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

$249$449
Format :LIVE WEBINAR
Presenter :Beverly Cunningham, MS, RN
Event Date : 07/23/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

Hospital Case Management Decisions: Utilization Management-Part of the RN Case Manager Role or Separate?

$249$449
Format :LIVE WEBINAR
Presenter :Beverly Cunningham, MS, RN
Event Date : 08/27/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 minutes

Utilization management (UM) was the first role applied in acute care case management models. It was initially known of as utilization review but has evolved into something much more comprehensive than that. Today it encompasses elements of resource management and denials management as well. This webinar will review the role of utilization management as it … Continue reading Hospital Case Management Decisions: Utilization Management-Part of the RN Case Manager Role or Separate?

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

$249$449
Format :LIVE WEBINAR
Presenter :Dreama Sloan-Kelly, MD, CCS
Event Date : 06/27/2019
Time: 3 pm ET | 2 pm CT | 1 pm MT | 12 pm PT
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

$249$449
Format :LIVE WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 06/19/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

$249$449
Format :LIVE WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 07/25/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

$249$449
Format :LIVE WEBINAR
Presenter :Duane C. Abbey, PhD.
Event Date : 06/27/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

$249$449
Format :LIVE WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Event Date : 06/26/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

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

$249$449
Format :LIVE WEBINAR
Presenter :Thomas J. Force, ESQ.
Event Date : 07/09/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

Patient Handoffs: Ensuring a Safe Transition During Physician Sign-Outs and Nursing Shift Changes to Improve Compliance

$249$449
Format :LIVE WEBINAR
Presenter :Emily S. Patterson, PhD
Event Date : 06/26/2019
Time: 3 pm ET | 2 pm CT | 1 pm MT | 12 pm PT
Duration :60 minutes

Patient handoff is a necessary component of current medical care. Improve overall patient handoff process by eliminating medical errors, patient harm, and angry surveyors. Accurate and vital information can be forgotten or overlooked when making the handoff, and that is one of the leading causes to medical errors.  Join this session and learn from international patient handoff … Continue reading Patient Handoffs: Ensuring a Safe Transition During Physician Sign-Outs and Nursing Shift Changes to Improve Compliance

Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

$249$449
Format :LIVE WEBINAR
Presenter :Gina L. Campanella, Esq., FACHE
Event Date : 07/17/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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

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

$249$449
Format :LIVE WEBINAR
Presenter : Toni G. Cesta, PhD., RN, FAAN
Event Date : 06/25/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
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)

A Primer in Acute Care Reimbursement: From DRGs to Bundled Payments

$249$449
Format :LIVE WEBINAR
Presenter :Toni G. Cesta, Ph.D., RN, FAAN
Event Date : 05/16/2019
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 minutes

This program will provide a foundation of knowledge and understanding of the Diagnosis Related Groups (DRGs) system used as the structure for reimbursement under the Medicare and Medicaid programs. Included in this will be a review of the DRG relative weights, case mix index and expected lengths of stay. Medical record coding will be explained … Continue reading A Primer in Acute Care Reimbursement: From DRGs to Bundled Payments

Showing 1–12 of 25 results