Online Seminar: Coding Essentials for the Non-Coder (Telehealth/COVID-19 Spotlight) - on demand

Webinar - July 14, 2020

SKU: O20OLSEM06

Overview

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Registration includes the recorded seminar, held May 21, 2020 and the exam that allows you to claim continuing education credit. This webinar is eligible for ACMPE, ACHE and CEU credit. 

Practice administrators do not need to be medical coders, but they do need to understand the coding process to ensure their practices’ success. With the COVID-19 crisis causing regulatory changes to telehealth and major changes expected to E/M rules in 2021, there’s never been a more important time to understand the medical coding landscape. Attend this seminar to gain a deeper knowledge of the major coding principles during the coronavirus outbreak and beyond, learn how to become more strategic in your coding practices, and gain insights on how these processes work together to drive practice revenue.

Session Overview
  • Part I: Coding Best Practices for Telehealth and COVID-19
  • Part II: E/M Services: What’s the Big Deal Anyway?
  • Part III: Coding Basics for the Non-Coder
  • Part IV: HCC Coding for Risk Adjustment
  • Part V: The Global Surgical Coding Package and the Role of Modifiers: Get Paid Right the First Time
  • Part VI: Coding Practices to Maximize Revenue

ACMPE: 4.5

ACHE: 4.5

CEU: 4.5



Continuing Education Information

Delivery method: Self-paced study | Internet Activity Enduring Material
Learning level: Advanced - Education that builds on an intermediate curriculum, designed to help you synthesize and evaluate complex concepts to create outcomes-based solutions.
Learning format: Interactive      
Prerequisites: The ability to apply the topic or knowledge area.  
Advance preparation: None
Duration: 300 minutes

Seminar Series Maximum clock hours*
ACMPE: 4.5 | ACHE: 4.5 | CEU: 4.5
*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. 
  • ACMPE, medical practice administrators in certification and Fellowship through ACMPE
    • Exam must be completed no later than: May 21, 2022
  • ACHE, American College of Healthcare Executives Qualified Education
    • Exam must be completed no later than: May 21, 2022
  • CEU, generic continuing education unit 
    • Exam must be completed no later than: May 21, 2022

Official Continuing Education Statements and Availability

American College of Medical Practice Executives (ACMPE)
This program is approved for ACMPE continuing education hours. A cumulative total of 50 ACMPE continuing education credit hours is among the requirements for attaining the Certified Medical Practice Executive (CMPE) credential. To maintain CMPE or Fellow status, you must earn 50 hours of qualifying credit hours every three years, of which 30 hours must come from MGMA national, state or local offerings, including 12 from 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.

ACHE Qualified Education
By attending the "Online Seminar: Coding Essentials for the Non-Coder (Telehealth/COVID-19 Spotlight)" offered by the Medical Group Management Association, participants may earn up to 4.5 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

One ACHE 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.
 
The seminar consisted of six 45-minute sessions, held on May 21, 2020.


Part I: Coding Best Practices for Telehealth and COVID-19
Available for: ACMPE: .75 | ACHE: .75 | CEU: .75
Basic | Traditional

During the COVID-19 public health emergency, telehealth billing guidelines have been modified, and the scope of telehealth CPT codes have been expanded. Over the period of three weeks from mid-March to early April, several communications from the Centers for Medicare & Medicaid Services (CMS), Department of Health & Human Services (HHS) and major insurance carriers have made it necessary for providers, coders and billers to quickly adapt to a new reality of virtual visits, which enable patients to stay at home. This session will review the timeline, telehealth exemptions, modifiers and billing instructions attendees should know about.

This 45-minute session will provide you with the knowledge to:
  • Manage telehealth coding expansion during the public health emergency
  • Demonstrate the technology, documentation and CPT codes needed for billing remote visits
  • Discover risks and exceptions prompted by the COVID-19 public health emergency

Part II: E/M Services: What’s the Big Deal Anyway?
Available for: ACMPE: .75 | ACHE: .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 and for a preview of what to expect in 2021.

This 45-minute session will provide you with the knowledge to:
  • Examine the key components of E/M codes and the required elements for every level of service
  • Analyze the compliance risks of improper E/M coding
  • Outline how proper E/M coding leads to improved revenue cycle performance

Part III: Coding Basics for the Non-Coder

Available for: ACMPE: .75 | ACHE: .75 | CEU: .75
Basic | Traditional

Success of the physician office depends on correct coding and billing, which in turn depends on understanding the coding and billing guidelines. For a manager with little or no coding background, it can be a challenge to understand the coding guidelines without relying completely on the coders and billers. This session provides managers with the basics of where to find the information; how to determine if services are being coded, billed and paid appropriately; and how to correct coding and billing issues to assure appropriate payment.

This 45-minute session will provide you with the knowledge to:
  • Discover definitive resources needed for physician coding and billing
  • Show your physicians the importance of correct coding and documentation
  • Manage the appropriate coding and billing staff for your office

Part IV: HCC Coding for Risk Adjustment
Available for: ACMPE: .75 | ACHE: .75 | CEU: .75
Basic | Traditional

Hierarchical Condition Categories (HCC) coding is designed as a risk adjustment model for Medicare Advantage plans. HCC codes identify risk in care for patients with illnesses classified as medical conditions with comorbidities and complications. However, providers and coders struggle when they fail to apply specific documentation and coding guidelines to meet coding criteria. MGMA coding expert Veronica Bradley will help attendees identify those blind spots and provide them with the tools to analyze and diagnose HCC codes.

This 45-minute session will provide you with the knowledge to:
  • Distinguish clear definitions of HCC codes and how they are classified
  • Analyze documentation necessary to capture HCC diagnoses
  • Inspect guidelines and Centers for Medicare & Medicaid Services risk adjustment models

Part V: The Global Surgical Coding Package and the Role of Modifiers: Get Paid Right the First Time
Available for: ACMPE: .75 | ACHE: .75 | CEU: .75
Basic | Traditional

Surgical procedures are paid a single fee, which includes payment for pre-operative, intraoperative and post-operative services. However, there are times when a physician can be paid separately for E&M or surgical services within the global period. This session will identify those circumstances, explain how to submit claims for the services and describe Centers for Medicare & Medicaid Services (CMS) and CPT rules for the global package. 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” 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:
  • Illustrate CPT coding and CMS rules for the global package
  • Derive proper usage of modifiers
  • Discover which physician can be paid for E&M or surgical services separately from the global payment

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

Healthcare practices must think strategically in their coding and billing practices if they want to improve cash flow and revenue. Analyzing workflows is one key to reviewing processes to ensure revenue is maximized. Coding is imperative in claim reimbursement and improves patient quality of care. In this session, delve into the rationale of medical practice staff and how each team member plays a vital role in the coding and billing process as well as contributes to maximizing revenue. You’ll also learn how an MGMA member addresses this challenge by reviewing a case study and applying strategies that will help reap the rewards.

This 45-minute session will provide you with the knowledge to:
  • Discover what current and future trends will influence practice coding and reimbursement and how to apply improvements
  • Show how to best utilize coders to improve claims reimbursement to optimize revenue
  • Demonstrate revenue challenges using a case study and how workflows can influence revenue

Part I: Coding Best Practices for Telehealth and COVID-19

Nancy Enos

Nancy Enos, FACMPE, CPMA, CEMC, CPC-I, CPC

Principal, Enos Medical Coding

Nancy M. Enos, FACMPE, CPMA, CPC-I, CEMC is an independent consultant with the MGMA Health Care Consulting Group and a principal of Enos Medical Coding. Nancy has 40 years of experience in the practice management field. She was a practice manager for 18 years before she joined LighthouseMD in 1995 as the Director of Physician Services and Compliance Officer. In July 2008 Nancy established an independent consulting practice, Nancy Enos Medical Coding.

As an Approved PMCC and ICD-10 Instructor by the American Academy of Professional Coders, Nancy provides coding certification courses, outsourced coding services, chart auditing, coding training and consultative services and seminars in CPT and ICD-10 Coding, Evaluation and Management coding and documentation, and Compliance Planning. Nancy frequently speaks on coding, compliance and reimbursement issues to audiences including National, State and Sectional MGMA conferences, and at hospitals in the provider community specializing in primary care and surgical specialties.  

Nancy is a Fellow of the American College of Medical Practice Executives. She served as a College Forum Representative for the American College of Medical Practice Executives.



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

Susan Whitney

Susan Whitney, CPC, CPC-I, CPME

Revenue Cycle – Coding Manager, Panorama Orthopedics & Spine Center

Susan Whitney has more than 30 years of experience in healthcare coding and revenue cycle management. Whitney was the senior director of coding and educational services as well as provider education director for a Denver-based consulting firm from 2000 to 2012. She currently is the coding and compliance manager at Panorama Orthopedics in Golden, Colo.



Part III: Coding Basics for the Non-Coder

Sandy Giangreco Brown

Sandy Giangreco Brown, RHIT, CCS, CPC-I, PCS, COBGC, CPC, CPC-H

Director of Coding and Revenue Integrity , Health Care, CliftonLarsonAllen LLP

Sandy Giangreco Brown is the Director of Coding & Revenue Integrity at CliftonLarsonAllen, LLP. (CLA) She is an AHIMA Approved ICD-10-CM Trainer specializing in Physician Practices and Outpatient Hospitals and also has experience in the HIM, Chargemaster and the Inpatient Hospital side of business. Prior to joining CLA, she managed and developed relationships with clients, coding staff and providers, provides auditing services and performs education sessions for both client staff and providers. She previously supervised staff who audited and educated providers at a large payor/healthcare practice in Colorado. She has more than 31 years of experience in healthcare and medical records management, coding, auditing and compliance in the hospital, outpatient and physician settings. Her areas of specialty include Chargemaster, Revenue Cycle, Oncology, OBGYN, General Surgery, Cardiology, Anesthesia, E/M and Radiology Coding. She continues to do both regional and national presentations for groups such as AHIMA, HCCA, and the AAPC, as well as others.
 



Kim Huey

Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC

Owner, KGG Coding and Reimbursement Consulting

Kim Huey is an independent coding and reimbursement consultant, providing audits, training, and oversight of professional coding.   She completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a Bachelor of Science in Health Care Management from the University of Alabama and a Master of Jurisprudence in Health Law from Loyola University Chicago School of Law. Ms. Huey has multiple certifications in coding and compliance through the American Academy of Professional Coders, American Health Information Management Association, and the Health Care Compliance Association. For over thirty years, she has worked with providers in virtually all specialties, including general surgery, obstetrics/gynecology, oncology, podiatry, chiropractic, internal medicine. She has spoken at the AHIMA Convention, AAPC Healthcon and HCCA Compliance Institute as several other healthcare organizations. For five years, she was an approved instructor for the American Academy of Professional Coders and taught their Professional Medical Coding Curriculum in Birmingham and Montgomery.  Kim is the co-author of AHIMA’s “Procedural Coding and Reimbursement for Physician Services, 2020”.  She is an AHIMA-approved ICD-10-CM Instructor and Ambassador.  She has served as the president of Magic City Professional Coders and was a founding member of Capital City Coders.  Kim’s passion is helping physician practices successfully navigate the complex regulations and reimbursement environment.  She is known as Kim the Coder, and she and her husband, Don the Cruiser sponsor an annual coding cruise where she teaches continuing education in a fun, relaxed environment.



Part IV: HCC Coding for Risk Adjustment

Veronica Bradley

Veronica Bradley, CPC, CPMA

Senior Industry Advisor, MGMA

Veronica Bradley, CPC, CPMA, is a Senior Industry Advisor with MGMA and is CPC and CPMA certified. She has over 20 years’ experience in medical coding and auditing in various specialties. She is also well-versed hierarchical condition category and risk adjustment coding. Other areas of expertise include evaluation and management, procedural coding, Medicare reimbursement, and other critical factors in coding and auditing. Veronica has worked in private practice, group practices, academic school of medicine and hospitals. She focuses on educating based coding guidelines and code capture accuracy for all medical practice staff and believes coders must build rapport with healthcare providers to ensure healthy communication as necessary in the charge capture process.

Veronica received a bachelor’s degree from Regis University in Denver, Colorado in Health Information Management with a minor in Healthcare Administration. In her free time, Veronica appreciates spending time with her family enjoying the beautiful Colorado scenery.



Part V: The Global Surgical Coding Package and the Role of Modifiers: Get Paid Right the First Time

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 VI: Coding Practices to Maximize Revenue

Rhonda Buckholtz

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

Owner, Coding and Reimbursement Experts

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.

This seminar consisted of a 4.5-hour presentation, interactive polls and question-and-answer sessions.

You will receive informational emails with log-in instructions, handout materials and the recording.

Technical requirements
To participate you will need:
  • Adobe Connect: Run this connection test
  • Internet: A high-speed connection
  • Audio: Computer speakers
View the technical requirements page for mobile device information as well as operating system, browser and software requirements. 
 
On Demand Refund Policy 
On-demand programs are available for one full year from the purchase date, unless otherwise specified. Registration and exam fees will not be refunded for this program unless approved by the program manager. 

On Demand Cancellation Policy 
If for any reason MGMA must cancel this on-demand program prior to the 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. Registration and exam fees cannot be refunded if the program or exam 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 program.
Lots of information at a high level but speaker made it understandable for the audience.

Presented useful information and handouts for those of us who are not coding specialists.

Effective speaker and education I can use immediately in my current role.

The speaker was knowledgeable and provided me with good reminders and new concepts.

Great topic at a very easy to understand level.

Information was interesting and presentation was informative.

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