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Reimbursement Impacts in Shifting Times

Reimbursement Impacts in Shifting Times
Reimbursement Impacts in Shifting Times (How to Best Protect Your Practice)

Too many practices are facing reimbursement issues never before seen. Many have had to give money back under Meaningful Use for not successfully demonstrating compliance. Practices also face penalties for not reporting on other measures under PQRS and Value Based Modifier. If you don’t get prepared now, future audits and programs under the Affordable Care Act could end up penalizing your practice even more. Future success depends on optimizing coding, documentation and reporting of all measures.

Learn how four hot button topics spawned by the Affordable Care Act effect coders, billers, auditors, practice managers and compliance professionals in the current healthcare landscape: Value-based payment modifier, Meaningful Use, Hierarchical Condition Coding (HCC), and Physician Quality Reporting Standards (PQRS). Learn how MIPS will change the current requirements. This workshop is a must for practice managers, compliance officers, coders and billers.

Workshop topics include:

Value-Based Payment Modifier:
  • Understand reporting of quality measures impact on value-based payment modifier
  • Determining Physician and Practice Performance

Meaningful Use:
  • Is Meaningful Use really over?
  • What you need to know about Modified Stage 2 and Stage 3
  • How to respond to an Audit-Before Giving Money Back.

Physician Quality Reporting System:
  • Reporting measures
  • What are key differences between PQRS and Meaningful Use?
  • How can they be reported simultaneously?
  • How can you review the accuracy of data reported?

Hierarchical Condition Coding (HCC)
  • Impact of ICD-10's on HCC'
  • The current and future impact of hierarchical condition coding on reimbursements
  • Compliance and HCC's

This workshop includes:
  • Review of survey results from industry experts on the success of the programs
  • Hands on exercises to validate quality measure reporting and other initiatives
  • The knowledge to bring your practice up-to-date for peak performance reporting

About The Author

Janice G. Jacobs is a Managing Director at Berkeley Research Group (BRG) in their Clinical Economics Practice. Janice has over 30 years of healthcare industry experience including hospital accounting and auditing, inpatient, outpatient and professional fee coding and compliance and revenue cycle management.

Prior to joining BRG, Janice was a Director in Huron’s Healthcare Practice where she worked on numerous engagements at the country’s top Academic Medical Centers including Stanford, Duke, Johns Hopkins and the University of Illinois at Chicago.

Janice is a Certified Public Accountant licensed in the State of Pennsylvania, a Certified Professional Coder and a Certified Professional Compliance Officer with the American Academy of Professional Coders (AAPC), a Certified Coding Specialist and an AHIMA-Approved ICD-10 Trainer with the American Health Information Management Association (AHIMA) and a Radiation Oncology Certified Coder with the American Medical Auditing Company (AMAC).

Register to Access this On Demand Event

  • Get access to the author-recorded webinar broadcast
  • Includes electronic workbook, downloadable mp3, ipod/iphone video, and presentation slides
  • Learn at your own pace with the ability to pause, rewind, etc.


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*On demand and virtual workshops are for single person use only and may not be rebroadcast, retransmitted, shared or disseminated. A computer with a high speed Internet connection and speakers (or headphones) is recommended to connect to the event.

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