Knowledge Expansion

Online Seminar: Coding Essentials for the Non-Coder - on demand

Webinar

Coding & Documentation

SKU: O19OLSEM02

Overview

Part I: 
Exam: Member Price: $0.00 | Nonmember Price: $25.00
Add Exam to Cart

Part II: 
Exam: Member Price: $0.00 | Nonmember Price: $25.00
Add Exam to Cart

Part III: 
Exam: Member Price: $0.00 | Nonmember Price: $25.00
Add Exam to Cart

Part IV: 
Exam: Member Price: $0.00 | Nonmember Price: $25.00
Add Exam to Cart

Part V: 
Exam: Member Price: $0.00 | Nonmember Price: $25.00
Add Exam to Cart

Practice administrators do not need to be medical coders, but they do need to understand the coding process to ensure their practices’ success. Attend this on-demand seminar to gain a deeper knowledge of the major coding principles and how they work together to drive practice revenue. 

The seminar consists of five 45-minute sessions plus the closing session, that were held on Feb. 5, 2019. The entire event is 4.5 hours. This online seminar is eligible for ACMPE, CME and CEU credit.

Materials: Your registration fee includes The Physician Billing Process: Navigating Potholes on the Road to Getting Paid e-book that offers medical practice executives proven solutions to optimize your revenue cycle. 

Session Overview
•    Part I: Coding Practices to Maximize Revenue
•    Part II: Understanding the Global Surgical Coding Package and the Role of Modifiers
•    Part III: E/M Services: What’s the Big Deal Anyway?
•    Part IV: Maximizing Revenue Through Correct Diagnosis Coding
•    Part V: HCC Coding for Risk Adjustment 
•    Part VI: Closing Session - Connecting the Dots: Time with the Experts
 

Available Credit Hours

ACMPE: 3.75

ACHE: 3.75

CEU: 3.75


Part I: 
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Part II: 
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Part III: 
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Part IV: 
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Part V: 
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Continuing Education Information

Delivery method: group-on-demand | self-paced 
Learning level: Basic
Learning format: Traditional  
Prerequisites: None 
Advance preparation: None
Duration: 45 minutes each part of the seminar 

Seminar Series Maximum clock hours*
ACMPE: 3.75 | CME: 3.75 | CEU: 3.75
*Subject to change and dependent on total number of participation hours.
             
Claiming Credit:
If you wish to claim continuing education credit, you must first attend the seminar and pass the associated exam with a score of 80% or higher. 

Registration is required for BOTH the seminar and the exam. 
  • ACMPE, medical practice administrators in certification and Fellowship through ACMPE
    • Exam must be completed no later than: Feb. 5, 2020
  • CME, licensed physicians (MD/DO) 
    • Exam must be completed no later than: Feb. 5, 2020
  • CEU, generic continuing education unit 
    • Exam must be completed no later than: Feb. 5, 2020

After you register for the exam, instructions on how to access the exam will be emailed to you. 

Team: 
Participants who want to claim continuing education credit must be individually registered for the seminar and subsequent exams. If registered participants attend as a team, the person who launched the seminar will need to email a list (first and last names) of all participants to continuinged@mgma.com after the seminar has concluded. Every participant is required to complete each exam under his/her own account.   


Team participation is not allowed to claim CME credit for this seminar.

Official Continuing Education Statements and Availability


 American College of Medical Practice Executives (ACMPE)

ACMPE credit is available to registered seminar attendees who purchase and complete both the seminar and exam.

A cumulative total of 50 ACMPE continuing education credit hours is among the requirements for advancement to Certified Medical Practice Executive (CMPE) status. Once you have advanced to CMPE or Fellow status, you must earn and submit 50 hours of qualifying credit hours every three years to maintain your designation. Thirty hours must come from MGMA national, state or local offerings, twelve being a live learning event.

Learn more about the ACMPE certification program. 

One ACMPE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.



Continuing Medical Education (CME)

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME). The Medical Group Management Association is accredited by the ACCME to provide continuing medical education for physicians. 

The Medical Group Management Association designates this enduring activity for a maximum of 3.75 AMA PRA Category 1 Credit™. Physicians should claim credit commensurate with the extent of their participation in the activity. 

One CME credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.


Continuing Education Units (CEU) 

A certificate of attendance will be provided to healthcare professionals requesting generic CEUs for professional development, certifications through other professional associations or specialty societies.

One generic CEU credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

Disclosure of conflict of interest

MGMA requires instructors, planners, managers and other individuals who are in the position to control the content of this activity to disclosure any real or apparent conflicts of interact (COI) they may have as related to the content of this activity. All identified COI’s are thoroughly vetted and resolved according to MGMA policy. The existence or absence of COI for everyone in a position to control content will be disclosed to participates prior to the start of each activity.
The seminar consists of five 45-minute sessions plus the closing session, Feb. 5, 2019. The entire event will be 4 hours.

Part I: Coding Practices to Maximize Revenue
Available for: ACMPE: .75 | CME: .75 | CEU: .75
Basic | Traditional

A practice must continually look for opportunities to improve cash flows and revenue. One area that is often an opportunity to realize a quick return on investment is the coding process. Attend this case study to see how one MGMA member addressed the challenge to reap the rewards. 

This 45-minute session will provide you with the knowledge to:
  • Discuss how one practice improved its coding practices
  • Identify major components of the coding process
  • Recognize opportunities to improve revenue

Part II: Understanding the Global Surgical Coding Package and the Role of Modifiers
Available for: ACMPE: .75 | CME: .75 | CEU: .75
Basic | Traditional

Surgical procedures are paid under the global surgical services rules, which include pre-operative, intra-operative and post-operative services in a single payment. This session describes the AMA’s CPT® codes and CMS rules for the global package. There are some instances in which the physician can be paid for Evaluation and Management (E/M) or surgical services within the global period. This session will identify those circumstances and how to submit claims for the services. This session will also address the use of modifiers. Are you sure you are using them correctly? If not, you’re losing money and wasting time working denials. Slapping a modifier on “just to be safe” (modifier 59 users, this one’s for you) can result in payment when none was due or a denial. Coding denials due to incorrect or missing modifiers can cost a practice money.

This 45-minute session will provide you with the knowledge to:
  • Describe CPT® coding and CMS rules for the global package
  • Review proper usage of modifiers
  • Identify when physician can be paid for E/M or surgical services within the global period

Part III: E/M Services: What’s the Big Deal Anyway?
Available for: ACMPE: .75 | CME: .75 | CEU: .75
Basic | Traditional

Evaluation and Management (E/M) services account for nearly 40% of the revenue paid by Medicare for all physicians. For many specialties, that number is closer to two-thirds of total revenue. Moreover, E/M services are the most difficult to code and are the most highly audited. Maximum reimbursement and audit risk avoidance depend on understanding the rules related to these services. Attend this session for an overview of how the E/M rules impact revenue and compliance in medical practices. 

This 45-minute session will provide you with the knowledge to:
  • Discuss the role of E/M codes in the coding process
  • Identify the compliance risks of improper E/M coding 
  • Explain how proper E/M coding leads to improved revenue cycle performance

Part IV: Maximizing Revenue Through Correct Diagnosis Coding
Available for: ACMPE: .75 | CME: .75 | CEU: .75
Basic | Traditional

Diagnostic codes are an important and sometimes misunderstood aspect of correct coding. They are a key element in all claims that support medical necessity and in documenting the severity of the condition. Improper ICD-10 diagnostic coding can lead to claim denials and other missed revenue opportunities. It can also make the practice a target for audits and expose it to risk. Attend this session to increase your level of understanding of the importance of diagnosis coding for all specialties and all services.

This 45-minute session will provide you with the knowledge to:
  • Explain the correlation of medical decision making and diagnosis coding
  • Identify coding rules for professional fee coding vs. facility coding vs. risk adjustment
  • Describe how to find the guidelines for use of ICD-10 codes and understand key regulations

Part V: HCC Coding for Risk Adjustment 
Available for: ACMPE: .75 | CME: .75 | CEU: .75
Basic | Traditional

As we continue our shift from fee-for-service to value-based care, it is important to understand all the continually moving pieces. This presentation will focus on the history and basic components of Hierarchical Condition Category (HCC) coding. Providers must carefully capture and coders must accurately report all pertinent health conditions of the patient for reliable Risk Adjustment Factor (RAF) scoring. It is more important than ever to have mastered the fundamentals of ICD coding and the direct influence it will have on reimbursements in risk-adjusted payment models.

This 45-minute session will provide you with the knowledge to:
  • Recognize how coding affects reimbursements in risk-adjusted plans
  • Identify how documentation affects RAF scores
  • Examine HCC coding concepts and their impact on your practice

Part VI: Closing Session - Connecting the Dots: Time with the Experts

Listen to medical coding questions answered by our expert faculty.  

 

Part I: Coding Practices to Maximize Revenue

Rhonda Buckholtz

Rhonda Buckholtz, CPC, CPMA, CRC, CDEO, CMPE, CHPSE, COPC

Chief Compliance Officer, Century Vision Global

Rhonda Buckholtz has more than 25 years of experience in healthcare, working in the management, reimbursement, billing and coding sectors, in addition to being an instructor. She was responsible for all ICD-10 training and curriculum at AAPC.

She has authored numerous articles for healthcare publications and has spoken at many national conferences for AAPC, AMA, HIMSS, AAO-HNS, AGA and ASOA. She is a past co-chair for the WEDI ICD-10 Implementation Workgroup, and she is the current co-chair for the Advanced Payment Models Workgroup. Buckholtz has provided ongoing testimony for ICD-10 and standardization of data for NCVHS. She is on the board of ICD Monitor.

Rhonda spends her time on practice optimization, and serves as Chief Compliance Officer for Century Vision Global, LLC. She was instrumental in developing the Certified Ophthalmology Professional Coder (COPC) exam and curriculum for the AAPC.



Part II: Understanding the Global Surgical Coding Package and the Role of Modifiers

Betsy Nicoletti

Betsy Nicoletti, MS, CPC

Consultant, Medical Practice Consulting

Betsy Nicoletti is the co-founder of CodingIntel.com. She is also the author of The Field Guide to Physician Coding and the Auditing Physician Services. Betsy simplifies complex coding rules for practitioners. She holds a Master of Science in Organization and Management from Antioch University, New England, and has worked in and around physician offices for over 25 years.
 



Part III: E/M Services: What’s the Big Deal Anyway?

Beverly Gibson

Beverly Gibson, MBA, M.Ed., CMPE, CPC, CPC-I, CPMA, CEMA

Senior Industry Advisor , MGMA

Beverly Gibson, MBA, M.Ed., CMPE, CPC, CPC-I, CPMA, CEMA joined Medical Group Management Association (MGMA) in April 2018 as a senior industry advisor with expertise in billing, coding, auditing and revenue cycle management.

She has more than 25 years of experience in medical practice administration and financial management. Before joining MGMA, Gibson was a senior consultant for a national consulting firm.

Gibson has a passion for finding and closing gaps in the revenue cycle. She specializes in leveling Evaluation and Management (E&M) services and provides chart audits for medical providers with the dual purposes of maximizing revenue and minimizing external audit risk.

Her credentials include certified coder and instructor, auditor of evaluation and management services and other professional fee services, as well as medical practice executive.
 



Part IV: Maximizing Revenue Through Correct Diagnosis Coding

Jaci Kipreos

Jaci Kipreos, CPC, CPMA, CEMC, COC, CPCI

President and Owner, Practice Integrity

Jaci Kipreos has been working in the field of medical coding and auditing for more than 30 years and has been a Certified Professional Coder (C.P.C.) since 1994. She attained her COC for facility-based coding issues in 2005. She has obtained her credential as a Certified Professional Medical Auditor and is certified in the specialty of Evaluation and Management Coding. 

Kipreos has worked in a variety of practice settings and has particular expertise in family practice, urgent care, OB/GYN, general surgery, and Medicare’s Teaching Physician Guidelines, with a particular emphasis on compliance with Evaluation and Management guidelines.

Kipreos has been with Practice Integrity since 2003. Here she manages a national client list in monitoring provider documentation and performing audits for physician practices. Kipreos also provides a wide range of educational topics to assist clients in the areas of compliant documentation, Medicare’s Teaching Physician Guidelines, surgical coding, modifier usage and basic coding skills. 

Kipreos has been an instructor for various AAPC workshops for the past five years and is a Certified ICD-10 Instructor through AAPC. She has spoken at the annual AAPC HealthCon event over the past seven years and at its regional conferences. She has provided presentations for the American Association of Nurse Practitioners state event in Virginia and for the national event for the American Association of Medical Assistants.

Kipreos is a past president of local chapters of AAPC in both Richmond and Charlottesville, VA. Kipreos received her B.S. in Finance from Virginia Tech. Kipreos is the immediate past president for the AAPC National Advisory Board.

 



Part V: HCC Coding for Risk Adjustment 

Jude A. Pierre

Jude A. Pierre, MD

Access Healthcare Physicians, LLC

Jude A. Pierre, MD is a technology-savvy medical professional with extensive knowledge in developing and deploying medical practice software technologies. His medical practice focuses on caring for seniors enrolled in Medicare and Medicare Advantage plans in the Tampa Bay market. He has managed in excess of $15 million dollars in premiums paid by payers on behalf of CMS over the past three years. Throughout his thriving practice, Dr. Pierre has been able to implement numerous business processes, leverage the latest in open source technologies and reduce overall costs, while improving operational efficiency.

Dr. Pierre has collaborated and mentored new physician graduates entering the healthcare workforce to help providers avoid the many pitfalls of life in medicine. As an internal medicine physician, Dr. Pierre has developed a keen sense of the requirements for physicians and healthcare providers to be successful in a rapidly changing healthcare environment. He is passionate about helping patients and equally enthusiastic in ensuring that his medical colleagues are delivering the best in quality care with every patient encounter.

Dr. Pierre has authored several publications, one of which was published in the Journal of the National Medical Association, entitled “Human Immunodeficiency Virus Infection in Haiti.” He also collaborated on a mission team under the guidance of Dr. Arthur Fournier, and he developed a computerized hospital registry at a rural hospital in Haiti. His focus on the aging Medicare populations gives him first-hand knowledge on building, running, and maximizing profits in a rapidly changing healthcare landscape.
 

You will receive an informational email with log-in instructions so you can access handout materials and the recordings.

Technical requirements
To participate you will need: View the technical requirements page for mobile device information as well as operating system, browser and software requirements. 
 
On-demand Refund Policy 
On-demand recording are available for two full years from the purchase date, unless otherwise specified. On-demand registration fees will not be refunded.

On-demand Exam
On-demand exams purchased, but not yet started are eligible for a refund minus a $30 processing fee. On-demand exam refunds will be processed within 90 days of the cancellation date.

Cancellation
On-demand seminars and exams are available for two full years from the purchase date, unless otherwise specified. If for any reason MGMA must cancel this on-demand seminar prior to your expected expiration date, MGMA will notify participants by email of the cancellation no less than five business days prior to the cancellation. Full refunds will be processed within 90 days of the cancellation. Fees cannot be refunded if the seminar or exam(s) has been started or completed.
 
Contact the MGMA Service Center for cancellations or refunds:
 

Toll-free: 877.275.6462, ext. 1888
Email: service@mgma.com
 
Complaint resolution policy
Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this seminar.

Loading...