Our 2022 Agenda
Tuesday, July 12, 2022
Pre-Conference
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11:00 AM - 12:00 PM, MT
| 1.00 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
Pre: Webinar: Industry Trends that Effect AAPC Members
Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
Pre-Conference Webinar Session - Not available to attend in-person - In this session, we will discuss industry trends (regulatory changes, payment model shifts, technology advancements) and how they affect AAPC members. We’ll also discuss best practices for staying informed and educated to remain relevant and effective in your profession. We will also provide information on future initiatives at AAPC.
Tuesday, August 2, 2022
Exam
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8:00 AM - 4:00 PM, MT
Pre: Exam
Pre-Conference
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8:00 AM - 4:00 PM, MT
| 8.00 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: 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.
3:00 PM - 7:00 PM, MT
| 3.00 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Local Chapter Officer Leadership Training
The AAPCCA Board of Directors will be holding a leadership meeting exclusively for all officers. Please plan on coming a little early for some great tips on serving as a local chapter officer and networking with like-minded individuals. Earn 3 CEUs for participating in this training.
Wednesday, August 3, 2022
Pre-Conference
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8:00 AM - 8:45 AM, MT
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Ask a Biller Panel
This pre-conference session is only available to in-person attendees in Denver.
8:00 AM - 8:45 AM, MT
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Ask a CDI or Risk Adjustment Professional Panel
This pre-conference session is for in-person attendees in Denver.
8:00 AM - 8:45 AM, MT
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Ask a Coder Panel
This is only available to in-person attendees in Denver.
8:00 AM - 8:45 AM, MT
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Ask a Practice Manager Panel
This pre-conference session is for in-person attendees in Denver.
8:00 AM - 8:45 AM, MT
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: Ask an Auditor or Compliance Professional Panel
This pre-conference session is for in-person attendees in Denver.
General
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9:00 AM - 9:45 AM, MT
| 0.75 CEUs COC, CPC, CPC-P, CPB, CPPM
Pre: HEALTHCON Regional Rookies - Learn the Ropes
Is this your first HEALTHCON Regional? Then this is the session for you! This session will be as informative as it is interactive. Learn about using our app, logging CEU codes correctly, networking best practices and other information that will help you get the most out of your conference experience.
General Session
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10:00 AM - 11:00 AM, MT
| 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM
GS1: Conference Welcome
Bevan Erickson, CPC, CPC-I, CEMC, COBGC
Join Bevan Erickson, AAPC’s CEO, 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.
11:00 AM - 12:15 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM
GS2: Telemedicine Panel
Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC; Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor; Colleen Gianatasio, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CPC-I; Stephanie M Sjogren, COC, CPC, CDEO, CPMA, CPC-I
During this session a panel of experts representing the provider, facility, and payer perspectives will be discussing best practices for navigating the ongoing changes with telemedicine and telehealth regulations. There are so many changes occurring it is difficult to keep up. The panel will answer questions from the audience.
General
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12:15 PM - 1:30 PM, MT
BR1: Lunch Break
Breakout Session 1
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1:30 PM - 2:45 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
1A: How to Negotiate Payer Contracts Like a Pro!
Marcia Brauchler, MPH, CPHQ, COC, CPC, CPC-I
What are your peers doing with their payer contracts? Walk through successful real-world contract negotiations from real-life practices. Learn to advocate for your practice using proven techniques from a veteran contract negotiator. Most physician practices focus on cutting expenses instead of improving revenue to the practice from non-governmental payers. A little focused effort on negotiating payer contracts can create much needed revenue for your practice.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM
1B: Coding Wound Repairs
Corrie L Alvarez, CPC, CPMA, CRC, CPC-I, CEDC, CEMC
We will review and discuss correct coding for wound repairs using various surgical techniques from simple to complex. We will explore the differences between W-, Y-, and Z-plasty repair techniques. The discussion will also include adjacent tissue transfers and skin flaps.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CCC, CCVTC, CDEI, CEDC, CEMC, CFPC, CIC, CPB, CPCO, CPMS, CPPM
1C: Is Inpatient Cardiology Giving You Chest Pains?
Amy C Pritchett, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC
During this session, we will delve into assigning ICD-10-PCS codes for cardiology procedures in the inpatient facility. We will also discuss clinical documentation and utilization review. The presentation will take the attendee from the OR to discharge and discuss revenue cycle management. We will also discuss how MCC and CC capture affects MS-DRG assignment.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
1D: Compliance Risks in the EMR
Sandra Kay Giangreco Brown, RHIT, Approved Instructor, COC, CPC, CPC-I, COBGC
Due to the push for healthcare providers to document in an electronic medical record (EMR) and establish EMR interoperability, practitioners may be creating new compliance risks. In this session, we’ll look at how copying and pasting documentation from encounter to encounter can not only cause confusion for other providers but also compromise patient care.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM
1E: Climbing the Rocky Mountain to a Level 5 Encounter
Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC
In this session we will discuss what it takes to achieve that prized peak of E/M services the 99205 or 99215. The 2021 guidelines have specific definitions for the three parts of medical decision making and we will look at documentation examples from each to determine support of the level 5. In addition, we will consider how time based coding may support the level 5 also. This should be a fun interactive session, bring your questions and your thoughts on how to climb to the top of the level!
General
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2:45 PM - 3:05 PM, MT
BR2: Afternoon Break
Class Change
Breakout Session 2
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3:05 PM - 4:20 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
2A: Fundamentals of Credentialing
Stephanie Ann Thebarge, CPC, CPCO, CPB, CPMA, CPPM, CEMC, CHONC
Credentialing a new provider can seem like a daunting task, but anyone can master it with the right tools and workflows. In this session, we will break down the fundamentals of credentialing: What is it and why do it; best practices; payer requirements; and how the role of credentialing specialist has evolved.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CEMC, COSC, CPB, CPPM
2B: E/M Documentation and Coding for Orthopedics
Jennifer McNamara, Approved-Instructor, CCS, CPC, CPMA, CRC, CPC-I, CGSC, COPC
In this session, we dig deep into the world of orthopedic evaluation and management (E/M) services. We will review the basics of the 2021 guidelines and delve into each area with a specific focus on orthopedic conditions, common data points, and areas of risk. Examples and documentation tips for physicians included!
3:05 PM - 4:20 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CASCC, CDEO, CPB, CPPM
2C: ABCs of Ambulatory Surgery Centers
Amy C Pritchett, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC
During this session, we will delve into the complicated world of ambulatory surgery center (ASC) coding and billing. Learn from the history to the daily functions of an ASC, from front door to billing for procedures. You’ll get an extensive look at billing practices and documentation requirements. At the end of the presentation, there will be an interactive coding simulation and a question/answer period.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM
2D: Program Integrity Audits and the Special Investigation Unit
Elizabeth A Deak, CPC, CPMA
The program integrity unit serves to detect and prevent fraud, waste and abuse (FWA). It is the responsibility delegated to the Special Investigation Unit (SIU) to review provider activities, issue audit requests, identify overpayments, and educate providers. In recent years, with mandates to proactively detect FWA, these audits are increasing. This session will delve into data analytics used to identify and trigger an audit request, how to respond to the request, and how to implement post audit findings in the provider office.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
2E: E/M Auditing - What Does It Really Mean?
Brenda R Edwards, CPC, CDEO, CPB, CPMA, CPMS, CRC, CPC-I, CEMC
2021 brought changes in how we audit physician office evaluation and management (E/M) services. In this session, we’ll look at clinical documentation and how it holds up under the new 2021 E/M guidelines. We’ll discuss some of the areas that have proven to be tricky or maybe that we need to think about a little differently. Come prepared to interact and have a good time!
Exhibit Hall
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4:30 PM - 6:30 PM, MT
EH1: Welcome Reception with Exhibitors
Thursday, August 4, 2022
Exhibit Hall
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7:00 AM - 8:00 AM, MT
EH2: Breakfast with Exhibitors
General Session
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8:00 AM - 9:15 AM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
GS3: E/M Panel
Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC; Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Samuel Le Church MD, MPH, CPC, CRC, CPC-I
During this session, an expert panel made up of a physician, coder, auditor, and representative from the AMA will answer audience questions regarding the 2021 E/M guidelines for office visits.
General
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9:15 AM - 9:30 AM, MT
BR3: Morning Break
General Session
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9:30 AM - 10:45 AM, MT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
GS4: Diagnosis Coding Insights from the Experts Panel
Colleen Gianatasio, CPC, CPCO, CPC-P, CDEO, CPMA, CRC, CPC-I; Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor; Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC
Led by a panel of experts from various backgrounds, this discussion offers perspective into the often blurred lines of the proper rules surrounding diagnosis coding for professional fee coding, risk adjustment coding, and facility coding. The panel will review hospital inpatient medical records and compare what diagnosis codes would be acceptable/reportable based on the focus of the billing: the provider, facility, or risk adjustment.
General
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10:45 AM - 11:00 AM, MT
BR4: Mid-Morning Break
Class Change
Breakout Session 3
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11:00 AM - 12:15 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
3A: Physician Cost Efficiency in the MIPS Environment
James S. Kennedy MD, CCS, CCDS, CDIP
Physicians electing for CMS’ Merit-Based Incentive Payment System (MIPS) will experience +/-9% impact in their traditional Medicare reimbursement based on their performance, 30% of which is derived from cost efficiency. In this session, we’ll review inpatient and outpatient episode models, including screening colonoscopies, cataract surgery, knee and hip replacements, and many others that are being assessed; emergency physician encounters (99281-85) that will be implemented in 2024; and CMS' impending changes to the inpatient and ED E/M leveling guidelines, all of which make your job more important than ever.
11:00 AM - 12:15 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CCC, CCVTC, CEMC, CPB, CPPM
3B: Cardiovascular Pathophysiology Diagnostics and Therapeutic Procedures
Tyler Griffeth, CPC, CPRC
Do you want to be able to understand the disease processes behind the procedures and diagnoses that you are coding? Come with the expectation that you will learn about some of the deadliest disease processes currently afflicting humankind and the near miraculous things that our cardiothoracic surgeons do to treat them. How to code for these procedures and relevant national coding guidelines will be layered into this dynamic and fascinating presentation. CPT® and ICD coding instruction will also be included.
11:00 AM - 12:15 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPEDC, CPMS, CPPM, CPRC, CRC, CSFAC, CUC
3C: Wound Healing and Hyperbaric Coding for Professional and Facility Fees
Jarrod Dyck, CPC
This session provides a detailed overview of the wound healing and hyperbaric oxygen therapy (HBOT) specialty. We’ll cover both professional and outpatient facility coding methods and all relevant CPT®, HCPCS Level II, and ICD-10-CM codes. Included is a PowerPoint presentation, videos, and a packet of basic to advanced exercises for participants to work through during the session.
11:00 AM - 12:15 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CIC, CPB, CPPM, CRC
3D: Risk Adjustment, a Focus Review for Coders, and Clinical Documentation Improvement
Barbara Maria Shaw, CPC, CPCO, CDEO, CRC, CEDC
This session will cover risk adjustment auditing and CDI and how shared collaboration and reporting can be used to help not only the coder, auditor, and CDI specialist, but most importantly the provider. We will review HCC categories with information and tips on improving documentation. We will also review some actual coding scenarios for applying what we have learned.
11:00 AM - 12:15 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
3E: Looking Back: Comparing Providers’ Documentation Response to the 2021 E/M Guidelines
Jacob Swartzwelder, CPC, CRC, CEMC, Approved-Instructor
Attendees will walk through a documentation comparison of providers who embraced the 2021 Evaluation and Management (E/M) Guidelines and those who didn’t. We will explore documentation examples that highlight provider comprehension of changes and discuss auditing pitfalls and provider education best practices.
Exhibit Hall
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12:15 PM - 1:30 PM, MT
EH3: Lunch with Exhibitors
Breakout Session 4
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1:30 PM - 2:45 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
4A: Crucial Conversations
MariaRita Genovese, CPC
Tough conversations are a reality of leadership. Know how to prepare so you will be in the right frame of mind to address the real issues at hand. Consider the importance of dialogue — the free flow of meaning between people — so everyone talks openly and honestly with each other. Grasp how to set up conditions to talk about almost anything.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CDEI, CDEO, CIC, CPB, CPCO, CPPM
4B: Anesthesia Coding, Billing & Documentation Nuances
Kristen R Taylor, CPC
This session will differentiate anesthesia procedures including modifiers, concurrency, and medical direction based on who is performing the service. You will learn of interactions between anesthesiologist and CRNA throughout anesthesia procedure, and gain clarification of different anesthesia modifiers and how to determine the correct one. We will also discuss chart documentation related to billing.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CEMC, CPB, CPPM
4C: Coding and Billing for Rural Health Clinics and Community Health Centers
Gary W Lucas, MSHI
RHCs and FQHCs have distinctly different rules related to professional coding and medical billing. Billing Medicare/Medicaid plans via per diem payments is drastically different than billing fee-for-service. Developing a shared platform of knowledge between providers, managers, and coders/billers is key to maximizing reimbursement and merging clinical and business goals.
1:30 PM - 2:45 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM
4D: Compliance Challenges with Non-physician Practitioners
Sandra Kay Giangreco Brown, RHIT, Approved Instructor, COC, CPC, CPC-I, COBGC
Practices and hospitals are employing more advanced practice providers to meet the growing healthcare needs, but they often do not understand the coding, billing, and supervision requirements. This session will cover the Medicare guidelines related to services provided in different settings, billing requirements, and other considerations.
1:30 PM - 2:45 PM, MT
| 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, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
4E: E/M Office and Other Outpatient Guidelines – Risk Associated with Coding for Time
Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
In this session, we will discuss compliance risks associated with the E/M time guidelines for office and outpatient services. We will discuss best practices for implementing time-based coding.
Exhibit Hall
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2:45 PM - 3:05 PM, MT
EH4: Afternoon Break with Exhibitors
Breakout Session 5
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3:05 PM - 4:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
5A: ICD-10-CM Sequencing: The Right Way
Sharon Jane Oliver, CPC, CDEO, CPMA, CRC, Approved-Instructor
Sequencing ICD-10-CM codes has always been problematic for novice coders, but it must be mastered to understand its proper use in our everyday work. Many claim denials are due to improper sequencing, which leads to CPT® codes being linked to an incorrect diagnosis pointer. Even with electronic billing software, if the ICD-10-CM Alphabetic Index and Tabular List are not adhered to correctly, a clean claim will not be submitted, causing non-payment or improper payment rightfully due to the provider or facility. This presentation is designed to provide awareness of the guidelines and how the respective diagnosis code is used.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CDEI, CDEO, CENTC, CIC, CPB, CPPM
5B: Controversies and Hot Topics in Otolaryngology Coding
Lawrence M. Simon, MD
This session will provide an advanced review of hot coding topics in otolaryngology coding. The course will focus on proper code selection from surgical documentation and will cover new codes, code revisions, and current coding controversies. Sample topics include surgical nasal endoscopy, bone anchored hearing aids, and hypoglossal nerve stimulation.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
5C: Resident vs. Student Documentation
Christopher Chandler, CPC, CGSC
There have been regular changes to CMS documentation requirements for residents, interns, fellows, and students. This presentation will cover those changes, the latest guidelines, and how to audit recent and older encounters.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
5D: Considerations in Clinical Pathology Auditing
James Ashmore, CPC
We'll review coding guidelines (including MUE, frequently used modifiers, unbundling, proprietary codes, Category III temporary codes, and use of unlisted codes). We’ll also review frequent areas of FWA (toxicology, COVID, and genetics) and data mining to find potential FWA. Types of laboratory certifications, the Clinical Lab Fee Schedule, and documentation requirements will also be covered.
3:05 PM - 4:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
5E: Counting of Data
Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC
We are now more than one year into the 2021 E/M Documentation Guidelines for Office or Other Outpatient Services. Even with the time lapse, there are still some pressing questions and remaining ambiguity for assigning data points for MDM. Join us as we discuss some of these pain points: Does my test include interpretation? When should I assign credit for a lab order or review? What happens if the review takes place on a different date from the encounter? How much weight should I really give to the “Data” MDM element if my other two categories are minimal or low risk? Get answers to your questions by fully understanding all the definitions around “Data,” and how to communicate these definitions to providers.
Friday, August 5, 2022
Exhibit Hall
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7:00 AM - 8:00 AM, MT
EH5: Coffee with Exhibitors
General Session
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8:00 AM - 9:15 AM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
GS5: E/M Lessons Learned
Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
In this session we will discuss best practices for documentation improvement to support the 2021 E/M guidelines for office and other outpatient services and changes going into effect in 2023.
General
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9:15 AM - 9:30 AM, MT
BR5: Morning Break
Class Change
Breakout Session 6
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9:30 AM - 10:45 AM, MT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
6A: Diversity, Equity and Inclusion Awareness in the Medical Field
L. Renee Bradley, CPC, CPC-P
While there has been a recent focus on diversity, equity, and inclusion (DEI) throughout a variety of industries – understanding the impact on healthcare organizations becomes extremely important in improving health outcomes and quality of life for patients. DEI initiatives implemented throughout multiple areas of the healthcare field are a must and help improve the patient and family experience in outpatient and inpatient settings.
9:30 AM - 10:45 AM, MT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CIC, CPB, CPPM, CRC
6B: The Future of Reimbursement: Risk Adjustment
Christine Hall, CPC, CPB, CPMA, CRC, CPC-I
We will clarify what a risk adjustment model is and define and explain how a patient's risk score is calculated. We will review CMS' risk adjustment data validation (RADV) requirements and analyze a few real-life examples. By the end of the presentation you will understand value-based payment models, risk adjustment factors, HCC supporting documentation, and how to conduct a RADV audit.
9:30 AM - 10:45 AM, MT
| 1.25 CEUs COC, CPC, CPC-P, CANPC, CIC, CPB, CPPM
6C: Stereotactic Procedures for Diagnosis of Intracranial Lesions
Oby C Egbunike, COC, CPC, CRC, Approved-Instructor
Intracranial lesions are brain lesions or tissues that have been damaged through an injury or disease. Getting a small piece of the lesion and studying it under a microscope by a surgeon will assist the surgeon to determine the exact nature of the lesion, its cause, and the treatment option. In this session, you will learn how to properly code these services.
9:30 AM - 10:45 AM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM
6D: Recent Healthcare Enforcement Activities and Fraud Trends
Tony Maffei; Kenny Barrett
Special Agents Kenny Barrett and Tony Maffei will summarize recent federal law enforcement activities and successful prosecutions from OIG's investigative and enforcement efforts on opioid fraud and diversion matters in the Appalachian region. They’ll also discuss current fraud trends and schemes in the areas of pharmacy and diagnostic testing.
9:30 AM - 10:45 AM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM
6E: Don’t Make My Mistakes
Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC
In this session, experiences from audits gone awry or looking back to find a better way are discussed. This is an opportunity to note best practices that make for complete, compliant audits with fewer problems and setbacks along the way. We will also discuss when to say “no” to an audit.
General
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10:45 AM - 11:05 AM, MT
BR6: Mid-Morning Break
Class Change
Breakout Session 7
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11:05 AM - 12:20 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM
7A: Take Your Career From All Right to Dynamite with Networking
Kaitlyn Brack, CPC, CEMC, CFPC, CPEDC, Approved-Instructor
By the end of this interactive presentation, members will have the ability to define networking, understand its importance, learn how to build and maintain a network, and expert level networking tips that new and experienced networkers can add to their toolbelt.
11:05 AM - 12:20 PM, MT
| 1.25 CEUs COC, CPC, CPC-P, CDEI, CDEO, CGIC, CPB, CPPM
7B: Ain’t Nothin’ but a Gastro Thang
Jessica Miller, CPC, CPC-P, CGIC
We will discuss advance coding challenges in all areas, from butts to guts. Procedures will be colonoscopy, EUS, EGD, POEM, and ERCPs. We will discuss payer issues and the documentation needed to support medical necessity. We will discuss some of the billing errors, CCI edits, and proper modifier use, along with LCD/NCDs applicable to this specialty. We will also cover the billing issues with colonoscopy screenings and discuss pre-visit screening. This session covers both adult and pediatric coding.
11:05 AM - 12:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CIC, CPB, CPCO, CPPM
7C: Conquer the Rocky Mountain of Hospital High Risk Areas
Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor
This session will review all the various areas of high risk for hospitals. This will cover both inpatient and outpatient facilities. We will review risk areas for coding, billing, regulatory and privacy. We will look through the lens of staff, administration, compliance and outside auditors as we examine some common and uncommon risks areas. Protect yourself and your facility by being aware of the pitfalls and requirements.
11:05 AM - 12:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CPB, CPCO, CPPM
7D: Getting ROI Out of Your Chart Audit
Shannon O'Tyson DeConda, CPC, CPMA, CPC-I, CEMC
Make your time and budget spent on chart audits worthwhile! Internal audits should NOT be a mere to-do item on your compliance checklist. Reviews should be geared toward effective and compliant use of coding based on the note as documented. Equally important is purposeful feedback. Only then does the session become purposeful, and real change occur in your organization. Your reports will no longer merely state, “The documentation supports the service as billed” after this session.
11:05 AM - 12:20 PM, MT
| 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC
7E: Think Like an MD When Auditing with 2021 E/M Coding Guidelines
CJ Wolf MD MEd CPC COC, COC, CPC
How does a presenting risk or condition differ from management and diagnosis? What are physicians thinking and how should they document their thought process? How does a physician think of morbidity? How does this and other concepts relate to terms and categories found in the MDM table from the guidelines?
Ask your questions of the presenter, who is a physician, certified coder, certified compliance professional, and certified auditor. Submit some of your questions ahead of time by emailing them to the presenter at info@compliancereality.com. Frequently asked questions will be addressed during the presentation.
General Session
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12:30 PM - 1:30 PM, MT
| 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM
GS6: Closing General Session
Join us to network with attendees on your last day of conference! This session DOES have a CEU and we'll be giving away amazing prizes for our challenge and networking winners, as well as doing some fun end of conference trivia where anyone can be a winner. This is a session you won't want to miss!