• Long Beach Conference

2011 AAPC National Conference

Don't forget! You must login to your account and select your breakout sessions after you've registered. Sessions have limited space and you'll want to ensure you can attend those most pertinent to you. If you have questions about how to select or change your sessions, visit the conference FAQs.

1:00 PM - 2:00 PM
Conference Welcome "Code Watch"
1.0 COC, CPC, CPC-P, CPB, CPPM

Make a ‘splash’ with National Advisory Board President Terry Leone, and the entire National Advisory Board (NAB) as they dive into the deep waters of ICD-10, Modifiers, E/M, and more. Surf’s up— don’t miss the next coding wave!


2:00 PM - 3:30 PM
Get to Know Your Local Chapter
There is no time like G2KYLC time to show off your chapter! One of the AAPC conferences most anticipated events, the 2011 G2KYLC will be more exciting than ever. More participating chapters, more give-aways, more spotlights on chapters, more regional color competition, more networking and more fun! Join us as we visit AAPC Local Chapters and share our successes! To reserve a table for your chapter, please contact AAPCCA board member Freda Brinson at freda.brinson@aapcca.org or call 912-819-8964.


3:30 PM - 5:00 PM
Legal Trends and Issues
1.5 COC, CPC, CPC-P, CPB, CPPM

This panel discussion led by AAPC’s Legal Advisory Board, offers insights into today – and tomorrow’s – most pressing legal concerns for medical practices and facilities facing increased financial scrutiny and regulation.


7:30 AM - 9:00 AM
Breakfast with Exhibitors
Start your morning off right – Exhibit Hall is open and breakfast is served!


9:00 AM - 9:45 AM
AAPC President Conference Address
1.0 COC, CPC, CPC-P, CPB, CPPM

Deborah Grider, CPC, CPC-H, CPC-P, CPMA, CPC-I, CEMC, COBGC, CPCD

Deborah Grider, President and CEO of AAPC, will present the annual 'State of the AAPC' address at our opening general session. Come find out what's working, what's being worked on, and what the future holds for AAPC members.


9:45 AM - 10:30 AM
Striking Back at Mediocrity - Keynote Presentation

Fred Schafer is President of Fully Alive Performance Systems, dedicated to increasing the effectiveness and enhancing the lives of busy career professionals. What makes Fred unique is his depth of Knowledge in professional development and health and fitness.


10:45 AM - 12:15 PM
Beware of the ZPIC
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Christopher Adam Parrella, JD, CHC, CPC
In 2009, CMS transferred all benefit integrity functions (i.e., fraud and abuse) to Seven (7) jurisdictionally zoned ZPIC’s (Zone Program Integrity Contractors.) The ZPIC is primarily charged with identifying fraud and “abuse” in the Medicare Part A, Part B, Part C and Part D programs. These responsibilities are carried out through various methods including, but not limited to, prepayment reviews, postpayment reviews, site visits, revocations of provider agreements and suspension of Medicare claims. This highly interactive session will provide the audience with a clear understanding of who the ZPIC is and how to properly respond to their inevitable contact, either in-person or otherwise.


10:45 AM - 12:15 PM
Endoscopic Applications in Pediatric Neurosurgery
1.5 COC, CPC, CPC-P, CPB, CPEDC, CPPM

Samer Elbabaa, MD
The presentation will explain the concept of minimally-invasive cranial neurosurgery, describe different endoscopic methods used in the field of pediatric neurosurgery, discuss different treatment options for hydrocephalus, and detail a few coding options for endoscopic neurosurgical procedures.


10:45 AM - 12:15 PM
Minimally Invasive Gynecology Procedures
1.5 COC, CPC, CPC-P, CFPC, COBGC, CPB, CPPM

Brian Dobbins, MD
Female patients increasingly are seeking out less invasive methods of treating gynecologic issues. Combined with technological advances, a rapid adoption of minimally invasive procedures is occurring. This allows physicians to treat more women in an office or outpatient setting that in the past would have required more extensive use of the operating suite. This lecture will review these procedures, their indications, and the coding implications.


10:45 AM - 12:15 PM
Straight-Up Radiology Coding
1.5 COC, CPC, CPC-P, CPB, CPPM

Terry Leone, CPC, CPC-P, CIRCC, CPC-I
This session will review some of the unique coding requirements for diagnostic radiology. It will cover each area of imaging, highlighting their unique requirements, i.e., diagnostic radiology, computed tomography, magnetic resonance imaging, diagnostic ultrasound, positron emission tomography and mammography. We will also talk about medical necessity and the changes we are about to face in the future.


10:45 AM - 12:15 PM
Complications of Modifiers
1.5 COC, CPC, CPC-P, CPB, CPPM

Katherine Abel, CPC, CPMA, CPC-I
Understanding modifiers is key to the valuable coder. In this session, we will discuss practical application of complicated modifiers, and review how payer policy can affect the use of them. In our review, we will look at modifiers 22, 25, 57, 59, 52, 53, 58, and 78.


10:45 AM - 12:15 PM
Common Ophthalmology Surgical Procedures
1.5 COC, CPC, CPC-P, CPB, CPPM

Eric Poulsen, MD
In this session, Dr. Poulsen will review the anatomical structure of the eye. He will also discuss common surgical procedures and techniques found when dealing with the eye.


10:45 AM - 12:15 PM
Pain Management, Anatomy, Conditions and Coding Concerns
1.5 COC, CPC, CPC-P, CANPC, COSC, CPB, CPPM

Cynthia Stahl, CPC, CPC-H, CPMA, CPC-I
Take the pain out of coding and billing for pain management services by understanding the condition of pain, the various procedures used to treat these conditions, and the specific regulations, guidelines, and policies used to adjudicate claims for these services.


10:45 AM - 12:15 PM
Name That Disease
1.5 COC, CPC, CPC-P, CEMC, CFPC, CIMC, CPB, CPPM

Charles Wolf, MD, CPC, CPC-H
Remember the game show, "Name that Tune"? Following a similar approach as the game show, Dr. Wolf will instruct in a fun way and attendees will learn anatomy, physiology, and disease processes through this session called "Name that Disease". The session is designed to give various clues and prompt interaction between the speaker and attendees to facilitate learning about some common and perhaps some not-so-common diseases.


10:45 AM - 12:15 PM
Managing Towards Compliance
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Bruce Rappoport, MD, CPC, CIMC
Lisa L Jensen, CPC

Practices today are faced with the challenges of providing quality health care while meeting ever increasing regulatory and compliance requirements. The reality is that practices face an increased risk of third party audits and medical malpractice lawsuits. Having sound practice management and medical record documentation can greatly assist a practice in limiting their exposure. Learn effective strategies for successful practice management, from hiring to patient satisfaction, and compliant documentation for coding and quality.


1:30 PM - 3:00 PM
Eliminating Infusion Confusion (Drug Administrations in Non-Facility Settings)
1.5 COC, CPC, CPC-P, CHONC, CPB, CPPM

Maryann C. Palmeter, CPC, CENTC
Does coding for infusions only lead to confusion? Do you think that the term "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 non-facility settings.


1:30 PM - 3:00 PM
2011 Lower Extremity Endovascular Update
1.5 COC, CPC, CPC-P, CASCC, CGSC, CIRCC, CPB, CPPM

David Zielske, MD, CPC-H, CIRCC, CCC
By now, word is out regarding all of the major changes for endovascular lower extremity revascularization for 2011. In this session we’ll review the codes, what’s bundled, and what’s not. Presentation will include case examples that incorporate these codes, along with how these codes differ from similar interventions performed elsewhere in the body.


1:30 PM - 3:00 PM
Wound Care: Straight from the Source
1.5 COC, CPC, CPC-P, CASCC, CFPC, CGSC, CIMC, CPB, CPCD, CPPM, CPRC

Todd Sommer, MD
In this session, we will review the basic structure of the integumentary system and some of the common medical conditions that create skin breakdown resulting in complex medical management. From the perspective of a podiatrist and a family practice physician, Dr. Sommer will cover standard wound care therapy, skin debridement and more. Attend this session to learn about the newest skin technologies and what the documentation needs to look like in order to achieve appropriate billing.


1:30 PM - 3:00 PM
Putting Humpty Dumpty Together Again: Joints and Replacements
1.5 COC, CPC, CPC-P, COSC, CPB, CPPM

Mary Legrand, RN, MA, CCS-P, CPC
This course will focus on coding for primary and revision joint procedures, with an emphasis on coding for shoulder, hip, and knee procedures.


1:30 PM - 3:00 PM
EMR Documentation Challenges
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Cindy Parman, CPC, CPC-H
A current hot topic in today’s economy is the need for health care reform, and the government’s plan to invest $10 billion per year over the next several years on health information technology, including electronic medical records. This session will increase attendee awareness of potential documentation and coding problems resulting from the use of an EMR. There are currently hundreds of electronic medical record programs for sale and the review of these products can be time-consuming. We will illustrate key medical coding and compliance issues that must be considered when selecting a method of electronic health care documentation.


1:30 PM - 3:00 PM
5010: Strategies to Survive the Transition
1.5 COC, CPC, CPC-P, CPB, CPPM

Ken Bradley
5010 will impact all health care entities, and must be fully understood. If a practice’s HIT partners cannot handle 5010 transactions one 1-1-12, its claims will be rejected by insurance carriers. In this presentation, attendees will learn what their practice needs to do in order to prepare for 5010. Practices need strategies to ensure successful transition to 5010, the much-needed computer structure that will enable the use of ICD-10 code sets. This will help practices avoid having all claims rejected by the payers, thus avoiding interruptions to cash flow.


1:30 PM - 3:00 PM
Facility Coding for the Emergency Department
1.5 COC, CPC, CPC-P, CEDC, CPB, CPPM

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC
During this session we will discuss maximizing charge capture and maintaining compliance with codes selected in the emergency department. Common modifiers and procedures reported in the emergency department will be reviewed.


1:30 PM - 3:00 PM
Outpatient Prospective Payment System: Coding Rules and Regulations You Need to Know
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM

Charles Wolf, MD, CPC, CPC-H
The OIG has stated, “With the OPPS, procedure codes effectively became the basis for Medicare reimbursement”. This session focuses on the coding and reimbursement knowledge of OPPS you need as a coder, including: source documents, status indicators, clinic visit criteria, modifier/CCI edits for hospitals and case studies.


1:30 PM - 3:00 PM
Taking Lab Coding for a Spin
1.5 COC, CPC, CPC-P, CPB, CPPM

Corrie L Alvarez, CPC, CPC-I, CEDC
Coding clinical laboratory and pathology services can be challenging, especially with all the code options in each section. Should I code the panel or the individual test? What’s the right way to report a glucose tolerance test? And coding CBCs, well, it’s enough to make you feel like you’re in the centrifuge! In this session, we’ll discuss different areas in the laboratory section of CPT to help you understand how to correctly code the tests that are performed and avoid common issues that can cause denials…or worse!


3:15 PM - 4:45 PM
Colorectal Surgery
1.5 COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM

Elizabeth McConnell, MD, FACS, FASCRS
This session will be a thorough review of the abdominal and peri-anal surgery codes to develop a better understanding of the surgical procedures that match them.


3:15 PM - 4:45 PM
Cardiac Catheterization Coding Reinvented in 2011
1.5 COC, CPC, CPC-P, CCC, CCVTC, CIRCC, CPB, CPPM

David Dunn, MD, CPC-H, CIRCC, CCC
Wow! The deletion of 19 established codes and the addition of 20 new codes make the 2011 CPT changes the most significant in years in this area. This session will dive into explaining the new codes for cardiac catheterizations. It will also explore the new bundling concepts for 2011 related to these codes and include case examples.


3:15 PM - 4:45 PM
A Potpourri of Common Foot and Ankle Problems in Podiatry
1.5 COC, CPC, CPC-P, CASCC, COSC, CPB, CPPM

Todd Sommer, MD
In this session, Dr. Sommer will review the anatomical structure of both the foot and ankle. He will also discuss reconstructive surgical techniques to correct some of the more problematic conditions of the foot and ankle, such as bunion, flat foot and more. You will also learn the impact of diabetes and peripheral arterial disease on wound healing. Along with gaining a better clinical insight, you will also gain valuable coding information.


3:15 PM - 4:45 PM
Does Your Nose Know When it's the Right Code?
1.5 COC, CPC, CPC-P, CASCC, CENTC, CPB, CPPM

Mary Legrand, RN, MA, CCS-P, CPC
This session will discuss endoscopic sinus surgery coding dilemmas; including balloon sinuplasty, endoscopic sinus surgery, turbinate procedures, as well as procedures for snoring and sleep apnea. Coding for other dilemmas will also be discussed including neck dissections, cerumen removal and other ear procedures.


3:15 PM - 4:45 PM
ICD-10 Payer Challenges
1.5 COC, CPC, CPC-P, CPB, CPPM

Angela C Boynton, CPC, CPC-H, CPC-P, CPC-I
Julia Croly, CPC, CPC-P, CPC-I

In this session, we will go over payer challenges that will be coming with ICD-10 implementation. Key topics will be discussed, such as: code set challenges, timeline challenges - projected vs. actual, GEM challenges, collaboration challenges – with providers, vendors, etc., and testing and educational challenges.


3:15 PM - 4:45 PM
Handling Potential Overpayment and "Voluntary" Refund Situations
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Timothy P Blanchard, JD
Handling potential overpayment situations has become more challenging than ever with recent changes in false claims law. This session addresses these changes and how to evaluate provider refund obligations, including audit design considerations, sampling/extrapolation vs. claim-by-claim refunds, documenting compliance reviews, appropriate disclosures with voluntary refunds, and working with counsel and consultants.


3:15 PM - 4:45 PM
Incident-One, Incident-To, Incident-Three
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Cynthia Stahl, CPC, CPC-H, CPMA, CPC-I
Robert A Pelaia, Esq., CPC

The OIG Work Plan consistently lists incident-to billing as an area of increased scrutiny. Make sure you are billing incident-to services properly and get the latest rules on incident-to billing.


3:15 PM - 4:45 PM
When Worlds Collide: The Disconnect Between Coders and Billers
1.5 COC, CPC, CPC-P, CPB, CPPM

Terry Leone, CPC, CPC-P, CIRCC, CPC-I
Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC

In this interactive session we will look at the most common disconnects between billing and coding and how the two worlds collide. Navigating the collision will ensure your practice is not losing revenue. Learn how payer contracts, modifiers, and denials all intersect.


3:15 PM - 4:45 PM
Coding, Billing, and Documentation for Hospitalists
1.5 COC, CPC, CPC-P, CEMC, CFPC, CIMC, CPB, CPPM

Penny M Osmon, CPC, CPC-I
Their fast-paced style and intensely focused work ethic can shave a day off the average hospital stay in a single shift. They are the hospitalists. Over 15,000 physicians nationwide call themselves hospitalists, and that number is quickly rising. During this breakout session Ms. Osmon will guide participants through everyday billing scenarios facing hospitalists, identify common areas of weak documentation and provide resources you need to ensure you are coding hospitalist services correctly.


4:45 PM - 6:30 PM
Attendee Reception with Exhibitors
Unwind after a full day of learning with a light meal and drinks in our Exhibit Hall.


10:00 AM - 11:30 AM
Critical Care from a Pulmonary Perspective
1.5 COC, CPC, CPC-P, CEDC, CEMC, CIMC, CPB, CPPM

David Young , DO
What is really happening during the performance of a critical care visit? This physician’s perspective on the performance of critical care will help the coder understand the most frequent disorders seen in a medical ICU, including ARDS, causes of respiratory failure, sepsis, and the various causes of shock. The presenter will review the elements of billing for critical care time in detail, including explaining the elements that are not permitted in the time element of the code.


10:00 AM - 11:30 AM
High Risk Pregnancy - Isn't Normal Pregnancy Scary Enough?
1.5 COC, CPC, CPC-P, CFPC, COBGC, CPB, CPPM

Glade B Curtis ,MD, MPH, FACOG, CPC, COBGC
More than one in 10 pregnancies are considered “high risk.” Risk indicates that something bad hasn’t happened yet – but is likely to. “High risk” means there is a potential for serious problems during the pregnancy. Most insurers are more likely to reimburse for current problems, not potential problems. This presentation will define and describe “high risk” pregnancy conditions and their coding. Topics covered will include diabetes, multiples (twins, triplets and more), placental and fetal problems.


10:00 AM - 11:30 AM
Lesions and Masses and Tumors - Oh My!
1.5 COC, CPC, CPC-P, CASCC, CFPC, CGSC, CIMC, CPB, CPCD, CPPM, CPRC

Susan Ward, CPC, CPC-H, CPC-I, CEMC, CPCD, CPRC
Betty Johnson, CPC, CPC-H, CPC-I, CPCD

The new addition of the codes in the musculoskeletal system for tumor excisions has caused confusion and miscoding in some practices. New guidelines and definitions were added to CPT for this section also. This session will show by report or by example how to code using the new codes in CPT. We will cover when to use the new codes, and when to use the codes in the Integumentary System section. We’ll also discuss the meaning of the new definitions given. Attendees will come away with solid understanding of the new definitions and guidelines for the musculoskeletal system section on tumor coding. Attendees will see surgical op notes that address this issue to ensure proper understanding of the issues.


10:00 AM - 11:30 AM
Trauma - Understanding the Nuances, Terminology, and Anatomy
1.5 COC, CPC, CPC-P, CEDC, CEMC, CGSC, COSC, CPB, CPPM

Carol V Lustfeldt, CPC
Nuances of trauma can make coding a challenge. The use of E/M codes can be different, depending on the provider model used at the trauma center. Understanding terminology and anatomy will help the coder visualize what has occurred and make coding easier. Presentation may contain some graphic pictures for teaching.


10:00 AM - 11:30 AM
2011 Radiation Oncology Coding and Reimbursement Update
1.5 COC, CPC, CPC-P, CHONC, CPB, CPPM

Cindy Parman, CPC, CPC-H
Every new year brings a wealth of new procedure and diagnosis codes, updated code descriptors, and changes in regulations that affect coding and billing for radiation oncology. Calendar year 2011 is no different, with updates to code descriptors and new codes for advanced technologies. Often codes are reported and reimbursement issued, when the documentation in the patient medical record may not support the charge. Specific radiation oncology services will be reviewed and the circumstances that support reimbursement of these charges will be simplified. Finally, this session will discuss key procedures that may be omitted or coded incorrectly, potentially resulting in decreased reimbursement. In an age of threatened reimbursement, it is essential that all services be completely documented, charges captured and billed, and verification performed to ensure that all services are correctly paid.


10:00 AM - 11:30 AM
Ten Steps to Coding Anesthesia Services
1.5 COC, CPC, CPC-P, CANPC, CPB, CPPM

Chandra Lynn Stephenson, CPC, CPC-H, CPMA, CPC-I, CANPC, CEMC, CFPC, CIMC, COSC
This session will simplify the process of coding anesthesia services into ten steps. The participants will be given tools to guide them through the process from beginning to end. The services that are exceptions to the standard anesthesia process (i.e., obstetrics) will be explained and detailed. This presentation will not only provide simplification to and guidance through the process of coding anesthesia services, but will also provide insight into many of the factors related to compliance and quality measures. It will identify ASA documentation standards, general areas of documentation deficiencies, and areas of improvement to discuss with anesthesia practitioners.


10:00 AM - 11:30 AM
Building Physician/Coder Relationships in the ENT Practice
1.5 COC, CPC, CPC-P, CENTC, CPB, CPPM

Ronda Hamaker, MD
This session will discuss anatomy, conditions, and coding concerns encountered in pediatric otolaryngology. Our focus will be communication between coders and their doctors. Presentation will focus on relationship-building, especially in the face of unusual and hard-to-code cases, along with a discussion of how to work it out together. The takeaway will be that we all learn from each other – it takes a family, team, village or whatever else you would like to call a group of people working on the same goals.


10:00 AM - 11:30 AM
Laparoscopic Surgical Coding Through the 'Eyes' of the Surgeon
1.5 COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM

Jeanne L. Plouffe, CPC, CGSC
Have you ever wanted to see an actual hernia defect or diseased gallbladder before you select that CPT code? In this PowerPoint presentation, you will see several types of laparoscopic surgeries ranging from hernias and gallbladders to Nissen repairs. This inside "look" will allow the coder a more in-depth understanding of how to select the correct CPT code.


10:00 AM - 11:30 AM
Implementing a Physician Coding and Documentation Support Model
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Kirk Tammadon, MD
Georgette Gustin, CCS-P, CHC, CPC

Teaching physicians the importance of coding and documentation is challenging for most coders and auditors alike. Partnering with physician coding and documentation liaisons can significantly improve coders’/auditors’ ability to communicate and educate the providers on specific coding and documentation concepts and deficiencies.


1:45 PM - 5:30 PM
Anatomy Expo-Replaces Sessions 5 & 6
3.0 COC, CPC, CPC-P, CPB, CPPM

This hands-on event is presented by doctors who will provide education focused on a single anatomic or physiologic concept. Whether a novice or an expert coder, you will find these fast paced sessions, which run through both breakout 5 and 6, fun and informative.


1:45 PM - 3:15 PM
Spine Surgery Coding: Are you Breaking your Back Trying to Figure it Out?
1.5 COC, CPC, CPC-P, COSC, CPB, CPPM

Kimberley Jean Pollock, CPC
This presentation will present an in-depth look at the spine surgery CPT codes, and how to apply these in your practice. Learn the key words to look for in operative notes to ensure accurate coding.


1:45 PM - 3:15 PM
Making Modifiers Matter: How Modifiers Affect Payment
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Linda R Farrington, CPC, CPC-I
This session will take an in-depth look at modifiers that affect payment and how to use them. We will reference public sources, understanding that each payer may have contractual variances. The information shared will equip and empower you to “uphold a higher standard” in the way that you use modifiers.


1:45 PM - 3:15 PM
Is Meaningful Use Certification Meaningful Enough?
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Stephen Levinson, MD
The final rules for EHR Meaningful Use provide 1,092 pages of requirements for “WHAT” EHRs must include to be certified and “WHAT” practices must perform, document, and report to receive ARRA stimulus funds. They have avoided criteria defining “WHO,” “WHEN,” and “HOW” to meet these requirements efficiently and cost-effectively. Presenter and attendees will examine the 25 Meaningful Use (MU) criteria to establish requirements for EHR designs that integrate these tasks into optimal patient care workflow. The presentation further explores the critically important aspects of usability, compliance, and clinical excellence that MU criteria have failed to address.


1:45 PM - 3:15 PM
The Science of HCC Documentation and Coding
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Susan Wyatt, CPC, CPMA, CPC-I
In this session we’ll talk about improper documentation, incorrect coding and lack of education or awareness of what Medicare Risk Adjustment HCC is all about. The presentation explains what HCC Medicare Risk Adjustment is and the proper documentation and correct ICD-9 assignment to capture the HCC diagnosis codes. For the physician it is of extreme interest, especially if they are contracted with an HMO Medicare advantage health plan and receive bonuses based on their coding. For office staff, it brings awareness of HCC and how to code correctly. For the employee of an HMO Medicare advantage health plan who is involved in the coding, it is of extreme value as well, as the health plan's revenue comes from this.


1:45 PM - 3:15 PM
HITECH, EMR, Client-Server, Clouds, SaaS, ASP, CHISP -- WHAT?
1.5 COC, CPC, CPC-P, CPB, CPPM

Stephanie Jones Cecchini, CHISP, CPC, CEMC
If you are a physician, and pocketing added cash per office visit and making it home a little earlier is worthwhile, then your consideration of an EMR merits a closer look. If you are a coder, medical coders with new health IT skills and EMR knowledge are in demand and extremely valuable. This session introduces concepts that can lead to an improved career outlook and job performance.


1:45 PM - 3:15 PM
Coding and Reimbursement in an Ambulatory Surgery Center - Both Sides of the Coin
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM

Penny M Osmon, CPC, CPC-I
Jennifer Cohrs, CPC, CPMA, CGIC

The rules of the game are different for ASCs than for surgeons or for hospitals; at times ASCs must follow the rules for doctors, and at other times they must adhere to the hospital's rules and there are many factors that can change the game on a dime. During this session, Ms. Osmon will discuss coding and reimbursement from both the facility and physician perspective, including tips for navigating the ambulatory payment classification system (APC), appropriate use of modifiers and more.


1:45 PM - 3:15 PM
Time Management
1.5 COC, CPC, CPC-P, CPB, CPPM

Robert A Pelaia, Esq., CPC
Coders are constantly working under time pressures and against the clock. Efficient time management is the key to getting the most out of the workday and maximizing coding productivity. From managing countless emails to coping with multiple projects, this time management session will give coders some practical tips on how to budget time, prioritize tasks, overcome procrastination, and deal with the myriad of distractions that come their way.


4:00 PM - 5:30 PM
Physician Compliance: The Seven Myths
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Timothy P Blanchard, JD
Mandatory compliance programs are coming - are you ready? Do you think you need to implement a huge plan like hospitals do? Not sure where or how to get started? The good news is that the government doesn't expect a one-size-fits-all approach. If you've been holding off on implementing your program, or just want to be sure you're doing it correctly, this session is for you. We'll discuss how to address each of the 7 steps outlined in the OIG's Compliance Program Guidance for Individual and Small Group Physician Practices to make compliance work for you.


4:00 PM - 5:30 PM
FERA, the PPACA, and FCA – The Alphabet Soup of Fraud Liability
1.5 CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

Michael D Miscoe, Esq, CPC, CASCC, CUC
The Fraud Enforcement and Recovery Act of 2009 (FERA) and The Patient Protection and Affordable Care Act of 2010 (PPACA) contained significant substantive changes to the False Claims Act (FCA). These changes have increased exposure to FCA liability for both coders and providers. Beyond the substantive aspects of each piece of legislation, we will review a number of significant case law decisions and will discuss the practical implications to coders and providers and how to minimize your risk.


4:00 PM - 5:30 PM
ICD-10-CM: Working Through Documentation
1.5 COC, CPC, CPC-P, CPB, CPPM

Kimberly Reid, CPC, CPC-I, CEMC
In this session we will discuss ICD-10-CM's structure, format, specificity, and how all of that ties into the documentation efforts. Learn how to work with your provider to identify documentation downfalls and how your efforts now can greatly reduce implementation headaches. This presentation will use real world notes.


4:00 PM - 5:30 PM
Planning and Performing a Successful Audit: Things an Auditor Must Look For
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Patti Ann Frank, CPC
This session describes the work of performing an audit through pre-audit and post-audit activities. It will entice the novice or aspiring coder to explore auditing more fully and enhance the knowledge of the experienced auditor. Auditing is so much more than coding. Auditors must be knowledgeable about what third party payers are looking for and at. Compliance with regulations and guidelines is key. This session will provide answers to the question, “What should auditors look for?”


4:00 PM - 5:30 PM
Practice Management in Trying Economic Times
1.5 COC, CPC, CPC-P, CPB, CPPM

Kimberley Jean Pollock, CPC
It’s not easy managing a practice in a downturn economy. You are facing growing accounts receivables and declining reimbursements, yet physicians and employees want a raise – yet again, you’re caught in the middle! You’ll hear 30 real-life, practical and proven tips on improving revenue and decreasing overhead.


4:00 PM - 5:30 PM
Steering Your Way Beyond Routine Endocrinology Coding
1.5 COC, CPC, CPC-P, CIMC, CPB, CPPM

Kristine R Cuddy, CPC, CIMC
Your endocrinology reimbursement will grow as you gain confidence in coding. Don’t continue to miss unclaimed revenue! In this session you will learn how to; accurately code for thyroid biopsies and aspirations, deftly code for evocative and suppression testing, implement commonly missed ICD-9 codes that support medical necessity, appropriate billing of nutrition/dietary patient education, and care plan oversight services.


4:00 PM - 5:30 PM
Tips and Tools for your Accounts Receivables
1.5 COC, CPC, CPC-P, CPB, CPPM

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC
Ever struggle with how to get the best information from your A/R report? Know how to determine the true days in A/R? Struggling to determine the best way to get the needed information from your health plans? Learn this and more in this jam-packed session that covers the top mistakes we make in our day to day business and walk away with the tools to fix them in your practice.


9:00 AM - 9:30 AM
Passing the Gavel
The gavel has been passed to a new generation. In a time-honored tradition, AAPC's current National Advisory Board president, Terry Leone, will pass the gavel to Cynthia Stewart. She will give her inaugural address and share her vision for AAPC members as the National Advisory Board president, and introduce you to her new National Advisory Board members.


9:30 AM - 10:00 AM
How to Make Your Voice as a Medical Coder Heard in Washington
1.5 COC, CPC, CPC-P, CPB, CPPM

David Connolly, JD
In this session, Mr. Connolly will discuss both the legislative process and how an individual coder can influence it.


10:00 AM - 10:30 AM
CMS Update: ICD-10 and Version 5010

David W. Sayen
David W. Sayen, Regional Administrator, Center for Medicare & Medicaid Services (CMS) will present an overview of ICD-10 and Version 5010, and provide an update from CMS on the state of the transition, GEMS, the partial code freeze, and other program highlights. He will also point to resources available from CMS that will help allow for a smooth transition to ICD-10 and Version 5010, and discuss approaches for encouraging transition preparedness.


10:45 AM - 12:15 PM
Heart Caths, Interventions, and More
1.5 COC, CPC, CPC-P, CCC, CCVTC, CIRCC, CPB, CPPM

Terry A Fletcher, CPC, CCC
This session will look at coding for the new 2011 cardiac catheterization codes and all possible coding scenarios that can lead to an interventional procedure. The presentation will then take the coder through the procedure note, the CPT and ICD-9 options, and the payer limitations to make sure the accuracy of the coding is understood before submitting the claim. This session will provide the intermediate to advanced level cardiology coder an understanding from coding to billing for these procedures. It will also give them the confidence that they are providing accurate information, should their coding be questioned through RAC audits, that they are providing accurate information with authoritative support if they need it. Our focus here is CPT and properly navigating the information to accurate coding, billing and reimbursement.


10:45 AM - 12:15 PM
Gastroesophageal Reflux Disease, Paraesophageal Hernias and Achalasia
1.5 COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM

Cedric Lorenzo, MD
Minimally invasive surgery has revolutionized the treatment of some common and not-so-common disorders of the foregut (esophagus and stomach). Diseases once requiring surgery through the chest can now be performed through the abdomen, using laparoscopic techniques that have markedly reduced hospital stays, decreased postoperative pain, and have allowed for faster recovery. Using real case studies and videos from real operative cases, this presentation will cover the latest minimally invasive treatments for gastroesophageal reflux disease (GERD), achalasia and paraesophageal hernias.


10:45 AM - 12:15 PM
Urological Procedure Coding
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM, CUC

Brenda Griffin, MHSA, CPC, CPMA
Confusing procedural terminology can wreak havoc when coding urological procedures. Multiple possible approaches and bundling edits can easily cause coding errors. In this session the coder will get an overview of CPT coding principles and CCI bundling edits. The attendee will have the opportunity to code from actual examples of urological procedures.


10:45 AM - 12:15 PM
Cleft Palate and Lip Surgery
1.5 COC, CPC, CPC-P, CENTC, CPB, CPPM, CPRC

Carol L Pfeiffer, CPC, CPCD, CPRC
Come learn the scope of cleft lip and palate rehabilitation from inutero diagnosis to adulthood. We will discuss the nature and incidence of cleft lip and palate deformities. We will outline the various surgical intervention and timing of the surgeries from birth through adulthood. We will discuss of the appropriate standard of care for a cleft patient and the challenges facing the families for surgical correction in the older patient given the changing climate of the health care system. Coding for different types of clefts will be reviewed.


10:45 AM - 12:15 PM
Advanced Surgical Chart Auditing
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CENTC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPEDC, CPPM, CPRC, CUC

Corrie L Alvarez, CPC, CPC-I, CEDC
We will explore auditing surgical procedures for physician services. Understand CPT and CMS Surgery Guidelines along with Modifiers, assessing the diagnosis code to support medical necessity and evaluating and rating the Surgical Medical Record. Surgical chart auditing is much more than just applying the appropriate code. Learn how to look beyond our coding realms to perform a well-rounded audit.


10:45 AM - 12:15 PM
Scope it Out – Arthroscopic Procedures
1.5 COC, CPC, CPC-P, CASCC, COSC, CPB, CPPM

Julie Leu, CPC, CPMA, CPC-I
This session will be a discussion of coding for some of the most commonly performed arthroscopic procedures, with an eye toward the global surgical package concept and the CCI edits. Included will be an overview of anatomy of the knee and the shoulder joints, plus a description of some of the conditions for which arthroscopic procedures are performed.


10:45 AM - 12:15 PM
Advanced ICD-9-CM
1.5 COC, CPC, CPC-P, CPB, CPPM

Jill M Young, CPC, CEDC, CIMC
There are several coding guidelines in ICD-9-CM for advanced coding situations. Many of these are not correctly applied or sometimes not utilized at all. Presenting the guidelines and understanding them and their practical application will help those attending to code accurately and with specificity. We will discuss why using them correctly is not only compliant but important in the diagnosis and tracking of the patient. Diagnostic coding has many guidelines. Some, one never utilizes, and others they are unaware of because of non-use or misuse. This advanced coding class will bring this information to the forefront and also show the real life use of the guidelines.


10:45 AM - 12:15 PM
Advanced Coding and Billing Techniques for Pediatrics
1.5 COC, CPC, CPC-P, CFPC, CPB, CPEDC, CPPM

Lisa L Jensen, CPC
This session will use case samples to explore advanced coding techniques for pediatrics in E/M coding, procedures, modifiers, newborn coding, as well as using time. Billing and reimbursement tips for getting bills paid will also be included.


10:45 AM - 12:15 PM
MOPPS Rules for ASCs – Coding or Reimbursement Rules?
1.5 COC, CPC, CPC-P, CASCC, CPB, CPPM

Michael D Miscoe, Esq, CPC, CASCC, CUC
Even where Medicare Outpatient Prospective Payment System (MOPPS) reimbursement rules for ASCs are applicable, they are often misconstrued and misused as service reporting rules. Using an actual case example, we will evaluate some of the common challenges to ASC coding that arise based upon a misunderstanding of the MOPPS reimbursement rules. We will outline the CMS reimbursement rules for reporting of ASC services and detail how these rules impact (if at all) the components of the ASC service that can be represented on a claim.


1:30 PM - 3:00 PM
Maternity Care – Conception to Post Partum
1.5 COC, CPC, CPC-P, CFPC, COBGC, CPB, CPPM

Peggy A Stilley, CPC, CPMA, CPC-I, COBGC
Take a tour of the Global OB package – as we navigate through services normally included, services that are not bundled in global care, review accurate diagnosis coding, and develop confidence in the process of capturing all charges such as: Pregnancy confirmation, ultrasounds, amniocentesis, antenatal testing, hospitalizations not resulting in delivery, illness and complications, post-partum, and interrupted pregnancy. Walk through a day in an OB clinic – we’ll look for solutions to the day-to-day issues and discuss problems we have all experienced.


1:30 PM - 3:00 PM
Robotic Assist in the OR: Science FACT!
1.5 CPMA, COC, CPC, CPC-P, CGIC, CGSC, CPB, CPPM, CUC

Lori-Lynne A Webb, CPC
This session will educate coders how to code and bill for robotic assist devices, such as the daVinci surgical system. In addition to giving them an insight as to what takes place in the operating room, a description of the physiology of a hysterectomy and a prostatectomy utilizing a robotic-assistive device will be presented. Coders will have the opportunity to see a video of an actual laparoscopic robotic-assisted surgery, and learn the coding differences for the pro-fee side and the hospital side of coding. We will review and understand what the documentation looks like for an actual robotic-assisted hysterectomy.


1:30 PM - 3:00 PM
Lesion Removal
1.5 COC, CPC, CPC-P, CASCC, CFPC, CGSC, CPB, CPCD, CPPM, CPRC

Brenda Chidester-Palmer, CPC, CPC-I, CASCC, CEMC
This session will describe different surgical techniques for lesion removal. We will review how cryosurgery is performed, along with the different types of electrosurgery. There will be an explanation of different techniques for and pictures or diagrams of the procedures. Come learn more about the details of these procedures.


1:30 PM - 3:00 PM
The ABCs of Coding for Pediatric Clinic Procedures
1.5 COC, CPC, CPC-P, CPB, CPEDC, CPPM

JoAnne Marie Wolf, CPC
Many procedures performed in the pediatric office have 0 or 10-day global surgical packages. This can pose problems in coding when the patient presents back to the clinic during the post-op period, or if the provider also reports an E/M on the same day as the procedure. There are also many common clinic procedures that go unbilled because coders are not aware there are specific CPT codes to report them. The coding and documentation of many common pediatric clinic procedures will be discussed. I will provide recommendations and tips to prevent unnecessary denials, including the appropriate use of modifiers as well as operational procedures that can be put in place. This very interactive session will include numerous scenarios to work through and solve.


1:30 PM - 3:00 PM
ICD-10-CM: Mapping Pitfalls
1.5 COC, CPC, CPC-P, CPB, CPPM

Corrie L Alvarez, CPC, CPC-I, CEDC
Determining the proper use of the GEMS files, and whether or not they should be put into use by providers is an ongoing struggle. Learn the correct usage, how to apply them, and also when to walk away from them. Practical examples will be used and an in-depth look at the advantages and pitfalls will be discussed.


1:30 PM - 3:00 PM
Diagnostic Cardiology in the Office Setting
1.5 COC, CPC, CPC-P, CCC, CCVTC, CPB, CPPM

Betty Johnson, CPC, CPC-H, CPC-I, CPCD
This session will cover diagnostic cardiology procedures performed in the office. We will discuss procedures located in the Medicine section of CPT, including echocardiograms, ECGs, and Holter Monitors. Education will also be given on the heart's anatomy to ensure a better understanding of the procedures performed by the cardiologist.


1:30 PM - 3:00 PM
Table Your Confusion in Neoplasm Coding
1.5 CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CUC

Jill M Young, CPC, CEDC, CIMC
The Neoplasm Table is not used every day by most coders. Its nuances and columns of confusion can lead to incorrect code assignment. This table has a unique role in coding and identifying abnormal cells, both in their location and in the cell’s actions and potential harm to the body. Each of the six columns in the table has a distinct role in coding. One must understand the role of the table, when to use it (and when NOT to), which column to use, and when anatomical markers are significant.


1:30 PM - 3:00 PM
EHR: Integrating Coding, Billing, and Documentation Using Electronic Systems
1.5 CPMA, COC, CPC, CPC-P, CPB, CPPM

Lee Ewin, MD
Georgette Gustin, CCS-P, CHC, CPC

This session will highlight key considerations that need to be taken into account when developing ambulatory physician workflows using an integrated electronic medical record and billing systems to support coding/charge capture processes. Understanding workflow implications, as well as user acceptance is critical to ensuring efficiency, adherence and compliance.


1:30 PM - 3:00 PM
Adjustments: The Last Resort
1.5 COC, CPC, CPC-P, CPB, CPPM

Wendy Grant, CPC
Just because an insurance company denies one of your charges, doesn’t mean you simply adjust it off! Learn ways to fight these payers when your charges have been denied due to timely filing, pre-authorizations, out-of-network, not medically necessary, and others.


The agenda is subject to change without notice.

8:00 AM - 5:00 PM
NAMAS CPMA Prep Course
$795 Course Only / $995 Course + Exam

R. Kevin Townsend, CPC, CPMA
Auditing is a vital part of the compliance of medical practices today. A certification in auditing will open a variety of job opportunities in the field of consulting, compliance, and medical auditing. This class will be taught over a two-day period; you may register to sit for the exam at the conference.



8:00 AM - 4:30 PM
CIRCC Exam Prep Course
$299 Course Only / $599 Course + Exam

8.0 COC, CPC, CPC-P, CPB, CPPM

David Zielske, MD, CPC-H, CIRCC, CCC
An intense and comprehensive review of the interventional radiology and cardiovascular specialty, allowing the participant to successfully sit for the Certified Interventional Radiology Cardiovascular Coder examination. The all-day class is taught by Dr. David Zielske of Zhealth Credentialing. The class includes a course workbook. A CIRCC® Exam Study Guide can be purchased for an addtional fee. Note: All preparatory training for the CIRCC® exam is offered in conjunction with our partners, ZHealth Publishing, Medical Learning, Inc. (MedLearn), and Medical Asset Management.



8:00 AM - 5:00 PM
ICD-10 Boot Camp - 2-Day
16.0 COC, CPC, CPC-P, CPB, CPPM

Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC
This training is designed for those with responsibility over their practice or facility's coding, health information management and/or implementation of ICD-10, including office managers, practice managers, administrators, coding/billing managers, and coding/billing educators. Coders wishing to understand the entire implementation process should stay for Day 2. All aspects of the ICD-10 implementation process will be covered, including a general overview of the ICD-10 structure and guidelines, crosswalking and mapping, organizing the implementation effort, developing cross-functional teams, budgeting, outcomes measurement, and compliance, along with hands-on exercises using the AAPC Implementation manual. Training will provide the education and tools for these individuals to direct their organization's systematic and efficient switch to ICD-10. • Hands-on Code-Set Training • Intense, ICD-10 Implementation Training • Expert, certified presenters • ICD-10 manual, templates, handouts and code book included



8:00 AM - 1:40 PM
Examinations CPC, CPC-H, CPC-P, CIRCC, CPMA or Specialty-Specific



8:00 AM - 5:00 PM
Teach the Teacher Workshop - $195

Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC; Katherine Abel, CPC, CPMA, CPC-I
This workshop provides certified instructors with the tools they need to improve their teaching and communication skills. Workshop is divided into segments, including a hands-on anatomy section, and the choice to attend one of two specialty review classes. There is also plenty of opportunity to network with other instructors. You will earn 8 CTUs or 8 CEUs for participation in this workshop.



9:00 AM - 4:00 PM
E/M and EHR Roundtable Workshop - $129
6.0 CPMA, COC, CPC, CPC-P, CEMC, CPB, CPPM

Stephen Levinson, MD; Susan Ward, CPC, CPC-H, CPC-I, CEMC, CPCD, CPRC; ;
Dr. Levinson is the author of Practical E/M. Since its introduction in1992, the E/M coding system has presented challenges to coders, auditors, and physicians. This full-day workshop is an in-depth consideration of all elements of E/M and the impact of electronic medical record designs and functionality, as well as the challenges they present to compliant documentation and coding.



9:00 AM - 12:00 PM
Hyatt Long Beach -
Professional Development, Local Chapter to the Work Place
2.5 COC, CPC, CPC-P, CPB, CPPM

Make plans to attend this session led by the AAPCCA Board of Directors. Instead of focusing on everything you need to know, it’s time to focus on you and your professional development. Local Chapters foster personal growth and provide networking and leadership opportunities. Explore ways to become more involved in your local chapter, consider how a leadership role in your local chapter can help in the work place and spend some time focusing on YOU! This session is open to everyone,




Katherine Abel, CPC, CPMA, CPC-I (1E)
Ms. Abel is the director of curriculum for the AAPC. A prior health care consultant, Katherine has over 10 years of practical experience working in health care, including extensive work with billing offices, insurance carriers, and provider offices. Katherine’s experience includes responsibility over coding, compliance, and reimbursement and technology initiatives.



Corrie L. Alvarez, CPC, CPC-I, CEDC (8E)

Ms. Alvarez has 25 years of professional experience in the field of medical coding, auditing and practice settings. In 1998, Corrie obtained her teaching credential and started teaching medical billing and coding courses for the Los Angeles School District. She is also an approved instructor for AAPC’s PMCC course. Corrie is the founder of the Mission Hills, California chapter where she has held several officer positions. Corrie earned a Bachelor's degree from California State Northridge.


Timothy P. Blanchard, JD (3F)
Mr. Blanchard practiced for 20 years with a leading international law firm prior to forming his own practice, handling health care regulatory issues (e.g., coverage, billing, reimbursement, fraud and abuse, HIPAA privacy). He chairs the American Health Lawyer Association’s annual institute on Medicare and Medicaid payment issues, and serves on the AAPC’s Legal Advisory Committee.



Angela C. Boynton, CPC, CPC-H, CPC-P, CPC-I (3E)
Ms. Boynton has served in the HIM field for over 10 years. She works for Massachusetts-based Fallon Community Health Plan as a retrospective medical claims reviewer. In addition, she is an adjunct faculty member at Massachusetts Bay Community College. Boynton is also part of AAPC’s Health Plan ICD-10 Committee, where she develops curriculum that will be used nationally by payers to assist with ICD-10 implementation.


Ken Bradley (2F)
Mr. Bradley has over 18 years’ health care industry experience, specializing in the development of practice management software and the design and development of systems and applications utilized to process health care data. At Navicure he is responsible for developing the company’s 5010/ICD-10 strategies, assessing markets, and monitoring government regulatory requirements.



Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC (3H, 6G, 7E)
Ms. Buckholtz is the vice president of business and member relations for the AAPC. A seasoned coder and coding educator, she previously served the AAPC as director of local chapter relations. She is a PMCC coding instructor, and speaks frequently at coding conferences. She is the owner of Coding and Reimbursement Experts, and teaches coding at the Venango campus of Clarion University. Previously, Ms. Buckholtz managed a five-location multi-specialty practice and was business manager at the otolaryngology practice.

Stephanie Jones Cecchini, CHISP, CPC, CEMC (5E)

Ms. Cecchini is SVP at the American Society of Health Informatics Managers, Inc. where she continues a longtime commitment to best serve the needs of the Health IT community and physicians who are using and adopting health IT. She is an executive level health care consultant with significant and broad ambulatory health care business experience including: ROI decision support for EHR adoption or alternate planning, payer matrix strategies and negotiations, billing and collections with Medicare, Medicaid and all lines of commercial payer business, revenue cycle and cash flow management, work-flow analysis, change management, physician record granularity training (Evaluation & Management and ICD-10), and development of “train the trainer” education models.

Brenda Chidester-Palmer, CPC, CPC-I, CASCC, CEMC (8C)
Ms. Chidester-Palmer is the coding compliance manager for Kelsey-Seybold Clinic. She brings over 15 years of medical experience. This includes a diverse background in all areas of coding and auditing. Brenda works with many physician specialties. She is a PMCC instructor, an AAPC workshop presenter, and also speaks nationally at conferences.


Jennifer Cohrs, CPC, CPMA, CGIC (5F)
Ms. Cohrs started her health care career in the local emergency room. When a new opportunity in medical coding arose, she became both CPC and CGIC certified through AAPC. Jen has been with Gastrointestinal Associates in Wausau, Wisconsin, for over five years. She has recently become CPMA certified, and is motivated to tackle health care compliance. She has a passion for excellent and enjoys all the challenges that coding brings.


Julia Croly, MPA, CPC, CPC-P, CPC-I (3E)
Ms. Croly is a director in actuarial and underwriting, with a health care career that spans 30 years. Julia has a BS in biochemistry and a Master’s of public administration with a specialty in health care administration. For the past 20 years, Julia has worked in the health insurance arena. She focuses on provider contract support and group utilization reporting at Blue Cross Blue Shield of North Carolina. She has also taught ICD-9-CM and CPT® coding at a local college.


Kristine R. Cuddy, CPC, CIMC (6F)
Ms. Cuddy brings over 20 years’ experience in multi-specialty physician services. Kris provides auditing, education, and compliance in medical record documentation, billing, and coding. She is a source for Eli’s Coding Alerts and Part B News. Kris also speaks for Michigan State Medical Society, The Coding Institute, and her local AAPC chapter.



Glade B. Curtis, MD, MPH, FACOG, CPC, COBGC (4B)
Dr. Curtis is Board certified in OB/GYN and a fellow of the American College of Obstetricians and Gynecologists with more than 20 years experience, including delivery of more than 5,000 babies. He holds a Master of Public Health degree with more than 5 years experience with the State of Utah Department of Health Division of Healthcare Financing. He is a CPC and Certified OB/GYN coder (COBGC) speaking at conferences and teaching coding seminars for more than 15 years. Dr. Curtis is also the co-author of 17 titles relating to child birth and child care with sales over 5 million books, including the best selling: Your Pregnancy Week By Week and Your Baby’s First Year Week By Week


Brian Dobbins, MD ( 1C)
Dr. Dobbins is board certified by the American Board of Obstetrics & Gynecology, and is a member of the AAGL (American Association of Gynecologic Laparoscopy) with over 12 years of experience caring for women. He received his medical degree from Creighton University in 1994 and completed his residency at Saginaw Hospital in 1998. Dr. Dobbins practices obstetrics and gynecology in Green Bay, Wisconsin, and has vast clinical experience performing minimally invasive gynecological procedures. He has given educational presentations to other physician groups regarding office hysteroscopic procedures and has proctored physicians learning office gynecologic procedures.

David Dunn, MD, CPC-H, CIRCC, CCC (3B)
Dr. Dunn, vice-president of ZHealth, oversees physician coding and manages ZHealth operations. He also participates as a regular instructor for ZHealth educational programs. He recently co-wrote the Vascular and Endovascular Surgery Coding Reference in Dr. Z’s Medical Coding series, and is a contributor to the Interventional Radiology Coding Reference, as well as the Diagnostic and Interventional Cardiovascular Coding Reference. He completed his MD at the University of Texas in San Antonio and joined his longtime colleague Dr. Z, at ZHealth in 2002. Dr. Dunn is currently a member of the AAPC’s National Advisory Board.

Samer Elbabaa, MD (1B)
Dr. Elbabaa is a pediatric neurosurgeon at Arkansas Children’s Hospital (ACH) and an assistant professor of Neurosurgery at the University of Arkansas for Medical Sciences (UAMS) since July 2008. He earned his medical degree from the University of Jordan. He completed residency training in Neurological Surgery at the University of North Carolina at Chapel Hill, and a clinical fellowship in pediatric neurosurgery at The Cleveland Clinic. Dr. Elbabaa’s clinical practice focuses on minimally invasive neurosurgery, pediatric brain and spinal tumors, complex spinal instrumentation, cranio-cervical junction anomalies, neuro-endoscopy and cerebrovascular surgery. His research focuses on advancing endoscopic techniques in cranial and spinal neurosurgery.


Lee Ewin, MD, CPC (8H)
Lee Ewin, MD, is physician lead for Kaiser Permanente’s Southern California ambulatory electronic medical record, which has been deployed to over 30,000 physicians and staff. He is board certified in Family Medicine, practicing out-patient and hospital medicine. He teaches at the University of California, Riverside.




Linda R. Farrington, CPC, CPC-I (5B)
Ms. Farrington has over 30 years of experience in health care and practice management, specializing in cardiovascular and thoracic surgery and risk adjustment with an emphasis on diagnostic coding. Linda has served as President-elect, President, and Secretary of local chapters; has presented various audio conferences and workshops; served on the AAPC National Advisory Board (NAB) 2007-2009 and currently serves as Secretary to the NAB, 2009-2011. She is employed as a consultant for Ingenix and is the owner/instructor of Medisense, a private occupational school, teaching coding certification courses in Colorado Springs with a stated mission of “Making Sense of Medical Coding”.


Terry A. Fletcher, CPC, CCC, CMEC, CCS, CCS-P, CMSCS, CMC (7A)
Ms. Fletcher is a health care consultant with over 20 years’ experience in the medical field. She is a past NAB member, current local chapter president of the Laguna Niguel California chapter, and the immediate past chair of the AAPCCA. Terry teaches over 100 specialty coding seminars and audio conferences each year. She is an author of several specialty coding publications and an onsite practice consultant for hundreds of practices around the country. She holds a Bachelor’s degree in economics and multiple certifications in coding.


Patti Ann Frank, CPC (6D)
Ms. Frank has worked in health care for 31 years. She is an independent consultant performing coding audits and teaching practice management to family practice residents. She was honored as the Coder of the Year 2009 by her local Kansas City chapter and a Region 5 finalist.





Georgette Gustin, CPC, CCS-P, CHC (4I, 8H)
Ms. Gustin is responsible for overseeing various types of audits, monitoring and training for physician professional services at Southern California Permanente Medical Group (SCPMG). SCPMG is one of the largest multi-specialty group practices in the nation with over 6,000 physicians. Georgette partners and works closely with the physician coding and documentation liaisons, electronic medical record (EMR) clinical team, revenue cycle, operations, physician education and various leaderships team within and across the entire Kaiser Permanente organization. She has over 20 years experience in the health care industry, of which 13 have been in consulting with Big 4 professional services firms. Georgette served as the President of AAPC’s National Advisory Board from April 2001-April 2003. She is a Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P), and Certified in Health Care Compliance (CHC).


Wendy Grant, CPC (8I)
Ms. Grant entered the coding arena in 1977 as receptionist and coder for a urology clinic in Russellville, Arkansas. As a central business office manager and now as an accounts receivable manager for Health Management Associates practices in Tennessee, Oklahoma, Missouri, and Washington; Wendy analyzes physicians coding and teaches staff through webinar presentations how to maximize their revenue and bring in the cash. Wendy said coding is not just about abstracting and auditing, it's also about using your knowledge to communicate with the payers about every denied claim or appeal for medical necessity.



Deborah Grider, President and CEO of AAPC, CPC®, CPC-H®, CPC-P®, CPC-I®, CEMC™, COBGC™ (AA)
Deborah has been involved in health care for 30 years and speaks nationally across the country in relation to compliance, coding, and reimbursement. She has worked with many physicians nationally on coding, reimbursement, compliance and regulatory issues across many specialties. Deborah has specialized in medical chart audits among many specialties as well as practice management and coding consulting. Deborah is the Past President of the AAAPC National Advisory Board. Deborah is certified by AAPC as well as the American Health Information Management Association, and a past CPT Editorial Panel Member representing AAPC.


Brenda Griffin, MHSA, CPC, CPMA (7C)
Ms. Griffin has a Master"s degree in health services administration and 35 years of coding experience in inpatient, outpatient and physician coding. Brenda was the coding and documentation audit and education manager for a large physician practice at an academic medical center for twelve years. She has taught coding at the university level, and has been a workshop speaker for AAPC. Brenda is currently an independent contractor – Griffin Compliance – specializing in physician coding and documentation compliance, audit and education.


Ronda Hamaker, MD, FACS (4G)
Born in Detroit, Michigan and raised in the Midwest, Dr. Hamaker earned a BA in chemistry and sociology at DePauw University, and her MD at the Indiana University School of Medicine. She did internship and general surgery in Grand Rapids, Michigan and then returned to Indianapolis, Indiana for Otolaryngology residency. Her pediatric otolaryngology fellowship was completed at Children’s Hospital of Michigan in Detroit following which she started her own solo practice in Indianapolis. Dr. Hamaker has also been in a group practice and is now an employed physician at Peyton Manning Children’s Hospital. She serves as the Medical Director of the Pediatric Otolaryngology – Head and Neck Surgery department and is also the Medical Director of Dysphagia Services. In addition to her work at Peyton Manning Children’s Hospital, she is secretary/treasurer of the Central Indiana Otolaryngology Society, on the Indianapolis Medical Society Board and actively involved in the activities of her daughters and husband.

Jennifer A. Hume, CPC, CPMA, CEMC (2I, 6A)
With over 25 years of health care experience, and over 20 years in consulting and management positions, Jen currently works for AAPC’s Physician Services. Prior to joining AAPC Physician Services, Jen worked for PricewaterhouseCoopers in the Physician Coding, Documentation, and Compliance group. She has also held positions as the Corporate Compliance Officer for a large regional clinical laboratory and Business Office Manager for a multi-specialty physician group practice at a county teaching hospital. During her career, Jen has served as the Acting Director of Professional Coding for a large (7,000) multi-specialty physician group practice. She developed physician documentation and coding education for 20 specialties and managed updates for over 35 web-based compliance training courses.

Lisa L. Jensen, CPC (7H)
Ms. Jensen is the Manager of the Special Investigations Unit at Providence Health Plans in Beaverton, Ore. She has a Master's degree in health care business leadership and an undergraduate degree in psychology with emphasis in behavioral modification which provides tools for teaching adults. She is a charter member of the Columbia River chapter of the American Academy of Professional Coders (AAPC) and a Certified Professional Coder (CPC) since 1996. She is a member of the Medical Group Managers Association (MGMA) and has attained Fellowship status in the American College of Medical Practice Executives (FACMPE) in 2008. She has had the good fortune to spend much of her 18 year health care career managing excellent teams and educating colleagues on coding, revenue cycle improvement and compliance. She has a broad range of health care experiences, such as multi-practice medical/surgical practices, a large teaching hospital, compliance consulting, a medium-size health plan and the administrator of a pediatric clinic. Lisa is a national speaker at conferences and seminars regarding health care reimbursement, coding and interpersonal skills.


Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC (2G)
Ms. Jimenez is the director of exam content for AAPC. She has 15 years of experience in the medical field. During her career she has conducted audits for outpatient and physician services, facilitated physician education for coding and documentation, and managed coding and billing departments for physician and outpatient services. She assisted with curriculum development and instructed coding and billing courses for a technical college. Raemarie is a past president of the Sunrise, Florida, AAPC  local chapter.


Betty Johnson, CPC, CPC-H, CPC-I, CPCD (4C, 8F)
Ms. Johnson is the president of Betty Johnson & Associates, a Chicago area-based health care consulting firm. She has over 20 years of experience in physician coding, billing, and education, and holds a B.A. in Health Care Administration. Her background includes many years of practice management experience in a variety of specialties. Betty served on the National Advisory Board of the AAPC from 2004-2007, and was elected as an officer from 2005-20070. She currently sits on the editorial board for BC Advantage.


Mary LeGrand, RN, MA, CPC, CCS-P (2D, 3D)
Ms. LeGrand is a nationally recognized expert in otolaryngology-head and neck coding and revenue cycle analysis. She brings to her consulting assignments over 30 years of health care experience, having held numerous clinical and administrative positions throughout her career. Mary works with otolaryngology practices of all sizes and in all settings (solo, group, academic, hospital employed) to assess and recommend clinical and operational efficiency opportunities. Her 20+ years as an otolaryngology-head and neck nurse and business development strongly position her as an expert in the field. This expertise has put her in the forefront with attorneys representing physicians with coding related issues.


Terry Leone, CPC, CPC-P, CIRCC, CPC-I (1D, 3H)
Mr. Leone is currently National Advisory Board President. He is a specialist in diagnostic radiology and interventional radiology coding. His career spans over 30 years, with experience in various aspects of consulting, management, billing, and coding. Terry is the principal owner and president of Catamount Associates, LLC – a physician billing company. He is the founder and past president of the Western New York chapter of professional coders. Terry is also a certified instructor at Bryant & Stratton College in Rochester, New York, teaching the Professional Medical Coding Curriculum (PMCC).


Julie Leu, CPC, CPMA, CPC-I (7F)
Ms. Leu holds a Bachelor of Science degree in education. Certified as a CPC® in 1998, she became an approved coding instructor in 2003 and teaches the PMCC curriculum to Iowa Western Community College students and to employees of Creighton University. She has served as chapter president for the Greater Omaha Coding chapter. She was a founding member and also served as president for the Metro Omaha Coder’s Association (MOCA). Julie has worked in the medical billing and coding field for over 25 years, with the last ten years being in billing compliance at Creighton University. ICD-9-CM, E/M, and orthopaedic surgery coding are her areas of interest and expertise.


Stephen Levinson, MD (5C)
Following medical education at Johns Hopkins and specialty training in Head and Neck Surgery (Ear, Nose & Throat) at UCLA, Dr. Levinson had a private medical practice in Connecticut for 26 years. Following training in 1991 by AMA and HCFA as an E/M coding educator, he developed “Intelligent Medical Records” (IMR) chart tools for E/M compliance in paper and dictation formats. At the request of the AMA, he has authored Practical E/M: Documentation and Coding Solutions for Quality Patient Care published by the AMA Press in 2005, with release of a second edition in 2008. He also contributed significantly as a named plaintiff and as a compliance expert in the physicians’ national class-action lawsuits against non-compliant insurer practices. Currently, Dr. Levinson is focusing on integrating E/M compliance and quality care principles into electronic health record design and functionality, and into the creation of effective health information exchange.

Cedric Lorenzo, MD (7B)
Dr. Lorenzo received his undergraduate degree from the University of Hawaii at Manoa, and went on to obtain his M.D. from the John A. Burns School of Medicine at the University of Hawaii. After completing his surgical residency he received fellowship training in advanced laparoscopic and bariatric surgery, as well as endoscopy and endoluminal therapy. He is the medical director for the Comprehensive Weight Management Program at the Queens Medical Center in Honolulu. He is also an assistant professor of surgery, University of Hawaii John A. Burns School of Medicine.


Carol V. Lustfeldt, CPC (4D)
Ms. Lustfeldt was a critical care and trauma nurse for many years. During her clinical years she taught critical care, neurosurgery, and trauma nursing. She is supervisor of physician reimbursement at a local trauma center in the Phoenix Metro Area, coding trauma for the past 20 years. Two times she has served as president of the Grand Canyon Coders, the Local AAPC Phoenix chapter. She has given numerous presentations including E/M, general surgery, orthopedic, and trauma coding. Carol has her Masters degree in health service administration. She makes her home in Scottsdale, Arizona.


Michael D. Miscoe, Esq., CPC, CASCC, CUC (6B, 7I)
Mr. Miscoe, JD, CPC, CASCC, CUC, CHCC, is president of Practice Masters, Inc. and the founding partner of Miscoe Health Law, LLC. He is a past member of the AAPC National Advisory Board (NAB) and current member of the Legal Advisory Board (LAB). He is admitted to the Bar in the state of California as well as to the practice of law before the U.S. District Courts in the Southern District of California and the Western District of Pennsylvania. Mr. Miscoe has nearly 20 years of experience in health care coding and over 12 years as a compliance expert testifying in civil and criminal cases.


Penny M. Osmon, BA, CHC, CPC, CPC-I, PCS (3I, 5F)
Ms. Osmon is the director of educational strategies for the Wisconsin Medical Society. She has over 15 years of health care experience in Medicare compliance, coding, and practice management. She currently presents educational programs on revenue cycle, risk management, and health information management for physician practices throughout Wisconsin and the Midwest region with an emphasis on reducing waste, mitigating risk, and improving quality. She is a Professional Medical Coding Curriculum Instructor, certified in health care compliance through the Health Care Compliance Association and serves on the Wisconsin Medical Group Management Association Third Party Payer and Medicare and Medicaid Workgroups.


Michael J. Page, MD (3A)
Dr. Page is a colorectal surgeon with a very busy practice at The Iowa Clinic in Des Moines, Iowa. He is a graduate of Ohio State University. He did his internship and residency at Pennsylvania State University in Hershey, Pennsylvania, in general surgery and a fellowship at Cleveland Clinic Foundation, Department of Colorectal Surgery in Cleveland, Ohio.

 


Maryann C. Palmeter, CPC, CENTC (2A)
Ms. Palmeter has over 27 years of experience in the health care industry, with emphasis on federal and state government payer billing and compliance regulations. Maryann’s extensive experience has been gained through her work on both the billing and government contractor ends of the health care industry spectrum. She is employed with the University of Florida - Jacksonville, Healthcare, Inc., as the director of physician billing compliance and has been involved in physician billing compliance since 1998. As the director, Maryann is responsible for providing professional direction and oversight to the billing compliance program of the University of Florida College of Medicine – Jacksonville, which incorporates all academic and clinical components o the College of Medicine, as well as the faculty practice plan and health services support organization. Maryann has served as president of the Jacksonville, Florida, local chapter in 2003 and 2010, and is currently the education officer for that chapter. Maryann has been a Certified Professional Coder since 1999 and holds a specialty coding credential in otolaryngology.


Cindy Parman, CPC, CPC-H, RCC (2E, 4E)
Ms. Parman is principal and co-founder of Coding Strategies, Inc. in Powder Springs, Georgia. Her 36-year professional career in health care includes 20 years of commercial group health insurance experience, and her primary area of expertise involves coding, auditing and education for oncology specialties.

 

 

Christopher Adam Parrella, JD, CHC, CPC (1A)
Mr. Parrella received his JD from the Massachusetts School of Law in 1997. His firm concentrates on criminal, civil, regulatory, licensure, and compliance representation of all health care provider and supplier types. He is a frequent national lecturer on health care compliance topics.



Robert Pelaia, Esq., CPC (3G, 5G)
Mr. Pelaia provides a wide range of legal support services for the University of Florida with exclusive legal responsibility for the University of Florida College of Medicine - Jacksonville and its related not-for-profit corporate support entities. He is certified as a Health Care Law Specialist by the Florida Bar Board of legal Specialization and Education. He has been a CPC since 1999 and is a member of the 2009-2011 AAPC National Advisory Board. Mr. Pelaia is also a member of the AAPC Legal Advisory Board, the AAPC Ethics Committee, and was a founding member of the AAPC chapter Association Board of Directors. He serves as an adjunct professor of health law at Florida Coastal School of Law. He has written numerous articles and is a frequent regional and national speaker on issues related to health care fraud and abuse, compliance, and coding. He has spoken at seminars sponsored by various industry groups including the American Health Lawyers Association, the American Bar Association, the Health Care Compliance Association, the Association of American Medical Colleges, the National Association of College and University Attorneys and the AAPC.


Carol L. Pfeiffer, CPC, CPCD, CPRC (7D)
Ms. Pfeiffer has been in medical coding and billing since 1988. She received her CPC in 1998 and specialty credentials in Plastic Surgery and Dermatology in 2008. She has supervised the coding for the Southwest Craniofacial Center (now Barrow Cleft and Craniofacial Center) in Phoenix, Arizona since 1988. She also has a strong background in craniofacial surgery for patients with congenital syndromes.


Jeanne L. Plouffe, CPC, CGSC (4H)
Ms. Plouffe, CPC, CGSC, has over 30 years of experience in specialty coding and reimbursement. For the past twenty years she has enjoyed the many challenges in General and Vascular Surgery coding. Currently she is a practice administrator and coder for two General Surgical practices in Phoenix, Arizona.

 



Kim Pollock, RN, MBA, CPC (5A, 6E)
Ms. Pollock is a consultant and speaker with Karen Zupko & Associates, Inc., a physician practice management and training firm based in Chicago. She is the lead instructor at the American Association of Neurological Surgeons coding courses and is recognized nationally as the expert in spinal procedure coding.

 

 

Eric Poulsen, MD (1F)
Dr. Poulsen entered private practice in Fresno in 2000 after earning his medical degree from the University of California, Davis, School of Medicine and completing his residency at Duke University Medical Center. His medical and surgical practice of ophthalmology includes laser vision correction, such as LASIK, cataract surgery, and corneal transplantation; although he does many other types of eye surgeries at his two Fresno locations. Dr. Poulsen is dedicated to keeping InSight Vision Center on the leading edge of technology and providing patients with the most advanced and comprehensive eye care services available.


Bruce Rappoport, MD, CPC, CIMC (1I)
Dr. Rappoport is medical director for Best Choice Plus, the provider network of Broward Health, the national fifth largest public health care system. He also serves as a medical director for Total Claims Administration, Inc., providing third party administrative services. Dr. Rappoport has over 25 years of experience in quality improvement, medical management, coding, and compliance. He is consulting editor for Internal Medicine Coding Alert, and a frequent lecturer on practice management and compliance issues facing medical practices.

Kim Reid, CPC, CPC-I, CEMC (6C)
Ms. Reid has been a Certified Professional Coder since 2001, as well as an approved instructor for the Professional Medical Coding Curriculum for the past three years. Ms. Reid has 20 years of experience in the medical field in many different specialties. As a senior coding educator for Fletcher Allen Health Care in Vermont, she specializes in the departments of surgery, pediatrics, neurology, and psychiatry. Ms. Reid has coordinated local coding development seminars, basic and advanced coding classes and workshops through AAPC, and has served in office as both president-elect and president for the Burlington, Vermont local chapter.


Todd Sommer, DO, DPM, CWS (2C, 3C)
Dr. Sommer is a graduate of the University of Osteopathic Medicine and Health Sciences in Iowa, and the Illinois College of Podiatric Medicine. He completed his podiatric surgical residency at Henrotin Hospital in Chicago. His family medicine residency was at Mayo Clinic in Rochester, Minnesota. He is board-certified in family medicine and podiatric surgery, and serves as medical director of the Center for Wound & Hyperbaric Medicine at St. Vincent Hospital in Green Bay, Wisconsin. His professional affiliations include the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association.


Cynthia Stahl, CPC, CPC-H, CPMA, CPC-I, CCS-P (1G, 3G)
Ms. Stahl is a past president of the Central Indiana chapter (Indianapolis) and has 18 years of experience in the medical profession, developing a broad base of experience in the practice setting while holding, among others, the positions of consultant, practice manager, and senior coding specialist. She is the lead instructor of Medical Billing Curriculum at MedTech College in Indianapolis. She provides medical coding and billing instruction as a writer and research assistant with Elsevier publishing.


Chandra Lynn Stephenson, CPC, CPC-H, CPMA, CPC-I, CANPC, CEMC, CFPC, CIMC, COSC (4F)
Ms. Stephenson is currently employed as a consultant. She has worked as a coding and compliance auditor, conducting audits, researching coding and compliance issues, developing coding tools, and providing practitioner education. She started out in health care eight years ago, and has worked in various settings, including a centralized billing office, a family practice office, a cardiology office, and as a billing and coding instructor at a local technical college.


Peggy A. Stilley, CPC, CPMA, CPC-I, COBGC (8A)
Ms. Stilley has more than 30 years of experience in health care. She has worked in multiple specialties including General Practice, General Surgery, Neurology, OB-GYN, and Maternal Fetal Medicine. Prior to working for AAPC Physician Services as the Director of Audits, Peggy was the clinic manager for University of Oklahoma, OU Physicians - Women's Healthcare in Tulsa.


Kirk Tammadon, MD, CPC (4I)
Dr. Tamaddon earned his medical degree from Ohio State University. He followed that up with residency programs in both General Surgery and Urology at Kaiser Permanente in Los Angeles, as well as a Urologic Surgery Fellowship at the L’Institut Mutualiste Montsouris hospital in Paris, France. He is currently the director of the Robotic Surgery Program at Kaiser Permanente Southern California. He has extensive experience presenting on various medical topics since 1995.


Susan Ward, CPC, CPC-H, CPC-I, CEMC, CPCD, CPRC (4C)
Ms. Ward has 20 years of coding and billing experience. She works for a reconstructive plastic surgeon in Phoenix. She is an approved PMCC instructor, workshop presenter, and past president of her local AAPC chapter. In addition, she was a member of the National Advisory Board from 2007 to 2009.

 



Lori-Lynn A. Webb, CPC (8B)
Ms. Lynne is an E/M, and Procedure based Coding, Compliance, Data Charge entry and HIPAA Privacy specialist for over 20 years. She has performed hands-on physician pro-fee coding, and hospital based coding, managed coding and billing departments with over 50+ providers, to include contract evaluation and provider payment audits.


Charles Wolf, MD, CPC, CPC-H (1H, 2H)
Dr. Wolf has been a Utah Systemwide Compliance Office since June 2009. He was the director of billing compliance at Utah MD Anderson Cancer Center from January 2006 to June 2009. Dr. Wolf was with Intermountain Healthcare from October 1999 to January 2006.

 

 

JoAnne Marie Wolf, CPC (8D)
Ms. Wolf has over 16 years’ experience working in the coding field, specifically in pediatric and multi-specialty clinics along with several health insurance companies in Minnesota. She is seasoned public speaker and an active member of the AAPC. JoAnne has served as President and Education Officer of the Minneapolis chapter.

 

 

Susan Wyatt, CPC, CPMA, CPC-I (5D)
Ms. Wyatt has been in the medical field for 35 years. She started as a receptionist and worked her way up to office manager/administrator of several different specialties and primary care. She became certified in 2003 just as HCC was beginning, and worked for a Medicare Advantage Health Plan. She is currently the HCC Risk, Audit and Education Manager. She has extensive knowledge regarding HCC coding and documentation.

 

Dave Young, DO (4A)
Dr. Young attained his D.O. degree in 1981. An internship, internal medicine residence, and pulmonary fellowship followed at Grandview Hospital. One additional year was spent doing sleep medicine at Ford Hospital. He began the practice of pulmonary, critical care, and sleep medicine in 1988 in Lansing, Michigan, where he continues to practice.


Jill M. Young, CPC, CEDC, CIMC (7G, 8G)
Ms. Young brings with her over 30 years of medical experience with a diverse background in all areas of medicine from clinical to billing and many different physician specialties. Her comments and opinions have be seen in several publications and heard in audio-conferences. She gives educational lectures for the Michigan State Medical Society and other national organizations including The Coding Institute (TCI) and Eli Research. She nationally presents AAPC workshops and speaks at AAPC National Conference, with expertise in sleep disorders. Jill is an original member of the AAPCCA board of directors and was just re-elected Chair for 2010-2011. She loves meeting AAPC members at chapter meetings, at National Conference, and in her everyday work as a consultant. Jill's theme for the 2010-2011 board is "Grass Roots," which supports local chapters and the 100,000 AAPC members supported by them.

David Zielske, MD, CPC-H, CIRCC, CCC (2B)
Dr. Zielske is an interventional radiologist who was in a large private practice for over 14 years in a community setting at several large hospitals in the Nashville area. He has been involved with CPT® coding for interventional radiology procedures since 1993. In 2000, he started ZHealth, a firm that performs physician and hospital coding audits in the subspecialties of IR, cardiology and vascular surgery. Three years later, he started ZHealth Publishing, which is an education company focused on training coders, techs, nurse auditors, billers, and physicians on the appropriate documentation and use of codes in these same specialties.

 

Get your specialty CEUs at National Conference or learn more about a specialty you are interested in. View the sessions available for each specialty by clicking on the specialty name below.

Anesthesia

  • Pain Management: Anatomy, Conditions, and Coding Concerns - 1G
  • Ten Steps to Coding Anesthesia Services - 4F

ASCs

  • Outpatient Prospective Payment System: Coding Rules and Regulations - 2H
  • Coding and Reimbursement in an ASC: Both Sides of the Coin - 5F
  • Medicare Reimbursement Rules for ASCs - 7I

Cardiology

  • Cardiac Catheterization Reinvented in 2011 - 3B
  • Heart Caths - 7A
  • Diagnostic Cardiology in the Office Setting - 8F

Coding

  • Complications of Modifiers - 1E
  • ICD-10 Payer Challenges - 3E
  • Incident-One, Incident-To, Incident-Three - 3G
  • When Worlds Collide: The Disconnect Between Coders and Billers - 3H
  • The Science of HCC Documentation and Coding - 5D
  • Advanced ICD-9-CM - 7G

Dermatology

  • Wound Care: Straight from the Source - 2C
  • The Skin You're In - 4C
  • Lesion Removal - 8C

Emergency Department

  • Facility Coding for the Emergency Department - 2G

ENT

  • Does Your Nose Know When It's the Right Code? - 3D
  • Physician/Coder Relationships in the ENT Practice - 4G

Family Practice

  • Endoscopic Applications in Pediatric Neurosurgery - 1B
  • Minimally Invasive Office Procedures - 1C
  • Name that Disease - 1H
  • Wound Care: Straight from the Source - 2C
  • Coding, Billing and Documentation for Hospitalists - 3I
  • High-Risk Pregnancy - 4B
  • The Skin You're In - 4C
  • Maternity Care - Conception to Post Partum - 8A
  • Lesion Removal - 8C
  • Table Your Confusion in Neoplasm Coding - 8G

Gastroenterology

  • Colorectal Surgery - 3A
  • Laparoscopic Surgical Coding - 4H
  • Gastroesophageal Reflux Disease, Paraesophageal Hernias and Achalasia - 7B

General Surgery

  • Colorectal Surgery - 3A
  • Trauma - Understanding the Nuances - 4D
  • Laparoscopic Surgical Coding -4H
  • Gastroesophageal Reflux Disease, Paraesophageal Hernias and Achalasia - 7B
  • Robotic Assist in the OR: Science FACT! - 8B

Internal Medicine

  • Minimally Invasive Office Procedures - 1C
  • Name that Disease - 1H
  • Wound Care: Straight from the Source - 2C
  • Coding, Billing and Documentation for Hospitalists - 3I
  • Pulmonary Critical Care - 4A
  • The Skin You're In - 4C
  • Steering Your Way Beyond Routine Endocrinology Coding - 6F
  • Lesion Removal -8C
  • Table Your Confusion in Neoplasm Coding - 8G

Interventional

  • 2011 Lower Extremity Endovascular Update - 2B
  • Cardiac Catheterization Reinvented in 2011 - 3B
  • Heart Caths - 7A

Lab & Path

  • Taking Lab Coding for a Spin - 2I

Neurosurgery

  • Endoscopic Applications in Pediatric Neurosurgery - 1B
  • Spine Surgery Coding: Are You Breaking Your Back Trying to Figure It Out - 5A

OB/GYN

  • Minimally Invasive Office Procedures - 1C
  • High-Risk Pregnancy - 4B
  • Maternity Care - Conception to Post Partum - 8A
  • Robotic Assist in the OR: Science FACT! - 8B

Oncology

  • 2011 Radiation Oncology Coding and Reimbursement - 4E
  • Table Your Confusion in Neoplasm Coding - 8G

Ophthalmology

  • Common Ophthalmology Surgical Procedures - 1F

Orthopaedics

  • Pain Management: Anatomy, Conditions, and Coding Concerns - 1G
  • Putting Humpty Dumpty Together Again - Joint Replacements - 2D
  • Common Foot and Ankle Problems - 3C
  • Spine Surgery Coding: Are You Breaking Your Back Trying to Figure It Out - 5A
  • Scope it Out - Arthroscopic Procedures - 7F

Pain Management

  • Pain Management: Anatomy, Conditions, and Coding Concerns - 1G
  • Ten Steps to Coding Anesthesia Services - 4F

Pediatrics

  • Endoscopic Applications in Pediatric Neurosurgery - 1B
  • Advanced Coding and Billing Techniques for Pediatrics - 7H
  • ABCs of Coding for Pediatric Clinic Procedures - 8D

Plastics and Reconstructive Surgery

  • The Skin You're In - 4C
  • Cleft Palate and Lip Surgery - 7D

Radiology

  • Straight-Up Radiology Coding - 1D
  • 2011 Radiation Oncology Coding and Reimbursement - 4E

Urology

  • Urological Procedure Coding - 7C
  • Robotic Assist in the OR: Science FACT! - 8B

Coding

2011 Lower Extremity Endovascular Update
2011 Radiation Oncology Coding and Reimbursement
ABCs of Coding for Pediatric Clinic Procedures
Advanced Coding and Billing Techniques for Pediatrics
Advanced Coding and Billing Techniques for Pediatrics
Advanced ICD-9-CM
Anesthesia Services
Cardiac Catheterization Reinvented in 2011
Cleft Palate and Lip Surgery
Coding and Reimbursement in an ASC: Both Sides of the Coin
Coding, Billing and Documentation for Hospitalists
Colorectal Surgery
Common Foot and Ankle Problems
Common Ophthamology Surgical Procedures
Diagnostic Cardiology in the Office Setting
Does Your Nose Know When It's the Right Code?
Eliminating Infusion Confusion (Drug Administrations)
Endocrinology
Endoscopic Applications in Pediatric Neurosurgery
Facility Coding for the Emergency Department
Gastroesophageal Reflux Disease, Paraesophageal Hernias and Achalasia
Heart Caths
Hematology and Oncology
High-Risk Pregnancy
ICD-10 Payer Challenges
ICD-10-CM: Working Through Documentation
ICD-10-CM: Mapping Pitfalls
Joints and Replacements
Laparoscopic Surgical Coding
Lesion Removal
Maternity Care - Conception to Post Partum
Medicare Reimbursement Rules for ASCs
Minimally Invasive Office Procedures
Name that Disease
Outpatient Prospective Payment System: Coding Rules and Regulations
Pain Management: Anatomy, Conditions, and Coding Concerns
Physician/Coder Relationships in the ENT Practice
Pulmonary Critical Care
Putting Humpty Dumpty Together Again - Joint Replacements
Robotic Assist in the OR: Science FACT!
Scope it Out - Arthroscopic Procedures
Straight-Up Radiology Coding
Table Your Confusion in Neoplasm Coding
Taking Lab Coding for a Spin
The ABCs of Coding for Pediatric Clinic Procedures
The Skin You're In
Trauma - Understanding the Nuances
Urological Procedure Coding
Wound Care: Straight from the Source
 

Audit and Compliance

Advanced Surgical Chart Auditing
Beware of the ZPIC
EHR: Integrating Coding, Billing and Documentation
FERA, the PPACA and the FCA - the Alphabet Soup of Fraud Liability
Handling Overpayment and 'Voluntary' Refund Situations
Incident-One, Incident-To, Incident-Three
Managing Towards Compliance
Physician Compliance: The Seven Myths
Planning and Performing an Audit
Science of HCC Documentation and Coding
 

Billing

Adjustments - the Last Resort
Complications of Modifiers
How Modifiers Affect Payment
Making Modifiers Matter
MOPPS Rules for ASCs
The Disconnect Between Coders and Billers
Tips and Tools for Your Accounts Receivables
 

Practice Management

5010 Strategies to Survive the Transition
EMR Documentation Challenges
HITECH, EMR, Client-Server, Clouds SaaS, ASP, CHISP -- WHAT?
Implementing a Physician Coding and Documentation Support Model
Is Meaningful Use Certification Meaningful Enough?
Practice Management in Trying Economic Times
Time Management