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Coding & Billing in Healthcare: Apply the Latest Updates & Prevent Cos
Live Webcast

Coding & Billing in Healthcare: Apply the Latest Updates & Prevent Costly Errors


Faculty:
Debra Mitchell
Duration:
Full Day
Product Code:
LWC020684
Brochure Code:
PLW67609
Media Type:
Live Webcast

Program no longer active
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Description

The Departments of Justice and Health are committing increased resources to weed out fraud, waste, and abuse in health care. In 2017 false and fraudulent billing of Medicare and Medicaid claims amounted to $1.2 billion, resulting in criminal charges for 400 individuals. The Department of Health has also announced it will be increasing the number of Medicaid audits performed each year to prevent fraud and improper payments.

Committing fraud in health care billing does not necessarily require an intent to do so. Improper coding and submission of a claim due to a lack of knowledge and understanding is all that is necessary to land you and your doctor’s office in hot water. With changes on the horizon in ICD-10, new telehealth billing protocols, and new codes relating to psychiatric care in certain primary care settings, it is more important than ever to ensure you and your staff are up to date.

In addition to avoiding claims of fraud, ensuring proper coding and submission of claims from the start will see your doctor’s office reimbursed the correct amount faster and easier. In an era where providers are forced to do more with less, it is essential for a practices’ survival to receive appropriate reimbursements in a timely fashion. You really can’t afford to miss this one-day event!

Credits

*

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.


Coders

This program has the prior approval of the American Academy of Professional Coders (AAPC) for 6.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor. AAPC approval good thru 11/30/2019.


California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


Florida Nurses

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.0 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.0 contact hours.


Occupational Therapists & Occupational Therapy Assistants

AOTA

PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


Florida Occupational Therapists & Occupational Therapy Assistants

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 continuing education credits.


Physical Therapists & Physical Therapist Assistants

This activity consists of 6.0 clock hours of instruction that is applicable for physical therapists. This certificate is proof of your attendance. Please retain it in your records or use for submission as proof of completion when required.


California Physical Therapists & Physical Therapist Assistants

California Physical Therapists

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This course will qualify for 6.0 continuing competency hours.


Illinois Physical Therapists & Physical Therapist Assistants

MEDS-PDN, powered by PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This course qualifies for 6.0 CE Credit Hours. 


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This course qualifies for 7.2 contact hours. 


Tennessee Physical Therapists & Physical Therapist Assistants

6.0 contact hours have been approved by the Tennessee Physical Therapy Association.


Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physician Assistants

AAPA Logo

This program has been reviewed and is approved for a maximum of 6.0 hours of clinical Category I CME credit by the American Academy of Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. This program was planned in accordance with AAPA’s CME Standards for Live Programs and for Commercial Support of Live Programs.


Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Other Professions

This activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 


Handouts

Faculty

Debra Mitchell Related seminars and products: 1

MSPH, CPC-H


Debra Mitchell, MSPH, CPC-H, is a coding and compliance consultant and auditor, drawing from 30 years of experience in the field. She also shares her expertise through nationally presented continuing education events to benefit those working in various coding and billing roles. Debra has contributed to the development of a coding certification program and supervised a statewide Medicaid “peer review” program. Her commitment to the specialty is reflected as Debra maintains active membership in the American Academy of Professional Coders and is certified in hospital coding.

Speaker Disclosures:

Financial: Debra Mitchell receives a speaking honorarium from PESI, Inc.

Non-financial: Debra Mitchell is a member of the American Academy of Professional Coders.


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store.


Additional Resources

To order the book, 2018 ICD-10CM Annual Version, please visit our product store.

To order the book, Treating Chronic Pain, please visit our product store.


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation. You will have access for 90 days after the program for review. 


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. Maximize your reimbursement through knowledgeable code selection.
  2. Analyze the 2019 changes to the ICD-10-CM and CPT codes to determine how they affect your practice.
  3. Recommend when to use attachments.
  4. Explain telehealth billing, with correct modifiers and POS.
  5. Develop the best course of action for medical necessity denials.
  6. Analyze the most common ICD-10-CM denials to put in to place the proper approach on the front end.
  7. Evaluate the best steps to ensure optimal and timely reimbursement.
  8. Examine bundling to know when it is best to unbundle codes.
  9. Illustrate proper submission of incident-to claims.
  10. Recognize strategies to avoid down coding.

Outline

A First Look At The 2019 Changes
  • ICD-10 CM code update effective 10/01/2018
  • New guidelines for ICD-10 CM
  • Psychiatric Collaborative Care Management for the family practice, pediatrics, internal medicine, OB/GYN or other general practice office
  • Telehealth – modifiers, place of service, and the difference between telehealth and phone visits and who reimburses
  • Proper use of prolonged time codes – how this can help your practice immediately!
    NEW MODIFIES AND DIFFERENCES EXPLAINED FOR HABILITATIVE AND REHABILITATIVE SERVICES
Expert Tips To Master The Claims Submission Process
  • Understand how the diagnosis drives the claim
  • Recognize what a mutually exclusive diagnosis rejection is telling you
  • The elements of an incident-to claim
  • Discuss modifiers and how they can assist a claim
  • When should documentation be submitted with the claim
  • Know how and when to unbundle a code
Documentation Strategies
  • What to do if you’ve been down coded?
  • Tools to analyze and solve difficult billing problems
  • Learn how to prevent a medical necessity denial
  • Acceptable use of unspecified diagnostic codes
  • What should you locate in the documentation to support an appeal or correction
Improved Billing Processes
  • Avoid costly and common errors
  • Know when to query the provider
  • When should you appeal and when should you “write it off”
  • What information are you communicating through the coding – to understand the potential impact

Target Audience

  • Coding and Billing Staff
  • Medical Records Staff
  • Office Managers
  • Physicians
  • Physician Assistants
  • Nurse Practitioners
  • Nurse Managers
  • Chiropractors
  • Dentists
  • Physical Therapists
  • Occupational Therapists

Reviews

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Overall:     4.5

Total Reviews: 16

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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