• Long Beach Conference

2011 AAPC National Conference

Don't forget! You must login to your account and select your breakout sessions after you've registered. Sessions have limited space and you'll want to ensure you can attend those most pertinent to you. If you have questions about how to select or change your sessions, visit the conference FAQs.

1:00 PM - 2:00 PM
Conference Welcome "Code Watch"
1.0 COC, CPC, CPC-P, CPB, CPPM

Make a ‘splash’ with National Advisory Board President Terry Leone, and the entire National Advisory Board (NAB) as they dive into the deep waters of ICD-10, Modifiers, E/M, and more. Surf’s up— don’t miss the next coding wave!


2:00 PM - 3:30 PM
Get to Know Your Local Chapter
There is no time like G2KYLC time to show off your chapter! One of the AAPC conferences most anticipated events, the 2011 G2KYLC will be more exciting than ever. More participating chapters, more give-aways, more spotlights on chapters, more regional color competition, more networking and more fun! Join us as we visit AAPC Local Chapters and share our successes! To reserve a table for your chapter, please contact AAPCCA board member Freda Brinson at freda.brinson@aapcca.org or call 912-819-8964.


3:30 PM - 5:00 PM
Legal Trends and Issues
1.5 COC, CPC, CPC-P, CPB, CPPM

This panel discussion led by AAPC’s Legal Advisory Board, offers insights into today – and tomorrow’s – most pressing legal concerns for medical practices and facilities facing increased financial scrutiny and regulation.


7:30 AM - 9:00 AM
Breakfast with Exhibitors
Start your morning off right – Exhibit Hall is open and breakfast is served!


9:00 AM - 9:45 AM
AAPC President Conference Address
1.0 COC, CPC, CPC-P, CPB, CPPM

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

Deborah Grider, President and CEO of AAPC, will present the 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.


9:45 AM - 10:30 AM
Striking Back at Mediocrity - Keynote Presentation

Fred Schafer is President of Fully Alive Performance Systems, dedicated to increasing the effectiveness and enhancing the lives of busy career professionals. What makes Fred unique is his depth of Knowledge in professional development and health and fitness.


10:45 AM - 12:15 PM
Beware of the ZPIC
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Christopher Adam Parrella, JD, CHC, CPC
In 2009, CMS transferred all benefit integrity functions (i.e., fraud and abuse) to Seven (7) jurisdictionally zoned ZPIC’s (Zone Program Integrity Contractors.) The ZPIC is primarily charged with identifying fraud and “abuse” in the Medicare Part A, Part B, Part C and Part D programs. These responsibilities are carried out through various methods including, but not limited to, prepayment reviews, postpayment reviews, site visits, revocations of provider agreements and suspension of Medicare claims. This highly interactive session will provide the audience with a clear understanding of who the ZPIC is and how to properly respond to their inevitable contact, either in-person or otherwise.


10:45 AM - 12:15 PM
Endoscopic Applications in Pediatric Neurosurgery
1.5 COC, CPC, CPC-P, CPB, CPEDC, CPPM

Samer Elbabaa, MD
The presentation will explain the concept of minimally-invasive cranial neurosurgery, describe different endoscopic methods used in the field of pediatric neurosurgery, discuss different treatment options for hydrocephalus, and detail a few coding options for endoscopic neurosurgical procedures.


10:45 AM - 12:15 PM
Minimally Invasive Gynecology Procedures
1.5 COC, CPC, CPC-P, CFPC, COBGC, CPB, CPPM

Brian Dobbins, MD
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.


10:45 AM - 12:15 PM
Straight-Up Radiology Coding
1.5 COC, CPC, CPC-P, CPB, CPPM

Terry Leone, CPC, CPC-P, CIRCC, CPC-I
This session will review some of the unique coding requirements for diagnostic radiology. It will cover each area of imaging, highlighting their unique requirements, i.e., diagnostic radiology, computed tomography, magnetic resonance imaging, diagnostic ultrasound, positron emission tomography and mammography. We will also talk about medical necessity and the changes we are about to face in the future.


10:45 AM - 12:15 PM
Complications of Modifiers
1.5 COC, CPC, CPC-P, CPB, CPPM

Katherine Abel, CPC, CPMA, CPC-I
Understanding modifiers is key to the valuable coder. In this session, we will discuss practical application of complicated modifiers, and review how payer policy can affect the use of them. In our review, we will look at modifiers 22, 25, 57, 59, 52, 53, 58, and 78.


10:45 AM - 12:15 PM
Common Ophthalmology Surgical Procedures
1.5 COC, CPC, CPC-P, CPB, CPPM

Eric Poulsen, MD
In this session, Dr. Poulsen will review the anatomical structure of the eye. He will also discuss common surgical procedures and techniques found when dealing with the eye.


10:45 AM - 12:15 PM
Pain Management, Anatomy, Conditions and Coding Concerns
1.5 COC, CPC, CPC-P, CANPC, COSC, CPB, CPPM

Cynthia Stahl, CPC, CPC-H, CPMA, CPC-I
Take the pain out of coding and billing for pain management services by understanding the condition of pain, the various procedures used to treat these conditions, and the specific regulations, guidelines, and policies used to adjudicate claims for these services.


10:45 AM - 12:15 PM
Name That Disease
1.5 COC, CPC, CPC-P, CEMC, CFPC, CIMC, CPB, CPPM

Charles Wolf, MD, CPC, CPC-H
Remember the game show, "Name that Tune"? Following a similar approach as the game show, Dr. Wolf will instruct in a fun way and attendees will learn anatomy, physiology, and disease processes through this session called "Name that Disease". The session is designed to give various clues and prompt interaction between the speaker and attendees to facilitate learning about some common and perhaps some not-so-common diseases.


10:45 AM - 12:15 PM
Managing Towards Compliance
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

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

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.


1:30 PM - 3:00 PM
Eliminating Infusion Confusion (Drug Administrations in Non-Facility Settings)
1.5 COC, CPC, CPC-P, CHONC, CPB, CPPM

Maryann C. Palmeter, CPC, CENTC
Does coding for infusions only lead to confusion? Do you think that the term "highly complex" in the description of these codes also applies to the level of coding difficulty assigned to these services? If so, this session will clear away the confusion over injections and infusions, and get to the "point" of coding these services in non-facility settings.


1:30 PM - 3:00 PM
2011 Lower Extremity Endovascular Update
1.5 COC, CPC, CPC-P, CASCC, CGSC, CIRCC, CPB, CPPM

David Zielske, MD, CPC-H, CIRCC, CCC
By now, word is out regarding all of the major changes for endovascular lower extremity revascularization for 2011. In this session we’ll review the codes, what’s bundled, and what’s not. Presentation will include case examples that incorporate these codes, along with how these codes differ from similar interventions performed elsewhere in the body.


1:30 PM - 3:00 PM
Wound Care: Straight from the Source
1.5 COC, CPC, CPC-P, CASCC, CFPC, CGSC, CIMC, CPB, CPCD, CPPM, CPRC

Todd Sommer, MD
In this session, we will review the basic structure of the integumentary system and some of the common medical conditions that create skin breakdown resulting in complex medical management. From the perspective of a podiatrist and a family practice physician, Dr. Sommer will cover standard wound care therapy, skin debridement and more. Attend this session to learn about the newest skin technologies and what the documentation needs to look like in order to achieve appropriate billing.


1:30 PM - 3:00 PM
Putting Humpty Dumpty Together Again: Joints and Replacements
1.5 COC, CPC, CPC-P, COSC, CPB, CPPM

Mary Legrand, RN, MA, CCS-P, CPC
This course will focus on coding for primary and revision joint procedures, with an emphasis on coding for shoulder, hip, and knee procedures.


1:30 PM - 3:00 PM
EMR Documentation Challenges
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Cindy Parman, CPC, CPC-H
A current hot topic in today’s economy is the need for health care reform, and the government’s plan to invest $10 billion per year over the next several years on health information technology, including electronic medical records. This session will increase attendee awareness of potential documentation and coding problems resulting from the use of an EMR. There are currently hundreds of electronic medical record programs for sale and the review of these products can be time-consuming. We will illustrate key medical coding and compliance issues that must be considered when selecting a method of electronic health care documentation.


1:30 PM - 3:00 PM
5010: Strategies to Survive the Transition
1.5 COC, CPC, CPC-P, CPB, CPPM

Ken Bradley
5010 will impact all health care entities, and must be fully understood. If a practice’s HIT partners cannot handle 5010 transactions one 1-1-12, its claims will be rejected by insurance carriers. In this presentation, attendees will learn what their practice needs to do in order to prepare for 5010. Practices need strategies to ensure successful transition to 5010, the much-needed computer structure that will enable the use of ICD-10 code sets. This will help practices avoid having all claims rejected by the payers, thus avoiding interruptions to cash flow.


1:30 PM - 3:00 PM
Facility Coding for the Emergency Department
1.5 COC, CPC, CPC-P, CEDC, CPB, CPPM

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC
During this session we will discuss maximizing charge capture and maintaining compliance with codes selected in the emergency department. Common modifiers and procedures reported in the emergency department will be reviewed.


1:30 PM - 3:00 PM
Outpatient Prospective Payment System: Coding Rules and Regulations You Need to Know
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM

Charles Wolf, MD, CPC, CPC-H
The OIG has stated, “With the OPPS, procedure codes effectively became the basis for Medicare reimbursement”. This session focuses on the coding and reimbursement knowledge of OPPS you need as a coder, including: source documents, status indicators, clinic visit criteria, modifier/CCI edits for hospitals and case studies.


1:30 PM - 3:00 PM
Taking Lab Coding for a Spin
1.5 COC, CPC, CPC-P, CPB, CPPM

Corrie L Alvarez, CPC, CPC-I, CEDC
Coding clinical laboratory and pathology services can be challenging, especially with all the code options in each section. Should I code the panel or the individual test? What’s the right way to report a glucose tolerance test? And coding CBCs, well, it’s enough to make you feel like you’re in the centrifuge! In this session, we’ll discuss different areas in the laboratory section of CPT to help you understand how to correctly code the tests that are performed and avoid common issues that can cause denials…or worse!


3:15 PM - 4:45 PM
Colorectal Surgery
1.5 COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM

Elizabeth McConnell, MD, FACS, FASCRS
This session will be a thorough review of the abdominal and peri-anal surgery codes to develop a better understanding of the surgical procedures that match them.


3:15 PM - 4:45 PM
Cardiac Catheterization Coding Reinvented in 2011
1.5 COC, CPC, CPC-P, CCC, CCVTC, CIRCC, CPB, CPPM

David Dunn, MD, CPC-H, CIRCC, CCC
Wow! The deletion of 19 established codes and the addition of 20 new codes make the 2011 CPT changes the most significant in years in this area. This session will dive into explaining the new codes for cardiac catheterizations. It will also explore the new bundling concepts for 2011 related to these codes and include case examples.


3:15 PM - 4:45 PM
A Potpourri of Common Foot and Ankle Problems in Podiatry
1.5 COC, CPC, CPC-P, CASCC, COSC, CPB, CPPM

Todd Sommer, MD
In this session, Dr. Sommer will review the anatomical structure of both the foot and ankle. He will also discuss reconstructive surgical techniques to correct some of the more problematic conditions of the foot and ankle, such as bunion, flat foot and more. You will also learn the impact of diabetes and peripheral arterial disease on wound healing. Along with gaining a better clinical insight, you will also gain valuable coding information.


3:15 PM - 4:45 PM
Does Your Nose Know When it's the Right Code?
1.5 COC, CPC, CPC-P, CASCC, CENTC, CPB, CPPM

Mary Legrand, RN, MA, CCS-P, CPC
This session will discuss endoscopic sinus surgery coding dilemmas; including balloon sinuplasty, endoscopic sinus surgery, turbinate procedures, as well as procedures for snoring and sleep apnea. Coding for other dilemmas will also be discussed including neck dissections, cerumen removal and other ear procedures.


3:15 PM - 4:45 PM
ICD-10 Payer Challenges
1.5 COC, CPC, CPC-P, CPB, CPPM

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

In this session, we will go over payer challenges that will be coming with ICD-10 implementation. Key topics will be discussed, such as: code set challenges, timeline challenges - projected vs. actual, GEM challenges, collaboration challenges – with providers, vendors, etc., and testing and educational challenges.


3:15 PM - 4:45 PM
Handling Potential Overpayment and "Voluntary" Refund Situations
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Timothy P Blanchard, JD
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.


3:15 PM - 4:45 PM
Incident-One, Incident-To, Incident-Three
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Cynthia Stahl, CPC, CPC-H, CPMA, CPC-I
Robert A Pelaia, Esq., CPC

The OIG Work Plan consistently lists incident-to billing as an area of increased scrutiny. Make sure you are billing incident-to services properly and get the latest rules on incident-to billing.


3:15 PM - 4:45 PM
When Worlds Collide: The Disconnect Between Coders and Billers
1.5 COC, CPC, CPC-P, CPB, CPPM

Terry Leone, CPC, CPC-P, CIRCC, CPC-I
Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC

In this interactive session we will look at the most common disconnects between billing and coding and how the two worlds collide. Navigating the collision will ensure your practice is not losing revenue. Learn how payer contracts, modifiers, and denials all intersect.


3:15 PM - 4:45 PM
Coding, Billing, and Documentation for Hospitalists
1.5 COC, CPC, CPC-P, CEMC, CFPC, CIMC, CPB, CPPM

Penny M Osmon, CPC, CPC-I
Their fast-paced style and intensely focused work ethic can shave a day off the average hospital stay in a single shift. They are the hospitalists. Over 15,000 physicians nationwide call themselves hospitalists, and that number is quickly rising. During this breakout session Ms. Osmon will guide participants through everyday billing scenarios facing hospitalists, identify common areas of weak documentation and provide resources you need to ensure you are coding hospitalist services correctly.


4:45 PM - 6:30 PM
Attendee Reception with Exhibitors
Unwind after a full day of learning with a light meal and drinks in our Exhibit Hall.


10:00 AM - 11:30 AM
Critical Care from a Pulmonary Perspective
1.5 COC, CPC, CPC-P, CEDC, CEMC, CIMC, CPB, CPPM

David Young , DO
What is really happening during the performance of a critical care visit? This physician’s perspective on the performance of critical care will help the coder understand the most frequent disorders seen in a medical ICU, including ARDS, causes of respiratory failure, sepsis, and the various causes of shock. The presenter will review the elements of billing for critical care time in detail, including explaining the elements that are not permitted in the time element of the code.


10:00 AM - 11:30 AM
High Risk Pregnancy - Isn't Normal Pregnancy Scary Enough?
1.5 COC, CPC, CPC-P, CFPC, COBGC, CPB, CPPM

Glade B Curtis ,MD, MPH, FACOG, CPC, COBGC
More than one in 10 pregnancies are considered “high risk.” Risk indicates that something bad hasn’t happened yet – but is likely to. “High risk” means there is a potential for serious problems during the pregnancy. Most insurers are more likely to reimburse for current problems, not potential problems. This presentation will define and describe “high risk” pregnancy conditions and their coding. Topics covered will include diabetes, multiples (twins, triplets and more), placental and fetal problems.


10:00 AM - 11:30 AM
Lesions and Masses and Tumors - Oh My!
1.5 COC, CPC, CPC-P, CASCC, CFPC, CGSC, CIMC, CPB, CPCD, CPPM, CPRC

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

The new addition of the codes in the musculoskeletal system for tumor excisions has caused confusion and miscoding in some practices. New guidelines and definitions were added to CPT for this section also. This session will show by report or by example how to code using the new codes in CPT. We will cover when to use the new codes, and when to use the codes in the Integumentary System section. We’ll also discuss the meaning of the new definitions given. Attendees will come away with solid understanding of the new definitions and guidelines for the musculoskeletal system section on tumor coding. Attendees will see surgical op notes that address this issue to ensure proper understanding of the issues.


10:00 AM - 11:30 AM
Trauma - Understanding the Nuances, Terminology, and Anatomy
1.5 COC, CPC, CPC-P, CEDC, CEMC, CGSC, COSC, CPB, CPPM

Carol V Lustfeldt, CPC
Nuances of trauma can make coding a challenge. The use of E/M codes can be different, depending on the provider model used at the trauma center. Understanding terminology and anatomy will help the coder visualize what has occurred and make coding easier. Presentation may contain some graphic pictures for teaching.


10:00 AM - 11:30 AM
2011 Radiation Oncology Coding and Reimbursement Update
1.5 COC, CPC, CPC-P, CHONC, CPB, CPPM

Cindy Parman, CPC, CPC-H
Every new year brings a wealth of new procedure and diagnosis codes, updated code descriptors, and changes in regulations that affect coding and billing for radiation oncology. Calendar year 2011 is no different, with updates to code descriptors and new codes for advanced technologies. Often codes are reported and reimbursement issued, when the documentation in the patient medical record may not support the charge. Specific radiation oncology services will be reviewed and the circumstances that support reimbursement of these charges will be simplified. Finally, this session will discuss key procedures that may be omitted or coded incorrectly, potentially resulting in decreased reimbursement. In an age of threatened reimbursement, it is essential that all services be completely documented, charges captured and billed, and verification performed to ensure that all services are correctly paid.


10:00 AM - 11:30 AM
Ten Steps to Coding Anesthesia Services
1.5 COC, CPC, CPC-P, CANPC, CPB, CPPM

Chandra Lynn Stephenson, CPC, CPC-H, CPMA, CPC-I, CANPC, CEMC, CFPC, CIMC, COSC
This session will simplify the process of coding anesthesia services into ten steps. The participants will be given tools to guide them through the process from beginning to end. The services that are exceptions to the standard anesthesia process (i.e., obstetrics) will be explained and detailed. This presentation will not only provide simplification to and guidance through the process of coding anesthesia services, but will also provide insight into many of the factors related to compliance and quality measures. It will identify ASA documentation standards, general areas of documentation deficiencies, and areas of improvement to discuss with anesthesia practitioners.


10:00 AM - 11:30 AM
Building Physician/Coder Relationships in the ENT Practice
1.5 COC, CPC, CPC-P, CENTC, CPB, CPPM

Ronda Hamaker, MD
This session will discuss anatomy, conditions, and coding concerns encountered in pediatric otolaryngology. Our focus will be communication between coders and their doctors. Presentation will focus on relationship-building, especially in the face of unusual and hard-to-code cases, along with a discussion of how to work it out together. The takeaway will be that we all learn from each other – it takes a family, team, village or whatever else you would like to call a group of people working on the same goals.


10:00 AM - 11:30 AM
Laparoscopic Surgical Coding Through the 'Eyes' of the Surgeon
1.5 COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM

Jeanne L. Plouffe, CPC, CGSC
Have you ever wanted to see an actual hernia defect or diseased gallbladder before you select that CPT code? In this PowerPoint presentation, you will see several types of laparoscopic surgeries ranging from hernias and gallbladders to Nissen repairs. This inside "look" will allow the coder a more in-depth understanding of how to select the correct CPT code.


10:00 AM - 11:30 AM
Implementing a Physician Coding and Documentation Support Model
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Kirk Tammadon, MD
Georgette Gustin, CCS-P, CHC, CPC

Teaching physicians the importance of coding and documentation is challenging for most coders and auditors alike. Partnering with physician coding and documentation liaisons can significantly improve coders’/auditors’ ability to communicate and educate the providers on specific coding and documentation concepts and deficiencies.


1:45 PM - 5:30 PM
Anatomy Expo-Replaces Sessions 5 & 6
3.0 COC, CPC, CPC-P, CPB, CPPM

This hands-on event is presented by doctors who will provide education focused on a single anatomic or physiologic concept. Whether a novice or an expert coder, you will find these fast paced sessions, which run through both breakout 5 and 6, fun and informative.


1:45 PM - 3:15 PM
Spine Surgery Coding: Are you Breaking your Back Trying to Figure it Out?
1.5 COC, CPC, CPC-P, COSC, CPB, CPPM

Kimberley Jean Pollock, CPC
This presentation will present an in-depth look at the spine surgery CPT codes, and how to apply these in your practice. Learn the key words to look for in operative notes to ensure accurate coding.


1:45 PM - 3:15 PM
Making Modifiers Matter: How Modifiers Affect Payment
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Linda R Farrington, CPC, CPC-I
This session will take an in-depth look at modifiers that affect payment and how to use them. We will reference public sources, understanding that each payer may have contractual variances. The information shared will equip and empower you to “uphold a higher standard” in the way that you use modifiers.


1:45 PM - 3:15 PM
Is Meaningful Use Certification Meaningful Enough?
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Stephen Levinson, MD
The final rules for EHR Meaningful Use provide 1,092 pages of requirements for “WHAT” EHRs must include to be certified and “WHAT” practices must perform, document, and report to receive ARRA stimulus funds. They have avoided criteria defining “WHO,” “WHEN,” and “HOW” to meet these requirements efficiently and cost-effectively. Presenter and attendees will examine the 25 Meaningful Use (MU) criteria to establish requirements for EHR designs that integrate these tasks into optimal patient care workflow. The presentation further explores the critically important aspects of usability, compliance, and clinical excellence that MU criteria have failed to address.


1:45 PM - 3:15 PM
The Science of HCC Documentation and Coding
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Susan Wyatt, CPC, CPMA, CPC-I
In this session we’ll talk about improper documentation, incorrect coding and lack of education or awareness of what Medicare Risk Adjustment HCC is all about. The presentation explains what HCC Medicare Risk Adjustment is and the proper documentation and correct ICD-9 assignment to capture the HCC diagnosis codes. For the physician it is of extreme interest, especially if they are contracted with an HMO Medicare advantage health plan and receive bonuses based on their coding. For office staff, it brings awareness of HCC and how to code correctly. For the employee of an HMO Medicare advantage health plan who is involved in the coding, it is of extreme value as well, as the health plan's revenue comes from this.


1:45 PM - 3:15 PM
HITECH, EMR, Client-Server, Clouds, SaaS, ASP, CHISP -- WHAT?
1.5 COC, CPC, CPC-P, CPB, CPPM

Stephanie Jones Cecchini, CHISP, CPC, CEMC
If you are a physician, and pocketing added cash per office visit and making it home a little earlier is worthwhile, then your consideration of an EMR merits a closer look. If you are a coder, medical coders with new health IT skills and EMR knowledge are in demand and extremely valuable. This session introduces concepts that can lead to an improved career outlook and job performance.


1:45 PM - 3:15 PM
Coding and Reimbursement in an Ambulatory Surgery Center - Both Sides of the Coin
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM

Penny M Osmon, CPC, CPC-I
Jennifer Cohrs, CPC, CPMA, CGIC

The rules of the game are different for ASCs than for surgeons or for hospitals; at times ASCs must follow the rules for doctors, and at other times they must adhere to the hospital's rules and there are many factors that can change the game on a dime. During this session, Ms. Osmon will discuss coding and reimbursement from both the facility and physician perspective, including tips for navigating the ambulatory payment classification system (APC), appropriate use of modifiers and more.


1:45 PM - 3:15 PM
Time Management
1.5 COC, CPC, CPC-P, CPB, CPPM

Robert A Pelaia, Esq., CPC
Coders are constantly working under time pressures and against the clock. Efficient time management is the key to getting the most out of the workday and maximizing coding productivity. From managing countless emails to coping with multiple projects, this time management session will give coders some practical tips on how to budget time, prioritize tasks, overcome procrastination, and deal with the myriad of distractions that come their way.


4:00 PM - 5:30 PM
Physician Compliance: The Seven Myths
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Timothy P Blanchard, JD
Mandatory compliance programs are coming - are you ready? Do you think you need to implement a huge plan like hospitals do? Not sure where or how to get started? The good news is that the government doesn't expect a one-size-fits-all approach. If you've been holding off on implementing your program, or just want to be sure you're doing it correctly, this session is for you. We'll discuss how to address each of the 7 steps outlined in the OIG's Compliance Program Guidance for Individual and Small Group Physician Practices to make compliance work for you.


4:00 PM - 5:30 PM
FERA, the PPACA, and FCA – The Alphabet Soup of Fraud Liability
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Michael D Miscoe, Esq, CPC, CASCC, CUC
The Fraud Enforcement and Recovery Act of 2009 (FERA) and The Patient Protection and Affordable Care Act of 2010 (PPACA) contained significant substantive changes to the False Claims Act (FCA). These changes have increased exposure to FCA liability for both coders and providers. Beyond the substantive aspects of each piece of legislation, we will review a number of significant case law decisions and will discuss the practical implications to coders and providers and how to minimize your risk.


4:00 PM - 5:30 PM
ICD-10-CM: Working Through Documentation
1.5 COC, CPC, CPC-P, CPB, CPPM

Kimberly Reid, CPC, CPC-I, CEMC
In this session we will discuss ICD-10-CM's structure, format, specificity, and how all of that ties into the documentation efforts. Learn how to work with your provider to identify documentation downfalls and how your efforts now can greatly reduce implementation headaches. This presentation will use real world notes.


4:00 PM - 5:30 PM
Planning and Performing a Successful Audit: Things an Auditor Must Look For
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Patti Ann Frank, CPC
This session describes the work of performing an audit through pre-audit and post-audit activities. It will entice the novice or aspiring coder to explore auditing more fully and enhance the knowledge of the experienced auditor. Auditing is so much more than coding. Auditors must be knowledgeable about what third party payers are looking for and at. Compliance with regulations and guidelines is key. This session will provide answers to the question, “What should auditors look for?”


4:00 PM - 5:30 PM
Practice Management in Trying Economic Times
1.5 COC, CPC, CPC-P, CPB, CPPM

Kimberley Jean Pollock, CPC
It’s not easy managing a practice in a downturn economy. You are facing growing accounts receivables and declining reimbursements, yet physicians and employees want a raise – yet again, you’re caught in the middle! You’ll hear 30 real-life, practical and proven tips on improving revenue and decreasing overhead.


4:00 PM - 5:30 PM
Steering Your Way Beyond Routine Endocrinology Coding
1.5 COC, CPC, CPC-P, CIMC, CPB, CPPM

Kristine R Cuddy, CPC, CIMC
Your endocrinology reimbursement will grow as you gain confidence in coding. Don’t continue to miss unclaimed revenue! In this session you will learn how to; accurately code for thyroid biopsies and aspirations, deftly code for evocative and suppression testing, implement commonly missed ICD-9 codes that support medical necessity, appropriate billing of nutrition/dietary patient education, and care plan oversight services.


4:00 PM - 5:30 PM
Tips and Tools for your Accounts Receivables
1.5 COC, CPC, CPC-P, CPB, CPPM

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC
Ever struggle with how to get the best information from your A/R report? Know how to determine the true days in A/R? Struggling to determine the best way to get the needed information from your health plans? Learn this and more in this jam-packed session that covers the top mistakes we make in our day to day business and walk away with the tools to fix them in your practice.


9:00 AM - 9:30 AM
Passing the Gavel
The gavel has been passed to a new generation. In a time-honored tradition, AAPC's current National Advisory Board president, Terry Leone, will pass the gavel to Cynthia Stewart. She will give her inaugural address and share her vision for AAPC members as the National Advisory Board president, and introduce you to her new National Advisory Board members.


9:30 AM - 10:00 AM
How to Make Your Voice as a Medical Coder Heard in Washington
1.5 COC, CPC, CPC-P, CPB, CPPM

David Connolly, JD
In this session, Mr. Connolly will discuss both the legislative process and how an individual coder can influence it.


10:00 AM - 10:30 AM
CMS Update: ICD-10 and Version 5010

David W. Sayen
David W. Sayen, Regional Administrator, Center for Medicare & Medicaid Services (CMS) will present an overview of ICD-10 and Version 5010, and provide an update from CMS on the state of the transition, GEMS, the partial code freeze, and other program highlights. He will also point to resources available from CMS that will help allow for a smooth transition to ICD-10 and Version 5010, and discuss approaches for encouraging transition preparedness.


10:45 AM - 12:15 PM
Heart Caths, Interventions, and More
1.5 COC, CPC, CPC-P, CCC, CCVTC, CIRCC, CPB, CPPM

Terry A Fletcher, CPC, CCC
This session will look at coding for the new 2011 cardiac catheterization codes and all possible coding scenarios that can lead to an interventional procedure. The presentation will then take the coder through the procedure note, the CPT and ICD-9 options, and the payer limitations to make sure the accuracy of the coding is understood before submitting the claim. This session will provide the intermediate to advanced level cardiology coder an understanding from coding to billing for these procedures. It will also give them the confidence that they are providing accurate information, should their coding be questioned through RAC audits, that they are providing accurate information with authoritative support if they need it. Our focus here is CPT and properly navigating the information to accurate coding, billing and reimbursement.


10:45 AM - 12:15 PM
Gastroesophageal Reflux Disease, Paraesophageal Hernias and Achalasia
1.5 COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM

Cedric Lorenzo, MD
Minimally invasive surgery has revolutionized the treatment of some common and not-so-common disorders of the foregut (esophagus and stomach). Diseases once requiring surgery through the chest can now be performed through the abdomen, using laparoscopic techniques that have markedly reduced hospital stays, decreased postoperative pain, and have allowed for faster recovery. Using real case studies and videos from real operative cases, this presentation will cover the latest minimally invasive treatments for gastroesophageal reflux disease (GERD), achalasia and paraesophageal hernias.


10:45 AM - 12:15 PM
Urological Procedure Coding
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM, CUC

Brenda Griffin, MHSA, CPC, CPMA
Confusing procedural terminology can wreak havoc when coding urological procedures. Multiple possible approaches and bundling edits can easily cause coding errors. In this session the coder will get an overview of CPT coding principles and CCI bundling edits. The attendee will have the opportunity to code from actual examples of urological procedures.


10:45 AM - 12:15 PM
Cleft Palate and Lip Surgery
1.5 COC, CPC, CPC-P, CENTC, CPB, CPPM, CPRC

Carol L Pfeiffer, CPC, CPCD, CPRC
Come learn the scope of cleft lip and palate rehabilitation from inutero diagnosis to adulthood. We will discuss the nature and incidence of cleft lip and palate deformities. We will outline the various surgical intervention and timing of the surgeries from birth through adulthood. We will discuss of the appropriate standard of care for a cleft patient and the challenges facing the families for surgical correction in the older patient given the changing climate of the health care system. Coding for different types of clefts will be reviewed.


10:45 AM - 12:15 PM
Advanced Surgical Chart Auditing
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CENTC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPEDC, CPPM, CPRC, CUC

Corrie L Alvarez, CPC, CPC-I, CEDC
We will explore auditing surgical procedures for physician services. Understand CPT and CMS Surgery Guidelines along with Modifiers, assessing the diagnosis code to support medical necessity and evaluating and rating the Surgical Medical Record. Surgical chart auditing is much more than just applying the appropriate code. Learn how to look beyond our coding realms to perform a well-rounded audit.


10:45 AM - 12:15 PM
Scope it Out – Arthroscopic Procedures
1.5 COC, CPC, CPC-P, CASCC, COSC, CPB, CPPM

Julie Leu, CPC, CPMA, CPC-I
This session will be a discussion of coding for some of the most commonly performed arthroscopic procedures, with an eye toward the global surgical package concept and the CCI edits. Included will be an overview of anatomy of the knee and the shoulder joints, plus a description of some of the conditions for which arthroscopic procedures are performed.


10:45 AM - 12:15 PM
Advanced ICD-9-CM
1.5 COC, CPC, CPC-P, CPB, CPPM

Jill M Young, CPC, CEDC, CIMC
There are several coding guidelines in ICD-9-CM for advanced coding situations. Many of these are not correctly applied or sometimes not utilized at all. Presenting the guidelines and understanding them and their practical application will help those attending to code accurately and with specificity. We will discuss why using them correctly is not only compliant but important in the diagnosis and tracking of the patient. Diagnostic coding has many guidelines. Some, one never utilizes, and others they are unaware of because of non-use or misuse. This advanced coding class will bring this information to the forefront and also show the real life use of the guidelines.


10:45 AM - 12:15 PM
Advanced Coding and Billing Techniques for Pediatrics
1.5 COC, CPC, CPC-P, CFPC, CPB, CPEDC, CPPM

Lisa L Jensen, CPC
This session will use case samples to explore advanced coding techniques for pediatrics in E/M coding, procedures, modifiers, newborn coding, as well as using time. Billing and reimbursement tips for getting bills paid will also be included.


10:45 AM - 12:15 PM
MOPPS Rules for ASCs – Coding or Reimbursement Rules?
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM

Michael D Miscoe, Esq, CPC, CASCC, CUC
Even where Medicare Outpatient Prospective Payment System (MOPPS) reimbursement rules for ASCs are applicable, they are often misconstrued and misused as service reporting rules. Using an actual case example, we will evaluate some of the common challenges to ASC coding that arise based upon a misunderstanding of the MOPPS reimbursement rules. We will outline the CMS reimbursement rules for reporting of ASC services and detail how these rules impact (if at all) the components of the ASC service that can be represented on a claim.


1:30 PM - 3:00 PM
Maternity Care – Conception to Post Partum
1.5 COC, CPC, CPC-P, CFPC, COBGC, CPB, CPPM

Peggy A Stilley, CPC, CPMA, CPC-I, COBGC
Take a tour of the Global OB package – as we navigate through services normally included, services that are not bundled in global care, review accurate diagnosis coding, and develop confidence in the process of capturing all charges such as: Pregnancy confirmation, ultrasounds, amniocentesis, antenatal testing, hospitalizations not resulting in delivery, illness and complications, post-partum, and interrupted pregnancy. Walk through a day in an OB clinic – we’ll look for solutions to the day-to-day issues and discuss problems we have all experienced.


1:30 PM - 3:00 PM
Robotic Assist in the OR: Science FACT!
1.5 CPMA, COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM, CUC

Lori-Lynne A Webb, CPC
This session will educate coders how to code and bill for robotic assist devices, such as the daVinci surgical system. In addition to giving them an insight as to what takes place in the operating room, a description of the physiology of a hysterectomy and a prostatectomy utilizing a robotic-assistive device will be presented. Coders will have the opportunity to see a video of an actual laparoscopic robotic-assisted surgery, and learn the coding differences for the pro-fee side and the hospital side of coding. We will review and understand what the documentation looks like for an actual robotic-assisted hysterectomy.


1:30 PM - 3:00 PM
Lesion Removal
1.5 COC, CPC, CPC-P, CASCC, CFPC, CGSC, CPB, CPCD, CPPM, CPRC

Brenda Chidester-Palmer, CPC, CPC-I, CASCC, CEMC
This session will describe different surgical techniques for lesion removal. We will review how cryosurgery is performed, along with the different types of electrosurgery. There will be an explanation of different techniques for and pictures or diagrams of the procedures. Come learn more about the details of these procedures.


1:30 PM - 3:00 PM
The ABCs of Coding for Pediatric Clinic Procedures
1.5 COC, CPC, CPC-P, CPB, CPEDC, CPPM

JoAnne Marie Wolf, CPC
Many procedures performed in the pediatric office have 0 or 10-day global surgical packages. This can pose problems in coding when the patient presents back to the clinic during the post-op period, or if the provider also reports an E/M on the same day as the procedure. There are also many common clinic procedures that go unbilled because coders are not aware there are specific CPT codes to report them. The coding and documentation of many common pediatric clinic procedures will be discussed. I will provide recommendations and tips to prevent unnecessary denials, including the appropriate use of modifiers as well as operational procedures that can be put in place. This very interactive session will include numerous scenarios to work through and solve.


1:30 PM - 3:00 PM
ICD-10-CM: Mapping Pitfalls
1.5 COC, CPC, CPC-P, CPB, CPPM

Corrie L Alvarez, CPC, CPC-I, CEDC
Determining the proper use of the GEMS files, and whether or not they should be put into use by providers is an ongoing struggle. Learn the correct usage, how to apply them, and also when to walk away from them. Practical examples will be used and an in-depth look at the advantages and pitfalls will be discussed.


1:30 PM - 3:00 PM
Diagnostic Cardiology in the Office Setting
1.5 COC, CPC, CPC-P, CCC, CCVTC, CPB, CPPM

Betty Johnson, CPC, CPC-H, CPC-I, CPCD
This session will cover diagnostic cardiology procedures performed in the office. We will discuss procedures located in the Medicine section of CPT, including echocardiograms, ECGs, and Holter Monitors. Education will also be given on the heart's anatomy to ensure a better understanding of the procedures performed by the cardiologist.


1:30 PM - 3:00 PM
Table Your Confusion in Neoplasm Coding
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Jill M Young, CPC, CEDC, CIMC
The Neoplasm Table is not used every day by most coders. Its nuances and columns of confusion can lead to incorrect code assignment. This table has a unique role in coding and identifying abnormal cells, both in their location and in the cell’s actions and potential harm to the body. Each of the six columns in the table has a distinct role in coding. One must understand the role of the table, when to use it (and when NOT to), which column to use, and when anatomical markers are significant.


1:30 PM - 3:00 PM
EHR: Integrating Coding, Billing, and Documentation Using Electronic Systems
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Lee Ewin, MD
Georgette Gustin, CCS-P, CHC, CPC

This session will highlight key considerations that need to be taken into account when developing ambulatory physician workflows using an integrated electronic medical record and billing systems to support coding/charge capture processes. Understanding workflow implications, as well as user acceptance is critical to ensuring efficiency, adherence and compliance.


1:30 PM - 3:00 PM
Adjustments: The Last Resort
1.5 COC, CPC, CPC-P, CPB, CPPM

Wendy Grant, CPC
Just because an insurance company denies one of your charges, doesn’t mean you simply adjust it off! Learn ways to fight these payers when your charges have been denied due to timely filing, pre-authorizations, out-of-network, not medically necessary, and others.


The agenda is subject to change without notice.