Hospitals, Medical Staffs and the New National Practitioner Data Bank Reporting Issues

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Elizabeth Snelson, Esq.
Event Date : 04/18/2019
Time: All Day Long
Duration :60 minutes

Since the early 1990s, hospitals have been required to report certain adverse actions taken against physicians to the National Practitioner Data Bank. Also, hospitals must file a National Practitioner Data Bank report on any physician’s surrender of privileges if an investigation is underway, when no action has been taken by the hospital medical staff. This … Continue reading Hospitals, Medical Staffs and the New National Practitioner Data Bank Reporting Issues

Paying for Referrals: A Danger to Your Freedom

$251$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 04/10/2019
Time: All Day Long
Duration :60 minutes

The session will provide an overview of the Anti-Kickback Statute (AKS) and review what it prohibits, as well as review the Statute’s available safe harbors. It will also show how violation of the AKS can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In … Continue reading Paying for Referrals: A Danger to Your Freedom

Fundamentals in Utilization Management for the Acute Care Setting

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Toni G. Cesta, PhD., RN, FAAN
Event Date : 04/17/2019
Time: All Day Long
Duration : 60 minutes

In this jam-packed program you will learn how to stream-line your utilization management process as well as understand the Conditions of Participation for Utilization Review and how they impact on your work as a case manager. We will discuss the differences between utilization review and utilization management. The process for incorporating medical necessity into the … Continue reading Fundamentals in Utilization Management for the Acute Care Setting

How to Negotiate on Out of Network Claims

$251$449
Format :On-Demand Webinar
Presenter :Stephanie Thomas, CPC, CANPC
Time: All Day Long
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

OIG: Trends, Reports and Issues: FY2019

$251$449
Format :On-Demand Webinar
Presenter : Duane C. Abbey, PhD
Time: All Day Long
Duration : 90 Minutes

This webinar addresses a review of OIG Work Plan issues for hospitals, clinics and other health care providers with particular emphasis on coding, billing and reimbursement. FY2019 Work Plan issues are addressed in the context of OIG Work Plan issues from FY2014 through FY2018. Pertinent reports issued by the OIG are also discussed particularly in … Continue reading OIG: Trends, Reports and Issues: FY2019

HIPAA Audit and Enforcement Updates for 2019

$251$449
Format :On-Demand Webinar
Presenter : Jim Sheldon Dean
Event Date : 03/12/2019
Time: All Day Long
Duration : 90 Minutes

The random HIPAA Compliance Audit program had a year of trial audits in 2012. The US Department of Health and Human Services reviewed the results of that work and performed a second round of audits, this time including HIPAA Business Associates, beginning in 2016 and concluding in 2017. The law calls for a permanent Audit … Continue reading HIPAA Audit and Enforcement Updates for 2019

Stark, Anti-Kickback and The False Claim Act: Basis for an Action under the Federal False Claims Act

$251$449
Format :On-Demand Webinar
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 03/05/2019
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 … Continue reading Stark, Anti-Kickback and The False Claim Act: Basis for an Action under the Federal False Claims Act

Provider-Based Rule – Update for 2019

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Duane C. Abbey, PhD
Duration : 90 Minutes

Hospitals are ever increasingly establishing provider-based clinics of all types. The Provider-Based Rule (PBR) is complex and there are definite ambiguities. While hospitals can enjoy increased revenues from provider-based clinics, compliance with all the rules and regulations is challenging. Recent changes in the supervisory requirements for provider-based operations have created confusion and new compliance challenges. … Continue reading Provider-Based Rule – Update for 2019

Modifiers: Ensure Proper Reimbursement

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Duration :60 minutes

When you are creating claims to report charges to insurance carriers, CPT codes, HCPCS codes, and ICD-10-CM codes are used to identify the services and procedures performed. In certain circumstances, modifier are also used to share information with the insurance carrier when certain situations are involved. In this webinar we will look at the most … Continue reading Modifiers: Ensure Proper Reimbursement

Incident To Services by NPPs and Compliance with Its Coding and Reimbursement Requirements

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
Event Date : 04/10/2019
Time: All Day Long
Duration : 90 minutes

Non Physician practitioners (NPPs) includes physician’s assistants, nurse practitioners, and clinical nurse specialists who practice either with or under the supervision of physicians. They are playing an important role in hospitals and physician practices, yet many practices are not aware that non-compliant billing increase the risk for denials and fraud. While billing for the services … Continue reading Incident To Services by NPPs and Compliance with Its Coding and Reimbursement Requirements

Physician Compliance Updates for 2019: Know Your Audit Risk & Improve Compliance

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
Event Date : 02/13/2019
Time: All Day Long
Duration : 90 minutes

Every physician office must learn the latest coding issues to avoid audit risk scrutiny in 2019. The medical coding compliance expert Elin Kunz, MBA, CHC, CPC, CPMA, CCS will walk you through the new compliance updates for 2019, and also tell you where to focus your audit efforts in 2019. She will discuss the proposed E&M documentation … Continue reading Physician Compliance Updates for 2019: Know Your Audit Risk & Improve Compliance

Medicare Physician Fee Schedule(MPFS) Final Updates for 2019

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Duane C. Abbey, PhD
Event Date : 02/18/2019
Time: All Day Long
Duration : 90 Minutes

Medicare Physician Fee Schedule(MPFS) using the RBRVS (Resource Based Relative Value Scale) as the main vehicle for implementing the fee schedule. Each year CMS proposes changes to MPFS and then at the beginning of the calendar year implements the changes. The relative value units (RVUs) are almost continuously updated from year-to-year based on special studies. … Continue reading Medicare Physician Fee Schedule(MPFS) Final Updates for 2019

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