Learn the Hottest Coding Issues Every Physician Office Must Know in 2019
Billions of dollars are lost in healthcare spending every year due to medical billing mistakes. And when it comes to Medicare billing, the OIG and CMS are getting increasingly tougher every year. They have zero tolerance for fraud and abuse—as well as inadvertent errors. If a practice is found negligent, it can be prevented from billing Medicare or Medicaid services for years. Don’t let that practice be yours.
Learn the hottest coding issues every physician office must know in 2019 to avoid audit risk scrutiny in this session by medical coding compliance expert Elin Kunz. Kunz will walk you through the new compliance updates for 2019, and also show you where to focus your audit efforts in 2019. She will discuss the proposed E&M documentation changes (which are significant) and how they will impact your audits. She will share strategies and best practices to minimize your audit risk and improve compliance, as well as checklists for E&M Training and continued compliance monitoring. The Medicare fee-for-service improper payment rate fell from 9.51 percent in 2017 to 8.12 percent in 2018, but insufficient documentation continues to be a problem. To avoid such a scenario for your practice, Kunz will provide customized documentation tips to ensure correct coding.
After attending this session, you will be better prepared to improve compliance and minimize audit risk. You will know where to focus your audit efforts in 2019, and which key physician targets to prepare for in 2019.
This session will bring you up to speed with:
Who Should Attend
Part of a generalized chargemaster sequence of presentations. Associated with special payment system presentation on APCs and DRGs.
Why Should You Attend?
Objectives of the Session:
Agenda of the Session:
Comply With GDPR Now to Avoid Heavy Penalties Later
As a U.S. provider, you may think that the European Union’s General Data Protection Rule (GDPR) is not applicable to your patient records, and that only HIPAA and local state rules apply. However, there are scenarios where GDPR’s standards apply to you in this country. The rule also differs substantially from HIPAA in several respects, which may require different handling of records subject to GDPR. Failure to comply with GDPR carries more serious penalties than HIPAA, and a violator must deal with regulators of European agencies that are often unwilling to settle the matter informally.
Learn how to comply with EU’s GDPR in this informative audio conference by industry expert Wayne J. Miller. Miller will discuss examples where American providers are subject to GDPR, such as when a tourist sees a U.S. doctor, or when clinical trials are run for a foreign drug company. He will highlight the specific ways in which GDPR differs from HIPAA when recording confidentiality and security matters, and what additional steps are necessary to comply. Miller will also present an overview of the regulators that enforce GDPR, and the penalties they can impose. Lastly, he will show you how to update existing forms and procedures to be GDPR compliant.
After attending this session, you will know exactly how GDPR applies to you. You will know the difference between GDPR and HIPAA, and situations where HIPAA compliance will not be enough. You will also know which agencies enforce GDPR against providers, and how they do it. Plus, you will know the penalties for violating the new rule.
The presentation will cover the following topics:
Who Should Attend
This lesson will be addressing how practice/business managers (or compliance offers) need to get their HIPAA house in order as HIPAA is now fully enforced and the government is not using kid gloves any more.
It will also address major changes under the Omnibus Rule and any other applicable updates for 2019 and beyond. There are an enormous amount of issues and risks for covered entities and business associates these days.
I will speak on specific experiences from over 17 years of experience in working as an outsourced compliance auditor, expert witness on HIPAA cases, and thoroughly explain how patients are now able to get cash remedies for wrongful disclosures of private health information. More importantly I will show you how to limit those risks by simply taking proactive steps and utilizing best practices.
Why should you Attend:
We will be discussing some of the changes taking place in Washington with the Health and Human Services in regards to the enforcement of the HIPAA laws already on the books. I will go over some of the new changes affecting covered entities and business associates. I will also be discussing factors might cause an unwanted visit or letter from the Office of Civil Rights and how to prepare for the audit and deal with the Feds.
Areas Covered in the Session:
Who Will Benefit:
This program will discuss the most problematic standards in the restraint section. It will cover the 50 pages of restraints standards that hospitals must follow according to CMS.
Why Should You Attend:
Do you know that the number one area of deficiencies in the CMS CoP is regarding restraints? CMS issued a memo summarizing all of the deficiencies against hospitals which is updated quarterly.
This program by expert speaker Sue Dill Calloway, RN, MSN, JD, will discuss the most problematic standards in the restraint section. This program also discusses the proposed changes to restraint published in the Hospital Improvement Act. This will help you assess your preparedness if a CMS surveyor shows up at your hospital tomorrow, and enhance your staff’s understanding of all of the 50 pages of the CMS interpretive guidelines.
This session will also discuss the requirements for an internal log and what must be in the log for patients who die in one or two soft wrist restraints. Additionally, it will include what must be documented in the medical record and discuss the reporting requirements for patients who die in restraints and within 24 hours of being in a restraint.
Areas Covered in the Webinar:
This webinar will cover the 50 pages of restraints standards that hospitals must follow according to CMS. It will cover all the CMS requirements on restraints which includes the following sections:
Who Will Benefit:
All nurses with direct patient care, Compliance Officer, Chief Nursing Officer, Chief of Medical Staff, COO, Nurse Educator, ED Nurses, ED Physicians, Medical staff coordinator, Risk Manager, Patient Safety Officer, Senior Leadership, Hospital Legal Counsel, Chief Risk Officer, PI director, Joint Commission Coordinator, Nurse Manager, Quality Director, Chief Medical Officer, Security Guard, Accreditation and Regulation Staff and others responsible for compliance with hospital regulations and anyone involved in the restraint or seclusion of patients. Persons responsible for rewriting the hospital policies and medical staff bylaws should attend. This also includes staff who remove and apply them as part of their care such as radiology techs, ultra sound technologists, transport staff and others.
Review any changes & bring the Urology CPT changes for 2019
Learn coding techniques that work!
a. The -57 vs -25
b. Visits during global post-op period
c. Billing for additional procedures during the global period.
d. What about -51? Dealing with the -59 modifier; the -53 vs. -52.
Correct reimbursements from Medicare, Managed Care and Private Payers
Advanced coding for Urology Eases Paperwork:-
Learn How To:-
About the speaker:-
Dawn R. Cloud, CPC, CMSCS, CHCI, She has 26 years’ experience in the Medical Industry. She is a Certified Professional Coder through AAPC since 1999, and holds a multi-specialty credential as well as a Certified Instructor credential through PAHCS since 2003. She is the Co-founder of the East Valley Chapter for AAPC in AZ. She has been published in PAHCS newsletters and Family Practice Coding Advisor. She currently works teaching Coding Compliance and Consulting for Specialists. Her specialties cover the gamut of medicine and surgery.