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Infusions & Injections in the ED: From Quality Documentation to Accurate Coding
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Appealing RAC Denials and Short Stays
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Understanding the Financial Impact of ICD-10 on Key Specialties
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Thursday, June 27
Many hospitals depend on revenue from infusions and injections provided in the emergency department. Yet we continue to see rampant documentation issues that result in missed coding and billing opportunities, ultimately leading to partial payment — or no payment at all.
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Thursday, June 6
The majority of RAC denials for medical necessity involve short stays in the hospital, making it critical to understand how to defend appropriate inpatient admissions and protect revenue. The new Part B rebilling project has created an additional wrinkle in the process that increases the importance of distinguishing true inpatient stays from observation stays. Now, more than ever before you need to consider which cases should be appealed and for which cases appeals should be abandoned in order to pursue Part B payment to improve reimbursement.
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Wednesday, June 12
Buffeted by government delays and muddled by adversarial associations, the road to ICD-10 adoption by hospitals and health systems has been uneven. While some organizations appear on track, others are seriously in peril of not being ready by the mandated deadline of October 2014. Lyman Sornberger, highly sought-after and respected healthcare consultant and former revenue cycle leader for the Cleveland Clinic, will warn healthcare leaders about the perils faced by three key specialties in the wake of ICD-10 implementation: cardiology, orthopedics, and neurosurgery.
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Transfusion Confusion: How to Avoid Being a RAC Target
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Radiation Oncology Medical Necessity & Auditing: A 2-Part Webcast Series
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Radiation Oncology: Solidify Your Reimbursement Through an Appropriate Audit Process
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Our Price: $199.00
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Tuesday, May 28
Whats the true cost of blood? Whatever you estimate, its likely to be higher and it is certainly high enough to stand out as a RAC target. According to a recent study, actual blood transfusion costs range between $522 and $1,183 per unit. Then add all the associated costs and a potential three to five-fold higher than reported blood acquisition costs, and you're talking significant dollars.
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SPECIAL PACKAGE OFFER...SAVE $80!
In the hectic day-to-day operation of a radiation oncology clinic or hospital department, patient care is always the number-one priority. So, what gets sacrificed? All too often, providers take shortcuts in their billing and documentation practices.
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Thursday, August 22
The requirements for medical necessity and documentation are clearly spelled out. Unfortunately, many radiation oncology providers lack the resources to make sure they're meeting all the requirements, thus preventing reimbursement and regulatory issues.
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Radiation Oncology: Medical Necessity & Supporting the Services You Bill
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HIPAA Compliance: Hospital Strategies for Meeting Tough New Requirements
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Obtaining Part B Payment When Part A is Denied: Understanding the Impact on Reimbursement
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Our Price: $199.00
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Our Price: $199.00
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Our Price: $199.00
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Thursday, June 13
Most radiation oncology providers have seen significant growth in their patient load. Why is this not reflected in their revenue? Far too many hospitals and clinics are experiencing denied pre-authorizations, denials of charges and claims, and RAC take-backs.
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Available Now!
Sweeping changes to the HIPAA Privacy and Security Rules now give the Office of Civil Rights (OCR) the power to enforce HIPAA privacy and security protections among payers, providers, vendors, business associates, and their subcontractors! Effective immediately, the HIPAA Omnibus Rule makes all parties at risk for violating protected health information. And penalties are severe, capping out at $1.5 million per violation!
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Available Now!
The Centers for Medicare & Medicaid Services have issued an Administrative Ruling on hospital reimbursement on Part B claims when Part A claims have been denied. That ruling which appears to have a positive affect on providers is effective immediately. At the same time, CMS has issued a proposed rule that appears to contradict its own ruling and could significantly impact your reimbursement.
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Fluoroscopy Services: Reduce Your Coding & Billing Risks
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How to Mitigate Your Hospitals Pharmacy Audit Risks and Avoid Overpayments
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Implantable Devices: How to Avoid Massive Fines Being Levied by the OIG
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Available Now!
Fluoroscopy has numerous diagnostic and therapeutic applications. Each of these areas seems to come with its own set of coding and billing rules which helps explain why so many facilities submit claims with erroneous charges for fluoroscopy services.
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Available Now!
In the last four months alone, the OIG has released 11 audit reports that target hospital billing patterns for outpatient drugs the result identification of nearly $12 million overpayments. These overpayments were directly related to incorrect application and reporting of billing unit multipliers (billable units), lack of supporting medical necessity and poor system controls at the contractor or provider level. Widely used pharmaceuticals including Herceptin, Remicade and Lupron are being targeted by the OIG, so ramifications could be severe if your claims are not accurate.
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Available Now!
Hospitals
and ASCs face increasing audit risk by the Office of Inspector General (OIG)
for services that involve implantable devices. This crackdown has resulted in
facilities having to repay hundreds of thousands of dollars in fines. Under IPPS and OPPS, as well as ASCs, facilities must follow accurate device-credit
reporting, including amounts of manufacturer/vendor credits as well as device credit
modifiers and condition codes.
Don't risk OIG action or hefty payments! Learn the rules and get a system in place to
handle these protocols.
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Medicare Appeals & Reimbursement Impacted by New OIG Report
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Laboratory Preventive Care Services: Avoiding Costly Payment Denials
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Discharge Summary Strategies to Improve Compliance & Reduce Hospital Readmissions
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Our Price: $199.00
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Our Price: $209.00
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Our Price: $199.00
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Be prepared. The recent report released by the
Office of Inspector General suggesting improvements to the ALJ level of
Medicare appeals will likely impact your appeals. During this crucially
important webcast, you'll learn why you'll need to re-examine your appeal
strategies in light of the OIG recommendations.
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Available Now!
During the first six months
of 2012, more than 16 million people with original Medicare received at least
one service covered under the Affordable Care Act's expanded benefits for
preventive services, according to CMS. What does this mean for physicians who provide
these services?
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Nowhere in the continuum of care is there a
greater threat of vulnerability than at the time of discharge. Breakdown in
communication as a result of an incomplete discharge summary can set off an
adverse chain of events, including heightened readmission rates a target
being aggressively tracked by recovery auditors. During this essential webcast, you'll learn how to generate a clinically relevant, fully compliant discharge
summary that embraces best practices using an evidence-based approach. |
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Observation vs. Inpatient vs. Outpatient: Making the Right Determination
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Coding for the Non-Coder: Gain a Better Understanding of Code Sets, Claim Forms, and Payment Systems to Ensure Faster Processing and Reimbursement
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2012 Advanced Anatomy and Physiology for ICD-10-CM/PCS
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Our Price: $199.00
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Our Price: $159.95
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Since the Medicare RAC program began nationally in
2010, hospitals have lost $3.6 billion because recovery auditors determined
that—according to their judgment—certain
inpatient care should have been provided in an outpatient setting. Now, through
this important webcast, you'll learn how to use Medicare regulations to your
advantage by knowing what the auditors are looking for in the medical
record.
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Available Now!
Designed specifically for non-coders, this fast-track
webcast is ideal for doctors, physicians assistants, nurses, office staff,
administrators, and coding and billing instructors, as well as those interested
in moving toward being more involved in coding.
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Just what you need and just when you
need it!
Clarify the
new anatomical and physiological code capture in ICD-10-CM and ICD-10-PCS.
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Anatomy & Physiology with ICD-10: Joint Procedures Series
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Anatomy & Physiology with ICD-10: Renal Series
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Anatomy & Physiology with ICD-10: Diabetes Series
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SPECIAL PACKAGE OFFER...SAVE $60
This two-part webcast series was developed to help your coders connect the dots between A&P and complex ICD-9/ICD-10-PCS classifications, specific to joint and spine procedures (axial and appendicular skeletons).
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SPECIAL PACKAGE OFFER...SAVE $119
This three-part webcast series was developed to help your coders connect the dots between A&P and complex ICD-9/ICD-10 classifications, specific to chronic renal failure, acute renal failure and renal procedures.
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SPECIAL PACKAGE OFFER...SAVE $60
This two-part webcast series was developed to help your coders connect the dots between A&P and complex ICD-9/ICD-10 classifications, specific to diabetes (vascular, renal, and other manifestations).
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Anatomy & Physiology with ICD-10: Congestive Heart Failure
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Anatomy & Physiology with ICD-10: Joint Procedures, Part II - Appendicular Skeleton
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Anatomy & Physiology with ICD-10: Diabetes, Part II - Other Manifestations
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Our Price: $199.00
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Available Now!
This MedLearn Publishing
webcast will help your coders connect the dots between anatomy and
physiology, specific to congestive heart failure and ICD-9/ICD-10-CM classifications
and codes.
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to joint procedures (appendicular skeleton), and ICD-9/ICD-10-PCS classifications and codes.
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to diabetes (manifestations other than vascular and renal), and ICD-9/ICD-10 classifications and codes.
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Anatomy & Physiology with ICD-10: Diabetes, Part I - Vascular & Renal
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Anatomy & Physiology with ICD-10: Renal Procedures
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Anatomy & Physiology with ICD-10: Chronic Renal Failure
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Our Price: $199.00
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Our Price: $199.00
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to diabetes (vascular and renal), and ICD-9/ICD-10 classifications and codes.
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to renal procedures, and ICD-9/ICD-10 classifications and codes
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to chronic renal failure, and ICD-9/ICD-10 classifications and codes.
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Anatomy & Physiology with ICD-10: Acute Renal Failure
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2013 IPPS Final Rule: Clinical & Financial Implications
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Anatomy & Physiology with ICD-10: Joint Procedures, Part I - Axial Skeleton
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to acute renal failure, and ICD-9/ICD-10 classifications and codes.
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Available Now!
The 2013 Inpatient Prospective Payment System (IPPS) final rule will affect both the clinical and financial sides of your hospital operations. So why would you invest valuable time in an educational session that addresses only one area?
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Available Now!
This MedLearn Publishing webcast will help your coders connect the dots between anatomy and physiology, specific to joint and spine procedures (axial skeleton), and ICD-9/ICD-10-PCS classifications and codes.
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