Anaheim Regional Conference

Sunday, September 16, 2018

Information

8:00 AM - 2:00 PM

Pre 1:AAPC Exam

Pre-Conference

8:00 AM - 4:00 PM | 8.00 CEUs COC, CPC, CPC-P, CPB, CPC-9, CPPM, I

Pre 2:Teach the Teacher

This workshop provides certified instructors with tools to improve their teaching and communication skills. This is also a great opportunity to network with other instructors. Earn 8 CTUs or 8 CEUs for participation in this workshop.

Monday, September 17, 2018

Information

8:00 AM - 5:00 PM

Registration/General Info/Product Store

Pre-Conference

8:30 AM - 10:30 AM | 2.00 CEUs COC, CPC, CPC-P, CPB, CPPM

Pre 3:Local Chapter Officer Leadership Training

Hear Ye, Hear Ye! Calling all local chapter officers! The AAPCCA Board of Directors will be holding a leadership meeting for the Anaheim Regional Conference. Please plan on coming a little early and meeting with your AAPCCA Board of Directors for some great tips on serving as a local chapter officer and networking with like-minded individuals! Everyone is very excited to SEE you in Anaheim!

General Session

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

GS1:Conference Welcome

Bevan Erickson , President AAPC Member Solutions

Join Bevan Erickson, AAPC’s President, for his State of AAPC address. He will cover exciting new and upcoming developments within your organization, why we’re moving in these directions, and how these evolutions will impact your daily life, both inside and outside of work.

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, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

GS2:2019 ICD-10-CM Updates

Cindy Carney, CPC, CPC-I

We know that ICD-10-CM is updated every year. How is the coder to know what these changes are? This presentation will cover updates for the 2019 version of ICD-10-CM, as well as review any guideline changes for 2019.

Breakout Session 1

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, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

1A:Advanced E/M Ambiguities in E/M Scoring

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

Ambiguities in the guidance provided by both CMS and the AMA pertaining to selection of the level of E/M service will be identified. Beyond those guidelines, common auditing methodologies using the 95/97 Documentation Guidelines will be reviewed with special emphasis on the areas requiring subjective analysis that often leads to legitimate disputes regarding the appropriate E/M code level. Beyond mere identification of these problem areas, we will discuss workable approaches to resolving these problems as well as outline the internal policies that can be helpful when defending your E/M coding choices.

1:45 PM - 3:00 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CEDC, CFPC, CIMC, COSC, CPB, CPEDC, CPPM

1B:Orthopedic Potpourri

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

This presentation is cover various orthopedic coding conundrums that can be faced not only by orthopedic practices but also family practice, pediatrics, etc.  Coding for various orthopedic injections, NCCI edits, radiology quirks, as well as orthopedic coding surgery tips.

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, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

1C:Coding and Documentation for the MIPS Program

Damaris Ramirez MS, COC, CPC, CPCO, CPB, CPMA, CPPM, CRC, CPC-I

This class will provide an overview of MIPS and the four performance categories: Quality, Cost, Advancing Care Information and Improvement Activities. MIPS will impact providers and drive Medicare-related payments. We will discuss how providers who score well on performance standards may receive higher payment for services than they did under FFS. Billers and coders play an important role in MIPS by accurately submitting codes to the highest specificity. We will also discuss strategies and work flow for provider education and clinical documentation improvement.

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

1D:FQHCs

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

Many coders and auditors have heard the term FQHC, but how should that impact your coding and auditing of E&M, procedural and ancillary services? How are incident-to services viewed in the FQHC? What leniencies are granted to FQHC's that an auditor/coder should take into consideration? During this session we will review what makes FQHC coding/auditing different from a regular clinical encounter review of these same services, as well as discuss the similarities of these places of service.

1:45 PM - 3:00 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CDEO, CEMC, CIC, CPB, CPPM, CPRC

1E:Fine Tuning Your Documentation for Medical Necessity In Plastic Surgery

Tyler Griffeth, CPC, CPRC

An in depth look at Plastics and Reconstructive Surgery coding with a focus on what needs to be included in documentation in order to meet the CPT requirements of services and medical necessity. Look forward to an engaging presentation including information regarding plastics related CPT and ICD-10 codes. Attendees can expect to learn the following: a greater understanding of plastic surgery codes and the work they represent, ICD-10 coding typically associated with Cosmetic Plastic Surgery, relevant payer expectations, national coding guidelines, and documentation recommendations for fulfilling medical necessity.

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, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

1F:ICD-10-CM Code Guidelines Refresher

Jean R Pryor, CPC, CPB, CPMA, CRC, CPC-I, CIMC

Do you have trouble sequencing diagnosis codes appropriately? Learn the nuances for diagnosis coding as directed by the ICD-10-CM guidelines. We will review the chapter specific guidelines and practice what we learn. This is a great refresher class and would also benefit those studying to take the CPC examination.

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

1G:Telehealth vs. Telemedicine – What’s the Difference?

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

Virtual services are on the increase – do you know what can be billed and how to bill for them? In this introductory session we will cover: The differences in originating and distant sites, how to find out what your state allows for telehealth services, what services can be billed, which providers can bill for telehealth services, requirements for telecommunication systems

Exhibit Hall

3:00 PM - 4:30 PM

EH1:Welcome Break with Exhibitors

Tuesday, September 18, 2018

Information

7:00 AM - 4:30 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 | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

GS3:Legal / Compliance Trends Panel

Breakout Session 2

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

2A:New versus Established Patients and the Modifier 25

Lori A Cox, CPC, CPMA, CPC-I, CEMC, CHONC

Evaluation and management services can be confusing. What can be particularly baffling is the need to consider the CPT and Medicare guidelines all while knowing the caveats within each. What is a professional service? How do we determine exact same specialty and subspecialty, and same group practice? We'll discuss the four main components of new vs. established and how to: Understand Professional Services, Distinguish Between Same Specialty/Subspecialty, Breakdown Same Group, and Make sense of the 3 Year Rule. Then, we will take a closer look at modifier 25. What is "separately identifiable?" When can this modifier be used? We will take a look at actual case examples and discuss the rules for this complex modifier.

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

2B:Peripheral Vascular Coding

Sharon Jane Oliver, CPC, CPMA, CPC-I

This presentation will introduce the descriptions of aneurysms, endografts, stents as they pertain to peripheral procedures required to correct aneurysms and/or occlusive problems. Will be given thorough introduction of the guidelines to ensure correct coding is applied.

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

2C:Template Use and Abuse and the Impact on Medical Record Integrity

Michael Warner DO, CPC, CPCO, CPMA; Mary Wood, CPC, CPC-I

Without safeguards in place, records could reflect in inaccurate picture of the patients condition. Physicians are responsible for reviewing and removing all pre populated information to ensure that only patient-specific data for that visit is recorded. Often copy and paste or copy forward allows irrelevant data to be pulled in by the default template. Inaccurate templates cause increased physician queries and affect revenue cycle.

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

2D:Emergency – Stop Leaving Money in the ER

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

We will discuss common problems with charge capture and coding in the ED impacting the facility revenue and learn best practices for determining the ED facility E/M codes.

9:15 AM - 10:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

2E:CDI: The Benefits of Coding and CDS Collaborations

Erica Taylor Cousin, CPC, CPC-I

CDI is a team of Coders and Clinical documentation specialists that collaborate to ensure the completeness, appropriateness, accuracy, compliance, and integrity of physician documentation and coding. Effective CDI programs allow clinical documentation to be translated into coding through successful collaborations between Coder’s and CDS’s whom are equally accountable to uphold ethical clinical and coding guidelines.

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

2F:Implementation and Maintenance of a Compliance Plan

Carole Devos, CPC, CPCO, CPB, CPMA, CPC-I, CHONC

Your Compliance Plan should address the 7 elements set forth by the Office of Inspector General, US Dept of Health & Human Services. We will explore how to craft a plan that will address the differences between Erroneous and Fraudulent errors, instruct and teach participants how to identify potential risk areas to monitor within their specialty,and create and perform corrective actions.

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

2G:OIG Sanction Authority, CMPs and Exclusion

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

This program will identify the relevant sanction authority possessed by the HHS OIG to include Civil Monetary Penalties as well as the OIG’s Exclusion authority. We will review how the government uses this authority, address the impact of exclusion as well as review the basis for mandatory and permissive exclusion. The exclusion process will be addressed to include the process for appealing an exclusion. OIG enforcement statistics will also be reviewed demonstrating OIGs commitment to exercising its exclusion authority.

Breakout Session 3

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

3A:Behavioral Health Coding and Documentation

Sonda Kunzi, COC, CPC, CPCO, CPB, CPMA, CPPM, CPC-I

Don't let behavioral health coding give you stress. Learn about the codes available and the way to document and bill them correctly. Gain insight into the reasons and importance of detailed documentation to support medical necessity. Find out how the opioid crisis is putting the spotlight on these services.

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

3B:Coding Dilemmas for Obstetrics

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

Coding for Obstetrics can seem complex and the nuances associated with in OB can create issues for the provider as well as the patient. Antepartum care, delivery, and routine postpartum care make up the Global OB package. Billing for services outside the global care will be addressed including antepartum testing, ultrasounds, and problem visits. Knowing reimbursement policies and guidelines is also critical and vary among payers. This session will address some of the most commonly asked questions, discuss industry standards and review coding guidelines in CPT and the unique guidelines in Chapter 15 of ICD-10-CM.

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

3C:Risk Adjustment Essentials

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

This session will offer a comprehensive introduction to risk adjustment models and the importance of diagnosis coding in today’s health care environment.  Join us as we discuss some of the common challenges faced by payers, providers and patients in this payment methodology that uses patient demographics and diagnoses to cover cost of care.

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

3D:The Status of Joint Replacement Coding

Heather Greene, CPC, CPMA

With recent changes to approved sites of service for Total Knee Arthroplasty, this session will provide accurate procedural and diagnosis coding to support the medical necessity of site of service, as well as documentation tips for accurate reporting of comorbidities. In addition, the session will highlight revenue impact with the shift from IP to OP surgery as well as the potential financial impact to those participating in CMS Comprehensive Care for Joint Replacement Model (CJR).

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CDEO, CEDC, CENTC, CGIC, CGSC, CHONC, CIC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPMS, CPPM, CPRC, CRC, CSFAC, CUC

3E:Understanding Root Operations in ICD-10-PCS

Alicia Scott, CPC, CRC, CPC-I

When you first look at ICD-10-PCS it seems very foreign however once you understand the structure everything falls into place. That new world opens to understanding and a simplicity you will come to enjoy. The click of the light bulb made me think, “Where have you been all my life.” The behemoth of ever changing procedures in the medical field needs a code set that is adaptable and ICD-10-PCS offers that in spades.

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

3F:How to Defend Your Audit Findings

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

So many times physicians and even senior auditors providing QA to their team question auditors and even coders as to their findings. they should empowered on how to defend their findings.

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

3G:Medical Billing for the Certified Coder

Jennifer Lynn Sanders, CPC, CPB, CPMA, CPC-I

Why should a coder understand insurance carriers? Why are claims denied as inclusive when CPT guidelines say they are not? Learn some of the basic insurance carrier types, rules and guidelines that can be used every day in your coding career to help minimize errors from carriers.

Exhibit Hall

12:00 PM - 1:30 PM

EH3:Lunch with Exhibitors

Breakout Session 4

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

4A:Cardiology Coding for the Faint of Heart

Robert Anthony Kiesecker, CPC, CPC-I, CCC

Cardiology coding can be challenging, but it does not have to make you “faint of Heart” in this presentation you will learn tips and tricks to navigate the Anatomy and Physiology related to Cardiovascular Specialty. As well as walk away with a better understanding of how to successfully code many of the procedures that can be performed on the heart and related vessels. So come get to the heart of the matter and learn more about Cardiology

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

4B:The Magical World of Oncology

MariaRita Genovese, CPC

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

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

4C:Submitting a Bullet Proof Claim

Linda Martien, COC, CPC, CPMA

From the initial patient contact to the back end claim process and A/R management, we will identify and discuss the steps involved in producing a bullet proof claim.  We will review claim components, coding, medical necessity and the importance of documentation in submitting a clean claim.

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

4D:Charge Description Master

Oby C Egbunike, COC, CPC, CPC-I

The driving medical innovation that is focused on high quality patient care at a low cost is the reason why more procedures are performed in hospital outpatient settings. Understanding of the charge master basis by the facility coder and biller will result in clean claim submission hence revenue for the hospital.

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

4E:Healthcare Fraud Update -Preventing Fraud with Current Compliance Strategies

Jacqueline N Bloink, CPC, CPCO, CPC-I

The DOJ recouped $2.6 Billion dollars from healthcare fraud schemes in 2017. The OIG Medicaid Units recouped $1.8 Billion in 2017. Healthcare effects all of us, whether we are a beneficiary or a professional working in healthcare. This session will give attendees a brief synopsis of the current status of healthcare fraud in the United States. We will then discuss how the government and private industry is addressing healthcare fraud with identification techniques and compliance prevention strategies. We will also discuss whether you should consider a career in compliance and look at the AAPC’s CPCO credential!

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

4F:Understanding the Not so Voluntary Disclosure and Refund Rule

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

This session will outline the development of the portion of the False Claims Act requiring providers to voluntarily disclose and refund overpayments from federal health plans. We will additionally review in detail the final regulations associated with this statutory requirement. Attendees will learn (based on comments to the final regulations) what triggers a disclosure obligation, when “knowledge” of an overpayment exists triggering the 60 day rule, the risks and penalties for non-disclosure as well as late disclosure and the process for submitting a proper disclosure. Finally, we will review enforcement actions against practices that did not comply with the requirements of the rule.

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

4G:What We Learned from a 99233 Medicare Probe Audit

Trevor Wasden, CPC

This course will cover experiences with probe audits performed by a Medicare Administrative Contractor (MAC). We will discuss the audit process and coding guidance based on the audit feedback. Specifics will include appropriate times to report 99233 based on complexity and time.

Exhibit Hall

2:45 PM - 3:15 PM

EH4:Break with Exhibitors

Breakout Session 5

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

5A:Job Search and Interviewing Techniques for Coding Professionals

Jacob Swartzwelder, CPC, CRC, CEMC

Attendees will walk through current industry observations, witnessed job trends and the typical requirements for common job types. Additionally, the components of a successful job search, how to ace an interview, and maintaining professionalism in the workplace will be explored.

3:15 PM - 4:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CDEO, CFPC, CIC, COBGC, CPB, CPCO, CPPM

5B:Office and Surgical Procedures in Gynecology

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

Being knowledgeable of female anatomy and terminology provides a better understanding of correct code selection for hysterectomy, pelvic repairs, and colposcopy. This session will include specific CPT® and ICD-10-CM coding for common office and surgical procedures. We will also dive into wellness visits and CMS BPP exams, with discussion of documentation requirements, Advanced Beneficiary Notices, and reimbursement issues.

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

5C:Combining Risk Adjustment and HEDIS to Improve Quality of Care

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

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.

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

5D:What's Still Meaningful about Meaningful Use

Monica Lynn Lawson, CPC, CPC-I

How can “Meaningful Use” improve the populations overall health, promote continuity of care and increase provider revenue? If you are a Coder, Auditor and or a Compliance manager you must understand your role to educate the provider to promote “meaningful use”. Attend this session to learn about the 5 pillars of policy outcomes.

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

5E:Understanding the Disease Process

Alicia Scott, CPC, CRC, CPC-I

Sharpen your ability to code to the highest specificity by gaining insight into the disease process. We strive for proficiency as professionals and one way to enhance your skills is to expand your aptitude in alternative terminology, differential diagnosis and the medications used to treat disease.

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

5F:Writing an Audit Report and Why You Should

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

The audit report is the key to understanding what happened and why it happened after the audit has been completed. Whether you are on the giving or receiving end of the report this session will provide an understanding of what should be expected in a report and why it is so important to have all the pieces in one place.

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

5G:Let’s get Critical about Critical Care

Chad Benjamin Peterson, CPC, CEMC

As medical necessity makes its rightful way to the forefront of coding and billing, it’s more important than ever to ensure documentation is sufficient and unequivocally supports the service(s) being rendered. Since critical care codes are among the highest reimbursable E/M codes available today, it makes it even more important to safeguard payments by ensuring all necessary components are present within the documentation. This session will go over in detail, all necessary coding requirements, as well as provide specific examples of patients whose condition(s) qualify for critical care and what supportive documentation should look like.

Wednesday, September 19, 2018

Information

8:00 AM - 2:00 PM

Registration/General Info/Product Store

Exhibit Hall

8:00 AM - 9:00 AM

EH5:Continental Breakfast with Exhibitors

General Session

9:00 AM - 10:00 AM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

GS4:Extraordinary Health for Healthcare Professionals

Marian Wymore MD, CPC, CRC

This informational and motivational session inspires busy healthcare professionals to pay attention to their own health. If you are tired, stressed, battling with your weight, or have any medical issues like hypertension or diabetes, please come to learn simple lifestyle changes that can make a big impact on your health and well-being. Get motivated to take necessary actions to improve your health and vitality, prevent (or manage) chronic diseases, and find out which vaccines and screening tests are recommended for you. Don’t add another HCC to your own body! Dr. Wymore will provide relevant codes.

Breakout Session 6

10:15 AM - 11:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

6A:Its Time to Talk about Opioids

Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC; Caren J Lampitoc, COC, CPC, CPB, CPMA, CRC, CPC-I, CPCD

It is in the news. This topic is quickly becoming front and center with the OIG, AMA and Capitol Hill. Many states are creating new laws to monitor the issue. If this is that big on their radar then the coding and reporting becomes a major focus as well. Opioid use does not just affect patients in one specialty, this can impact the patient’s care from any provider in any place of service. In this session we will discuss the issue, review some of the initiatives that are currently in place to address opioid use and abuse, look at some current statistics and we will talk about the we will discuss the issue, review some of the initiatives that are currently in place to address opioid use and abuse, look at some current statistics and we will talk about the correct coding as we walk through some case studies.

10:15 AM - 11:30 AM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPEDC, CPPM, CPRC, CRC, CSFAC, CUC

6B:Wound Care: Flesh and Bones

Kimberly D Vegter, CPC, CRC, CPC-I

This presentation will focus on wound care for lower extremity ulcers. After a brief overview of the Integumentary System, we will discuss venous leg ulcers, pressure ulcers and diabetic foot ulcers and how they are treated. We will also review coding and documentation tips for coding ulcers and debridements.

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

6C:HIPAA Security Risk Analysis and You

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

Recently, a $3.5 Million HIPAA settlement was announced and the director of the Office for Civil Rights (OCR) stated, “The number of breaches, involving a variety of locations and vulnerabilities, highlights why there’s no substitute for an enterprise-wide risk analysis for a covered entity. Covered entities must take a thorough look at their internal policies and procedures to ensure they are protecting their patients’ health information in accordance with the law.” Basically, if “there is no substitute for an enterprise-wide risk analysis,” then every organization should be asking themselves, when was my last HIPAA Security Risk Analysis (SRA) and what were its findings?

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

6D:Capitalizing on Infusion Coding

Amy Lee Smith, COC, CPC, CPMA

Coding and documenting accurately in outpatient facility-based Infusion Centers is key to optimizing payment. With the high-volumes, high-dollar services and medications, and complex coding rules, this is a very difficult task. We will unravel the mysteries of the infusion coding hierarchy and learn tips and tricks for improving accuracy of documentation and coding.

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

6E:Clinical Pearls to Improve Queries and Capture Potential HCCs

Marian Wymore MD, CPC, CRC

Be a medical student for an hour! Learn some clinical subtleties you’ll want to look for when reviewing charts. Case studies will be used to illustrate examples of clinical clues that may be indicative of chronic diseases and complications. Come to test your clinical knowledge and learn a few new things that can help to improve your queries and capture potential HCCs.

10:15 AM - 11:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

6F:Creating an Effective Audit Program with Training & Education

Natasha Miller, CPC, CPB, CPC-I

An audit program with training & education is essential to being in compliance with the OIG. It is important for small practices all the way to large medical groups to have an effective audit program in place with training & education. This session will provide an understanding of what should be included in an audit program. I will walk you through the steps of what you need to have in an audit program for your facility. I will also show you what to expect if you outsource your auditing program.

10:15 AM - 11:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

6G:The NCCI Policy Manual is Your Friend, Not Your Enemy

Christopher Chandler, CPC, CGSC

Have you ever thought that Medicare’s NCCI Policy Manual is just a big book of rules that complicates coding and prevents payments? Well, you’re not alone. This course will go over the complex guidelines within the NCCI Policy Manual and the benefits of better understanding and implementing these guidelines in your practice. Specifics of the presentation will include NCCI interpretations of appropriate billing within global periods, correct use of surgical modifiers, “separate procedure” guidelines, reporting E/M services with surgeries, and more. This class will not only help you better understand the NCCI Policy Manual, but the reasoning behind it and the benefits of adhering to it in your practice.

Exhibit Hall

11:30 AM - 12:45 PM

EH6:Lunch with Exhibitors

Breakout Session 7

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

7A:Drug Screening

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

2018 finds us again with laboratory coding changes for urine drug testing. Come join us to review the updated 2018 Drug Screening testing codes for clinical laboratories. We will also discuss different testing methodologies, and the difference between presumptive, definitive, chemistry and therapeutic drug testing. We will review a variety of denied claim examples and the steps taken that got them paid.

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

7B:COPD

Louis Jimenez, RRT, CHT

During this session we will discuss the pathophysiology of COPD, diagnostic testing, treatment options and documentation requirements to support the ICD-10-CM codes.

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

7C:Recent OIG and DOJ Settlements and What They Mean to Your Compliance Program

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

The presenter will review the most important and recent OIG and DOJ enforcement cases and how to learn from these cases and to improve your compliance program to avoid similar problems.

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

7D:Secrets of Effective Outpatient Facility Auditing

Amy Lee Smith, COC, CPC, CPMA

Auditing facility-based outpatient coding and billing is critical to understanding and mitigating organizational risks. We will discuss how to design the scope of an audit, how to select samples, best practices for documenting the work performed, and review methods for communicating results and developing and monitoring improvement plans.

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

7E:Understanding Medical Profession Burn Out and Employing Strategies to Promote Effective Healthcare

Michael Warner DO, CPC, CPCO, CPMA

Do you realize that some of the burnout subsets are considered low rate risk if such feelings are experienced less than several times a year? Medicine challenges burnout factors daily! Beyond deep breaths and mindfulness, learn how you can modify your work environment to reduce the risk of burnout and restore joy to the practice of medicine.

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

7F:Earning a Compliance Officer Promotion: Skills & Knowledge that Compliance Officers Commonly Lack

Marcie Swenson, RN, JD, LLM, CHC

The compliance industry needs more professionals with skills and knowledge to succeed as a compliance officer and lead an effective compliance program. Surprisingly, hundreds of compliance officers lack the skills and knowledge to adequately manage a compliance program. Discover what compliance program activities are overlooked, increase your knowledge of compliance workflow and processes, and improve your compliance program management skills beyond the skills that most compliance officers currently possess.

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

7G:Coding and Documentation Risk Reduction When Working with Non-Physician Practitioners

Christopher Chandler, CPC, CGSC

Coding for non-physician practitioners (NPP), such as physician assistants and nurse practitioners, can be complicated. NPPs are great resources in clinics that help patients have better treatment. They are beginning to be used more often in a collaborative manner with physicians. However, clinics and physicians are usually unaware of the coding and documentation requirements when working with a NPP. This course will discuss the correct coding and billing for such practices. This will include billing for shared services in the hospital and incident-to encounters in the clinic, documentation requirements, scribe policies, and more. This class will help make these guidelines easier to understand, and help you more compliantly document and code when working with NPPs.

Friday, August 23, 2019

Breakout Session 8

8:00 AM - 1:00 PM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPC-9, CPPM

8A:Jill's Test Session

Test