May 23, 2025
Recorded October 16th, 2024
Guest Presenter Elizabeth Woodcock, DrPH, MBA, FACMPE, CPC
Gain valuable insights on how to effectively respond to industry changes and actionable steps to enhance your revenue cycle management. Join Elizabeth for an engaging and informative webinar centered around navigating the current inflection point in patient collections. Patient financial responsibility is increasing – and it’s time for you to rise to the challenge!
You may have heard about the “Seven Elements for an Effective Compliance Plan.” In fact, if you enter that term in a popular web browser “about 575,000” results appear within seconds. Fortunately, compliance and enforcement agencies endorse the elements and provide great examples on what to do – without having to delve much into those […]
Recorded October 9th, 2024
Guest Presenter Pam Warren, MHA, COC, CPC, Fellow
This webinar is a guide for auditors and coders looking for regulatory guidance when they are answering coding, compliance and regulatory questions from practitioners and colleagues. This presentation offers common healthcare compliance scenarios and provides the location of the associated guidance.
Recorded September 26th, 2024
Guest Presenter Adrienne Commeree, MLS, RHIA, CPC, CPMA, CCS, CEMC, CPIP
The webinar will discuss the FY 2025 ICD-10 -CM code and guidelines updates. We will look at the changes the 2025 ICD-10-CM code book- most will be in the Alphabetic Index and Tabular list.
Recorded September 25th, 2024
Guest Presenter Pam Warren, MHA, COC, CPC, Fellow
There are seven elements of an effective Compliance Plan per the OIG, and one of them is to conduct internal monitoring and auditing.
This presentation will give you some ideas on how to determine what content to audit, how to evaluate your risk, how to set up your audit process, and how best to report your results to your leaders.
As you read this article, it will be helpful if you have the ICD-10-CM book in front of you. You can download a pdf copy here. And even if you don’t download the entire book, download the Official Guidelines instead. There are four cooperating parties to ICD-10-CM. They publish and update the official guidelines for […]
Recorded August 15th, 2024
Guest Presenters Cheryl Krusch, LPN, CPC, CPMA, COC, CMDP, ICDCT-CM, and
Natalie Laaman, MHA, CHC, CPC, COC, CDEO
Join us for a comprehensive webinar on assuring compliance for behavioral health services. We will explore essential documentation requirements and coding standards, understand common denial reasons, and learn proactive steps to mitigate risk effectively. Elevate your practice’s compliance standards and ensure proper documentation and coding for revenue integrity
Recorded August 13th, 2024
Guest Presenter Dr. Amarin “Ty” Alexander, MD MBA MA, CHCQM-PHYADV, CPC-A, CIC, CRC, CPMA, CDIP, CDEI
Independent Review Entities review inpatient records for diagnostic accuracy and DRG determinations. This case-study focused webinar will describe important ICD-10-CM Guidelines that establish the rules for these decisions.
Definition and Explanation of Critical Care Service Definition: Coding service for caring for a critically ill or injured patient Explanation: Critical care has high relative value units and payments so it’s important to know the coding rules. This article describes what can be included in the time of critical care what can’t be included, and […]
Recorded July 25th, 2024
CMS released its 2025 Proposed Physician Fee Schedule rule on July 10, and it’s packed with coding policy proposals. The conversion factor is always bad news. But, there is good news too.
Recorded: June 2024
Guest Presenter Elizabeth Woodcock, DrPH, MBA, FACMPE, CPC
The Centers for Medicare & Medicaid Services have approved five new payment opportunities for 2024 – just the beginning of what promises to be a significant shift in the reimbursement landscape for medical practices.
These reference sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick reference. The first chart includes codes 10060-11443, the second 11600-17111, and the third 20550-54056.
Medicare has specific rules for billing for nurse practitioners and physician assistants and other office staff incident to a physician services in an office. This article includes: Description, explanation and codes for incident-to services Billing and coding rules Brief video overview Enrollment of non-physician practitioners (NPPs) for incident-to billing See our Medicare Incident-to and Shared […]
Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing facility. Explanation Only a physician may perform an initial nursing facility service in a SNF. This includes admissions and re-admissions. In an NF, a non-physician practitioner (NPP) who is not employed by the NF may […]
Recorded May 16th, 2024
Shared services are E/M services jointly performed by a physician and non-physician practitioner in a facility setting. The service is reported under the National Provider Identifier (NPI) of the practitioner who performs the substantive portion of the service. The substantive portion of the service can be determined by time or medical decision making (MDM).
Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical service or procedure. Use this quick reference sheet to determine when to use modifier 25, and which code to append it to.
Modifier 33 is used to identify certain screening and preventive services. This quick reference sheet addresses: when to use modifier 33, why to use it, screening colorectal cancer test, and planned screening colorectal test that converts to a diagnostic or therapeutic service.
Modifier 59 is referred to by CMS as the modifier of last resort. It is often used when modifier 51 is the more accurate modifier. This quick reference sheet explains when, why and how to use it.
CPT codes 99453 99454 are used to report remote monitoring device set up, supply and recording. This resource answers the questions: who does the work, what is being monitored, how is it done, and what does the practice do.
This quick reference sheet includes descriptions and examples for CPT ® codes 99091 and 99457-99458 for reporting Remote physiologic monitoring treatment management services.
Recorded March 21st, 2024
This webinar will explain the rules for using Evaluation and Management (E/M) services (E/M) in home and residence locations and nursing and skilled nursing facilities. This includes CMS regulations for nursing facility services. It will discuss reporting multiple E/M services when one of the visits is in a nursing facility. It will describe the correct category of code for…
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