA usually requires the health care provider to engage the services of an Independent Review Organization ("IRO") to conduct regular audits and reports all related findings and recommendations to the OIG. The qualifications, skills and experience of a certified, professional coder are often exactly what is required. The purpose of this presentation is to prepare CPCs for this important new business opportunity which brings with it important duties and obligations.

Cobb Salad – Diced Chicken, Avocado, Bermuda Onions, Ripe Tomato, Chopped Egg, Crisp Apple Wood Smoked Bacon, Monterey Jack Cheese
Includes Sourdough Rolls and Butter
Pepper Corn Ranch Dressing and Blue Cheese Dressing
Chef Choice Dessert
Tea & Water Service

Samantha Mullins, CPC, CPC-I

1.5 CEUs
Details on the how, what, and why of ER documentation and code selection will be given, as well as what the physician should document and what coders should look for to capture it.

Course Objectives

• Learn the how, what, and why of emergency coding
• Become familiar with vital clues in documentation that will make your coding more accurate
• Understand the documentation guidelines

Margaret Louise Chambers, CPC;

1.5 CEUs
This presentation will cover what a Special Investigation Unit (SIU) does in the payer world, common schemes seen in health care fraud and abuse, and the need for investigators to be certified coders for effective investigations and provider education. There will be case examples.

Course Objectives

• Be able to describe the function of a SIU
• Define the key responsibilities of a code in the SIU
• Understand the role of the RN/coder

Betty Johnson, CPC, CPC-I, CPCD

1.5 CEUs
This session will cover heart valve repairs and replacement procedures. CPT guidelines for these procedures, along with modifiers, will be discussed. Color surgical photos of various cases and a videotaped procedure will be shown to enhance the learning experience.

Course Objectives

• Learn valves of the heart, how they work, and common diseases of the valves
• Learn CPT codes and guidelines regarding valve procedures

Teresa Renea Bolden, CPC

1.5 CEUs
As Medicare transitions to becoming an active purchaser of health care services, physicians are being petitioned to report on the quality care they commonly provide. During this Physician Quality Reporting Initiative (PQRI) session, we will reveal key components of successful reporting that will help an incentive bonus payment. In addition, we will expose the hidden agenda of reporting, and how not reporting will impact your practice.

• Understand the PQRI reporting program and what the requirements are for the 2010 reporting period
• Learn essential steps that will lead to successful reporting

Shelly M Cronin, CPC, CANPC, CGIC, CGSC

1.5 CEUs
Join us for a tour of anesthesia coding. You will learn about the procedures performed by anesthesiologists. Documentation and coding guidelines, as well as what is considered billable and what is not, will be presented.

Course Objectives

• Learn the different equipment and techniques used for different procedures
• Learn the required documentation and where to find it on an anesthesia note
• Discuss common mistakes and missed billing opportunities

Edith Sunderland, CPC

1.5 CEUs
Learn to effectively enable your organization to anticipate and manage business risk, while more effectively delivering value for your organization. You will return to your practice with the tools and information necessary to hit the ground running, and be ready to set up or update your own compliance plan.

• Know the seven steps of building a compliance plan
• Understand how to put the plan into action and how to keep the plan from gathering dust
• Learn when and what to audit, including when to perform a focused audit vs. random audit
• Understand who to inform of the results of an audit and how to follow through on completion of the audit
• Learn the ins and outs of auditing teaching physicians

Jolayne Kay Fisher, CPC, CPC-H, CPC-P

1.5 CEUs
Have you ever wondered how and why HCPCS Level II codes are created? So do we! Come hear more about this mysterious process and how it works. We’ll cover everything from “A” through “S”, and a few in between.

Course Objectives

• Learn the process for creating new HCPCS codes
• Understand how HCPCS codes are used in different sites of service and when HCPCS codes are used for payment

Sarah Reed, CPC

1.5 CEUs
Attendees will get answers to perplexing problems and questions from physicians. We will focus on issues coders are often faced with, including trying to explain to a provider or manager the how and why of a certain situation for coding and billing purposes. Examples to be discussed include but are not limited to: prolonged care, the differences between a well woman and a preventive visit, consults, multiple visits on the same day, nursing home visits, NP services, hospice outside the daily visits, counseling documentation, correct use of 59 modifier, and the ever-popular what do you mean my H&P is not paid for...join the garden club in pursuit of the best techniques for controlling these pesky coding perplexities.

Celebrate the wonders of human anatomy at the AAPC Anatomy Expo. This fast-paced event offers an in-depth look at this complex machine. Roll up your sleeves and learn from the experts! Nine doctors will use anatomical models, devices, videos, and their own knowledge to instruct as you move from station to station. You will be divided into intimate groups of fellow coders for an insider's look at the anatomic and physiologic nuances of the body. Whether novice or expert, you will find this session fun, informative, and exhilarating.

Tara A Downes, CPC

1.5 CEUs
Come see the exciting and innovative new muscle-sparing technique for total hip arthroplasties (THA) which drastically improves all aspects of patient recovery and reduces post operative complications due to posterior dislocations. Video and intraoperative photographs will be presented.

Course Objectives

• Understand hip arthroplasties and problems associated with them
• Review new technology and discuss associated improved patient outcome
• Learn coding for anterior THA and revisions

Andrew A Bonin, MD, CPC

1.5 CEUs
This presentation reviews the basic anatomy and pathology of varicose vein problems, and the most common vascular procedures performed in treating them, with heavy emphasis on pictorial illustrations for easy learning. Primary focus is on anatomy and pathology to help coders with their varicose vein surgery code selections.

• Describe basic venous anatomy of legs, including flow for deep, superficial, and communicating systems
• Describe the basic anatomic problem with an incompetent vein and what is meant by a varicose vein
• Describe the primary medical complications of venous insufficiency disease
• Describe the most common procedures to treat venous insufficiency diseases, including radiofrequency and laser ablation, sclerotherapy, and microphlebectomy
• Gain confidence in the ability to code varicose vein surgeries

Caroline Persin Wolbrecht, CPC, CPC-I

1.5 CEUs
This presentation will help coders gain an overall understanding of the three basic ways to report non-physician practitioner (NPP) services – direct, incident-to, and shared/split services. We will also discuss CMS transmittal 1776 guidelines.

Course Objectives

• Define NPPs and learn the difference between NP and PALearn about collaborative reports and who needs one
• Learn what NPPs are allowed to bill for and where they may perform services
• Review CMS transmittal 1776

Michael J Doyle, CPC, CPC-I

1.5 CEUs
This presentation will help coders prepare for the next step in their careers in the management of a practice. It will cover the financial, compliance, insurance reviews, human resources, and legal aspects of a practice that are necessary for a successful practice.

Course Objectives

• Coder preparation for the next career step
• Basic understanding of the principles of practice management
• How to manage a successful practice

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC

1.5 CEUs
This session will review the selection of E/M levels for ED facility services, coding for procedures, and hierarchy for reporting drug administration and proper use of modifiers. We will discuss how to maintain compliance with codes selected and how to capture all appropriate charges.

Course Objectives

• Discuss EM code selection for ED facility services
• Discuss common procedures performed in the ED and select the appropriate procedure codes and modifiers
• Discuss strategies to capture all charges for services rendered in the ED

Angela C Boynton, CPC, CPC-H, CPC-P, CPC-I; Julia Croly, CPC, CPC-P, CPC-I

1.5 CEUs
Presenting ICD-10 from the payer perspective! No one doubts that ICD-10 will heavily impact all departments within the payer organization. Expect a broad overview of the areas that will be most heavily impacted by the ICD-10 transition. We will discuss the challenges faced by payers in developing implementation plans, and look at how the 5010 transition will impact EDI transactions, claim processing, and how it is instrumental to the success of any organization's ICD-10 game plan. If you work for a payer and are looking for guidance in developing an implementation plan, then this is the class for you!

Shannon O'Tyson Smith, CPC, CPMA, CPC-I, CEMC

1.5 CEUs
You know the ins and outs of E/M auditing, but are you sure about surgical records? The provider must document the surgical case in maximum detail, as well as choose the proper coding and modifier usage. Come to this informative session that will use case studies during the event for a hands-on approach.

Course Objectives

• Learn required documentation components of a surgical encounter
• Learn what documentation is needed when surgical modifiers are used on a case
• Learn documentation requirements for surgical assists and co-surgeons
• Learn risk management audit objectives of a surgical encounter

Scrambled Egg
Breakfast Potatoes
Crispy Bacon
Country Sausage
Buttermilk Biscuits with Sawmill Gravy
Assorted Breakfast Breads and Pastries
Fresh Diced Fruit Salad
Served with Freshly Brewed Coffee, Decaffeinated Coffee, and a selection of International Hot Teas

Patricia Raymond, MD, FACP, FACG

1.0 CEU
We advise others to slow down, eat right and exercise, but we don’t follow our own prescription! Come join this physician who ‘mans’ the trenches of hectic schedules, managed care, and deficient personal time, as she shares her secrets to relax, renew and rejuvenate. Based on Dr. Raymond’s book “Don’t Jettison Medicine: Resuscitate Your Passion for the Career You Loved”. Inject a dose of laughter and joy into your staff!

Mary Legrand, CPC

1.5 CEUs
Does your nose know when it smells the right CPT code? Listen to this nationally-recognized expert address controversial topics such as balloon sinuplasty procedures, turbinate procedures, endoscopic sinus surgery coding dilemmas, and how to ensure accurate reimbursement. Coding for otolaryngology is more than just coding for sinus surgery! Learn how to apply appropriate modifiers to otolaryngology scenarios. Coding for other dilemmas will also be discussed, including endoscopic skull base surgery, neck dissections, and major ear procedures.

Course Objectives

• Discuss the Global Surgical Package Concept and its impact on otolaryngology surgical services
• Apply surgical modifiers in a series of complex clinical scenarios
• Demonstrate how to integrate CPT coding rules and Medicare reimbursement rules into daily practice

David Dunn, MD, CPC-H, CIRCC, CCC

1.5 CEUs
We will cover the complex area of dialysis coding, which underwent significant changes in 2010. We will discuss surgical creation of AV fistulae and grafts, as well as procedures utilized to maintain proper functioning. Also, we will discuss peritoneal dialysis coding and central catheters for hemodialysis.

Course Objectives

• Understand the changes in dialysis coding mandated by deletions and additions of codes for 2010
• Understand how to code for creation and maintenance of AV grafts, peritoneal dialysis, and central catheters used for hemodialysis

Savonne Montue, MBA, RHIT, ACS-OB, COBGC

1.5 CEUs
This presentation will cover the services included in uncomplicated maternity care from the perspective of CPT and the American Congress of Obstetricians & Gynecologists (ACOG). Coding for complications and other services that are considered excluded from the global package will be discussed. This course will also address special coding issues such as high-risk pregnancies, reporting services when the physician provides only part of a patient’s maternity care, when and how to code for the initial obstetric visit, how to report services when the patient changes insurance, how to report for the delivery of multiple gestations, and much more.

Course Objectives

• Identify the components of the global obstetric package according to CPT
• Properly report additional related and unrelated services provided during the global period
• Report for portions of the global obstetric package
• Understand when to report for additional procedures and diagnostic tests
• Report services when the physician provides only part of a patient’s maternity care
• Learn how to code for the initial obstetric visit
• Learn how to report services when the patient changes insurance
• Learn how to report for the delivery of multiple gestations

Bruce Rappoport, MD, CPC, CIMC; Lisa L Jensen, CPC

1.5 CEUs
Practices today are faced with the challenges of providing quality health care while meeting ever increasing regulatory and compliance requirements. The reality is that practices face an increased risk of third party audits and medical malpractice lawsuits. Having sound practice management and medical record documentation can greatly assist a practice in limiting their exposure. Learn effective strategies for successful practice management, from hiring to patient satisfaction, and compliant documentation for coding and quality.

Course Objectives

• Learn how to use policies and procedures to reduce risk to the practice
• Understand how appropriate documentation and coding can both increase reimbursement and decrease risk
• Learn how to take control of those aspects of the revenue cycle to better handle the volatile health care economy
• Learn how to hire for success, and support employee/physician processes that result in the best patient care

Christopher Adam Parrella, JD, CHC, CPC

1.5 CEUs
Gain a thorough understanding of the Corporate Integrity Agreement (CIA). We will explore the dynamics between the Corporate Integrity Agreement and the Compliance Officer, what role the Independent Review Organization plays in overseeing the CIA, how the provider can play an integral role in negotiating the terms of its own CIA, and the differences between the CIA and less burdensome Certification of Compliance Agreement (CCA).

Course Objectives

• Gain an understanding of the CIA, the Independent Review Organization, and the role of the Compliance Officer
• Know how to negotiate your own CIA
• Learn the difference between the CCA and the CIA

Kerin Draak, CPC, CEMC, COBGC

1.5 CEUs
This session will cover the documentation requirements for Initial and Subsequent Hospital and Nursing Facility Care, Hospital and Nursing Facility Discharges, and Observation and Critical Care services. How to bill for 'consults' in the facility setting following Medicare's new rules will also be reviewed. 2010 has brought significant changes to many of these codes. Come learn what the documentation needs to look like to support these services.

• How to appropriately bill 'consult' services to Medicare in the hospital and SNF setting
• The documentation requirements for hospital and SNF services
• The most common pitfall areas of documentation in the hospital and SNF setting

Bradley Hart, CPC

1.5 CEUs
Medical coders are not immune to the issue of ethics; in fact, there are elements of coding that make ethical issues a more prominent consideration. Coders must be ready to understand and face ethical issues as they arise. Coders will be able to develop strategies for addressing ethical issues.

Course Objectives

• Evaluate why ethical dilemmas occur
• Describe ethical issues unique to the area of medical billing and coding
• Analyze how economic conditions can influence coding ethics
• Develop practical strategies for avoiding ethical problems or resolving ethical problems when they occur

Mixed Green Salad with Ranch Dressing and Balsamic Vinaigrette
Chicken Entree
Chefs Choice Seasonal Vegetables
Chefs Choice Starch
Assorted Desserts
Iced Tea & Water Service

Patricia Raymond, MD, FACP, FACG

1.5 CEUs
Join gastroenterologist Dr. Patricia Raymond on a spectacular journey through the digestive tract! Explore the vast array of enthralling topics from first chew to final splash, including gastroparesis, irritable bowel syndrome, reflux, infusion therapy, hemorrhoid banding and capsule endoscopy. Discover your personal risk of colon cancer and how to avoid it!

• Describe the organs of the digestive tract, their functions and location
• Explain common GI conditions and recognize patterns of gastrointestinal symptoms
• Devise an action plan for attendees' colorectal cancer screening needs, and apply this knowledge to both their own health and to more insightful and specific coding for gastrointestinal symptoms and diseases.

Michael D Miscoe Esq, CPC, CASCC, CUC

1.5 CEUs
The Department of Health and Human Services (HHS) has published new regulations mandating notification to affected individuals in the event a security breach occurs on systems containing protected health information. The breach notification rules were published in response to a mandate in the Health Information Technology for Economic and Clinical Health (HITECH) Act, which is part of the American Recovery and Reinvestment Act of 2009 (ARRA). You will learn to identify the events that trigger the notification provisions, as well as what you and your Business Associates have to do in response to a security breach. You will learn what must be included in the notification, the time frames for providing notification, and the acceptable methods of providing notification. We will also review the exceptions to the notification requirements and penalties for non-compliance. An updated model Business Associate Agreement will be provided.

Course Objectives

• Learn how to identify events that trigger the notification provisions
• Understand how you and your Business Associates should respond in the event of a security breach
• Know how to draft an appropriate breach notification, as well as the time frame and acceptable notification standards
• Identify if you qualify for an exception to the notification provisions
• Learn how the civil money penalty provisions apply in instances of non-compliance
• Understand how to update existing Business Associate Agreements for compliance with HITECH

Mary Legrand, CPC

1.5 CEUs
Don’t shy away from shoulder coding, but take center stage and dazzle the team with your shoulder coding knowledge. Join Mary LeGrand, nationally-recognized expert in orthopaedic coding, and major contributor to the AAOS "Now Coding" articles for an hour and a half focused on shoulder coding. Hot topics include joint injection coding, arthroscopic, and open rotator cuff surgery, coding for Bankart and SLAP lesions, debridement procedures, and converting from arthroscopic to open procedures. The various cases will be presented based on application of appropriate modifiers in shoulder surgery.

Course Objectives

• Discuss the Global Surgical Package concept and its impact on reporting shoulder procedures
• Learn how to apply surgical modifiers in a series of complex clinical scenarios
• Discuss the importance of the Global Service Guide (GSDG) in reporting combination shoulder surgical procedures
• Understand how to integrate CPT coding rules, GSDG, and Medicare reimbursement rules into daily coding practice

Katherine Abel, CPC, CPMA, CPC-I

1.5 CEUs
Identifying incorrect use of modifiers can be key to helping our providers stay out of trouble, and is one of the most frustrating parts of our jobs. In this session, we will review some common mistakes with modifiers 25, 59, 22, 57, 52, 53, 58, and 78, and the solutions to help fix them. We will also share ideas on ways to review data to identify possible errors with modifier usage to help simplify our practices.

Course Objectives

• Learn the proper usage of the most common modifiers
• Identify the correct way to utilize modifiers
• Understand the most common mistakes being made with modifiers and how to fix them
• Review those tough case examples and how modifiers can affect your bottom line

Milda Kaitz, CPC, CPMA, CPC-I

1.5 CEUs
Chemotherapy drug administration codes traditionally reserved for anti-neoplastic agents can be reported for certain other highly complex drug administrations. With the OIG, RAC and other government claims auditors looking for improperly coded claims, it is important to know how to document, appropriately code, and bill for drug administration services.

Course Objectives

• Learn when chemotherapy vs. therapeutic drug administration codes are appropriate
• How to differentiate between IV infusion and IV push
• How to use the additional hour, concurrent and additional sequential drug and hydration codes
• Learn when modifiers are appropriate
• Learn the documentation requirements that will hold up in an audit

James Taylor, MD, CPC

1.5 CEUs
Templates, cloned notes, copy and paste, hard coded modifiers, and chart notes that all look alike strike fear in the hearts of coding and compliance leaders across the nation. In this fun and informative session, we will identify common compliance areas inherent to the electronic medical record (EMR) and use Kaiser Permanente, Colorado, as a case study to illustrate that the contentious and concerning issues can be handled in a compliant fashion. Come see how we not only reacted to these issues in a compliant fashion, but also proactively configured the EMR to ensure compliant reminders and pop-ups for the providers in a physician friendly fashion.

Course Objectives

• Identify common EMR compliance issues inherent in all EMR vendors
• Use KPCO experience as a case study on how these issues can be dealt with in a compliant fashion
• Learn how the EMR can be configured to ensure compliant coding, documentation, and charge capture
• Explore how the concept of computer-generated E/M codes clashes with the overarching concept of medical necessity, and how to mitigate through audit policy and procedures
• Become familiar with proactive strategies to weave compliance into the fabric of your EMR

Robert A Pelaia, Esq., CPC

1.5 CEUs
It is usually not good news when a person representing the state or federal government shows up unannounced and knocks on the door of a health care facility. A plan to respond to investigations is crucial, and this session will explore best practices, common pitfalls, and needless hazards to be avoided when responding to investigations.

Objectives

• Assist with responding to inquiries from government officials
• How to address requests for interviews, requests for documents or access, and search warrants
• Best Practices to prepare your organization for audits and investigations
• Review of OIG compliance guidance for physician practices