Anaheim Regional Conference

Monday, September 19, 2016

Information

8:00 AM - 4:00 PM

: Registration/General Info/Product Store

General Session

11:00 AM - 12:00 PM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS1: Conference Welcome/AAPC Update/Future of Healthcare

Bevan Erickson , President AAPC Member Solutions

Come hear AAPC’s President, Bevan Erickson, discuss the future of healthcare, AAPC updates, and opportunities for its members.

Breakout Session 1

12:15 PM - 1:30 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

1A: Hot Buttons for Payers

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

Correct coding and accurate documentation are critical to a physician’s practice. Certain patterns of coding and billing can be hot button triggers for payers without a physician or coder realizing the implications. Understanding the front end of coding and reimbursement and working with payers can decrease the likelihood of audits, medical record requests, and costly refunds. Understanding the latest triggers and schemes can protect a practice. Leaving the session armed with the newest industry trends will put you one step ahead of the game.

12:15 PM - 1:30 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CEDC, CFPC, CIMC, COSC, CPB, CPEDC, CPPM

1B: Orthopaedic Potpourri: Beyond Fracture Management

Ruby Catherine O'Brochta-Woodward, CPC, CPB, CPMA, COSC, CSFAC

This presentation will be an overview of topics faced not only by the orthopedic practices but also by family practice , pediatrics, urgent care, and general medicine. In this presentation we will review numerous general issues relating to coding in an orthopedic practice. Included will be a review of Medicare NCCI edits related to orthopedics, joint injections, claim submission of J codes for the various joint injections, skeletal x-ray conundrums, revision arthroplasty and surgery tips and tricks. This will be a fast paced presentation but will provide a wealth of information related to musculoskeletal services.

12:15 PM - 1:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPPM, CPRC, CRHC, CSFAC, CUC

1C: Mid-Level Providers: What You Need to Know to Use Them Successfully in Your Practice

Sarah Jane Reed, CPC, CPC-I

This interactive session will include a discussion about the variety of ancillary and mid-level providers, focusing on problems that occur in almost every practice. Best practices will be covered as well as discussion about CMS and IOM rules regarding billing for a mid-level provider. There will also be a close look at the trends that are coming for use and billing of mid-levels in the near future.

12:15 PM - 1:30 PM | 1.25 CEUs COC, CPC, CPC-P, CGIC, CPB, CPPM

1D: GI Coding Updates

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

There were many coding changes this year for GI coding, we will discuss these changes, review coding examples and take an interactive journey through the new codes. Attendees will learn: • What the new CPT codes are and how to apply them • How the new changes in I10 apply • Key terms to look in documentation for correct assignment

12:15 PM - 1:30 PM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM

1E: Physician Documentation Improvement for ICD-10-CM

Marian Wymore MD, CPC

Learn the importance of physician documentation improvement on accurate and precise ICD-10-CM coding. Develop a greater understanding of the change in verbiage necessary for physicians to use, and ways to educate your physicians on how to include this terminology. Understand why improved clinical documentation improves quality, more appropriate reimbursement, and more timely payment.

12:15 PM - 1:30 PM | 1.25 CEUs COC, CPC, CPC-P, CHONC, CPB, CPPM

1F: The Magical World of Oncology

MariaRita Genovese, CPC

Oncology billing and coding can be challenging. This session will highlight common denials, authorization processes, place of service issues, and new chemotherapy medication procedures, as well as hydration protocol for billing.

12:15 PM - 1:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

1G: Medicare Payment Revolution – What is MACRA?

Dixon Davis, MBA, MHSA, CPPM

This session will explore the newly proposed Medicare Part B payment system that repeals the SGR and pays physicians based on quality and effectiveness of care. High value care will be defined by measures of quality and efficiency and providers will earn more or less depending on their performance against those measures. Learn about MIPS, APM’s and implementation timelines and how they will directly affect you in 2017.

Breakout Session 2

1:45 PM - 3:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

2A: ICD-10-CM External Cause Codes

Corrie L Alvarez, CPC, CPMA, CPC-I, CEDC

Be ready for the new group of external cause codes, whether you are coding, "struck by an Orca" or "falling from burning water skis", this fun session will make sure your ICD-10 is working!

1:45 PM - 3:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

2B: Basic Payer Communications: Denials and Appeals

Angela C Boynton, COC, CPC, CPCO, CPC-P, CPC-I

Ever been frustrated by the wall payers tend to surround themselves with? Ever seem like payers speak a foreign language? Then this session is for you! In this session we'll cover claims issues, denials and appeals, basic communications, and the importance of policy in the payer world. We'll discuss strategy and tactics of how we can begin to break down barriers to successful payer communications.

1:45 PM - 3:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM

2C: Resources for E/M Auditing Panel

Michael Warner, DO, CPC; Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC; Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC; Jonnie Massey, CPC, CPC-P, CPMA, CPC-I

A panel of industry experts including auditing, compliance/legal, physician and payer representatives will host an interactive discussion of the most common problems with proper reporting of E/M services.  The panel will respond to questions from attendees regarding troublesome E/M documentation and scoring issues.  The prespective of each panel member on these common issues will provide attendees with valuable insight that can be applied when developing internal compliance policies for resolving these concerns. 

1:45 PM - 3:00 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CFPC, CHONC, COBGC, CPB, CPPM, CPRC

2D: The Magic of Breast Reconstruction

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

The word Breast Cancer is one that brings fear to many women and some men. In this session we will look at different options being offered to these incredible survivors. Topics will include how to properly code CPT and ICD-10-CM reconstructive surgeries regardless of when the patient undergoes reconstruction. This will be interactive so bring your questions.

1:45 PM - 3:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPEDC, CPMS, CPPM, CPRC, CRHC, CSFAC, CUC

2E: 'HEMming' Together the Threads of an Office Note

Carmen Brooks-Turner, COC, CPC, CPB, CPC-I

In this session we will practice how to “HEM” together an Office Note using the H= History, E= Exam and M= Medical Decision Making. Basic components and sample notes will be reviewed

1:45 PM - 3:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

2F: Compliance Violations - Changing OIG Penalties

CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC

Recent messages from enforcement agencies such as the Department of Justice and the OIG clearly signify a shift of focus towards individuals when it comes to monetary and criminal penalties. This session will describe these changes and outline what it can mean for you as an individual, as well as your organization’s compliance program.

1:45 PM - 3:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

2G: Be Confident in Revenue Cycle Management

Dixon Davis, MBA, MHSA, CPPM

From the most experienced RCM manager to the billing newbie, revisit the application of key principles that will help you manage a poor A/R, identify corrections to poor cash flows, or prepare for a merger or acquisition. Having a strong revenue cycle is paramount in business so we will examine key metrics, real life business application, and how these are applied to a few case study examples. Obtain and Maintain confidence in your ability to succeed.

Exhibit Hall

3:00 PM - 4:30 PM

EH1: Welcome Reception with Exhibitors

Tuesday, September 20, 2016

Information

7:00 AM - 5:00 PM

: Registration/General Info/Product Store

Exhibit Hall

7:00 AM - 8:00 AM

EH2: Continental Breakfast with Exhibitors

General Session

8:00 AM - 9:00 AM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS2: Ethics, Professionalism, and Coder Liability

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

This session will outline the revised AAPC Code of Ethics to include its core principles and why adherence to those principles is necessary in every professional discipline. We will compare professional standards expected of AAPC members with those of other recognized professional disciplines and the role that ethics plays in not only your own professional image but in the image of our members as an integral part of the healthcare team. Finally, we will look at some example circumstances to identify a coder’s obligation from an ethical perspective as well as how to avoid potential FCA liability.

Breakout Session 3

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CCC, CCVTC, CEMC, CFPC, CIMC, CPB, CPPM, CUC

3A: Coding Chronic Conditions

Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC

Chronic conditions are one thing to code, but what about multiple chronic conditions? Although it may seem impossible, we’ll make it fun! This session will address sequencing rules for conditions such as diabetes mellitus, congestive heart failure, kidney disease, heart disease, and sepsis, just to name a few.

9:15 AM - 10:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPPM

3B: Billing and Coding to Not Leave Money on the Table

Sarah Jane Reed, CPC, CPC-I

This presentation will take a look at areas of coding and packaging of charges that seem to be obvious but can really be looked at in several different ways. We will view what is considered global as well as typical post-op care. Documentation of services and charges will be evaluated for comprehensive information needed to support services. We will also look at services that are being overlooked in many practices such as AWV, TCM, CCM and how your practice can successfully implement these services.

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CIC, CPB, CPPM

3C: In the Cath Lab: Diagnostic Cardiac Caths and Coronary Interventions (PCI)

Terry A Fletcher, CPC, CCC

Ensure proper and current coding of cardiac catheterizations and percutaneous interventions, along with 'Cath Lab'" extras such as IVUS, Aortograms, Thrombectomies, etc. We will discuss not only the CPT and ICD-10-CM coding of these services, but also the Medicare payer expectation when reporting and CPT guidelines. This session is for the coder wanting to break into Cardiology Coding to the Cardio coding expert needing a tune-up in the specialty.

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CEMC, CPB, CPPM, CSFAC

3D: Complex Foot and Ankle

Ruby Catherine O'Brochta-Woodward, CPC, CPB, CPMA, COSC, CSFAC

Review of the complex anatomy of the foot and ankle, including bone and joint, ligamentous and tendon, as well as an overview of the vascular and nervous system as they relate to the foot and ankle. Discussion of orthopedic conditions and surgeries involving the foot and ankle, including but not limited to, bunions, Lisfranc injuries, fusions, tendon and ligament repairs and osteotomies, along with appropriate codes and modifiers. Brief discussion of the ICD-10 codes related to the foot and ankle.

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

3E: The Cost of Coding Mistakes

Rhonda Zollars, COC, CPC

We will be looking at how coding or documentation “mistakes” could cost you and what could happen if these trends don’t change. Examples of actual coding and discussion of Monetary Recoupments, Civil Monetary Penalties and court/jail convictions. You want to make sure you are on top of coding rules and documentation guidelines.

9:15 AM - 10:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CDEO, CEDC, CEMC, CPB, CPCO, CPPM, CRC

3F: Emergency Department Coding

Kevin E Solinsky, CPC, CPC-I, CEDC, CEMC

This session will review the selection of E/M levels for ED professional and facility services, coding for procedures, proper use of modifiers and common ICD-10-CM codes in the ED. We will discuss how to maintain compliance with codes selected and how to capture all appropriate charges.

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

3G: The Wonderful World of Billing

Tierni Martins

Learn how use Walt Disney’s strategies to create an effective billing team. We will breakdown theories and systems used by powerhouses such as Disney and McDonalds to fine tune your internal processes. This session is designed for billers and/or billing managers who are seeking to perfect their billing teams/departments and workflows.

Breakout Session 4

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM, CRC

4A: Risk Analysis and Communication

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

During this session, we will discuss risk analysis of audit results and ways to communicate the results back to the provider and/or practice. Verbal communication tips and creating a professional audit report will be discussed.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4B: Collections & Appeals for the Specialty Coding & Billing Office

Terry A Fletcher, CPC, CCC

Appeals can be a challenge if you don't speak the language regarding your specialty to the payer. We will give you the insight and tools to successfully collect and appeal tough claims for maximized reimbursement. Our focus will be on the Medicare rules, with a mix of some Commercial Payer contract issues, along with collection letters, modifier help, and how to make your job as a biller and/or collector a little easier. Many specialties will be highlighted, with real CBO claim denial direction for the coder, biller, collector, administrator and A/R staff. Get ready to take some detailed notes along with your materials.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4C: HIPAA Security

Paul Hales, JD; CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC

This session will focus on the preventive steps you can take to avoid the problems caused by a lack of preparation. We'll cover some of the headlining cases of major HIPAA breach settlements, and walk through the steps that organizations like yours can take to prevent major fines.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

4D: ICD-10-CM Code Updates

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

There are over 1900 new codes, in addition to revisions and deletions, slated for October 1st. This session will hit on key areas of changes and the conditions prompting the need for change. With claims data more important than ever it’s a must to get our practices ready quickly for these massive changes. Attendees will learn: • Clinical conditions necessitating the code changes • Overview of key code changes • What we can do to prepare our practices to be ready

10:45 AM - 12:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

4E: Take Lab Coding for a Spin

Corrie L Alvarez, CPC, CPMA, CPC-I, CEDC

We will review common laboratory terminology, review the CPT and ICD-10-CM laboratory coding guidelines, as well as the different types of laboratory testing including Anatomical Pathology, Drug Screen, Molecular and MAAA. Discussion will also include proper use of CPT and modifier codes, as well as the numerous billing and coding challenges faced in the laboratory.

10:45 AM - 12:00 PM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CIC, CPB, CPPM

4F: CDI for Inpatient Services

Kimberly Cunningham, CPC, CIC

In this session we will review common inpatient conditions that often create documentation and coding problems. Topics of discussion will include effective query writing and when it is appropriate to query the physician, the importance of accurate physician documentation and tips on how to improve your physician’s documentation, and how clinical indicators can be used in Clinical Documentation Improvement.

10:45 AM - 12:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

4G: Complications of Modifiers

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

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. • 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

Exhibit Hall

12:00 PM - 1:30 PM

EH3: Lunch with Exhibitors

Breakout Session 5

1:30 PM - 2:45 PM | 1.25 CEUs COC, CPC, CPC-P, CCPC, CPB, CPPM

5A: Coding Modalities and Procedures for PT/Chiro

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

This program will address, using actual case examples, the most common errors in chiropractic and physical therapy coding that have led to either post payment recoupment liability or allegations of fraud.  In this part of this presentation, we will review the appropriate methodology for selecting from the various modality/procedure codes as well as discussing contact and “skilled contact” requirements.  Examples of creatively named therapeutic interventions and the coding errors that resulted will be discussed.

1:30 PM - 2:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM

5B: Critical Care - What Makes This So Difficult

Angela M Jordan, CPC

During this interactive session we will discuss all the facets of documenting critical care Time, Procedures, Trauma Team Activation, Continuity of Care, as well as definitions of Critical Care. In addition, we will discuss the best practices for educating your providers on the do’s of documenting critical care, along with the don’ts of this same process. Participants will come away with an understanding of the best practices in documentation, and what elements are required in a Critical Care Note. We will also discuss what is being audited by payers and how they look at this process.

1:30 PM - 2:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

5C: How to Build an Audit Tool

Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC

Prior to starting the audit we often must step back and look at the resources and tools we will need to complete the job. This session will discuss the resources available and things to consider when building a tool for various types of audit.

1:30 PM - 2:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

5D: The Future of Value Based Healthcare

Dan Schwebach, MHA, CPPM

Since the enactment of the Affordable Care Act the health industry business models are quickly evolving into a New Health Economy. The traditional way of doing business is rapidly shifting towards Value-Based Healthcare. This session will focus on looking at how Value-Based Healthcare will shape the New Health Economy, along with key trends influencing healthcare transformation. Areas to be discussed include: The future of insurance models, new entrants and innovators shaping value-based care, a look at pending payment models and their impact on coding and billing, and risk shift from payers to providers.

1:30 PM - 2:45 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CEMC, CIC, COBGC, CPB, CPPM

5E: OB/GYN

Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC

This session will cover common issues in the Ob/Gyn office - procedures, pregnancy, payments and patients. We will discuss anatomy and terminology common to gynecology, and procedures including pelvic repairs, mesh, and hysterectomy, as well as pregnancy coding, including global care and interrupted pregnancy. And finally, we will wrap up with business office issues, including payments and patient relationships.

1:30 PM - 2:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CEDC, CENTC, CGIC, CGSC, CHONC, CIC, COBGC, COSC, CPB, CPCD, CPCO, CPPM, CPRC, CRC, CSFAC, CUC

5F: 2017 Code Updates for ICD-10-PCS

Angela C Boynton, COC, CPC, CPCO, CPC-P, CPC-I

In this session we will review the coding updates for ICD 10 PCS. There are over 75,000 ICD 10 PCS codes for Fiscal Year 2017. That number includes approximately 3,500 new codes, most of which are found in the cardiovascular section, and almost 500 code revisions. We will digest this seemingly overwhelming number of code updates, and determine how it will impact our day to day coding of procedures in ICD 10 PCS.

1:30 PM - 2:45 PM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM

5G: Documentation - Where does it Leave the Bottom Line

Virginia A Outlaw, CPC, CPB, CPPM, CFPC

A brief review of the charts notes that leave us shaking our heads as we discover just one or two more words in the chart documentation would have allowed a higher or additional charge. Actual chart documentation will be presented as well as possibilities of educating the provider on what is needed in the documentation. A demonstration of the amount of reimbursement this could cost a practice will also be reviewed. Interaction from attendees is welcomed to present even more scenarios and education ideas.

Breakout Session 6

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CCPC, CPB, CPPM

6A: Coding Time Based Services and Common Errors for PT/Chiro

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

This program will address, using actual case examples, the most common errors in chiropractic and physical therapy coding that have led to either post payment recoupment liability or allegations of fraud.  In this part of this presentation, we will review the appropriate methodology for selecting from the various modality/procedure codes as well as discussing contact and “skilled contact” requirements.  Examples of creatively named therapeutic interventions and the coding errors that resulted will be discussed.

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM, CRC

6B: Risk Adjustment

Brian R Boyce, CPC, CPC-I, CRC

It is important for coders to not only know the guidelines, but FIRST to understand the concept of risk adjustment and why it is becoming the hottest new healthcare tool. Risk adjustment requires a new way of thinking about coding. Find out not only about risk adjustment for Medicare (HCC) but hear about the Medicaid model and how commercial plans are now creating their own. Topics will also include star ratings and how they connect to quality of care initiatives.

3:15 PM - 4:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CEDC, CEMC, CPB, CPCO, CPPM

6C: E/M Capture in the Hospital Outpatient Department

Linda Martien, COC, CPC, CPMA

We will explore the history and evolving methodology of Evaluation and Management coding and charge capture in the hospital outpatient facility, such as Emergency Departments, Pain Clinics, Wound Care Centers, and other departments providing E/M services.  Scenarios will be presented for attendees to practice the coding and auditing of E/M services in the HOPD.

3:15 PM - 4:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPMS, CPPM

6D: Why Templates Can Make You Cry

Angela M Jordan, CPC

This session will start off by defining and exploring the differences between EHRs, EMRs, and PHRs, and their necessity to the ever-changing landscape of healthcare. The speaker will devote time to discussing E/M code calculations within the electronic world, as well as the positives, negatives, and compliance concerns evolving from templates and macros for various services. The presentation will incorporate documentation examples from several systems to demonstrate that template problems are not isolated to any one software. Ultimately, the goal is for attendees to realize their value as members of the healthcare team when it comes to identifying and resolving documentation quandaries.

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CIC, CPB, CPPM

6E: Deciphering the Anesthesia Record

Judy A Wilson, COC, CPC, CPCO, CPC-P, CPB, CPPM, CPC-I, CANPC

Attendees will learn to code and bill directly from the Anesthesia Record. After the session, they will be able to tell if a patient is on bypass or off bypass and if it is a general or MAC, even if it is not listed. Also, they will gain the ability to tell if patient is on one lung ventilation. We will code actual anesthesia records and explain what all the little arrows mean. This will be a good session for anyone who wishes to know how to read an anesthesia record and be able to code for everything that is billable, based solely on the anesthesia record. Also, we will learn how to tell if lines are inserted and why. This is a must-attend for anyone thinking of billing anesthesia or beginning to bill directly from the record vs. billing sheets.

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM

6F: DME: Do You Have the Right Documentation to Support Necessity?

Rhonda Zollars, COC, CPC

We will walk through DME requirements from the start of an order to the delivery of a DME. We will discuss documentation that is needed and the requirements that a DME company must have on hand.

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCVTC, CEMC, CGSC, COSC, CPB, CPPM, CPRC, CSFAC

6G: How to Avoid Top Coding Errors

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

This presentation will focus on the top coding errors that lead to denials and improper reimbursement. We will review common errors with coding E/M and surgical services and discuss tips to avoid them.

Wednesday, September 21, 2016

Information

8:00 AM - 2:00 PM

: Registration/General Info/Product Store

Exhibit Hall

8:00 AM - 9:00 AM

EH4: Continental Breakfast with Exhibitors

General Session

9:00 AM - 10:00 AM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS3: Secrets of Successful Coders

Stephanie Cecchini, CHISP, CPC, CEMC

Are you holding yourself back from financial success? Learn the surprising strategies that successful medical coders are using to increase their odds, while climbing the ladder toward a higher income. Hear the simple truths that most successful coders learned the hard way---and discover effective methods for inspiration, balance, and motivation for those who aspire to earn more in their medical coding career. In Secrets of Successful Coders, Stephanie Cecchini, medical coding expert, public speaker, and healthcare executive, identifies the key strategies of high earners.

Breakout Session 7

10:15 AM - 11:30 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

7A: Optimizing Patient Flow/Mastering the Appointment Schedule

MariaRita Genovese, CPC

Few practices have mastered the appointment scheduling process. Learn how to diagnose an inefficient schedule and understand its potential side effects. Explore strategies to get to the root problems and enhance your facility’s schedule. We will identify the barriers which are preventing your practice from achieving optimal patient flow. Come learn the type of strategies that can be implemented to make improvements.

10:15 AM - 11:30 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

7B: Coding Productivity Standards

Ann M Bina, COC, CPC, CPC-I

Establishing productivity standards for coding staff can be a complex process even for the most seasoned leaders. With the implementation of ICD-10 it is more important than ever to have these measures in place. This interactive session will review the components to consider when setting productivity standards while outlining their importance in our day to day work. Audience participation will be encouraged, so plan on sharing your productivity stories!

10:15 AM - 11:30 AM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPMS, CPPM

7C: Bullet-Proof Your Documentation

Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC

Documentation has always been important in telling the story of the patient encounter. This session will share suggestions and best practices to achieve bullet-proof documentation as well as ways to maintain compliance in the electronic medical record. We will finish by discussing ways to effectively communicate with your provider.

10:15 AM - 11:30 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

7D: Mental/Behavioral Health Coding

Lynn Handy, COC, CPC, CPC-I; Lori Carlin, COC, CPC, CPCO

This session will review the appropriate selection of E/M and CPT levels for Mental Health and Behavioral Health services. Using actual case examples, we will dissect documentation requirements during this interactive session.

10:15 AM - 11:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM

7E: Ophthalmology Coding Conundrums

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

With decreasing reimbursements coding for ophthalmology declining, coding and reimbursement have never been more important. Learn key coding concepts for major procedures and office based coding as well as the top reasons for rejections in ophthalmology practices and how you can combat this in your practice. This session will cover: • Keeping a healthy practice--top rejections and solutions • Coding for tough surgical situations • “Eye” codes vs E/M • Strategies for staying compliant

10:15 AM - 11:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

7F: Medical Necessity vs. Medical Decision-Making

Kevin E Solinsky, CPC, CPC-I, CEDC, CEMC

We will review the Medical Decision-Making process in detail. We will then look at Medicare's definition of Medical Necessity and discuss why it is very difficult for many coders to determine Medical Necessity. We will discuss some recent cases where a Medicare intermediary pushed the Medical Necessity of encounters based on presenting problem and refused to back down, even though final disposition of the encounters was extremely high in nature. There will be lots of discussion.

10:15 AM - 11:30 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

7G: Remote Coding - Is it for You?

Virginia A Outlaw, CPC, CPB, CPPM, CFPC

This gives a look at the remote coder in today's society. Comparing the pros and cons of the self-employed remote coder to the company employed remote coder. There are also items shared from Remote Coding companies as to what they looked for; retain the remote coders and audit work performed. By the way --there will be an employment coding test just as given by these companies.

Exhibit Hall

11:30 AM - 12:45 PM

EH5: Lunch with Exhibitors

Breakout Session 8

12:45 PM - 2:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

8A: White Coats in Wonderland - Defogging the Business of Healthcare

Stephanie Cecchini, CHISP, CPC, CEMC

The ambiguity around today's complex healthcare regulations makes it difficult to identify true thought leadership and innovation from wasted time and money. To find a better way, we must first clear away the fog by identifying the problems that are scaring physicians away from their profession. If you work with physicians, this information will provide you with valuable insights to help you to communicate more confidently with them. If you are a physician, these facts will help you articulate changes in your profession that can potentially harm patient care. If you are a United States patient, this paper provides the “Cliff’s Notes” version of regulations that will affect your future access to physicians.

12:45 PM - 2:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

8B: Normalizing Data for Better Fiscal Functioning

William James Augustine, CPB

Learn ways to achieve consistent, meaningful revenue cycle metrics through normalizing your data. We’ll discuss and evaluate different methods of calculating metrics such as days in A/R and net vs. gross collection percentage, in order to help capture the most useful and consistent data.

12:45 PM - 2:00 PM | 1.25 CEUs COC, CPC, CPC-P, CENTC, CPB, CPPM

8C: Combining Risk Adjustment and HEDIS to Improve Quality of Care

Colleen Gianatasio, CPC, CPC-P, CPMA, CPC-I, CRC

This session will provide a brief introduction to the concept of risk adjustment as well as an overview of HEDIS. We will illustrate how overlapping these measures within a provider’s office lessens the administrative burden to the physician as well as improves quality of care for the patients.

12:45 PM - 2:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CSFAC, CUC

8D: Unlocking ICD-10 Combination Codes

Brian R Boyce, CPC, CPC-I, CRC

An in-depth look at many of the various combination codes in ICD-10. We will discuss how these are properly coded and how clinical documentation may change code selections.

12:45 PM - 2:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

8E: Accountable Care Organization: The lessons. I have learned

Shelton Hager, MD, CPC, CPMA

In this session I will walk you through what we have done, what we have learned and how this helps prepare us for the future. I will share my insight from my perspective as the co-medical director of Qualuable Medical Professional of a first generation Accountable Care Organization. We managed to save the center for Medicare and Medicaid services thirty million dollars in our first two years.

12:45 PM - 2:00 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPEDC, CPMS, CPPM, CPRC, CRC, CSFAC, CUC

8F: Wound Care 101

Lynne Solinsky, RN, BSN, CWS, ACHRN

We will look at all procedures typically performed in a hospital-based Wound Department/Hyperbaric Center. Discussion will include facility E&M, procedures, i.e., debridements, NPWT, compression dressing, and HBO codes, both facility and physician.