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

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

Discharge Planning Rules and Regulations for 2020: Conditions of Participations(CoPs)

$249$449
Format :LIVE WEBINAR
Presenter : Toni G. Cesta, PhD., RN, FAAN
Event Date : 03/25/2020
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 2020: Conditions of Participations(CoPs)

Make Your Process Lawsuit Proof – Medical Staff Fair Hearings from A Hearing Officer’s Perspective

$251$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Duration :60 minutes

It sometimes becomes necessary for the medical staff to recommend to the governing board that the medical privileges of a practitioner either be removed or denied. Before such an adverse action is taken, it is very important that the practitioner is afforded due process. That requires planning. It is extremely important to have set the … Continue reading Make Your Process Lawsuit Proof – Medical Staff Fair Hearings from A Hearing Officer’s Perspective

Physician Practice Options: Self Employment vs. Hospital / Foundation Affiliation

$251$359
Format :ON-DEMAND WEBINAR
Presenter :Debra Phairas
Duration :60 minutes

“The Times They Are A-Changing” There are many practice opportunities for physicians to consider for the future. Will you remain in solo practice? Merge with others to form a bigger single specialty, multi-specialty group or ACO?  Join a Foundation or University Affiliation? This workshop will present a balanced discussion of options and issues for physicians … Continue reading Physician Practice Options: Self Employment vs. Hospital / Foundation Affiliation

CPT Changes for 2019

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Event Date : 01/22/2019
Time: All Day Long
Duration :60 minutes

Each year the American Medical Association (AMA) updates to the Current Procedural Terminology (CPT) codes and guidelines to accommodate with current medical practice and technology. Provider of professional services must apply these changes to any charges for dates of service beginning January 1, 2019. The expert Lynn M. Anderanin will walk you through the overall newly added, … Continue reading CPT Changes for 2019

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)

Stark, Anti-Kickback and The False Claims Act

$251$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 11/29/2018
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 be at risk. In … Continue reading Stark, Anti-Kickback and The False Claims Act

CMS Proposed E/M Changes for 2019

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Event Date : 11/01/2018
Time: All Day Long
Duration :60 minutes

The Center for Medicare and Medicaid Services (CMS) is proposing major changes to Evaluation and Management (E/M) services for 2019 to involve office visits. This could affect levels of service, documentation guidelines, and reimbursement for everyone. There are also proposed issues that will affect certain specialties as well as primary care. Offices are reviewing the … Continue reading CMS Proposed E/M Changes for 2019

Leasing Space to Physicians and Medical Groups: Knowing the Stark and Anti-Kickback Rules to Stay out of Trouble

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Joseph N. Wolfe
Event Date : 02/28/2019
Time: All Day Long
Duration :60 minutes

Many healthcare organizations lease space to physicians and physician groups and this trend is expected to continue. Unfortunately, these leases carry substantial compliance risk if they are not structured and implemented correctly. The regulatory requirements leases under the health care fraud and abuse laws (Stark Law, Anti-Kickback Statute) are very complex. In recent years, several … Continue reading Leasing Space to Physicians and Medical Groups: Knowing the Stark and Anti-Kickback Rules to Stay out of Trouble

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

How To Start A Healthcare Compliance Programs

$197$439
Format :LIVE WEBINAR
Presenter :C.J. Wolf, MD, M.Ed, CPC, COC, CHC, CCEP, CIA
Event Date : 08/15/2018
Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT
Duration :60 Minutes

Healthcare compliance programs have been around for more than 20 years.  Initially, they were voluntary unless a settlement agreement with the government or the OIG resulted in a corporate integrity agreement which required a compliance program.  However now, the Affordable Care Act requires participants in federal health care programs such as Medicare to have a … Continue reading How To Start A Healthcare Compliance Programs

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