Our Seminars

 

The Quality of ICD-9-CM and CPT Coding DOES Make a Difference
This session guides the attendee through the maze of coding principles for both diagnostic and procedural coding. Details for evaluation and management coding will be presented along with the differences and commonalities for the multiple versions of documentation guidelines.  This presentation is offered in a series by specialty.


Dollars and Sense...You Get Paid for what You Code-Series

This session provides the attendee with an introduction to ICD-10-CM/PCS.  The specific documentation, coding, reimbursement implications of reporting consultations is detailed, as well as the proper assignment of evaluation and management level of service.  Medical necessity and coverage issues are explored along with the requirements associated with advance beneficiary notices.  This presentation is offered in a series for physicians, advanced practice nurses, coding staff or billing staff.


Physician Coding Made Easy
This session is designed for physicians to assist in the proper assignment of evaluation and management level of service. Medical necessity and coverage issues will be explored along with the requirements associated with advance beneficiary notices.


Meeting Federal Compliance for Evaluation and Management Coding
This session is designed for physicians and staff to assist accurately coding evaluation and management level of service codes for all settings.


Advanced Coding Reimbursement

This session is customizable based upon the client; however, topics may include changes in coding and reimbursement, proper coding for service unique to the physician or healthcare provider, as well as the appropriate charge capture for these services. 


A to D of Inpatient Coding...Admission to Discharge

This session reveals the documentation and coding guidelines for inpatient services. The professional services covered in this session are:  initial inpatient visits, subsequent inpatient visits, discharge day management, observation services, consultations, critical care services, emergency department visits, shared/split visits, prolonged services and case management services.  This session is designed for hospitals or any physician or clinician providing professional services in the inpatient setting


Top Billing Tips for Advanced Practice Nurses

This session is customized for Advanced Practice Nurses (APNs) and provides the specific requirements for many services provided by APNs,m including shared/split visits, incident-to billing, consultations, modifier usage, units of service, and preventive medicine services.


CPT Coding Made Easy for Nurse Practitioners
This session leads nurse practitioners through an overview of CPT coding and a detailed presentation of evaluation and management coding. New and established patient visits along with the differences and similarities of the multiple versions of evaluation and management coding will be discussed.

Appropriate Coding for Advanced Practice Nurses
This session is designed for all advanced practice nurses and discusses the coding principles of ICD-9-CM, HCPCS, and CPT with a detail in the evaluation and management level of service codes.


Evaluation and Management Coding for Residents
This session is designed for resident physician and details the specifics of the multiple versions of evaluation and management documentation and coding guidelines. New and established patient visits along with the differences and similarities of the multiple versions of evaluation and management coding will be discussed.


Secrets for Successful Primary Care Coding
This session is designed for primary care practices and discusses the specific ICD-9-CM coding issues for this specialty. The challenges of proper use of modifiers, accurate coding for injectables, national coverage determinations, and sports/school physicals from the primary care perspective are detailed.


Billable Moments...

Solving the Mysteries of Inpatient and Outpatient Coding

This session is designed for Heart Failure Nurse ad details the documentation and coding requirement for evaluation and management visits.  Additionally, hospital inpatient services, consultations, incident-to visits, shared-split visits, and visits specialized to the heart failure patient are presented.


Uncover the Secrets for Coding “Well” and “Sick” on the Same Day

This session reveals the relationship between the documentation of a “sick” and “well” visit.  Attendees discover the proper billing for these services on the same day as well as when it is appropriate to use modifiers.


HCPCS Coding Made Easy
This session outlines to content and organization of the National Level II coding system. Notes, modifiers, abbreviations, coding standards, and the Table of Drugs will be presented.


Starting to Code…the Basics of Procedural Coding
This session illustrates the coding content principles of CPT guidelines. Symbols, explanatory notes, modifiers, global periods, bundling and unbundling, plus more will be outlined in this presentation.


Starting to Code…the Basics of Diagnostic Coding
This session illustrates the coding content and principles of ICD-9-CM guidelines and how they affect billing and reimbursement. Discover how the ICD-9-CM system is organized and it’s influence on medical necessity. Specificity, V-codes, E-codes, NOS and NEC codes, and rule out diagnoses will be covered in this session.


Basics in Documentation and Coding

This session introduces diagnostic and procedural coding methodologies and principles that must be followed to produce accurately coded services.  Proper documentation guidelines are also included in this session. 


Maximizing Your Occupational Health Reimbursement

This session is designed for occupational health professionals and provides an introduction to CPT coding and details the documentation and coding guidelines for the multiple versions of evaluation and management visits.  The proper use of modifiers, case management services, and tips for coding injuries is also covered.  Internal and external audits are discussed and the attendees leave with a list of steps that can be taken to prepare for an external audit.


Follow the Path to Success:  Revenue CYcle, National Correct Coding Initiative, and ICD-90CM Official Coding Guidelines

This session is designed for coding and billing staff.  The steps in the revenue cycle are detailed and best practices are presented throughout the revenue cycle.  The role of the Health Information Management professional in the revenue cycle is explained in this session.  Additionally, the National Correct Coding Initiative (NCCI) is summarized with the impact of the current version detailed and the ICD-9-CM Official Guidelines for Coding and Reporting are reviewed with current updates.









Additional sessions may be developed based upon individual organizational needs.



Please contact us to schedule your customized educational session.


Other Topics:


Show Me the Money:  Billing and Reimbursement-Series

This session takes the attendees step-by-step through the billing process, including revenue cycle terminology that is necessary to understand the day to day impact that each role makes upon the integrity of the organization.  Key performance indicators are discussed in detail and attendees leave the session with best practice statistics to compare their operations. 


aMAZEing Preparations of a Documentation Audit Plan

This session illustrates the steps in the professional service billing process and details the requirements for the CMS-1500 claim form.  Attendees learn the importance of proper charge capture and the negative results when this is not completed thoroughly.


Mapping Revenue Through Proper Documentation

This session illustrates the steps in the professional service billing process and details the requirements for the CMS-1500 Claim form.  Attendees learn the importance of proper charge capture and the negative results when this is not completed thoroughly. 


Medical Necessity and Advanced Beneficiary Notice of Non-Coverage

This session reveals the revised guidelines for a proper Advanced Beneficiary Notice of Non-Coverage (CMS-R-131)


Choosing the Right Documentation Path for Shared-Split Visits

This session outlines the required criteria, site of service exclusions, service inclusion and key issues of consideration when reporting evaluation and management services as a shared-split visit. Documentation and claims requirements are discussed along with case scenarios.


Staying Compliant with Incident-to Requirements
This session details the definition and criteria for billing “incident-to” services. Examples of correct and incorrect billing scenarios will be presented.


How Medical Necessity Shapes Patient Coverage
This session explores medical necessity, advance beneficiary notices, national coverage determinations, local medical review policies and more. Attendees learn how to avoid denials based upon the lack of medical necessity.


A Prescription to Painless Medical Record Documentation

This session explores medical necessity, advance beneficiary notices, national coverage determinations, local medical review policies and more.  Attendees learn how to avoid denials based upon the lack of medical necessity.


A Prescription to Painless Medical Record Documentation
This session takes attendees through the when, where, what, and whys of medical record documentation. The golden rule of documentation, documentation basics and the top documentation, coding and billing errors are identified. JCAHO and an overview of evaluation and management are also discussed in this presentation.


Keys to Successful Professional Service Billing

This session takes attendees through the steps of professional practice billing and the field definitions of the Centers for Medicare and Medicaid Services’ 1500 claim form.  Specifics on Explanation of Benefits forms and claims denial reasons are reviewed along with the steps in the appeal process/  This session also challenges attendees with actual case studies using the CMS-1500 claim form fields.


Identifying Potential Problem Areas
This session provides an overview of the claims submission process along with the steps for denials, reviews, and appeals. Key components of fraud and abuse will also be covered in this session.


How to Avoid a Focused Review
This session is designed for those professionals who would like to learn more about the claims processing, appeals, and focused review process. Attendees will explore the why, when, what, who, and how of the review process. Attendees will leave this session with the steps to take to prevent a focused review.


Key to Success…Reimbursement Management
This session discusses professional practice billing and the Centers for Medicare and Medicaid’s 1500 form. Explanation of Benefit form, claims denial reason, advanced beneficiary notices, “incident-to” billing and the appeals process will be covered in this presentation.


Continuous Quality Improvement
This session describes the necessary step to take when conducting a quality improvement project. Project selection, formulating team members, identifying the purpose and scope along with the plan development, solutions, implementation, and follow-up will all be covered in this session.


Managing Multiple Challenges in the Medical Practice
This session is designed for practice administrators, office managers, and supervisors. Common problem within a medical practice, work expectations, organizational skill set, time management, proper planning, prioritization, delegation, procrastination, and reward systems will be presented.


Confidentiality Issues in the Medical Practice
This session describes the subpoena and court order, as well as the release of medical information processes. Real life scenarios will illustrate the application of these requirements.


Designing an Effective Charge Slip
This session review the do’s and don’t of charge slip design. The key components and vital functionalities will be presented. Attendees are asked to bring their own charge slip for this hands on session.


The RFP Process…Evaluating Potential Software Packages
This detailed session is designed for those professional who would like to learn more about the Request for Information (RFI) or Request for Proposal (RFP) process. Attendees will learn the necessary step to designing an RFI or RFP for their facility and how to summarize and compare results from multiple vendors.


How Strategic Planning Can Promote Financial Success
This session will cover why strategic planning is important, the key component of developing a strategic plan, along with the steps to conducting a strategic planning retreat and developing action plans.