Anaheim Regional Conference

September 17-19, 2018 | 12 CEUs | $495

About AAPC Regional Conference

AAPC's regional conferences provide the best value for training and networking in a dynamic city near you. Combine the most relevant and timely education for the business of healthcare with the CEUs you need to maintain your certifications.

Here are a few more reasons to attend:

  • 50+ educational sessions with 12 CEUs available
  • Network with 1,000 healthcare professionals
  • Learn from industry experts and leaders
  • Mingle with vendors while demoing the latest products/services
  • Breakfast and lunch provided on Wednesday and Thursday

Register Now

Sunday, September 16, 2018

Pre-Conference

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8:00 AM - 4:00 PM

Pre: Teach the Teacher

This workshop provides certified instructors with tools to improve their teaching and communication skills. This is also a great opportunity to network with other instructors. Earn 8 CTUs or 8 CEUs for participation in this workshop.

Monday, September 17, 2018

General Session

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11:00 AM - 12:00 PM

GS1: Conference Welcome

Bevan Erickson , President AAPC Member Solutions

Join Bevan Erickson, AAPC’s President, for his State of AAPC address. He will cover exciting new and upcoming developments within your organization, why we’re moving in these directions, and how these evolutions will impact your daily life, both inside and outside of work.

12:00 PM - 1:30 PM

GS2: 2019 ICD-10-CM Updates

Breakout Session 1

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1:45 PM - 3:00 PM

1A: Advanced E/M Ambiguities in E/M Scoring

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC; Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC

Ambiguities in the guidance provided by both CMS and the AMA pertaining to selection of the level of E/M service will be identified. Beyond those guidelines, common auditing methodologies using the 95/97 Documentation Guidelines will be reviewed with special emphasis on the areas requiring subjective analysis that often leads to legitimate disputes regarding the appropriate E/M code level. Beyond mere identification of these problem areas, we will discuss workable approaches to resolving these problems as well as outline the internal policies that can be helpful when defending your E/M coding choices.

1:45 PM - 3:00 PM

1B: Orthopedic Potpourri

Ruby O'Brochta-Woodward, CPC, CPB, CPMA, CPC-I, COSC, CSFAC

This presentation is cover various orthopedic coding conundrums that can be faced not only by orthopedic practices but also family practice, pediatrics, etc.  Coding for various orthopedic injections, NCCI edits, radiology quirks, as well as orthopedic coding surgery tips.

1:45 PM - 3:00 PM

1C: TBD

1:45 PM - 3:00 PM

1D: FQHCs

Shannon O'Tyson DeConda, CPC, CPMA, CPC-I, CEMC

Many coders and auditors have heard the term FQHC, but how should that impact your coding and auditing of E&M, procedural and ancillary services? How are incident-to services viewed in the FQHC? What leniencies are granted to FQHC's that an auditor/coder should take into consideration? During this session we will review what makes FQHC coding/auditing different from a regular clinical encounter review of these same services, as well as discuss the similarities of these places of service.

1:45 PM - 3:00 PM

1E: TBD

1:45 PM - 3:00 PM

1F: Secrets of Effective Outpatient Facility Auditing

Amy Lee Smith, COC, CPC, CPMA

Auditing facility-based outpatient coding and billing is critical to understanding and mitigating organizational risks. We will discuss how to design the scope of an audit, how to select samples, best practices for documenting the work performed, and review methods for communicating results and developing and monitoring improvement plans.

Exhibit Hall

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3:00 PM - 4:30 PM

EH1: Welcome Break with Exhibitors

Tuesday, September 18, 2018

Exhibit Hall

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7:00 AM - 8:00 AM

EH2: Continental Breakfast with Exhibitors

General Session

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8:00 AM - 9:00 AM

GS3: TBD

Breakout Session 2

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9:15 AM - 10:30 AM

2A: New versus Established Patients and the Modifier 25

Lori A Cox, CPC, CPMA, CPC-I, CEMC, CHONC

Evaluation and management services can be confusing. What can be particularly baffling is the need to consider the CPT and Medicare guidelines all while knowing the caveats within each. What is a professional service? How do we determine exact same specialty and subspecialty, and same group practice? We'll discuss the four main components of new vs. established and how to: Understand Professional Services, Distinguish Between Same Specialty/Subspecialty, Breakdown Same Group, and Make sense of the 3 Year Rule. Then, we will take a closer look at modifier 25. What is "separately identifiable?" When can this modifier be used? We will take a look at actual case examples and discuss the rules for this complex modifier.

9:15 AM - 10:30 AM

2B: Coding Dilemmas for Obstetrics

Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC

Coding for Obstetrics can seem complex and the nuances associated with in OB can create issues for the provider as well as the patient. Antepartum care, delivery, and routine postpartum care make up the Global OB package. Billing for services outside the global care will be addressed including antepartum testing, ultrasounds, and problem visits. Knowing reimbursement policies and guidelines is also critical and vary among payers. This session will address some of the most commonly asked questions, discuss industry standards and review coding guidelines in CPT and the unique guidelines in Chapter 15 of ICD-10-CM.

9:15 AM - 10:30 AM

2C: TBD

9:15 AM - 10:30 AM

2D: Emergency – Stop Leaving Money in the ER

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

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

9:15 AM - 10:30 AM

2E: CDI: The Benefits of Coding and CDS Collaborations

Erica Taylor Cousin, CPC, CPC-I

CDI is a team of Coders and Clinical documentation specialists that collaborate to ensure the completeness, appropriateness, accuracy, compliance, and integrity of physician documentation and coding. Effective CDI programs allow clinical documentation to be translated into coding through successful collaborations between Coder’s and CDS’s whom are equally accountable to uphold ethical clinical and coding guidelines.

9:15 AM - 10:30 AM

2F: Coding and Compliance: Connecting All the Dots

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

Breakout Session 3

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10:45 AM - 12:00 PM

3A: TBD

10:45 AM - 12:00 PM

3B: TBD

10:45 AM - 12:00 PM

3C: Risk Adjustment Essentials

Colleen Gianatasio, CPC, CPC-P, CPMA, CRC, CPC-I

This session will offer a comprehensive introduction to risk adjustment models and the importance of diagnosis coding in today’s health care environment.  Join us as we discuss some of the common challenges faced by payers, providers and patients in this payment methodology that uses patient demographics and diagnoses to cover cost of care.

10:45 AM - 12:00 PM

3D: The Status of Joint Replacement Coding

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

With recent changes to approved sites of service for Total Knee Arthroplasty, this session will provide accurate procedural and diagnosis coding to support the medical necessity of site of service, as well as documentation tips for accurate reporting of comorbidities. In addition, the session will highlight revenue impact with the shift from IP to OP surgery as well as the potential financial impact to those participating in CMS Comprehensive Care for Joint Replacement Model (CJR).

10:45 AM - 12:00 PM

3E: TBD

10:45 AM - 12:00 PM

3F: How to Defend Your Audit Findings

Shannon O'Tyson DeConda, CPC, CPMA, CPC-I, CEMC

So many times physicians and even senior auditors providing QA to their team question auditors and even coders as to their findings. they should empowered on how to defend their findings.

Exhibit Hall

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12:00 PM - 1:30 PM

EH3: Lunch with Exhibitors

Breakout Session 4

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1:30 PM - 2:45 PM

4A: Its Time to Talk about Opioids

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

It is in the news. This topic is quickly becoming front and center with the OIG, AMA and Capitol Hill. Many states are creating new laws to monitor the issue. If this is that big on their radar then the coding and reporting becomes a major focus as well. Opioid use does not just affect patients in one specialty, this can impact the patient’s care from any provider in any place of service. In this session we will discuss the issue, review some of the initiatives that are currently in place to address opioid use and abuse, look at some current statistics and we will talk about the we will discuss the issue, review some of the initiatives that are currently in place to address opioid use and abuse, look at some current statistics and we will talk about the correct coding as we walk through some case studies.

1:30 PM - 2:45 PM

4B: COPD

Louis Jimenez, RRT, CHT

During this session we will discuss the pathophysiology of COPD, diagnostic testing, treatment options and documentation requirements to support the ICD-10-CM codes.

1:30 PM - 2:45 PM

4C: Submitting a Bullet Proof Claim

Linda Martien, COC, CPC, CPMA

From the initial patient contact to the back end claim process and A/R management, we will identify and discuss the steps involved in producing a bullet proof claim.  We will review claim components, coding, medical necessity and the importance of documentation in submitting a clean claim.

1:30 PM - 2:45 PM

4D: TBD

1:30 PM - 2:45 PM

4E: TBD

1:30 PM - 2:45 PM

4F: Understanding the Not so Voluntary Disclosure and Refund Rule

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

This session will outline the development of the portion of the False Claims Act requiring providers to voluntarily disclose and refund overpayments from federal health plans. We will additionally review in detail the final regulations associated with this statutory requirement. Attendees will learn (based on comments to the final regulations) what triggers a disclosure obligation, when “knowledge” of an overpayment exists triggering the 60 day rule, the risks and penalties for non-disclosure as well as late disclosure and the process for submitting a proper disclosure. Finally, we will review enforcement actions against practices that did not comply with the requirements of the rule.

Exhibit Hall

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2:45 PM - 3:15 PM

EH4: Break with Exhibitors

Breakout Session 5

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3:15 PM - 4:30 PM

5A: TBD

3:15 PM - 4:30 PM

5B: Office and Surgical Procedures in Gynecology

Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC

Being knowledgeable of female anatomy and terminology provides a better understanding of correct code selection for hysterectomy, pelvic repairs, and colposcopy. This session will include specific CPT® and ICD-10-CM coding for common office and surgical procedures. We will also dive into wellness visits and CMS BPP exams, with discussion of documentation requirements, Advanced Beneficiary Notices, and reimbursement issues.

3:15 PM - 4:30 PM

5C: Combining Risk Adjustment and HEDIS to Improve Quality of Care

Colleen Gianatasio, CPC, CPC-P, CPMA, CRC, CPC-I

3:15 PM - 4:30 PM

5D: TBD

3:15 PM - 4:30 PM

5E: TBD

3:15 PM - 4:30 PM

5F: Writing an Audit Report and Why You Should

Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC

The audit report is the key to understanding what happened and why it happened after the audit has been completed. Whether you are on the giving or receiving end of the report this session will provide an understanding of what should be expected in a report and why it is so important to have all the pieces in one place.

Wednesday, September 19, 2018

Exhibit Hall

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8:00 AM - 9:00 AM

EH5: Continental Breakfast with Exhibitors

General Session

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9:00 AM - 10:00 AM

GS4: Extraordinary Health for Healthcare Professionals

Marian Wymore MD, CPC, CRC

Breakout Session 6

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10:15 AM - 11:30 AM

6A: TBD

10:15 AM - 11:30 AM

6B: Wound Care: Flesh and Bones

Kimberly D Vegter, CPC, CRC, CPC-I

This presentation will focus on wound care for lower extremity ulcers. After a brief overview of the Integumentary System, we will discuss venous leg ulcers, pressure ulcers and diabetic foot ulcers and how they are treated. We will also review coding and documentation tips for coding ulcers and debridements.

10:15 AM - 11:30 AM

6C: TBD

10:15 AM - 11:30 AM

6D: Capitalizing on Infusion Coding

Amy Lee Smith, COC, CPC, CPMA

Coding and documenting accurately in outpatient facility-based Infusion Centers is key to optimizing payment. With the high-volumes, high-dollar services and medications, and complex coding rules, this is a very difficult task. We will unravel the mysteries of the infusion coding hierarchy and learn tips and tricks for improving accuracy of documentation and coding.

10:15 AM - 11:30 AM

6E: TBD

10:15 AM - 11:30 AM

6F: TBD

Exhibit Hall

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11:30 AM - 12:45 PM

EH6: Lunch with Exhibitors

Breakout Session 7

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12:45 PM - 2:00 PM

7A: TBD

12:45 PM - 2:00 PM

7B: TBD

12:45 PM - 2:00 PM

7C: TBD

12:45 PM - 2:00 PM

7D: TBD

12:45 PM - 2:00 PM

7E: Understanding Medical Profession Burn Out and Employing Strategies to Promote Effectiev Healthcare

Michael Warner DO, CPC, CPCO, CPMA

Do you realize that some of the burnout subsets are considered low rate risk if such feelings are experienced less than several times a year? Medicine challenges burnout factors daily! Beyond deep breaths and mindfulness, learn how you can modify your work environment to reduce the risk of burnout and restore joy to the practice of medicine.

12:45 PM - 2:00 PM

7F: TBD


Dedication to Quality: AAPC is dedicated to the delivery of top-level education to our members and attendees. To accomplish this, AAPC reserves the right to make any necessary program adjustments/changes (for example, industry updates, speaker changes, schedule adjustments, etc.) that we feel may provide you with the very best event/educational experience. CEUs are one-time use only.

Conference Venue

Disneyland Hotel | 1150 Magic Way Anaheim, CA 92802

Host Hotel

Disneyland Hotel

Gaylord Texan Resort

Taxes and fees included

  • $300 (single / double occupancy)

Disney’s Grand Californian Hotel & Spa

Gaylord Texan Resort

Taxes and fees included

  • $355 (single / double occupancy)

Resort fee includes

  • Wireless internet access in guest room
  • Complimentary daily newspaper
  • Standard room amenities

Check-in: 3:00 PM | Checkout: 11:00 AM

Discount Disneyland® Tickets

View discounted pricing and ticket options here.

Los Angeles International Airport (LAX) – Approximately 40 miles
  • Disneyland Resort Express – Operates hourly 7 days a week, located outside baggage claim area, pickup at the center island, under the green sign in front of each terminal. Reservations are not required, but there is a fee to ride.
  • Metro (Bus and Rail)
  • Taxi – One-way estimated at $120
John Wayne Airport (SNA) – Approximately 15 miles
  • Disneyland Resort Express – Operates hourly 7 days a week, located outside baggage claim, proceed to the GTC, the express picks up in front of the ticket booth located to the left. Reservations are not required, but there is a fee to ride.
  • Taxi - One-way estimated at $65
Long Beach Airport (LGB) – Approximately 23 miles
  • Taxi - One-way estimated at $60
  • Metro/Orange County Transit Authority

Parking

  • Overnight Parking for Hotel Guests – $18/night
  • Valet Parking –$28/night

Transportation Options

UBER

From Los Angelas International Airport (LAX)

Fare Estimate

  • $47 - $62 for uberx

How to get picked up

  • Request ride when you are ready to walk outside
    • Choose ride option that fits your group size and luggage.
  • Exit airport on the right level
    • Riders requesting uberPOOL, uberX, uberXL, and UberSELECT should meet their drivers on the departures (upper) level.
    • Riders requesting UberBLACK, UberSUV, or UberLUX should meet their driver downstairs on the arrivals (lower) level.
  • Meet your driver curbside
    • On the departures level, there are 5 “Ride Service” pickup signs located curbside (A-B and D-F). This is where you should meet your driver.
    • On the arrivals level, select your terminal and nearest door number, and your driver will meet you curbside.

From John Wayne Airport (SNA)

Fare Estimate

  • $19 - $26 for uberx

How to get picked up

  • Request ride when you are ready to walk outside
    • Choose ride option that fits your group size and luggage.
  • Exit airport on the arrivals level
    • This is where all Uber driver-partners at SNA meet travelers for pickup.
  • Confirm your location
    • Enter your terminal and column number so your driver knows where to find you.

From Long Beach Airport (LGB)

Fare Estimate

  • $20 - $27 for uberx

How to get picked up

  • Request ride when you are ready to walk outside
    • Choose ride option that fits your group size and luggage.
  • Exit airport on the main level
    • Head outside to your pickup spot.
  • Look for your driver
    • If you can’t find your driver, contact him or her through the app.

Location Map

Disneyland Hotel | 1150 Magic Way Anaheim, CA 92802

Exhibiting Opportunities

Interested in getting your products and services in front of AAPC members? AAPC Regional Conferences offer the perfect venue for meeting, showing, and demonstrating what your company offers. This event offers table-top exhibits and has limited space, so reserve yours today.

For more information or to reserve your spot, contact: An exhibt hall sales team member. Learn more about this and other AAPC exhibiting opportunities.

Contact an Exhibit Hall Sales Member:

Victoria Fuentes | 385-207-2288 | Victoria.fuentes@aapc.com
Corey Stilson | 385-207-2322 | Corey.stilson@aapc.com

Which certification is right for you?

Call 877-290-0440 or have a career counselor call you.

Questions about what books to order?

Call 877-524-5027 to speak with a specialist.