What's in Store for Facilities Under the CY 2014 OPPS Final Rule?

Find out what CMS has in store for facilities under the 2014 OPPS final rule changes. This is the most comprehensive change the program has seen for several years. We’ll talk about the changes and their impact to facility reporting of services. You Will Learn: How policies in the rule will affect the industry as a whole About big increases in packaging methodology New cost center for cardiac catheterization Hospital OP visits and national guidelines New comprehensive APCs coming fo...
American Association of Colleges of Pharmacy

HCC and Risk Adjustment

It’s important for coders to know HCC guidelines, but FIRST to understand the concept of risk adjustment and why it’s becoming the hottest new healthcare tool. Find out about the risk adjustment model for Medicare HCC, as well as the Medicaid model, and how commercial plans are now creating their own models. These models are changing the way healthcare payments are being viewed and processed. Among the topics discussed in the webinar are stars ratings and how they connect to quality of car...
American Association of Colleges of Pharmacy

ICD-10 Specialty - Family Practice

We will discuss commonly-coded conditions seen in family practice and how they will transition to ICD-10-CM. Conditions covered will include diabetes mellitus, hypertension, and asthma. Applicable guidelines, documentation tips, and examples will be illustrated to ensure attendee understanding. You Will Learn: Coding guidelines or common conditions Family practice documentation tips Details for better coding in ICD-10-CM
American Association of Colleges of Pharmacy

Diabetes Didactics

Coding for diabetes depends on the abstractor's understanding of pathophysiology as well as compliant documentation by the provider. This session will provide background onmany forms of diabetes, a discussion of the evolution of the language surrounding diabetes documentation, and some tips for improving diabetes coding in your practice. Whether you are coding for risk adjustment or coding in a facility or physician office, you will find insight into the key issues for code selection in ICD-9-...
American Association of Colleges of Pharmacy

Avoiding Rejections, Delays, and Denials

From the time a service is rendered until payment is received, a number of people, processes, and pieces of documentation are involved. We'll review this spectrum and the five major players involved: provider, coder, biller, compliance officer, and payer. The focus of this Webinar will be on everything that affects billing a provided service to provide a better understanding of the entire revenue cycle. You Will Learn: Documentation requirements Coding guidelines Payer contracts and poli...
American Association of Colleges of Pharmacy

Fine Needle Aspirations

Pathologists and surgeons use fine needle aspirations to perform biopsies, which require minimal surgical intervention and may be less invasive and less expensive than more extensive surgical procedures. This presentation discusses how this could prompt faster diagnostic results when a cell block is not provided and how it’s a preferred method over more extensive surgical options. The different CPT® codes used for billing these procedures and guidelines are complex and often times confusin...
American Association of Colleges of Pharmacy

The HHS OIG Workplan - What is in it for You?

To assist you with tailoring your compliance education and internal auditing program efforts, this Webinar will show you the areas that OIG focuses its enforcement efforts. It will help to ensure your practice does not become a post payment statistic. You will have a better understanding of structuring internal audit programs so you can find and disclose errors in advance of any OIG or ZPIC inquiry. You Will Learn: New and ongoing target areas for elevated enforcement in2014 How to identi...
American Association of Colleges of Pharmacy

How to Audit an Audit

This webinar will take you through the entire audit process. Items and questions at each phase of an audit will be discussed. This presentation is beneficial whether you are the auditor or the requester and whether the audit will be performed internally or externally. You Will Learn: How to scrutinize a compliance audit How to choose reliable resources to ensure guidelines are being met
American Association of Colleges of Pharmacy

Free Webinar: ICD-10 is Still on Track

What is really going on with ICD-10 implementation? There have been so many explanations. Where was the industry prior to the delay? What are the future plans moving forward and is ICD-10 really as expensive to implement as once thought? How do I get going and what’s it really all about? We’ll answer these questions and more in this special webinar where industry experts point us in the right direction and tell us what really is going on. You Will Learn: Denesecia Green, Centers for Me...
American Association of Colleges of Pharmacy

Compliance - Preventive Medicine for Your Practice

It is always best to seize an opportunity to be proactive rather than having to be reactive when trouble strikes. Learn about key areas of an effective compliance program and how to prepare, implement, and manage them in your organization. It is never too late to do the 'right' thing; the first step is getting started! You Will Learn: An introduction to compliance Resources for getting physician practices on the road to compliance
American Association of Colleges of Pharmacy

Developing a Compliance Plan for your Practice you can be Comfortable With

Compliance is the biggest risk area for physician practices. Learn the reason why there’s an increased risk and the benefits a compliance plan can bring to your practice. Learn how to create a culture of compliance while better managing risk and encouraging innovation. Make a compliance plan into a benefit versus a burden. You Will Learn: The 7 core elements of a “living compliance plan” How to modify and expand it to your practice’s unique risks and culture Who’s responsibl...
American Association of Colleges of Pharmacy

ICD-10 Specialty - Orthopaedic

Orthopaedic practices, along with any practice that treats orthopaedic injuries (emergency departments, urgent care centers, primary care, etc.) will see a great number of changes to how the code set looks and is used in ICD-10-CM. Applicable guidelines, documentation tips, and examples will be illustrated to ensure attendee understanding. You Will Learn: Seventh character extenders for injuries The specifics of fracture care coding in ICD-10-CM Acute versus chronic conditions
American Association of Colleges of Pharmacy

HIPAA - Avoiding Substantial Penalties Following a Breach

HIPAA privacy and security plans are mandatory. Having an effective plan should help you to avoid a breach. When a breach is unavoidable, however, an effective plan also is an important key for determining the penalty tier assessed as a result of the breach. You Will Learn: Obligations under HIPAA to enact practice-specific policies and procedures that provide appropriate administrative, physical, and technical safeguard to protect PHI. Risks associated with inadequate or attempted impl...
American Association of Colleges of Pharmacy

Urinary Diagnostic Radiology and Intervention

The Urologic system includes the kidneys, ureters, urinary bladder, and urethra. We will review the structure and function of the kidneys and the diseases affecting the kidneys using graphics and radiographs. We also will discuss coding scenarios for radiology diagnostic and interventional procedures and other therapeutic procedures. An overview of the diagnosis coding guidelines will be discussed. You Will Learn: The anatomy and physiology of the urinary system Common pathological condit...
American Association of Colleges of Pharmacy

Unlock the Secret to E/M Coding

Evaluation and Management (E/M) codes are the most commonly billed codes. Although there are guidelines to proper E/M code selection, Medical Necessity is the primary driver of correct coding. We are told that a physician may take a full history and provide a full physical, but without medical need to back it up … we should select a lesser code. For example, a resolved contact dermatitis with no other problem or complaint, is not a Level Five service because there is no need for a full Level...
American Association of Colleges of Pharmacy

Endoscopy

If you are an endoscopy coder, this webinar is for you. It includes information on billing for separate procedures vs. codes in the same family, rigid vs. flexible, and trans-nasal vs. trans-oral, so you can identify how 2014 changes affect code selection. You will become familiar with guidelines in the Endoscopy section of CPT®. Changes in this area also will be presented to give a compliant understanding of coding for endoscopy procedures in 2014. You Will Learn: 2014 changes that af...
American Association of Colleges of Pharmacy

ICD-10 Specialty - OB/GYN

We will discuss commonly-coded conditions seen in the OB/GYN practice and how they will transition to ICD-10-CM. Applicable guidelines, documentation tips, and examples will be illustrated to ensure attendee understanding of the details necessary for reporting pregnancy and delivery in the new code system. You Will Learn: New coding concepts Trimesters and weeks of gestation Seventh character fetal extensions Multiple gestations Preventive services Immunization coding
American Association of Colleges of Pharmacy

Understand the What & Why's of ABNs

Is your practice losing money due to improper use of an ABN or having no ABN on file? This presentation will not only explain the basics of ABNs, but also the more important “how and why” ABNs are used. We will address loss of revenue to physicians, who is responsible for ABNs signatures, and how to bill appropriately for ABNs. One of the most crucial aspects you’ll learn is how to overcome the common problem of incomplete ABNs. You Will Learn: What information is needed on the ABN ...
American Association of Colleges of Pharmacy

Infusion Confusion

If you are like many coders, coding for infusions leads to confusion. You may find yourself wondering if the terms “highly complex” in the description of these codes also applies to the level of coding difficulty assigned to these services. If so, this session will clear away the confusion over injections and infusions and get to the POINT of coding these services in facility settings. You Will Learn: Proper coding of drug administrations in a facility What is bundled into administr...
American Association of Colleges of Pharmacy

Modifier 25 - In Depth Analysis and Best Practice

This presentation will review the increased audit and compliance risks and some recent settlements related to modifier 25. Medical record examples will be reviewed so attendees can learn how to analyze the medical record to determine if the E/M service is billable in addition to the minor procedure. You Will Learn: About the increased audit risk for modifier 25 Actual medical record examples, and how to analyze the documentation to determine if a separate E/M is appropriate to bill in ad...
American Association of Colleges of Pharmacy

Mental and behavioral disorders in ICD-10-CM are expanded from the current ICD-9-CM code set. In this presentation, common conditions in mental and behavioral health will be discussed including depres

Mental and behavioral disorders in ICD-10-CM are expanded from the current ICD-9-CM code set. In this presentation, common conditions in mental and behavioral health will be discussed including depression, bipolar disorder, and drug use, abuse, and dependence. Applicable guidelines, documentation tips, and examples will be illustrated to ensure attendee understanding. You Will Learn: Characteristics and codes for reporting mental and behavioral disorders in ICD-10 Coding for mental and be...
American Association of Colleges of Pharmacy

Jet Set Your Revenue Cycle Management

This webinar will teach you what you can learn about revenue cycle management from the travel industry. We will discuss registration and ease of purchase (scheduling), the boarding process (front desk, clinical, and coding procedures that affect the revenue cycle), and arriving at your destination (optimal business office management). You Will Learn: Why the scheduling and front desk operations are the most critical piece of revenue cycle management How clinical staff members play a ro...
American Association of Colleges of Pharmacy

How to Assign Billing Office Duties to Maximize Efficiency and Effectiveness

The billing office is a key area in the practice for optimizing cash flow. An effective billing office strategy encompasses the entire process from the front desk to final settlement of the patient account. You can systematically create a culture for learning, motivation, and accountability that adds value to your practice’s bottom line, increases employee efficiency, and satisfaction for all. You Will Learn: Other key areas that affect the billing office Workflow, job responsibilitie...
American Association of Colleges of Pharmacy

Creating a Billing and Coding Compliance Plan

For now, compliance plans are voluntary. Once regulations are written to implement certain sections of the Affordable Care Act, however, these will be mandatory. With increasing scrutiny and audits by Medicare, Medicaid, and commercial payers, having an effective billing and coding compliance plan can be your best defense against an allegation of fraudulent billing. You Will Learn: How to list the 7 elements of a compliance plan, as referenced in the U.S. Sentencing Guidelines The benefi...
American Association of Colleges of Pharmacy

ICD-10 Specialty - Pediatrics

We will discuss commonly-coded conditions seen in pediatrics and how they will transition to ICD-10-CM. From fevers to injuries, this presentation will cover frequent childhood ailments. Applicable guidelines, documentation tips, and examples will be illustrated to ensure attendee understanding. You Will Learn: Coding guidelines or common conditions Pediatric documentation tips Details for better coding in ICD-10-CM
American Association of Colleges of Pharmacy

Fracture Anatomy for ICD-10

This presentation is an in-depth review of fracture nomenclature and classifications as they relate to the coding expansion in ICD-10. It includes a discussion and visual presentation of the code terminology, such as the Gustillo classification and Salter-Harris classification. It also includes bone anatomy and its relationship to expanded classifications , with an overview of ICD-10 guidelines and 7th character expansion of fractures. The primary focus is on fracture anatomy. You Will Lear...
American Association of Colleges of Pharmacy

Medical Auditing: Elevate Your Coding Career

You may have mastered coding, but the role of the coder is rapidly evolving into the role of a medical auditor, creating an increased demand for a well-trained auditing workforce. Where will you fit in? Are you ready to take your skills and experience to the next level? Are you already performing auditing functions but seek reassurance that you’re doing them well? Is there a need for a medical auditor in your healthcare organization? Now is the time to elevate your coding expertise to the...
American Association of Colleges of Pharmacy

Best Practices in Physician Recruitment and Hiring: Loving Them and Leaving Them

This presentation discusses the development of a structured plan for recruitment, how to hire the best recruiter, physician employment incentives, partnerships with hospital and physician group management, hiring to win and how to employ physician “superstars.” We also discuss motivating factors for physician employment and how physician interviews should be conducted with patient experience and service satisfaction in mind. Patient care should be your first consideration when hiring a new...
American Association of Colleges of Pharmacy

ICD-10 Specialty - Cardiology

We will discuss commonly-coded conditions seen in cardiology and how they will transition to ICD-10-CM. Applicable guidelines, documentation tips, and examples will be illustrated to ensure attendee understanding. You Will Learn: The anatomic structure of the heart and how it functions Commonly coded conditions in cardiology Documentation necessary to meet ICD-10-CM standards How to code the conditions in ICD-10-CM
American Association of Colleges of Pharmacy

Risk Adjustment: A Payment and Quality of Care Game Changer (Part 2)

Coders who desire to learn the purpose and basics of risk adjustment won't want to miss this webinar. Those who work or have an interest in CMS HCC, Medicaid CDPS, HHS HCC, or hybrid models will learn about risk adjustment in its purest form and its intentions for use in patient care. Risk adjustment models have been highly identified with the CMS HCC model. In fact, Health and Human Services (HHS) has an HCC model to satisfy the requirement of a risk adjustment program for commercial plan...
American Association of Colleges of Pharmacy

Risk Adjustment: A Payment and Quality of Care Game Changer (Part 1)

Coders who desire to learn the purpose and basics of risk adjustment won't want to miss this webinar. Those who work or have an interest in CMS HCC, Medicaid CDPS, HHS HCC, or hybrid models will learn about risk adjustment in its purest form and its intentions for use in patient care. Risk adjustment models have been highly identified with the CMS HCC model. In fact, Health and Human Services (HHS) has an HCC model to satisfy the requirement of a risk adjustment program for commercial plan...
American Association of Colleges of Pharmacy

Audit Challenges with E/M Services

With the increased use of EHRs, the auditing of E/M services has become more challenging. Auditors need to have an understanding of why E/M services are a focus for the OIG and other payer audits, as well as the potential risk involved with use of EHR systems. This webinar will address the challenges of auditing E/M services and provide tips on how to conduct an effective meaningful audit. You Will Learn: The 20 most common coding and documentation errors and how to avoid them The 'grey ...
American Association of Colleges of Pharmacy

Professional Medical Coding and Billing Certificate

Train with the College of Extended Learning and our allied health education provider, Career Step, for a career in medical coding and billing and learn the specialized skills you need to assign the standardized codes used to bill for healthcare services. With over 37,000 new jobs expected in this field by 2020, the rapidly expanding healthcare industry relies on these professionals. The Professional Medical Coding and Billing program helps students prepare to pass the Certifi...
California State University San Bernardino

MyCred Presentation Portfolios for Healthcare Professionals

MyCred Portfolios are electronic credential and achievement presentation portfolios designed to store and present an individual’s educational, professional, and experiential accomplishments. MyCred Portfolios serve to educate, influence, and inspire an individual’s viewing audience leading to stronger professional relationships and positive outcomes. MyCred Portfolios offer the flexibility, scalability, and portability to support an individual throughout their continuum of education ...
MyCred.com

The Best Defense is a Good Documentation Offense

This online course on nursing documention is designed to help the healthcare professional understand medical records and the basic information and issues that should be documented. It will identify good documentation techniques, dos and don'ts, and site legal cases in which medical record documentation was a factor.
Corexcel

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