Forget Discharge Planning: Hospital Case Management Staff Need to Start Handoff Planning

$253$449
Format :ON-DEMAND WEBINAR
Presenter :Beverly Cunningham, MS, RN
Duration :60 minutes

Discharge planning has become more than just the movement of the patient out of the hospital. It is a “process” that starts at the point of admission and/or pre-admission and transitions beyond discharge. The Center for Medicare and Medicaid Services (CMS) has recently added more “teeth” to the process in their proposed rules. This webinar … Continue reading Forget Discharge Planning: Hospital Case Management Staff Need to Start Handoff Planning

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

$249$449
Format :ON-DEMAND WEBINAR
Presenter :Dreama Sloan-Kelly, MD, CCS
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

Medical Necessity-Don’t Allow Payers to Deny Claims Incorrectly

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Duration :60 minutes

Learn the ins and outs of medical necessity and how payers interpret that. So many times procedures are “authorized” but later deny stating that the procedure was not medically necessary. The importance of dictation and specificity will be discussed at length. Use your EHR to the full capability and set macros to help your team … Continue reading Medical Necessity-Don’t Allow Payers to Deny Claims Incorrectly

Physician Supervision & Incident-To Compliance

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

Understanding Medicare Advantage Programs for 2019

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

Approximately one-third of all Medicare beneficiaries are enrolled in various Medicare Advantage programs. These plans are generally offered by insurance companies and tend to be regional. The key descriptor for these programs is that of variability. Each of these programs must cover what traditional Medicare covers, but they then generally expand from this basic coverage … Continue reading Understanding Medicare Advantage Programs for 2019

2019 Medical Coding Rules and Guidelines: Stay Up-to-Date on Coding Changes

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

The medical billing and coding cycle can take anywhere from a few days to several months, depending on the complexity of services rendered, management of any claim denials, and how organizations collect a patient’s financial responsibility. Ensuring provider organizations understand the fundamentals of medical billing and coding can help providers and other staff operates a … Continue reading 2019 Medical Coding Rules and Guidelines: Stay Up-to-Date on Coding Changes

Don’t Get Burned by Sunshine: The Latest on the Physician Payments Sunshine Act

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Gina L. Campanella, ESQ., FACHE
Duration :60 minutes

The presentation will provide an overview of the Physician Payments Sunshine Act and corresponding regulations including the history and purpose of these laws. The presenter will provide the background upon which these laws were determined to be necessary and developed. The attendees will be provided with an overview and description of the laws, why they … Continue reading Don’t Get Burned by Sunshine: The Latest on the Physician Payments Sunshine Act

Health Plan Recoupment Defense: How to Defend Against Insurance Company Overpayment Demands and SIU Audits

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Thomas J. Force, ESQ.
Duration :60 minutes

There have been a lot of out of network (OON) provider facing recoupment, refund demand and so called special investigations (SIUs) from insurance payers and health plan. If you are an out of network provider, it is imperative that you balance bill your patients for the difference between charge and payment. The webinar will discuss what … Continue reading Health Plan Recoupment Defense: How to Defend Against Insurance Company Overpayment Demands and SIU Audits

Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Gina L. Campanella, Esq., FACHE
Duration :90 Minutes

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, and not taking into account designated health service … Continue reading Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

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

Discharge Planning Rules and Regulations for 2019: Conditions of Participations(CoPs)

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Toni G. Cesta, PhD., RN, FAAN
Duration : 60 minutes

The proposed changes to the Conditions of Participation(CoPs) for Discharge Planning will likely have profound effects on how case management departments organize their work. It will also affect the workloads of RN case managers and social workers. Patients in ambulatory settings such as out-patient surgery, outpatient procedures and emergency departments will all need to be … Continue reading Discharge Planning Rules and Regulations for 2019: Conditions of Participations(CoPs)

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

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