How to Negotiate on Out of Network Claims

$249$449
Format :LIVE WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 03/27/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 minutes

Getting paid on Out of Network claims (OON) is one of the greater difficulties every healthcare service provider face. And if the regular roadblocks were already not enough, the payers are now continually pushing to constrain OON reimbursement rates. You need to improve the bottom line, which can only be achieved by maximizing reimbursements and … Continue reading How to Negotiate on Out of Network Claims

Prepare for 2019 Coding and Documentation Changes

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 02/12/2019
Time: All Day Long
Duration :60 minutes

The preparation for 2019 coding and documentation rules changes is very time consuming and even a simple mistakes can lead to hours spent correcting claims and filing appeals. Instead, interact with our Billing and coding expert Stephanie Thomas, CPC, CANPC to get a rundown of all the information you need to make 2019 a maximum-timely-reimbursement … Continue reading Prepare for 2019 Coding and Documentation Changes

Bundled Payments and Case Management in Hospitals

$249$449
Format :LIVE WEBINAR
Presenter :Beverly Cunningham, MS, RN
Event Date : 03/06/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 minutes

In the past the revenue cycle was considered to be impacted only by Patient Access, Finance and Billing Departments. It was an effort to ensure payment by the payer and there were rare denials for payments. As healthcare has evolved, there have been significant changes in the revenue cycle. Case Management has become more involved, … Continue reading Bundled Payments and Case Management in Hospitals

Claims Denial Management – In and Out of Network (OON)

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 11/21/2018
Time: All Day Long
Duration :60 minutes

Managing denials continues to be a thorn in the side of just about every healthcare organization. Many traditional approaches to denial management are no longer effect today and treat the symptom rather than the underlying causes – and the back-and-forth with payers can lead to frustration. This webinar will go through the detailed denial workflow … Continue reading Claims Denial Management – In and Out of Network (OON)

Understanding the Operational and Financial Implications to Hospitals Under Medicare’s Final Calendar Year 2019 Outpatient Prospective Payment System Rule

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Jugna Shah, MPH
Event Date : 11/28/2018
Time: All Day Long
Duration :60 minutes

Each year CMS issues the OPPS final rule which details the changes to Medicare outpatient coding and billing. The provider must implement and prepare for the rules’ major financial implication by January 1. Last year’s major changes included the reporting of drugs acquired through the 340B drug discount program. This webinar will give participants an … Continue reading Understanding the Operational and Financial Implications to Hospitals Under Medicare’s Final Calendar Year 2019 Outpatient Prospective Payment System Rule

Stark, Anti-Kickback and The False Claims Act

$251$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 11/29/2018
Time: All Day Long
Duration :60 minutes

This webinar will provide an in-depth understanding of the Federal False Claims Act, Federal Anti-Kickback Statute and Stark II, and discuss how a violation of the Anti-Kickback and/or Stark can be the basis for a whistle-blower action under the False Claims Act. It will also provide an assessment of enforcement activities, showing how participants may be at risk. In … Continue reading Stark, Anti-Kickback and The False Claims Act

CMS Proposed E/M Changes for 2019

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Event Date : 11/01/2018
Time: All Day Long
Duration :60 minutes

The Center for Medicare and Medicaid Services (CMS) is proposing major changes to Evaluation and Management (E/M) services for 2019 to involve office visits. This could affect levels of service, documentation guidelines, and reimbursement for everyone. There are also proposed issues that will affect certain specialties as well as primary care. Offices are reviewing the … Continue reading CMS Proposed E/M Changes for 2019

Billing and Coding for Mid-Level Provider Updates and Staying Compliant for 2019

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Dreama Sloan-Kelly, MD, CCS
Event Date : 02/18/2019
Time: All Day Long
Duration :60 minutes

Billing and coding for mid-level provider seems simple at first but often poses a lot of pitfalls that many private practices, groups, and hospitals are unaware of until they undergo an audit and are levied a hefty fine. Many think the billings rules for nurse practitioners and physician assistants are the same from payer to … Continue reading Billing and Coding for Mid-Level Provider Updates and Staying Compliant for 2019

HIPAA Privacy Rule Primer — What the HIPAA Privacy Officer Needs to Know Now

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Jim Sheldon-Dean
Event Date : 11/08/2018
Time: All Day Long
Duration :90 Minutes

This webinar discusses the foundations of HIPAA and how they relate to the issues of today. The rules to be discussed encompass the full range of the HIPAA Privacy Rule, with particular focus on the areas that have seen changes in the rules, technologies, or practices that impact HIPAA compliance. Patient rights and controls on … Continue reading HIPAA Privacy Rule Primer — What the HIPAA Privacy Officer Needs to Know Now

HIPAA and 42 CFR Part 2: Managing Health Care and Substance Use Disorder Information

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Jim Sheldon Dean
Event Date : 10/10/2018
Time: All Day Long
Duration :90 Minutes

For much of healthcare, HIPAA sets the standards for how to manage uses and disclosures of patient information, known as Protected Health Information (PHI). But when it comes to information related to the treatment of substance use disorders, regulations of the Substance Abuse and Mental Health Services Administration (SAMHSA) under 42 CFR Part 2 prevail. … Continue reading HIPAA and 42 CFR Part 2: Managing Health Care and Substance Use Disorder Information

E/M Coding For Physicians and Hospitals

$249$449
Format :LIVE WEBINAR
Presenter :Duane C. Abbey, PhD
Event Date : 11/29/2018
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :90 Minutes

E/M coding for physicians was introduced along with the MPFS starting back in 1992. E/M coding for hospital outpatient services started with the implementation of APCs in 2000. The use of the E/M codes are quite different between physicians and hospitals. Physicians code for what they do using mainly the history, examination and medical decision … Continue reading E/M Coding For Physicians and Hospitals

Emergency Department(ED) and EMTALA Compliance

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 10/25/2018
Time: All Day Long
Duration :90 Minutes

Every hospital that has an emergency department and accepts Medicare or Medicaid reimbursement must follow the federal law and the Centers for Medicare and Medicaid Services (CMS) interpretive guidelines on the Emergency Medical Treatment and Labor Act (EMTALA). This includes critical access hospitals. The Patient Protection and Affordable Care Act have specific provisions related to … Continue reading Emergency Department(ED) and EMTALA Compliance

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