Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Gina L. Campanella, Esq., FACHE
Event Date : 10/02/2018
Time: All Day Long
Duration :90 Minutes

Heathcare Fraud & Abuse, Stark and Anti-Kickback Issues CMS finalized a number of significant changes to the Stark Law, now that these changes have gone into effect. Health care organizations should be monitoring and auditing their existing arrangements to ensure they are compliant with Stark’s technical requirements and key tenets of defensibility (e.g., fair market value, commercial reasonableness, … Continue reading Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

Chargemaster: CDM Compliance Concerns

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 09/27/2018
Time: All Day Long
Duration :90 Minutes

The chargemaster is both a direct and indirect target of compliance and thus various types of audits. Hospitals should periodically take the time to examine their chargemasters from a compliance perspective. This means examining and reviews various CDM policies and procedures (P&Ps) which must dovetail to coding P&Ps as well as billing P&Ps. Issues such … Continue reading Chargemaster: CDM Compliance Concerns

Physician Supervision & Incident-To Compliance

$251$439
Format :ON-DEMAND WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 03/01/2019
Time: All Day Long
Duration :90 Minutes

The phrase Incident-to is used in two very different ways in the Social Security Act (SSA). For physicians and practitioners this phase is used for incident-to billing that relates to a physician coding and billing for subordinate staff services. For hospitals, the phase is incident-to services that describe the major benefit category for hospitals under … Continue reading Physician Supervision & Incident-To Compliance

2018 Healthcare Updates: Cyber Security

$197$439
Format :LIVE WEBINAR
Presenter :VALERIE MCCLEARY, MS, RHIA, CCS
Event Date : 08/16/2018
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 Minutes

Yes, it is true. Healthcare isn’t just healthcare anymore! Healthcare and computer information technologies are now inextricably intertwined. Healthcare is now a two-fold process of providing quality care using the latest technologies that are adequately funded, well-secured and closely monitored for the patient’s well-being and privacy. Healthcare enterprise leaders and their workforce must become computer savvy … Continue reading 2018 Healthcare Updates: Cyber Security

Medicare Enrollment Update for 2018: Updates on CMS – 855 Forms

$249$449
Format :ON-DEMAND WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 10/08/2018
Time: All Day Long
Duration :90 Minutes

Enrolling with the Medicare program involves the various CMS-855 forms.  There are now seven different forms that must be used by different providers of healthcare services or products.  These forms are long, detailed and sometimes confusing.  Not only must they be filed initially for a given provider, they must be maintained and updated as appropriate.  … Continue reading Medicare Enrollment Update for 2018: Updates on CMS – 855 Forms

How To Start A Healthcare Compliance Programs

$197$439
Format :LIVE WEBINAR
Presenter :C.J. Wolf, MD, M.Ed, CPC, COC, CHC, CCEP, CIA
Event Date : 08/15/2018
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 Minutes

Healthcare compliance programs have been around for more than 20 years.  Initially, they were voluntary unless a settlement agreement with the government or the OIG resulted in a corporate integrity agreement which required a compliance program.  However now, the Affordable Care Act requires participants in federal health care programs such as Medicare to have a … Continue reading How To Start A Healthcare Compliance Programs

Dealing With Third Party Payers

$197$441
Format :LIVE WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 08/14/2018
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 Minutes

Strategies to Prevent Third Party Payers Denial Third Party Payers are any organization, public or private, that pays or insures health or medical expenses on behalf of healthcare consumers. This session will cover various strategies to deal with such third party payers and minimizes the possibilities of denials. Learn tips and tricks on initial credentialing, … Continue reading Dealing With Third Party Payers

E/M coding of E/M services (Physicians and Outpatient Hospitals)

$197$311
Format :ON-DEMAND WEBINAR
Presenter :Brandy Ziesemer, RHIA, CCS, ICD-10-CM/PCS Trainer
Time: All Day Long
Duration : 90 Minutes

1 CEU Approved  Physician/Clinician and Outpatient Hospital reimbursement for evaluation and management services is based on the level of service provided. Audits by CMS and private payers often result in findings of both coding a higher level of E/M service and coding a lower level of E/M service than is supported by the documentation in … Continue reading E/M coding of E/M services (Physicians and Outpatient Hospitals)

Billing For Pain Management Procedures

$199$405
Format :ON-DEMAND WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Time: All Day Long
Duration : 90 Minutes

Medical prescription can be dicy. The expert Stephanie Thomas will go over numerous procedure examples in detail, even down to how to calculate drug dosages. She will explain when to bill for imaging and when it is bundled, however required. Stephanie will tell the appropriate use of modifier for pain management procedures. Become an expert … Continue reading Billing For Pain Management Procedures

Provider Enrollment Solutions: Improving Payer Approvals

$197$409
Format :ON-DEMAND WEBINAR
Presenter :Amy M. Niehaus, MBA, CPMSM, CPCS
Time: All Day Long
Duration : 90 Minutes

Providing Enrollment Solution Enrolling your practitioners with payers is critical to support a healthcare organization’s financial success, but it can be a very time-consuming and frustrating process.  A simple application mistake or an inefficient process can impact your organization’s ability to receive timely revenue due to claims being held, payments delayed or even denied. During … Continue reading Provider Enrollment Solutions: Improving Payer Approvals

2018 OIG Work Plan for Coding, Billing & Reimbursement

$197$401
Format :ON-DEMAND WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 08/21/2018
Time: All Day Long
Duration : 90 Minutes

The session addresses a review of OIG Work Plan issues for hospitals, clinics and other health care providers with particular emphasis on coding, billing and reimbursement.  FY2018 Work Plan issues are addressed in the context of OIG Work Plan issues from FY2013 through FY2017.  Pertinent reports issued by the OIG are also discussed particularly in … Continue reading 2018 OIG Work Plan for Coding, Billing & Reimbursement

Marketing to Medicare or Medicaid Beneficiaries – What You Can and Cannot Do

$197$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 08/14/2018
Time: All Day Long
Duration : 60 Minutes

Because the Anti-Kickback Statute is so broad it what it prescribes, healthcare organizations, conducting what would be normal marketing activities in other industries, have run afoul of the Statute on numerous occasions.  The Statute and the regulations only tell part of the story.  This program will review not only the Statute and its safe harbors … Continue reading Marketing to Medicare or Medicaid Beneficiaries – What You Can and Cannot Do

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