Coding/Billing Compliance & Self Audits

Overview: CMS has stepped up the number and types of audits plaguing medical practices over the past few years.  The OIG recommends groups that receive any Federal money to implement billing, coding, and documentation audits as part of their compliance program. This presentation discusses why these audits are important as well as how performing routine self-audits may help in staying in compliance.

Objectives:

  • Identify areas of risk within coding and billing
  • Review the various types of governmental coding/billing audits and what they mean for your practice
  • Discuss the process for self-auditing

Delivery: Conference, Healthcare Associations

Audience: Physicians, Practice Administrators, Billing/Coding Staff

Approximate Length: 1 hour

Event Date 11-18-2021 12:00 pm
Event End Date 11-18-2021 1:00 pm
Registration Start Date 03-04-2021 2:00 pm
Capacity 30
Registered 28
Available place 2
Cut off date 11-18-2021 10:00 am
Individual Price Free
2

CODING NEPHROLOGY

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Repeat of a great program- incase you missed it.

This ICD-10-CM and CPT-4 training session reviews in detail the coding processes, rules, and regulations for diseases, conditions, and disorders of the kidney to include discussion of HCC and CPTII coding for quality contracts. 

We will also review chapter specific terminology with anatomy of body systems and will include coding conventions, sequencing guidelines and rules.

Please send your specific coding problems and questions to This email address is being protected from spambots. You need JavaScript enabled to view it. to be addressed by Karen during class.

  Please de-identify/remove any patient protected health information if you send clinic notes.

Coding exercises are an important section of the class and will assist in reinforcing the material covered.   Please have your ICD-10-CM and CPT-4 manuals for class for participation in the exercises.

 

Date:              Friday, November 19, 2021

           

Time:              9:00 a.m. to 12:00 p.m.

                       

 Location:     Online. Link will be emailed one day prior.

 

**This series of courses is open only to participating MetroCare Physicians members and their staff. 3 CEU hours

Contact Person: Donna Pendergrass This email address is being protected from spambots. You need JavaScript enabled to view it.

Event Date 11-19-2021 9:00 am
Event End Date 11-19-2021 12:00 pm
Registration Start Date 09-10-2021 3:00 pm
Capacity 30
Registered 1
Available place 29
Cut off date 11-18-2021 5:00 pm
Individual Price Free
29

Reviewing Practice Compliance Plans                                                        

Presented by:

Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

With audits increasing it is time to review and address compliance issues.  None is more important than the required Practice Compliance Plan to deter fraud, waste, and abuse in Federal programs. This session will review the components of the OIG Compliance format as well as cover the process of the development of a practice plan.

The topics to be included:

  • Seven Basic Elements
  • Areas of risk
  • Importance of a written compliance manual
  • Fraud and Abuse definitions with examples
  • Training requirements for staff
  • Writing practice policies and procedures

 

Date:               Friday, Nov 19, 2021

           

Time:               1:00 a.m. to 4:00 p.m.         

Location:         Online only. Registrants will receive a link one day prior.

**This series of courses is open only to participating MetroCare physician members and their staff. ****

Contact Person: Donna Pendergrass This email address is being protected from spambots. You need JavaScript enabled to view it.

*****CEU hours available *****

Event Date 11-19-2021 1:00 pm
Event End Date 11-19-2021 4:00 pm
Registration Start Date 09-10-2021 4:00 pm
Capacity 30
Registered 1
Available place 29
Cut off date 11-19-2021 10:00 am
Individual Price Free
29

Coding for Social Determinants of Health:  An Introduction

Lunchtime session Dec 2

Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Payers are beginning to acknowledge that regardless of proper medical attention and prescribed treatment, circumstances in a patient’s life outside the control of the physician and the patient heavily influence a patient’s health and well-being.

Codes to indicate these harmful situations, whether environmental or economical or otherwise, allow for reporting of treatment failures, unexpected negative outcomes, and generally increased risk in patients who may have socioeconomic reasons for less than expected positive outcomes and higher cost.

Due to the brief time scheduled for these sessions, please try to log in on time. We will start promptly at 12:15.
 
Attention will be given to:

  • Introduction and overview of social determinants
  • Attention to codes currently available for reporting
  • Some introductory level discussion of stepwise implementation of documentation and workflow

 

Dates:               December 2   

Time:               12:15 p.m. to 1:00 p.m.           

                       

 Location:        Online only. Link will be emailed to registrant 1 day prior.

**This course is open only to participating MetroCare Physicians members and their staff. 1 hour CEUs will be available.

Contact Person: Donna Pendergrass

   

   This email address is being protected from spambots. You need JavaScript enabled to view it.

Event Date 12-02-2021 12:15 pm
Event End Date 12-02-2021 1:00 pm
Registration Start Date 09-10-2021 4:00 pm
Capacity 30
Registered 1
Available place 29
Cut off date 12-02-2021 10:00 am
Individual Price Free
29

2022 CPT Procedure Coding Updates
Dec 8 AM session
Presented by: Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Get caught up on 2022 procedure coding changes and updates.  Join us to prepare for the CPT4 changes and coding compliance issues with expert, Karen Scott.

Areas covered will include:

  • New, revised and deleted codes
  • Review of guideline changes
  • Clarification of code usage
  • Class exercises

These sessions are open only to MetroCare participating providers and their staff.

Dates/Times:     Wednesday, December 8, 2021     9:00 a.m. to 12:00 p.m                                   

 Location:     Online only. Link will be emailed to registrants 1 day prior to the event.

**3 hours CEUs for this class**

Bring your 2022 CPT4 manual if you have received it.

 Contact Person: Donna Pendergrass 901-261-7796    This email address is being protected from spambots. You need JavaScript enabled to view it.

Event Date 12-08-2021 9:00 am
Event End Date 12-08-2021 12:00 pm
Registration Start Date 09-10-2021 2:00 pm
Capacity 30
Registered 17
Available place 13
Cut off date 12-07-2021 5:00 pm
Individual Price Free
13