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

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

This Program has been approved for 1.0 continuing education unit (CEU) from AAPC. 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 … Continue reading Medical Necessity-Don’t Allow Payers to Deny Claims Incorrectly

Arthroscopy & Replacement of Hip and Knee

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Event Date : 05/22/2019
Duration :60 minutes

Joint replacements and arthroscopic surgery are two areas that insurance carriers spend a lot in reimbursement for their members. Because of this, insurance carriers are continually changing guidelines and policies on the coverage of these procedures. Center for Medicare or Medicaid Services (CMS) recognizes that joint replacement surgery is reserved for patients whose symptoms have not responded to … Continue reading Arthroscopy & Replacement of Hip and Knee

Optimizing Appeal Process: Effective Claim Denials Management

$251$451
Format :On-Demand Webinar
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Duration :60 minutes

Reduce the risk of claim denial due to lack of specificity or erroneous billing. This presentation will show attendees effective appeals for the most current denials being received by practices today and give you proven examples of appeals. We will also look at effective denials management in busy medical practices. When correctly-submitted claims are inappropriately … Continue reading Optimizing Appeal Process: Effective Claim Denials Management

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

E/M Common Coding Errors

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

Incorrect coding for evaluation and management (E/M) services has become a repeating and most challenging problems for healthcare organizations. E/M claims are usually denied for two reasons: incorrect coding or no record of the extent and amount of time spent in counseling and/or coordination of care when it is used to qualify for a particular … Continue reading E/M Common Coding Errors

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

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

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 03/04/2019
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)

Challenges With ASC Contracting Vs. Out Of Network(OON) Billing

$251$449
Format :On-Demand Webinar
Presenter :Stephanie Thomas, CPC, CANPC
Duration :60 minutes

As per CMS, Ambulatory Surgical Center (ASC) is a different entity that exclusively provides surgical services to patients who do not require hospitalization and where the duration of services does not exceed 24 hours following admission. This definition applies to ASC regardless of who the payer is. According to the HHS, Office of Inspector General … Continue reading Challenges With ASC Contracting Vs. Out Of Network(OON) Billing

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

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

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

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