Tracks

Earn 10 CEUs

Practice Management

Thursday, December 03 - Friday, December 04
Jean Acevedo

Jean Acevedo

LHRM, CPC, CHC, CENTC

Candice Fenildo

Candice Fenildo

CPC, CPB, CPMA, CENTC

Provider Qualifications and Medicare Benefit Categories

Presenter: Jean Acevedo, LHRM, CPC, CHC, CENTC
Date and Time: December 3, 8:00 am to 10:00 am
CEUs: 2

Certified Professional Coder (CPC®)Certified Outpatient Coding (COC™)Certified Professional Coder-Payer (CPC-P®)Certified Evaluation and Management Coder – CEMC™Certified Professional Compliance Officer - CPCO™Certified Physician Practice Manager (CPPM®)Certified Professional Medical Auditor (CPMA®)American Association of Nurse Practitioners (1 AAPC CEU = 1 AANP CME)

We’ll explore the changes to Medicare benefit categories including supervision of diagnostic services, immunizations, therapy and rehabilitation, and incident-to services. You’ll gain valuable insight into medical necessity documentation requirements. We’ll also navigate through critical provider credentialing musts. Tackle the impact of state laws and regulations relating to the Stark Law and scope of practice. We’ll review provider types who must be credentialed by Medicare and whether the “incident to” or another Medicare benefit applies to their services.
Diagnostic Test Requirements

Presenter: Jean Acevedo, LHRM, CPC, CHC, CENTC
Date and Time: December 3, 10:30 am to 11:30 am
CEUs: 1

Certified Professional Coder (CPC®)Certified Outpatient Coding (COC™)Certified Inpatient Coder (CIC™)Certified Professional Coder-Payer (CPC-P®)Certified Evaluation and Management Coder – CEMC™Certified Family Practice Coder – CFPC™Certified Internal Medicine Coder (CIMC™)Certified Professional Compliance Officer - CPCO™Certified Physician Practice Manager (CPPM®)Certified Professional Medical Auditor (CPMA®)American Association of Nurse Practitioners (1 AAPC CEU = 1 AANP CME)

CERT contractors identified insufficient documentation as the #1 reason for improper payment of diagnostic tests. We’ll evaluate the elements to include in documentation, who can order and perform diagnostic tests, the definition of medical necessity, and the nuances of an order. We’ll also cover relevant statutes, regulations and program requirements for diagnostic tests and learn the three keys to correct reimbursement. You’ll get expert advice on coding guidelines for NCCI, diagnoses, modifiers, bilateral procedures, and LCDs. We’ll explore differences between dirty and clean claim submissions and gain tools to combat poor documentation.
Therapy & Rehabilitation Services

Presenter: Candice Fenildo, CPC, CPB, CPMA, CENTC
Date and Time: December 3, 12:30 pm to 2:30 pm
CEUs: 2

Certified Professional Coder (CPC®)Certified Outpatient Coding (COC™)Certified Professional Coder-Payer (CPC-P®)Certified Orthopaedic Surgery Coder – COSC™Certified Otolaryngology Coder – CENTC™Certified Professional Compliance Officer - CPCO™Certified Physician Practice Manager (CPPM®)Certified Professional Biller (CPB™)Certified Professional Medical Auditor (CPMA®)American Association of Nurse Practitioners (1 AAPC CEU = 1 AANP CME)

We’ll explore documentation requirements for evaluations, physician certifications, progress reports, and discharge summaries for therapy and rehabilitation services. You’ll gain a clear understanding of functional reporting and Medicare requirements. Join us as we delve into medical review, data analysis, and CERT contractor findings, and get the scoop on common errors in PT billing and how to avoid them. We’ll also navigate through the requirements for covered therapy services and accepted standards of medical practice.
Implementing an Effective Compliance Plan in Response to a Medicare Audit

Presenter: Candice Fenildo, CPC, CPB, CPMA, CENTC
Date and Time: December 3, 3:00 pm to 5:00 pm
CEUs: 2

Certified Professional Coder (CPC®)Certified Outpatient Coding (COC™)Certified Inpatient Coder (CIC™)Certified Professional Coder-Payer (CPC-P®)Certified Professional Compliance Officer - CPCO™Certified Physician Practice Manager (CPPM®)Certified Professional Biller (CPB™)Certified Professional Medical Auditor (CPMA®)American Association of Nurse Practitioners (1 AAPC CEU = 1 AANP CME)

Understand the key players involved in a Medicare audit and get advice on how to correctly respond to an audit request. We’ll explore the roles of audit contractors, including detecting and correcting errors. You’ll gain valuable insight into the seven elements of a compliance plan. We’ll also delve into the nuances of proactive audits and give you expert advice on must-dos after the audit, including valuable provider education tips.
PQRS, Value Based Payment Modifier and Merit-Based Incentive Payment System (MIPS)

Presenter: Jean Acevedo, LHRM, CPC, CHC, CENTC
Date and Time: December 4, 8:00 am to 10:00 am
CEUs: 2

Certified Professional Coder (CPC®)Certified Physician Practice Manager (CPPM®)American Association of Nurse Practitioners (1 AAPC CEU = 1 AANP CME)

We’ll explore how Medicare payment systems reward value, quality, and outcomes, and how these incentive payment programs work and impact reimbursement. We’ll navigate through the complex options for reporting PQRS and learn the potential impact of not reporting. Gain expert advice using real-world clinical cases on how diagnosis coding relates to quality and outcomes. You’ll also get advanced training on MIPS and learn how it builds on PQRS, value modifiers, and meaningful use.
HIPAA & Meaningful Use

Presenter: Candice Fenildo, CPC, CPB, CPMA, CENTC
Date and Time: December 4, 10:30 am to 11:30 am
CEUs: 1

Certified Professional Coder (CPC®)Certified Outpatient Coding (COC™)Certified Inpatient Coder (CIC™)Certified Professional Coder-Payer (CPC-P®)Certified Professional Compliance Officer - CPCO™Certified Physician Practice Manager (CPPM®)Certified Professional Biller (CPB™)American Association of Nurse Practitioners (1 AAPC CEU = 1 AANP CME)

We’ll get back to HIPAA basics and understand the relationship between HIPAA and Meaningful Use. Because the OIG has been beefing up their audits since April 2015, we’ll provide you with an in depth overview of HIPAA and how to ensure your practice is HIPAA compliant. You’ll take your training to the next level with case studies from the OCR where you’ll learn what elements the OCR looks for during an audit and the civil and monetary penalties imposed for infractions. We’ll give you practical advice for selecting and implementing technical security measures and common steps for completing a security risk assessment.