Atlantic City Regional Conference

Thursday, October 6, 2016

Information

8:00 AM - 5:00 PM

: Registration/General Info/Product Store

General

12:00 PM - 1:00 PM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS1: Conference Welcome, AAPC Updates and the Future of Healthcare

Bevan Erickson , President AAPC Member Solutions

Come hear AAPC’s President, Bevan Erickson, discuss the future of healthcare, AAPC updates, and opportunities for its members.

Breakout Session 1

1:15 PM - 2:30 PM | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM

1A: Implementing an Outpatient CDI Program

Leonta Williams, CPC, CPCO

This presentation will outline steps for developing and implementing an outpatient CDI program. Attendees will learn how to get physician buy-in, draft internal guidelines and policies, write effective, non-leading queries and provide constructive feedback and education to providers. We'll discuss how to monitor the program's success and deliver measurable data. CDI impacts patient, provider, and payer quality measures; it is important to identify how each enitity is affected by poor documentation and how such a program can increase patient customer service rates, provider quality scores, and a practice's bottom line.

1:15 PM - 2:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CEDC, CEMC, CFPC, CIMC, COSC, CPB, CPCO, CPEDC, CPPM, CSFAC

1B: Fracture Care

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

This presentation will cover the often controversial issue of fracture management. We will review terminology related to fractures and fracture management, non-manipulative fracture care, NCCI guidelines regarding management of multiple fractures, as well as a discussion of fracture coding in ICD-10.

1:15 PM - 2:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM

1C: Deep Dive: The Incident-To Rule

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

This advanced program will outline and explain each element of the incident-to rules based on CMS guidance. This highly interactive presentation will address each component of the rule in the context of example situations to demonstrate the nuances regarding how the rule operates. Common misconceptions leading to mis-reporting will be addressed, and case law examples demonstrating how these rules have been applied in False Claims Act cases will be provided. Attendees should walk away with a complete understanding of this rule as well as knowledge of the common pitfalls associated with this type of reporting.

1:15 PM - 2:30 PM | 1.25 CEUs COC, CPC, CPC-P, CGIC, CPB, CPPM

1D: GI Coding Updates

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

There were many coding changes this year for GI coding, we will discuss these changes, review coding examples and take an interactive journey through the new codes. Attendees will learn: 1. What the new CPT codes are and how to apply them 2. How the new changes in I10 apply 3. Key terms to look in documentation for correct assignment

1:15 PM - 2:30 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

1E: Healthcare Regulatory Updates

Michael McLafferty

Get an inside look at the issues impacting the healthcare industry with Michael J. McLafferty, CPA, MBA, CHFP, FACMPE, a partner of EisnerAmper's Health Care Services Group with over 20 years of experience providing business services to multi-hospital systems, surgery centers and physician practices. We will discuss developments of healthcare reform, including the most recent changes to be implemented as part of the Patient Protection and Affordable Care Act.  Also, the key federal and state healthcare regulatory changes and coding changes to be implemented in 2016, as well as an overview of ICD-10 planning needs will be provided.

1:15 PM - 2:30 PM | 1.25 CEUs COC, CPC, CPC-P, CHONC, CPB, CPPM

1F: A Coder's Journey Exploring Hematology and Oncology

Susan Eosso, CPC, CPMA

Session will be a visual experience designed to help code ICD-10 diagnosis, stem cell transplant, and bone marrow biopsy. We will discuss: • Mapping ICD-10 to SNOMED and Data Mining for Research • Sickle cell disease • Leukemia 1. Cell typing 2. FAB classifications 3. Understanding Multiple Myeloma I. Understanding Lymphoma II. Bone Marrow and Stem Cell Transplant a. hematopoietic progenitor cell b. Bone marrow biopsy and aspiration c. GVHD

Breakout Session 2

2:45 PM - 4:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

2A: ICD-10-CM External Cause Codes

Caren J. Swartz, COC, CPC, CPB, CPMA, CPC-I, CRC

Be ready for the new group of external cause codes, whether you are coding, "struck by an Orca" or "falling from burning water skis", this fun session will make sure your ICD-10 is working!

2:45 PM - 4:00 PM | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

2B: How to Analyze Denials and Rejections

Yvonne D Dailey, CPC, CPB, CPC-I

Denials and rejections are becoming more cumbersome. Join us for a session on how to decipher the ever-changing RA/EOB notices. (Remittance Advice/Explanation of Benefits). We will review some denial and rejection codes and how to go about correcting the issue. For example, what does PR100 mean? Yes, it means Patient Responsibility (PR). However, the 100 after the PR indicates that the claim has been processed and payment has been issued to the patient. We will discuss the difference between CARC and RARC.

2:45 PM - 4:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPPM

2C: Building a Successful Outpatient Clinical Documentation Integrity Department

Donna Beaulieu, CRC, C-CDIS, CPC, CPMA, CPC-I, CEDC, CEMC, CFPC, CRC, CCP-P, CRP; Syed Zaidi, MPH, CPC, CEDC, CSPPM

This interactive session will include a discussion on building a successful Outpatient Clinical Documentation Integrity department to prepare for transition to value based reimbursement models. Session attendees will learn about different risk adjustment methodologies and how it applies to capturing true patient acuity. Case examples will be presented to show how accurate capture of all current chronic conditions affect healthcare insurance ability to predict healthcare costs of each patient.

2:45 PM - 4:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

2D: Healthcare Fraud/Legal Issues

John Kennedy, Esq.

Why is healthcare fraud such a big deal? This presentation, from the perspective of an experienced healthcare fraud prosecutor and plaintiff’s counsel, examines the economic and social costs of fraud; the legal tools used to combat it; and the False Claims Act, which gives every employee a financial incentive to come forward with information about fraud.

2:45 PM - 4:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

2E: Value Based Coding/HCC

Denise Feasel Perna, CPC; Yvonne Whitley, RN, BSN, CPC, CRC

The Value-Based Payment (VBP) program continues to grow within our industry. Novant Health has created a structure that strives to achieve meaningful and actionable information to providers to improve patient care and quality. This presentation will review how Novant Health is working to educate providers, clinical staff, and coders in this changing environment.

2:45 PM - 4:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

2F: Compliance Violations - Changing OIG Penalties

CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC

Recent messages from enforcement agencies such as the Department of Justice and the OIG clearly signify a shift of focus towards individuals when it comes to monetary and criminal penalties. This session will describe these changes and outline what it can mean for you as an individual, as well as your organization’s compliance program.

Exhibit Hall

4:00 PM - 5:30 PM

EH1: Welcome Reception

Friday, October 7, 2016

Information

7:00 AM - 4:30 PM

: Registration/General Info/Product Store

Exhibit Hall

7:00 AM - 8:00 AM

EH2: Continental Breakfast with Exhibitors

General

8:00 AM - 9:00 AM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS2: Ethics, Professionalism, and Coder Liability

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

This session will outline the revised AAPC Code of Ethics to include its core principles and why adherence to those principles is necessary in every professional discipline. We will compare professional standards expected of AAPC members with those of other recognized professional disciplines and the role that ethics plays in not only your own professional image but in the image of our members as an integral part of the healthcare team. 

Breakout Session 3

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CCC, CCVTC, CEMC, CFPC, CIMC, CPB, CPPM, CUC

3A: Coding Chronic Conditions

Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC

Chronic conditions are one thing to code, but what about multiple chronic conditions? Although it may seem impossible, we’ll make it fun! This session will address sequencing rules for conditions such as diabetes mellitus, congestive heart failure, kidney disease, heart disease, and sepsis, just to name a few.

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

3B: Residency: The Best Starting Point for Billing and Coding Education for Physicians

Heather Joseph-Chupp, CPC; David Oram, MD

A multidisciplinary approach that includes both faculty physicians and certified coders in instruction of the primary care resident. Though our discipline is primary care, this information and these techniques can be applied across all medical specialties. Our program has produced physician after physician who report back zero deficiency audits from payers!

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

3C: Coding Productivity Standards

Michelle Ann Richards, CPC, CPCO, CPMA, CPPM

Establishing productivity standards for coding staff can be a complex process even for the most seasoned leaders. With the implementation of ICD-10 it is more important than ever to have these measures in place. This interactive session will review the components to consider when setting productivity standards while outlining their importance in our day to day work. Audience participation will be encouraged, so plan on sharing your productivity stories!

9:15 AM - 10:30 AM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CEMC, CPB, CPPM, CSFAC

3D: Complex Foot and Ankle

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

Review of the complex anatomy of the foot and ankle, including bone and joint, ligamentous and tendon, as well as an overview of the vascular and nervous system as they relate to the foot and ankle. Discussion of orthopedic conditions and surgeries involving the foot and ankle, including but not limited to, bunions, Lisfranc injuries, fusions, tendon and ligament repairs and osteotomies, along with appropriate codes and modifiers. Brief discussion of the ICD-10 codes related to the foot and ankle.

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

3E: How to Teach Coding Concepts to Your Provider

Nancy Clark, COC, CPC, CPB, CPMA, CPC-I; Judy A Wilson, COC, CPC, CPCO, CPC-P, CPB, CPPM, CPC-I, CANPC

Do you ever feel as though coders, billers and providers speak different languages? Watch as a physician and a coder progress from speaking a totally different language to effectively communicating about important coding concepts. Find the common ground where each can express him or herself and understand the relationship of documentation to coding.

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

3F: Emergency Department Coding

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

This session will review the selection of E/M levels for ED professional and facility services, coding for procedures, proper use of modifiers and common ICD-10-CM codes in the ED. We will discuss how to maintain compliance with codes selected and how to capture all appropriate charges.

Breakout Session 4

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM, CRC

4A: Risk Analysis and Communication

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

During this session, we will discuss risk analysis of audit results and ways to communicate the results back to the provider and/or practice. Verbal communication tips and creating a professional audit report will be discussed.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4B: Data Integrity in Medical Billing

Yvonne D Dailey, CPC, CPB, CPC-I

This session will take a look at "Data Integrity" from the billing agency point of view. We will discuss contracts, data transmission, (EMR or paper), coding, and claim correction steps to maintain and assure the accuracy and consistency of the medical billing data.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4C: HIPAA Security

CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC; Paul Hales, JD

This session will focus on the preventive steps you can take to avoid the problems caused by a lack of preparation. We'll cover some of the headlining cases of major HIPAA breach settlements, and walk through the steps that organizations like yours can take to prevent major fines.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPPM

4D: NCCI and Modifier 59, X{EPSU}

Angela B Clements, CPC, CPC-I, CEMC, COSC

Modifier 59 is the most abused modifier. Stop relying on software edits to tell you to place the modifier on a CPT® code. Learn how to look up NCCI edits and appropriately apply modifier 59, XE, XP, XS and XU.

10:45 AM - 12:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4E: How to Build an Audit Tool

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

Prior to starting the audit we often must step back and look at the resources and tools we will need to complete the job. This session will discuss the resources available and things to consider when building a tool for various types of audit.

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

4F: CDI for Inpatient Services

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

In this session we will review common inpatient conditions that often create documentation and coding problems. Topics of discussion will include effective query writing and when it is appropriate to query the physician, the importance of accurate physician documentation and tips on how to improve your physician’s documentation, and how clinical indicators can be used in Clinical Documentation Improvement.

Exhibit Hall

12:15 PM - 1:30 PM

EH3: Lunch with Exhibitors

Breakout Session 5

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

5A: Coding Modalities and Procedures for PT/Chiro

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

This program will address, using actual case examples, the most common errors in chiropractic and physical therapy coding that have led to either post payment recoupment liability or allegations of fraud.  In this part of this presentation, we will review the appropriate methodology for selecting from the various modality/procedure codes as well as discussing contact and “skilled contact” requirements.  Examples of creatively named therapeutic interventions and the coding errors that resulted will be discussed.

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

5B: Critical Care: What Makes This So Difficult

Angela M Jordan, CPC

During this interactive session we will discuss all the facets of documenting critical care Time, Procedures, Trauma Team Activation, Continuity of Care, as well as definitions of Critical Care. In addition, we will discuss the best practices for educating your providers on the do’s of documenting critical care, along with the don’ts of this same process. Participants will come away with an understanding of the best practices in documentation, and what elements are required in a Critical Care Note. We will also discuss what is being audited by payers and how they look at this process.

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

5C: Surviving The Audit

Guillermo Beades, JD

Audits are the preferred tools of public agencies and private insurers alike. Attendees will learn to identify and differentiate between the many types of audits, gain an understanding of their potential impact, and learn how to respond to same.

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

5D: Future of Value-Based Healthcare

Dan Schwebach, MHA, CPPM

Since the enactment of the Affordable Care Act the health industry business models are quickly evolving into a New Health Economy. The traditional way of doing business is rapidly shifting towards Value-Based Healthcare. This session will focus on looking at how Value-Based Healthcare will shape the New Health Economy, along with key trends influencing healthcare transformation. Areas to be discussed include: The future of insurance models, new entrants and innovators shaping value-based care, a look at pending payment models and their impact on coding and billing, and risk shift from payers to providers.

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

5E: OB/GYN

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

This session will cover common issues in the Ob/Gyn office - procedures, pregnancy, payments and patients. We will discuss anatomy and terminology common to gynecology, and procedures including pelvic repairs, mesh, and hysterectomy, as well as pregnancy coding, including global care and interrupted pregnancy. And finally, we will wrap up with business office issues, including payments and patient relationships.

1:30 PM - 2:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CEDC, CENTC, CGIC, CGSC, CHONC, CIC, COBGC, COSC, CPB, CPCD, CPCO, CPPM, CPRC, CRC, CSFAC, CUC

5F: 2017 Code Updates for ICD-10-PCS

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

In this session we will review the coding updates for ICD 10 PCS. There are over 75,000 ICD 10 PCS codes for Fiscal Year 2017. That number includes approximately 3,500 new codes, most of which are found in the cardiovascular section, and almost 500 code revisions. We will digest this seemingly overwhelming number of code updates, and determine how it will impact our day to day coding of procedures in ICD 10 PCS.

Breakout Session 6

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CCPC, CPB, CPPM

6A: PT/Chiro: Coding Time-Based Services and Common Errors

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

This program will address, using actual case examples, the most common errors in chiropractic and physical therapy coding that have led to either post payment recoupment liability or allegations of fraud.  In this part of this presentation, we will review the appropriate methodology for selecting from the various modality/procedure codes as well as discussing contact and “skilled contact” requirements.  Examples of creatively named therapeutic interventions and the coding errors that resulted will be discussed.

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

6B: Risk Adjustment

Brian R Boyce, CPC, CPC-I, CRC

It is important for coders to not only know the guidelines, but FIRST to understand the concept of risk adjustment and why it is becoming the hottest new healthcare tool. Risk adjustment requires a new way of thinking about coding. Find out not only about risk adjustment for Medicare (HCC) but hear about the Medicaid model and how commercial plans are now creating their own. Topics will also include star ratings and how they connect to quality of care initiatives.

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

6C: E/M Capture in the Hospital Outpatient Dept

Linda Martien, COC, CPC, CPMA

We will explore the history and evolving methodology of Evaluation and Management coding and charge capture in the hospital outpatient facility, such as Emergency Departments, Pain Clinics, Wound Care Centers, and other departments providing E/M services.  Scenarios will be presented for attendees to practice the coding and auditing of E/M services in the HOPD.

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

6D: Why Templates Can Make You Cry

Angela M Jordan, CPC

This session will start off by defining and exploring the differences between EHRs, EMRs, and PHRs, and their necessity to the ever-changing landscape of healthcare. The speaker will devote time to discussing E/M code calculations within the electronic world, as well as the positives, negatives, and compliance concerns evolving from templates and macros for various services. The presentation will incorporate documentation examples from several systems to demonstrate that template problems are not isolated to any one software. Ultimately, the goal is for attendees to realize their value as members of the healthcare team when it comes to identifying and resolving documentation quandaries.

3:15 PM - 4:30 PM | 1.25 CEUs COC, CPC, CPC-P, CANPC, CASCC, CCC, CCVTC, CIC, CPB, CPPM

6E: Deciphering the Anesthesia Record

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

Attendees will learn to code and bill directly from the Anesthesia Record. After the session, they will be able to tell if a patient is on bypass or off bypass and if it is a general or MAC, even if it is not listed. Also, they will gain the ability to tell if patient is on one lung ventilation. We will code actual anesthesia records and explain what all the little arrows mean. This will be a good session for anyone who wishes to know how to read an anesthesia record and be able to code for everything that is billable, based solely on the anesthesia record. Also, we will learn how to tell if lines are inserted and why. This is a must-attend for anyone thinking of billing anesthesia or beginning to bill directly from the record vs. billing sheets.

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

6F: Basic Payer Communications: Denials and Appeals

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

Ever been frustrated by the wall payers tend to surround themselves with? Ever seem like payers speak a foreign language? Then this session is for you! In this session we'll cover claims issues, denials and appeals, basic communications, and the importance of policy in the payer world. We'll discuss strategy and tactics of how we can begin to break down barriers to successful payer communications.

Saturday, October 8, 2016

Information

8:00 AM - 2:00 PM

: Registration/General Info/Product Store

Exhibit Hall

8:00 AM - 9:00 AM

EH4: Continental Breakfast with Exhibitors

General Session

9:00 AM - 10:00 AM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS3: Secrets of Successful Coders

Stephanie Cecchini, CHISP, CPC, CEMC

Are you holding yourself back from financial success? Learn the surprising strategies that successful medical coders are using to increase their odds, while climbing the ladder toward a higher income. Hear the simple truths that most successful coders learned the hard way---and discover effective methods for inspiration, balance, and motivation for those who aspire to earn more in their medical coding career. In Secrets of Successful Coders, Stephanie Cecchini, medical coding expert, public speaker, and healthcare executive, identifies the key strategies of high earners.

Breakout Session 7

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

7A: Patient Flow/Mastering the Appointment Schedule

MariaRita Genovese, CPC

Few practices have mastered the appointment scheduling process. Learn how to diagnose an inefficient schedule and understand its potential side effects. Explore strategies to get to the root problems and enhance your facility’s schedule.

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

7B: Radiation Oncology: ICD-10 & CPT Review

Lashelle Bolton, COC, CPC, CPMA, CPC-I

In this presentation we will take a peek into the Radiation Oncology world of ICD-10. We will discuss the effects of the ICD-10 code sets in regards to coding, chart documentation, workflow processes, and reimbursement.

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

7C: Bullet-Proof Your Documentation

Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC

Documentation has always been important in telling the story of the patient encounter. This session will share suggestions and best practices to achieve bullet-proof documentation as well as ways to maintain compliance in the electronic medical record. We will finish by discussing ways to effectively communicate with your provider.

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

7D: Coding for Psychology

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

Over the past few years this specialty has seen challenges in both CPT and diagnosis coding. In this session we will walk through some examples of encounters and discuss our coding choices in addition to what other regulations and policies need to be considered prior to making those final code selections.

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

7E: Ophthalmology: Raise Your "Eye"-Q

Nancy Clark, COC, CPC, CPB, CPMA, CPC-I

Ophthalmology coding requires specialized knowledge of the procedures performed and appropriate medical necessity. Coding and billing is further complicated by bilateral and unilateral services. In this session, we will review the components of eye exam codes and discuss common diagnostic testing. We will also take a look at the increased specificity requirements for ICD-10 diagnosis coding.

10:15 AM - 11:30 AM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

7F: ICD-10-CM Code Updates

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

There are over 1900 new codes, in addition to revisions and deletions, slated for October 1st. This session will hit on key areas of changes and the conditions prompting the need for change. With claims data more important than ever it’s a must to get our practices ready quickly for these massive changes. Attendees will learn: 1. Clinical conditions necessitating the code changes 2. Overview of key code changes 3. What we can do to prepare our practices to be ready

Exhibit Hall

11:30 AM - 12:45 PM

EH5: Lunch with Exhibitors

Breakout Session 8

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

8A: Crash Course in Medical Necessity for Coders

Stephanie Cecchini, CHISP, CPC, CEMC

Have you ever wondered if a level 4 or 5 office visit was really medically necessary—or if a service was actually more appropriately a level 3 versus a 4? The medical need for services, not the provision of services, is the authoritative factor to proper code selection. How does a coder who is not a clinician make this judgement? Hint: It’s not MDM! This session provides shockingly simple steps to ensure you’ve got the right level of service---every time!

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

8B: Revenue Cycle - Streamlining the Patient Pay Process

Lashelle Bolton, COC, CPC, CPMA, CPC-I

With patient responsibility on the rise, this session will discuss how to implement tools and processes that will enhance the patient pay revenue.

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

8C: Hitting the Jackpot - Sinuses, Scopes and Surgery

Candice M Fenildo, CPC, CPB, CPMA, CPC-I, CENTC

Session will start with some sinus anatomy and discussion of sinusitis pathophysiology. We will discuss the definition of the “ global surgery package”, and endoscopic sinus surgery codes and how to properly code them. We will cover documentation needed to capture stereotactic guidance, post-op sinus debridements, post-op sinus debridements, and proper coding and documentation for balloon dilation. Finally, we will finish with turbinate procedures and epistaxis control methods.

12:45 PM - 2:00 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIMC, COBGC, COSC, CPB, CPCD, CPCO, CPEDC, CPPM, CPRC, CRHC, CSFAC, CUC

8D: Unlocking ICD-10 Combination Codes

Brian R Boyce, CPC, CPC-I, CRC

An in-depth look at many of the various combination codes in ICD-10. We will discuss how these are properly coded and how clinical documentation may change code selections.

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

8E: Resources for E/M Auditing Panel

Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC; Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC; Michael Warner, DO, CPC; Angela C Boynton, COC, CPC, CPCO, CPC-P, CPC-I

A panel of industry experts including auditing, compliance/legal, physician and payer representatives will host an interactive discussion of the most common problems with proper reporting of E/M services.  The panel will respond to questions from attendees regarding troublesome E/M documentation and scoring issues.  The perspective of each panel member on these common issues will provide attendees with valuable insight that can be applied when developing internal compliance policies for resolving these concerns. 

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

8F: A Review in Vascular Surgery

Caren J. Swartz, COC, CPC, CPB, CPMA, CPC-I, CRC

This session will be an overview of varied vascular surgery procedures, including revascularization, bypass, and catheter-based procedures.