Washington DC Regional Conference

Monday, August 13, 2018

Pre-Conference

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

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.

Tuesday, August 14, 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

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 Washington DC 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 DC!

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 COC, CPC, CPC-P, CPB, CPPM

GS2:Continuing to Advance the Interoperability Agenda-WEDI’s Perspective

Charles Stellar, President & CEO - WEDI

The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of Health IT to improve healthcare information exchange, and is made up of a broad representation of providers, health plans, and vendors. Come listen to the President and CEO of WEDI as he discusses their mission: to enhance the quality of care, improve efficiency, and reduce costs of the American healthcare system. He will also cover related industry trends and how providers and other healthcare professionals can join WEDI to influence positive change and stay informed of updates on Advanced Payment Models, EDI, telehealth, claims, workers comp, and more.

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 COC, CPC, CPC-P, CPB, CPPM

1C:Data Doesn't Lie…Taking the Drama out of Your Practice Improvements

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

Practices run with fewer resources and tensions can be high. Learn how to use lean processes for drilling down to root causes through reporting to take the drama out of emotionally charged and unproductive situations. Understanding the right reports to run can take the drama out of situations and allow you to focus on the data for continual improvements and the crucial buy in you need from key stakeholders.

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 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

1E: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.

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

1F: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.

Exhibit Hall

3:00 PM - 4:30 PM

EH1:Welcome Break with Exhibitors

Wednesday, August 15, 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:Survive and Thrive in the New HIT Environment

Robert Tennant, Director MGMA, HEALTH INFORMATION TECHNOLOGY POLICY

Numerous federal health information technology opportunities and mandates will impact physician practices in 2018 and beyond. While the use of technology has the potential of transforming administrative and clinical workflows and improving bottom lines, the challenge of meeting government requirements, high implementation costs, and uncertain ROI often act as a deterrent for moving forward. This session will examine the current HIT environment, including the intersection of Medicare’s quality programs with technology and identify other federal government legislative and regulatory HIT priorities. In addition, opportunities associated with administrative simplification will be outlined and critical issues regarding compliance with HIPAA Privacy and Security will be discussed. After this session you will have a better understanding of how these various federal government and private sector initiatives will impact practices, the necessary implementation steps, and the potential consequences of non-compliance.

Breakout Session 2

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

2A:New vs Established Patients and 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, CCC, CCVTC, CFPC, CIC, CIMC, CPB, CPPM

2B:The Key components of Cardiac Catherization 2018

Ignatia J Agus, COC, CPC, CPMA, CPC-I, CCC

A cardiac catheterization coding is not as difficult as it sounds. This presentation will provide a quick understanding how to code cardiac catheterization procedure by dissecting the procedure note, by understanding what to look for in the procedure note, making sure the codes and documentation go hand in hand.

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

2C:Medical Identity Theft and Patient Privacy

Marianne Durling, MHA, RHIA, CCS, CDIP, CPC, CPCO, CIC, CPC-I

The presentation covers a variety of unique and challenging scenarios that have resulted inpatient privacy breaches or patient identity theft but are scenarios that no one ever thinks about or would suspect during their day to day processes. This session will help you strengthen your privacy practices and create new policies for protecting patient identity while working through these situations you probably never thought about before.

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

2D: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:Coding and Compliance: Connecting All the Dots

Kathleen Michele Rowland, CPC, CPC-I, CEMC

The Affordable Care Act requires all physician practices, regardless of size, to implement a “right –sized” Compliance plan for their office. This session will focus on the components of operating an effective compliance plan for your practice as well as providing information on common compliance risks to a practice such as coding and documentation, the electronic health record, outliers and those identified on the Office of Inspector General’s 2018 Work plan. Recommended areas for ongoing monitoring and auditing of the elements will also be reviewed.

Breakout Session 3

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

3A:Modifiers Simplified

Tempie Naylor Fuller, COC, CPC, CPMA; Susan Richards Morgan, CPC, CDEO, CPMA, CRC, CPC-I, CEMC

Understanding how to use Modifiers not only impacts reimbursements but gives the coder a clearer perspective on when and how to use them. We will focus on commonly used surgical, E/M modifiers with plenty of examples of when it is appropriated and when it is NOT appropriated to use, with the purpose of making it easier to understand and apply the correct use of these Modifiers in a Simplified way.

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

3B:OB Coding and Billing: From Conception to Delivery and Beyond

Beverly A Strube, COC, CPC, CPMA, CPC-I, CEMC, COBGC

Have you ever wondered if your office is reporting maternity services correctly? The session "OB Coding and Billing: From conception to delivery and beyond" will answer this question. You will learn what is included in the global maternity package and what services may be reported separately. You will also learn the documentation requirements for OB services.

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

Yvette M DeVay, CPC, CIC, CPMA, CPC-I

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 COC, CPC, CPC-P, CEMC, CIC, CPB, CPPM

3E:Inpatient Coding 101: Understanding Principal and Secondary Code Selection

Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC

This class will introduce coders interested in transitioning from outpatient to inpatient coding determine code assignment based on patient presentation. We will discuss the differences between outpatient and inpatient coding guidelines. Attendees will also have the opportunity to work through some clinical examples.

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. As that coder and auditor you need to be sure you know what the rules truly are and aren’t in order to best defend your audit findings. During this session, we will cover some of these controversial areas such as how to research the rules and guidelines, popular misconceptions of E&M, Marshfield Guidelines, the variations of MAC opinions and LCDs, and we will even include a bit of problem solving “skills” to empower you to present your findings in a non-confrontational approach.

Exhibit Hall

12:00 PM - 1:30 PM

EH3:Lunch with Exhibitors

Breakout Session 4

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

4A:Telemedicine Services

Myra Jayne Simmons, CPC, CPC-I, CGSC, COBGC

Telemedicine Services can benefit their practice. We will discuss the CPT codes, modifiers, coding guidelines and provide some documentation tips. Can my specialist provider benefit from this service? Yes indeed! Come and learn how to change your providers method of patient care.

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 CPMA, COC, CPC, CPC-P, CIC, CPB, CPCO, CPPM

4D:Hospital Compliance Issues

Marianne Durling, MHA, RHIA, CCS, CDIP, CPC, CPCO, CIC, CPC-I

This session will focus on current hospital compliance issues. These will include OIG work plan topics, as well as using the PEPPPER report and other methods of discovery for possible compliance concerns. We will also discuss some recent DOJ and OIG findings and their importance. Our goal is to help create a well-rounded compliance office with the necessary resources to stay current. This session will be beneficial for those working in compliance as well as those looking to move into compliance roles.

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

4E:Inpatient Trauma Center Coding - Critical Cases Require Top Coder Skills

Dorothy D Steed, COC, CPCO, CPMA, CPC-I, CEMC, CFPC

Trauma centers provide care to the most critical patients. Coders must be able to identify reportable services throughout the record. Usually, multiple physicians and mid-levels will be involved in the care and all will document in the record. The industry trend of massive medical conglomerates often include a trauma center. Although trauma may be the reason for the encounter, patients may have multiple medical comorbidities that will affect the management and must be reported. This session will review examples of trauma encounters and how a coder would approach coding.

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.

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, CANPC, CDEO, CPB, CPPM

5A:Pharmacologic Intervention and Coding Principles

Kim Julien-Rogers, BS, Pharm, D, BCGP; Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC

Chronic conditions are managed mostly with medication. In this session Dr. Rogers will discuss disease development for five of the most prevalent chronic conditions affecting us today.With assistance from Lee Williams, attendees will learn about disease development, system involvement, and pharmacotherapy. The two will present on common medications used for treatment and how to effectively monitor for toxicities.The session will also cover documentation tips for coding chronic conditions, medications and adverse effects of drugs.

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

5B:Anesthesia Compliance/Billing Guidelines for Anesthesiologists

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

Presentation will help you stay in compliance while billing for your anesthesia providers. It will take you through what must be documented and how to add to the documentation when needed. What needs to be documented to be able to bill for the Lines/Block, TEEs and ultrasound guidance. The sessions will cover how to keep your providers in compliance and ensure you are in compliance while billing for your providers. It will also show you what you cannot bill for and will give you the critical billing rules for your providers.

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 COC, CPC, CPC-P, CPB, CPPM

5D:A Medical Coder’s Guide to Career Success

Ann Catherine Barnaby, CPC, CRC, CASCC

Professionalism is an integral part of a coder’s career success. We’ll discuss the importance of professionalism as it relates to job searches, interviewing, and office politics. Topics include job search tools and organization, professional communication, resume revision, career planning, and interview preparation.

3:15 PM - 4:30 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, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

5E:A Case Study for CDI: Best Practice Documentation

Paula Digby, CPC, CPC-I

Learn the value of critical thinking to produce accurate coding through analysis of actual medical records. In the HIM world we are often faced with the challenge of interpreting less than effective documentation. Join us as we share real world case study for interactive case review. This session will focus on and teach you how to analyze the clinical data and look past just the stated diagnosis words; ask appropriate questions to achieve accurate coding; and, describe and instruct providers on the results of ineffective versus best practice documentation.

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.

Thursday, August 16, 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 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

GS4:Impact of Potential E/M Guideline Changes

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

During this session, we will discuss the potential changes to the E/M Documentation Guidelines that are being evaluated. We will review case examples and determine how overall code selection will be impacted using some of the models being discussed. This will be an interactive session where the audience will be encouraged to share their best recommendation. Working together we have a chance to provide feedback that can improve one of the most commonly reported professional services. Come be part of the solution to a complex coding structure.

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

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

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:Holey Moley: Wound Staging, Documentation and Treatments

Sahani Howie

Ever wonder why people get foot ulcers or why they cost so much to heal. Learn how wounds develop, digress and become disastrous for the patient and the healthcare system for an amputation prevention specialist.

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

6C:Managing Denials

Yvonne D Dailey, CPC, CPB, CPC-I

Learn the most common denials and rejections in 2018 in preparation to avoid denials and rejections. In this updated session you will learn how to decipher the ever-changing Remittance Advice/Explanation of Benefits (RA/EOB) notices. We’ll review denial and rejection codes and how to go about correcting the issue. For example, what does PR100 mean? Yes, it means Patient Responsibility (PR). However, the 100 after the PR indicates that the claim has been processed and payment has been issued to the patient.

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 COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CFPC, CIC, CIMC, CPB, CPPM

6E:The Coronaries are the new Couture

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

During this presentation we will explore the depths of coronary angioplasty and all cardiac procedures as related to the inpatient encounter. We will navigate colorful diagrams and discuss the positioning of valves, catheters and stents with the newly specified cardiac body systems. We will then take an adventure through the vessels and finally end with time for Q/A.

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

6F:HIPAA Compliant

Gerald L Robinson, CPC, CPC-I

This presentation is designed to help the attendee develop and implement policies and procedures to assure compliance with applicable provisions of HIPAA and the HITECH Act and any implementing regulations. Learn tools to ensure your staff and practice remains HIPPA compliant.

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, CDEO, CPB, CPCO, CPPM

7A:Quality Metrics & Why you Need to Report Them

Corella Marie Lumpkins, CPC, CPC-I

Quality metrics is the processing of quantifying all the specific quality performance efforts provided to the patient. These efforts are documented in the patient records everyday. However until the insurance plan requests the notes...no one is aware they were done. Join us as we learn to create the entire clinical picture of what took place during the patient encounter. Learn the what, when and why we need them as we transition from fee-for-service to value based reimbursement and the impact to your practice.

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

7B:Coding For Allergy Services

Barbara J Cobuzzi, COC, CPC, CPCO, CPC-P, CPC-I, CENTC

Allergy Coding has been a target of 3rd party payer investigations lately because there is a great deal of confusion that exists. This class will look at allergy testing, supervision requirements, coding for preparation of antigen with focus on the Medicare rules versus non-Medicare and the delivery of immunotherapy.

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

7C: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.

12:45 PM - 2:00 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CIC, CPB, CPEDC, CPPM

7D:CHD: Symptomatology, Diagnoses and Procedures

Kathy J Ware, CPC, CPB, CPC-I

Congenital Heart Defects (CHDs) are the most common birth defect. These infants usually require surgical intervention early in childhood and will most likely deal with other medical issues caused or related to the heart defect as they grow. Ultimately, CHDs require lifelong medical care to some degree. This presentation will cover the statistics, symptoms, diagnoses, procedures and lifelong concerns. It will also discuss how they may interact with different specialties not just pediatrics and cardiology.

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:Finding Success in Value Based Contracts

Samantha Sizemore, BS, RTR; Shelton Hager MD, CPC, CPMA

Pay-For-Value reform must create incentives to encourage behavioral change at the point of care between provider-patient. Value should target decision making by the individual provider for the patient. With this goal we will explain how group's can earn 200% of Medicare on value contracts while receiving high patient satisfaction scores and better patient outcomes.