Coding Compliance Deep Dive
September 8, 2022 2:00 pmParticipants will learn about coding compliance basics as well as gain a broader understanding as to the legal requirements and implications for coding guidelines and policies.
Join ADVOCATE’s experts in these virtual educational opportunities. Our seasoned professionals share their vast knowledge about Coding, Compliance, Legislative changes, and more. Just click to listen to the audio version of the recorded webinar of your choice or download the PDF slides from the presentation.
Please note: Coding CEUs are only available for those who attend the live webinar presentation.
Participants will learn about coding compliance basics as well as gain a broader understanding as to the legal requirements and implications for coding guidelines and policies.
Please note: Coding CEUs are only available for those who attend the live webinar presentation.
Join us for an overview of Medicare’s new proposals for 2023. We will cover updates to the conversation factor and specialty reimbursements, telehealth, and the Quality Payment Program (MIPs).
Are you seeing an increase in denied claims? Are you writing more appeals than normal? In this webinar we will explore some of the top dermatology denials and how to resolve and/or prevent them. We will look at bundling, modifier, and medical necessity denials as well as some others.
Join us to overview important considerations to ensure your practice is prepared for the eventual wind down of regulatory flexibilities related the COVID-19 public health emergency (PHE). In this session we will explore what the end of the PHE will mean for healthcare providers in terms of Medicare regulatory compliance.
This session will focus on MIPs Value Pathways (MVPs), a new reporting structure available for the Merit-based Incentive Payment Program (MIPs) beginning in 2023. Join us to learn more about the differences between MVPs and traditional MIPs, reporting requirements, and considerations on adopting MVPs within your practice.
Join us for an overall look at dermatology billing and the types of procedures performed by a dermatologist
This session will focus on common signs/symptoms/and conditions in radiology and their respective ICD-10 codes. The session will also cover challenging coding scenarios as well as considerations for medical necessity issues in radiology.
Join us to review critical updates to the Merit-Based Incentive Payment Program (MIPS) for the 2022 performance year to help support your MIPS goals. This session will focus on category and score requirements for Large Practices – groups with 16 or more clinicians.
This session will cover important updates for the 2022 Merit-Based Incentive Payment Program (MIPs) performance year specifically for Small Practices – groups of 15 or fewer clinicians. Join us in a review of scoring updates and requirements to help reach your MIPS goals for the year.
Part 1 in our 2022 CDS series will review important updates for Medicare’s “Appropriate Use Criteria” mandate from the annual final rule. Please join us to review the parameters of the program, documentation requirements, and where the program currently stands within the implementation timeline.
Join us for a session that will focus on the challenges in ultrasound coding, including CPT requirements and documentation:
Join us for an overview of the key changes included in the Centers for Medicare and Medicaid Services (CMS) final ruling of the 2022 Medicare Physician Fee Schedule. This session will cover upcoming changes to Medicare reimbursement, updates on the Appropriate Use Criteria (AUC) mandate, and important revisions to the Quality Payment Program (QPP).
This session will overview upcoming coding changes that will most impact radiology practices in 2022. In addition, we’ll review documentation goals of radiology quality measures for the purposes of the Merit-based Incentive Payment System (MIPs).
Lower extremity IR procedures are very common yet very complex, so understanding the coding guidelines is essential. In this webinar we will take a deep dive into the lower extremity anatomy and specific coding guidelines. This session will focus mostly on lower extremity revascularization (angioplasty, stent, atherectomy) and we will also cover thrombolysis and thrombectomy […]
Join us for an exploration of MIPs Value Pathways (MVPs), a new reporting structure available for under the Merit-Based Incentive Program beginning 2023. This session will overview the concepts behind the MVP structure, differences between MVPs and traditional MIPs, and review a sample of the first MVPs available under the program.
In this webinar we will discuss vascular interventional radiology (IR) from a beginner level. The session will review vascular anatomy and terminology in the different vascular systems most common for IR coders. In addition, we will cover basic IR coding concepts and guidelines and review some common case studies.
Join us for an overview of the 2022 Medicare Physician Fee Schedule proposed rule. This session will highlight CMS’s proposals to the conversion factor, scope of practice, appropriate use criteria/clinical decision support (AUC/CDS) program, and the Quality Payment Program (MIPS).
Get familiar with the intricacies of the MIPs Quality performance category, the major contributing factor to your final MIPs score. This session will explore the scoring logic of the category, overview quality measure specifications and their role in scoring, and discuss strategies for managing quality performance.
This session will dive into the various coding-related denials in radiology and will cover payer policies and guidelines with a focus on frequency, bundling, and medical necessity denials. The session will also discuss strategies for denial reduction.
This webinar will focus on hot compliance topics. We will review the rules for Locum Tenens and some frequently asked questions, a brief overview of the teleradiology and telehealth rules and trends, and finally we will discuss the knowns and unknowns of the No Surprises Act going into effect in 2022.
Part 2 in our 2021 CDS series will cover important information on how ordering providers can comply with Medicare’s “Appropriate Use Criteria” mandate, set to be implemented in 2022. In this webinar, we will overview the parameters of the program, review documentation requirements, and demo free CDSM tools approved for program use.
Complete and compliant documentation is essential to ensuring accurate reimbursement in radiology. Because of the high volume of studies, a documentation error or omission could significantly impact a practice. This session will take a deep dive into radiology documentation requirements, including best practices and common risk areas for each modality.
This presentation will cover the appropriate utilization and billing practices for mid-level providers such as Physician Assistants, Nurse Practitioners, and Radiologist Assistants. Topics covered will include billing in the office vs hospital setting, what types of services these personnel can provide, and when their services can be billed under the supervising physician.
Part 1 in our 2021 CDS Series will cover critical information on preparing for the CMS “Appropriate Use Criteria” mandate, set to be implemented in 2022. Review the parameters of the program, documentation requirements, and practical insights into implementation strategies to make the most of the 2021 testing year.
This is a general instruction on the basics of radiology coding, including terminology and concepts. Additionally, the session will cover new hot topics in radiology coding.
In this webinar, we will overview the key changes included in the Centers for Medicare and Medicaid Services (CMS) final ruling of the 2021 Medicare Physician Fee Schedule. Key topics include the financial impact of E/M changes on specialties, telehealth provisions, and updates to the Quality Payment Program (QPP/MIPS).
Join us for an overview of the 2021 code changes that will most impact radiology practices. We will cover the CPT updates and take a deep dive into the new Evaluation & Management guidelines.
In Part 3 of our Practice Management Series we will cover the federal laws surrounding physician referrals and compensation arrangements, specifically the Stark Law and the Anti-Kickback Statute. The presentation will review the laws, penalties, and safe harbors so that attendees can successfully set up their practice without violating the law. The presentation will also […]
Part 3 of our Regulatory & Government Affairs Series we will learn about the new ways to participate in the Merit Based Incentive Program under MIPs Value Pathways and Alternative Payment Pathways, proposed to start in 2022. This webinar will go over the latest proposals for these new pathways and how they differ from the […]
Part 3 of Advocate’s IR Coding Series is an advanced IR course. Participants should have a basic understanding of IR coding principles upon registration. This course will discuss percutaneous hemodialysis access procedures including access, maintenance, and intervention.
Part 2 of Advocate’s IR Coding Series is an advanced IR course. Participants should have a basic understanding of IR coding principles upon registration. This course will discuss embolization procedures done throughout the vascular system, including the cervicocerebral, abdominopelvic, and extremity vasculature.
In Part 2 of our Regulatory & Government Affairs Series we review components of CMS’ 2021 Proposed Rule through the lens of radiology.
Part 1 of our IR Coding Series is an advanced IR course and recommended for those with a basic understanding of IR coding principles. This course discusses angioplasty and stent procedures done throughout the vascular system, including the cervicocerebral, abdominopelvic, and extremity vasculature.
Part 2 of our Practice Management series addresses Independent Diagnostic Testing Facilities (IDTF) Standards and False Claims Act Enforcement. Learn how to meet the standards of IDTF enrollment, operate within the bounds of federal regulation to maximize reimbursement, and how the OIG enforces the False Claims Act against non-compliant facilities.
Part 3 of our Diagnostic Radiology Coding Series discusses terminology, coding, documentation for CT and MRI. In addition, attendees learn to address common questions that arise for CT and MRI.
Part 1 of our Practice Management series addresses the “Ordering of Diagnostic Tests” rule which states that all diagnostic tests must be ordered by the treating physician or practitioner. Learn how this affects radiology reimbursement and how to navigate the exceptions to this rule to maximize patient care.
Part 2 of our CDS series covers the program requirements for ordering providers, including demonstrations of the three free qualified CDSM tools available. On May 11th, 2020, we were informed that the Test Appropriate CDSM, which is demo’d in the webinar, was unable to renew their license to remain qualified for use under PAMA regulations. […]
In Part 2 of our Diagnostic Radiology Coding Series we discuss the different types of studies in x-ray, contrast studies, and breast imaging. We will cover documentation required as well as documentation tips for each respective area.
Part 1 of our Government & Regulatory Affairs Series delves into the requirements of the MIPs program for the 2020 performance year, such as category weighting, performance thresholds and reporting requirements. Learn the changes to Quality Measure scoring that impact radiologist in order to maximize your score.
Part 1 of our Diagnostic Radiology Coding series teaches the basics of the structure of radiology reports.
Part 1 in our CDS Series will cover the regulatory parameters CMS’s AUC/CDS mandate including process work flow, coding documentation requirements and practical implementation strategies. Learn the most up to date info relevant to the 2020 Operations & Testing year and how to prepare for compliance when the program is fully implemented in 2021.
Part 6 in our Diagnostic & Interventional Coding Series discusses the latest coding changes impacting radiology for the new year.
In Part 2 of our Regulatory & Government Affairs Series we review components of the Medicare Physician Fee Schedule (MPFS) final rule including MIPS and the AUC/CDS program. We will discuss what the finalized changes look like through the lens of radiology and what the pluses and minuses are for your practice.
Part 5 in our Diagnostic & Interventional Coding series highlights the top 5 risk areas in radiology documentation and provide tips and tools to educate coders and physicians.
Part 4 in our Diagnostic & Interventional Coding series addresses the challenges in ICD-10 coding for radiology, including accessibility, documentation, coverage, and communication of clinical history.
Part 4 in our Practice Management series focuses on hot topics in health care regulation and common compliance challenges facing practices. We discuss federal and state surprise billing legislation, radiology assistant scope of practice, FDA changes to mammogram notification, proper documentation to ensure reimbursement, plus other relevant topics.
Part 3 in our Diagnostic & Interventional Coding series addresses the biggest issues in coding interventional radiology, including difficult coding guidelines, common coverage issues, and any changes or industry trends.
Part 2 in our Clinical Decision Support series, discusses AUC/CDS implementation and ways to prevent workflow disruption for both ordering and furnishing providers.
Part 3 in our Practice Management series provides guidance on the use of outside help to manage your practice workload. Understand the limitations and utilization of Locum Tenens physicians and how to compliantly bill. Learn key differences between teleradiology and in-person care and how this affects billing, credentialing, MIPS and standards of care.
Part 2 in our Diagnostic & Interventional Coding series addresses 2019 changes, industry trends, difficult coding guidelines and common coverage issues pertaining to diagnostic radiology coding.
Part 1 in our Regulatory & Government Affairs series highlights the current and upcoming year changes to MIPS and strategies to achieve the highest possible composite scores.
Guest presenter Tom Greeson, partner with the law firm of Reed Smith covers how to properly implement radiology extenders into your practice, in accordance to the 2019 Final Medicare Physician Fee Schedule rule.
Part 1 of our Practice Management series details the important dates of the MIPS program and explains the different methods of submission.
Part 1 of our Diagnostic & Interventional Radiology Coding series teaches the basics of diagnostic coding, including anatomy & terminology, modalities, and the structure of radiology reports.
Part 1 of our Getting You Prepared for Clinical Decision Support series addresses the background and details of CDS while also providing several survival tactics.
This webinar highlights the 2019 CPT additions, deletions and revisions as they pertain to radiology practices.
Get a detailed look at what CMS is proposing to change for Year 3 of the Quality Payment Program.
This webinar delves into the details of the MIPS Cost Performance Category Year 2 and how it impacts your practice.
Learn about the updates and changes to the Quality Payment Program and how it can affect your practice.