2022 Billing & Compliance Summit

December 5-7, 2022 | Dallas, TX

Gain practice management strategies, stay in compliance, secure proper payment for your practice

The 2022 Billing & Compliance Summit provides best practices and proven strategies for building a billing and compliance program designed specifically for your practice. Learn from our expert speakers as they provide key 2023 physician fee schedule, CPT®, and compliance updates, as well as insights into expanding, nationwide billing opportunities that will allow you to tap into Medicare’s emerging service lines. The Summit is packed with informative sessions brought to you by world-class speakers that will take the hassle out of the everyday routine and take your business to the next level.

Join us December 5–7, 2022, at the Sheraton Dallas Hotel, and gain practice management strategies on how to stay in compliance, beat audits and denials, and secure proper payment. Here’s what we have in store for you in 2022:

  • An in-depth look at the 2023 physician fee scheduleincluding updates to Medicare payment policies, the rate-setting conversion factor, coding and billing updates, scope of practice rules, and more!
  • Training on new E/M office visit and facility rule changes so you're prepared to file accurate claims.
  • Revenue cycle tune-up to stop cash leaks and decrease costly denials.
  • Best practices to improve pre-authorization and front-end processes to avoid excessive payment delays.
  • The dos and don’ts of audits and how to streamline the process.
  • Tips for successful billing: Master incident-to and split (or shared) visits.
  • Compliance best practices for practice managers.
  • Reporting quality using CPT II, HCPCS II, and ICD-10-CM coding.
  • The lowdown on 2023 CPT® codes so you can understand the most significant new, revised and deleted codes.
  • Updates on hot state and federal investigation targets that can snag the unwary and cost you millions in takebacks and fines if you don’t head them off now.
  • Expert advice: Get answers to the billing and compliance issues that keep you up at night.
  • Plenty of networking opportunities: Connect with others who share your passion.

2022 Billing & Compliance Summit

Agenda

PreConference: Monday, December 5, 2022
What’s New in 2023: Get Ahead of Coding, Billing, and Compliance Changes

Preconference Speaker: Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro, a Simplify Compliance Brand

7:00 a.m. – 8:00 a.m.
REGISTRATION & CONTINENTAL BREAKFAST

8:00 a.m. – 9:00 a.m.
2023 Physician Fee Schedule: A Road Map for Medical Practices

Kick off 2023 with a bang as you gain a comprehensive preview of Medicare physician payment and billing policy changes coming January 1. You’ll discover new revenue opportunities, payment updates, policy changes, and much more.

9:10 a.m. – 10:10 a.m.
2023 Coding Update: Capture CPT Changes

New year, new codes. This session delivers a comprehensive overview of the 2023 CPT code changes, with a full look at new, revised, and deleted codes. From E/M services to procedures, attend this session so you don’t miss a beat as the calendar flips to 2023.

10:10 a.m. – 10:25 a.m.
NETWORKING & REFRESHMENT BREAK

10:25 a.m. – 11:25 a.m.
Correct Coding Initiative: Master CCI Bundles and Billing

The National Correct Coding Initiative (CCI) sets billing policy across the broad range of CPT and HCPCS codes. But it can be challenging to interpret, and oversights by staff can lead to avoidable claim disruptions. Learn the ins and outs of CCI policy so you can maintain accurate claims, avoid auto-denials, and maintain the integrity of your revenue streams.

11:30 a.m. – 12:30 p.m
NETWORKING LUNCH—Provided

12:30 p.m. – 2:40 p.m.
E/M for 2023: Office Visits, Inpatient Encounters, Modifiers, and More

The E/M code set has been the target of diverse changes in recent years, and you can expect more disruption in 2023. Spend the afternoon covering everything from the still-evolving office visit guidelines to the anticipated 2023 changes for other key component-based services, from E/M modifiers to revamped Medicare billing and coding policies. This extended training will have you prepared to meet changes head-on, while clearing up some of the most common billing challenges in the wide world of E/M coding.

2:40 p.m. – 2:55 p.m.
NETWORKING & REFRESHMENT BREAK

2:55 p.m. – 4:00 p.m.
E/M for 2023: Office Visits, Inpatient Encounters, Modifiers, and More (cont.)



Conference Day 1: Tuesday, December 6, 2022

7:00 a.m. – 8:00 a.m.
REGISTRATION & CONTINENTAL BREAKFAST

8:00 a.m. – 9:00 a.m.
Keynote Session: Compliance in Context: Top Trends and Targets for Medical Practices
Scott R. Grubman, JD, Partner - Chilivis Grubman Dalbey & Warner, LLP

A former Assistant U.S. Attorney and Trial Attorney with the Department of Justice (DOJ), Scott Grubman leads attendees through a wide-lens view of federal compliance trends, recapping the big stories from 2022 and highlighting the areas that regulators will be focused on in 2023. From trends in contractor investigations to the latest focuses of the DOJ, Office of Inspector General (OIG), and Office of Civil Rights (OCR), this macro-level session delivers key cautionary advice to help attendees avoid falling afoul of the law or regulators.

9:10 a.m. – 10:10 a.m.
Revenue Cycle Optimization: Harness Data and Bolster Workflow to Achieve New Heights
Ginger Avery, CPC, CPMA, CRC, Director of Operations - BCARev

From front end to back end and in between, the revenue cycle encompasses all of your day-to-day business operations. With so many moving parts, you may find opportunities to address vulnerabilities and take your financial health to new heights. Discover how to harness data to identify gaps in the

revenue cycle; how to bolster the interdependencies of key players, from coders and billers to the front office and the quality team; and new ways to target improvements prospectively. Bonus: Gain a revenue assessment checklist and more tools.

10:10 a.m. – 10:25 a.m.
NETWORKING & REFRESHMENT BREAK

10:25 a.m. – 11:25 a.m.
Improve Pre-Authorization and Front-End Processes
Melissa Billman, Director of Billing Services - CE Medical Group

Medical practices know that prior authorizations are a major encumbrance—delaying patient care, harming patient outcomes, and leading staff down a path of time-consuming administrative burden. But you can take steps to ease the process, and this session will show you how. Instead of being subject to the whims of payers, take a proactive stance and implement practical steps to streamline the prior authorization process and avoid excessive delays.

11:30 a.m. – 12:30 p.m
NETWORKING LUNCH—Provided

12:30 p.m. - 1:30 p.m.
You’ve Been Audited! Now What?
Doris Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, President - DB Healthcare Consulting and Education

When you get a visit from one of the many regulators—private payer, state, and federal—who have the legal or contractual right to look at your claims, your documentation, and even your finances, know that you have options. First, make sure the auditors are doing the right thing—and assert your rights when they don’t. Then look at the findings and determine whether they’re just, and make sure the auditors know if they’re not. Finally, turn the experience into a positive by using the findings to stress-test your compliance and make yourself bulletproof for the next time they come around. We will cover the dos and don’ts of audits and what to do to streamline the process before the payer arrives.

1:40 p.m. – 2:40 p.m.
Bill for Success: Master Incident-To and Split (or Shared) Visits
Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, Manager of Coding Compliance - Loudoun Medical Group

With new billing standards for shared visits, including the launch of modifier -FS, you must understand the nuances of Medicare policy to keep your claims clean and your revenue coming. At the same time, incident-to billing remains a major source of confusion. Clear up the changing Medicare rules to avoid mistakes and preserve this paramount revenue stream.

2:40 p.m. – 2:55 a.m.
NETWORKING & REFRESHMENT BREAK

2:55 p.m. – 4:00 p.m.
Compliance for Practice Managers
Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP, Director - Advisory Solutions, abeo

If compliance is your business—as a dedicated compliance officer or as a department head—you have to know more than the corporate counsel’s phone number. You have to know how to set expectations for internal audits, and how to handle different over-coding scenarios—discerning the ones you can handle yourself with education and admonition, and the ones that require a call to the attorney. Also, as part of this session, you will learn key tips to schedule regular reviews of policies and procedures, and what those reviews are meant to accomplish.



Conference Day 2: Wednesday, December 7, 2022

7:00 a.m. – 8:00 a.m.
CONTINENTAL BREAKFAST

8:00 a.m. – 9:00 a.m.
When the Payer Doesn’t Pay: Escalation Techniques
Doris Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, President - DB Healthcare Consulting and Education

Used to payers being slow to pay or issuing incomplete payments? Don’t be! Contracts are as binding on payers as they are on you, so make sure payers do the right thing. Don’t just make calls that go nowhere. Identify the contract language and legal rights that stipulate your grievance process with a payer and how to make a correct and detailed payment demand. And if that doesn’t work in a timely manner, get proven strategies to improve payment responsiveness that send you “up the ladder” of appropriate approaches to the right parties. Get what you’re owed and stop the obstructions in your revenue stream.

9:10 a.m. – 10:10 a.m.
Reporting Quality Using CPT II, HCPCS II, and ICD-10-CM Coding
Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, Manager of Coding Compliance - Loudoun Medical Group

Using real case studies, you will focus on reporting the performance of value-based quality metrics by using applicable CPT II, HCPCS II, and noncompliant ICD-10-CM codes. By reporting data during the initial claim submission, these efforts will reduce the administrative burden of sending medical records for closing clinical gaps in care, HEDIS, MIPS, and risk adjustment measures. In this session, you’ll code using redacted records from various medical specialties. The training will introduce these codes, explain what, when, and why to report, and detail the impacts on your practice.

10:10 a.m. – 10:25 a.m.
NETWORKING & REFRESHMENT BREAK

10:25 a.m. – 11:25 a.m.
Managing Denied Claims: Watch for Common Errors in Modifiers, Documentation, and Codes
Melissa Billman, Director of Billing Services - CE Medical Group

Denials are one of the most frustrating parts of claims processing, halting the payment process and causing unnecessary work for your staff. In this session, you’ll gain a clear understanding of what payers are watching for, learn areas of common denials among medical practices, and obtain solutions you can use right away, including denial analysis tools and streamlining your internal processes.

11:25 a.m.
Conference Concludes


Agenda subject to change

2022 Billing & Compliance Summit

Your Presenters

Ginger Avery Ginger Avery, CPC, CPMA, CRC, is the director of operations with BCARev. She has over 26 years of experience in the healthcare industry, including auditing, abstract coding, coding education and training, regulatory compliance, revenue cycle management, EMR/EHR advisement, reimbursement models, and extensive involvement in major third-party HCC projects. She is a national speaker and educator with expertise in a wide range of provider specialties and organizational types, including FQHCs and RHCs. Avery enjoys medical record auditing and provider and coder training. She performs internal audits, provider education, and collaboration to improve the use of electronic medical record programs with practices and organizations across the country.
Melissa Billman

Melissa Billman is the director of billing services for CE Medical Group. With over 10 years of billing experience, Billman has developed a rare talent to get accounts with extensive account receivables back in order. Clients love her expertise in customer service and effective billing processes. As a team manager, she uses her team’s strengths to efficiently reach goals. Not only can she get a client’s billing into shape, but she can also assist with management consulting and auditing services. Billman speaks nationally, educating providers and billers about billing and coding compliance.

Doris Branker Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, is principal consultant and owner of DB Healthcare Consulting & Education. She is a multispecialty coding, reimbursement, practice management, and compliance consultant. Branker’s specialty areas include evaluation and management, anesthesia, pain management, critical care medicine, interventional radiology, and cardiology. She shares free educational content in her specialty areas on her YouTube page Doris Thecoder.
Scott Grubman Scott R. Grubman, JD,  partner with the law firm of Chilivis Grubman in Atlanta, Georgia, is a former Assistant United States Attorney and Department of Justice Trial Attorney who represents businesses and individuals across a wide variety of industries in connection with government and internal investigations, False Claims Act litigation, and white-collar criminal defense. Although Grubman represents clients across industries, a substantial portion of his practice involves representing healthcare providers of all types and sizes in connection with high-stakes government investigations—both criminal and civil—by agencies such as the U.S. Department of Justice, HHS-OIG, the FBI, and state Medicaid Fraud Control Units. Grubman also has extensive experience representing healthcare providers in connection with administrative proceedings, payer audits, and general healthcare regulatory matters, particularly those related to the False Claims Act (including qui tam whistleblower actions), Stark Law, and Anti-Kickback Statute. He has represented healthcare clients ranging from multihospital health systems to individual physicians, ancillary providers, and every type and size in between.

Corella Lumpkins Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, is the manager of coding compliance and provider education at Loudoun Medical Group PC. She has over 30 years of experience working in every area of the healthcare revenue cycle. She has a bachelor’s degree in health science administration and has an extensive background in auditing, billing, coding, compliance, denials management, education, and practice management. Lumpkins works closely with providers and staff and is a certified instructor teaching both the Certified Professional Biller (CPB®) and CPC® curriculum. She is a mentor to her students and an active member and past president of AAPC’s Leesburg, Virginia, local chapter.
Shannon McCall

Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, , is the director of HIM and coding for HCPro, a division of Simplify Compliance LLC. She directs HCPro’s Certified Coder Boot Camp® programs and is the developer of the Certified Coder Boot Camp®—Inpatient Version and the Evaluation and Management Boot Camp®. Recently, she collaborated with HCPro’s CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp®. As a consultant for HCPro, McCall works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues with a particular focus on education, coding reviews, and audits.

Amy Turner

Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP, is the director of advisory solutions for Ventra Health. She is responsible for proposing, budgeting, staffing, leading, and conducting various consulting engagements covering a wide spectrum of healthcare-related needs. Turner has a widespread background in clinical operations, revenue cycle, internal audits, risk management, and healthcare administration. She has 22 years of pain management experience and uses her unique blend of clinical training, coding education, and revenue cycle knowledge with an overlay of regulatory compliance expertise to offer insights that speak to both clinicians and executives. Turner’s experience includes working in large and small private practices, at academic facilities, and with hospital-based physicians.

2022 Billing & Compliance Summit

Location

Sheraton Dallas Hotel
400 North Olive Street
Dallas, TX, 75201-4005

Room rate: $219/night
Hotel cut-off date: Monday, November 21, 2022. Hotel rooms may sell out earlier than the cut-off date, so book early!
Toll-Free Reservation Center: 1 888-627-8191 reference DecisionHealth room block
Reservations: https://book.passkey.com/go/advancedspe
Hotel website: https://www.marriott.com/hotels/travel/daldh-sheraton-dallas-hotel/ 

Reservations
Simplify Compliance/DecisionHealth has no affiliation with any third-party companies or travel assistance providers. Rooms should be booked directly with the event hotel using the official information provided on the website and in the brochure.

2022 Billing & Compliance Summit

Pricing

PreCon + Main Con (kit):
$1,295.00

Main Conference
$925.00

Pre-Conference
$595.00

2022 Billing & Compliance Summit

Continuing Education

Pre-Conference

AAPC
This program has the prior approval of AAPC 6.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

BMSC
This program is pre-approved by the Board of Medical Specialty Coding & Compliance (BMSC) for the following CEUs:
December 5, 2022 Pre-Conference: 6 CEUs towards the maintenance of the ACS, SCP and CCP-P credentials


Main Conference

AAPC
This program has the prior approval of AAPC 9 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

BMSC
This program is pre-approved by the Board of Medical Specialty Coding & Compliance (BMSC) for the following CEUs:
December 6-7, 2022 Main Conference: 9 CEUs towards the maintenance of ACS, SCP and CCP-P credentials.

2022 Billing & Compliance Summit

Health/Safety

Simplify Compliance and DecisionHealth place the highest priority on the safety of our guests.

Simplify Compliance and DecisionHealth will continue to monitor the COVID-19 environment and the recommended guidelines and will communicate adjustments to the onsite policies and procedures as we approach the live event date.

2022 Billing & Compliance Summit

Product Code: BCS--

Quick Overview

DecisionHealth is happy to announce the return of our highly anticipated Billing & Compliance Summit! The event will be held December 5-7, 2022 in Dallas, Texas.


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Event Cancellation & Related Policies
By registering for this event, you are agreeing to the terms outlined in our Event Registration Policy. Please review the complete document here for details around cancellations, refunds, and your on-site experience.

tails around cancellations, refunds, and your on-site experience.

2022 Billing & Compliance Summit