Billing & Compliance Virtual Summit

December 5-6, 2023 | Live Virtual

Virtual Event Day 1 Virtual Event Day 2

Virtual Event Day 1

Tuesday, December 5, 2023
12:00 –12:45 p.m. ET	2024 Medicare Physician Fee Schedule: Ready Your Billing, Compliance Systems Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CMC emeritus Kick off 2024 right with a comprehensive preview of Medicare physician payment and billing policy changes coming Jan. 1. This session will break into the final 2024 Medicare physician fee schedule and cover not only the important payment updates and compliance and policy changes, but also the new revenue opportunities that these new regulations offer.
12:55 –1:40 p.m. ET	2024 Coding Update: Capture CPT Changes Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro, a Simplify Compliance Brand Dozens of new codes are coming online in 2024 as the AMA completes its annual updates to the CPT Manual. This session delivers a comprehensive overview of the new, revised, and deleted CPT codes, with a focus on oft-utilized procedural sections of the Manual, helping you code accurately to the new standards and evade denial traps.
	1:40 – 1:55 p.m. ET NETWORKING BREAK
1:55 – 2:40 p.m. ET	E/M for 2024: Office Visits, Telemedicine, Time Changes, MDM, and More Kimberly Cunningham, CCS, CPC, Instructor - HCPro, a Simplify Compliance brand A target of considerable change in recent years, the E/M code set continues to see fine-tunings and tweaks. Understanding the latest changes is critical to your coding and your revenue streams. Discover updates from CMS and the AMA across office visit codes, inpatient services, prolonged care and specific time, and medical decision-making (MDM) elements. This session then drills down into MDM coding to ensure your claims are on target.
2:50 – 3:15 p.m. ET	Q&A Session With the Speakers Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CMC emeritus Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro, a Simplify Compliance Brand Kimberly Cunningham, CCS, CPC, Instructor - HCPro, a Simplify Compliance brand Bring your most pressing and challenging questions and our expert speakers will answer them during this session. BONUS: Have a tough scenario or complicated question you’ve been struggling with? Submit your scenario and/or question ahead of time to Roy Edroso at REdroso@decisionhealth.com
3:25 –3:55 p.m. ET	Cocktail/Favorite Beverage Virtual Reception Roy Edroso (Moderator) Bring your drink and your biggest issue with a carrier/payer, and let’s spill the tea!
3:55 p.m. ET	Day 1 Concludes

Virtual Event Day 2

Wednesday, December 6, 2023
12:00 –12:45 p.m. ET	Regulatory Compliance: Stay Ahead of DOJ, OIG, and OCR Top Targets Scott R. Grubman, JD, Partner - Chilivis Grubman Dalbey & Warner, LLP A former Assistant United States Attorney (AUSA) and Department of Justice Trial Attorney, Scott Grubman leads attendees through a wide lens view of federal compliance trends, recapping the big stories from 2023 and highlighting the areas of focus that regulators will be honing in on in 2024. From trends in contractor investigations to the latest post-public health emergency (PHE) targets on the Department of Justice (DOJ), Office of Inspector General (OIG) and Office of Civil Rights (OCR) hit lists, this macro-level session delivers key cautionary advice to help attendees avoid falling afoul of the law or regulators.
12:55 –1:40 p.m. ET	Take Your Billing Audit Process to the Next Level Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, Manager of Coding Compliance and Provider Education - Loudoun Medical Group Accuracy and compliance in medical billing are a make-or-break proposition. Medical groups need to scrutinize their claims to an unprecedented level as auditors ramp up activity. Walk through a detailed roadmap to conduct a prospective billing audit, common mistakes to avoid when billing claims, best practices for conducting a retrospective audit, a framework for a recurring process for regular billing audits, and for when things get tough, a financial recovery plan.
1:40 – 1:55 p.m. ET	NETWORKING BREAK
1:55 – 2:40 p.m. ET	Empowering NCCI Compliance: How and When to Appeal an NCCI Edit Denial Tami Carter, CPCO, CHC, Compliance Analyst and Educator - University of Rochester Medical Center Staying on top of the National Correct Coding Initiative (NCCI) edits keeps your claims billing sharp. This session brings you a key understanding of where to find and how to read the NCCI edit manuals and what their MUE adjudication indicators indicate about the claims. Learn how to distinguish procedure-to-procedure (PTP) edits from medically unlikely edits (MUE) and, critically, discover when you can and can’t appeal these denials, with tips and examples of successful appeals based on NCCI edit denials. Also learn how to use this knowledge to write your own successful appeals.
2:55 – 3:15 p.m. ET	Q&A Session With the Speakers Scott R. Grubman, JD, Partner - Chilivis Grubman Dalbey & Warner, LLP Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, Manager of Coding Compliance and Provider Education - Loudoun Medical Group Tami Carter, CPCO, CHC, Compliance Analyst and Educator - University of Rochester Medical Center Bring your most pressing and challenging questions and our expert speakers will answer them during this session. Submit your scenario and/or question ahead of time to Roy Edroso at REdroso@decisionhealth.com
3:15 p.m. ET	Conference Concludes

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