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

CMS New Medicare Physician Payment Models

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

Physician payment for the Medicare program continues to evolve. For many years the MPFS (Medicare Physician Fee Schedule) used RBRVS (Resource Based Relative Value Scale) along with annually adjusted conversion factor to determine payment for physicians. Today there are many changes occurring from different directions. The sustainable growth factor (SGF) is being replaced by various … Continue reading CMS New Medicare Physician Payment Models

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

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

1 YEAR LIVE WEBINAR ACCESS MEMBERSHIP

$3,999

SAVE 46%

Offered Price  $7470    $3999

No. of Webinars  : 30 (Unlimited Access)
Validity : 1 year from date of purchase
Each Webinar Duration : 60/90  minutes

2019 HIPAA Audit and Enforcement Updates

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Jim Sheldon-Dean
Duration :90 minutes

The US Department of Health and Human Services has recently updated the penalty levels for HIPAA violations and indicated a new emphasis on the culpability of organizations in the event of rule violations. If you have taken steps to be in compliance, you will be treated less severely than if you have ignored compliance. Penalties … Continue reading 2019 HIPAA Audit and Enforcement Updates

6 MONTHS LIVE WEBINAR ACCESS MEMBERSHIP

$1,999

SAVE 46%

Offered Price  $3735    $1999

No. of Webinars  : 15 (Unlimited Access)
Validity : 6 months from the date of purchase
Each Webinar Duration : 60/90  minutes

Access Point Case Management and The 2 Midnight Rule

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

Access point case managers reside in emergency departments, admitting offices and transfer centers. Among their roles is to ensure that patients are placed in the right level of care upon admission. With the advent of the 2 midnight rule, this role has never been more important. In addition, they are vital in assisting in readmission … Continue reading Access Point Case Management and The 2 Midnight Rule

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

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