$99| Dive deep into the intricacies of Evaluation and Management (E/M) services with this comprehensive class focused on the critical aspects of time-based coding versus medical decision-making (MDM). This session is designed for healthcare professionals seeking to enhance their understanding and application of E/M coding guidelines. Through detailed lectures and tips, you'll gain the expertise needed to accurately document and code E/M services.

$99 | Knowledge is the Key to surviving a payor audit. Thorough and accurate documentation is essential to support all services billed. Healthcare providers must prioritize medical coding best practices to minimize errors and ensure compliance with coding guidelines. Failure to meet legal and regulatory standards in medical coding can result in costly audits for practices. With the increasing prevalence of healthcare fraud, Medicare, Medicaid, and private payors are paying closer attention to coding discrepancies. To avoid medical coding audits, practices must adhere to strict regulatory compliance and adopt best practices in coding. A good understanding of the type of audits, how to respond to an audit, and the steps to ensure compliance are essential for every medical practice.

$99|This presentation will cover the latest update on APP billing and CPT guidance on how to bill Direct, “Incident to” and Split/Shared services. There will be further discussion on billing and documentation requirements and what practices are doing today to leverage their APPs.

$99| Healthcare organizations utilize Artificial Intelligence in many forms: Natural Language Processing, Deep Language Learning, Machine Learning, and Generative Artificial Intelligence. The coder's role is changing to require an elevated level of expertise. While AI offers many advantages, such as increased efficiency and reduced error rates, it is unlikely to replace human medical coders completely. Instead, AI may help coders focus on more complex, nuanced tasks while improving overall productivity.

$99| In the healthcare industry, accurate coding is crucial for proper reimbursement and compliance. This course, "Think Like an Auditor: Catch Common Coding Mistakes Before They Are Made," is designed to help healthcare and coding professionals identify and prevent common coding errors. Frequent mistakes such as incorrect modifier use, unbundling, upcoding, downcoding, diagnosis linkage, outdated codes, and more will be discussed. This fast-paced course is aimed at equipping coders, billers, managers and providers with the awareness and knowledge to enhance coding accuracy, reduce denials and ensure coding compliance.

$99| Meeting ongoing patient needs, such as furnishing and coordinating medically necessary medical services, is impossible without documenting each patient encounter completely, accurately, and promptly. Documentation is often the communication tool used by and between medical professionals. Records not properly documented with all relevant and important facts can prevent the next provider from furnishing sufficient services or supporting medical necessity for the claim(s) submitted. The outcome can result in erratic or even dangerous treatment and cause unintended complications. While meeting patient needs is the most important reason for documenting services, it is not the only one. Another reason for reporting medical services is compliance with federal and state laws. These laws require practitioners to maintain the records necessary to “fully disclose the extent of the services,” care, and supplies furnished to patients and support claims billed. This session will cover an overview of medical necessity and why complete and accurate documentation matters.

$99| Healthcare payors, including Medicare, Medicare Advantage, Medicaid, and commercial insurers, are increasingly denying claims for non-specific diagnosis codes when more specific codes are available.

$99| This course provides an in-depth understanding of the Global Surgical Package, with a focus on E&M reimbursement for major and minor surgical services performed pre-operatively. It emphasizes the correct application of modifiers 25 (Significant Separate Identifiable E&M on the Same Day as Another Service) and 57 (Decision for Surgery) within the context of pre-operative evaluation and management (E&M) services.

$99| Productivity-based compensation, using work wRVUs to determine compensation, is the norm in employed physician groups and is prevalent in academic practices. Getting paid based upon output seems both equitable and motivational. Yet, the resounding refrain from employed physicians is that productivity-based compensation is not working for them. They are working harder than ever, only to hear their wRVUs are not meeting expectations. How is this happening? This session will explore how wRVU compensation works, the most common issues concerning physicians about this methodology, and some definitive steps to take to address the main issues.

$99| This course will provide an overview of the Teaching Physician rules and guidelines for inpatient and ambulatory services and will cover everything you need to know to maintain compliance.