Part B News Reimbursement Virtual Symposium

December 1–3, 2020

Reimbursement Virtual Symposium - addressing all your Billing and Compliance concerns
Part B News Reimbursement Virtual Symposium is a major online event from Part B News, the nation’s leading industry information source for physician practice people, including managers, billers, coders, and compliance officers.

This virtual conference offers an intense three-day deep dive on the major practice management, compliance, auditing, coding, and billing trends covered in Part B News throughout the year. The Symposium provides practical analysis and guidance on the important 2021 updates to medical practice laws and regulations—including the 800-pound gorilla of Medicare regs, the Physician Fee Schedule.

The Symposium also offers expert, practical instruction and guidance for staying in compliance, avoiding audits and denials, and boosting practice revenue. Along with this great educational content, the Part B News Reimbursement Virtual Symposium gives attendees a unique opportunity to ask expert speakers for help on their specific practice needs and to network with their colleagues and peers from an easy-to-use conference platform, accessible via your computer or your mobile device!

Attendees of this event will have the opportunity to listen live to the program from December 1–3, 2020 or, if they prefer, play the sessions at a later date: They’ll have access to all educational sessions for 60 days.

*Conference agenda is a suggested schedule; once live, participants may view any sessions at any time at their convenience. Educational sessions are pre-recorded and uploaded on a daily basis to the conference platform. Educational session recordings will be available to attendees for 60 days. Watch for special in-app Q&A and discussions. The agenda is subject to change.

Get the information, strategies, and tools you need to ensure your business thrives through these challenging times.

After attending this conference, participants will be able to:

  • Explain the effect of 2021 legal and regulatory updates on their practice
  • Identify how CMS’ and AMA’s “new order” for E/M coding will impact their practices, and advise their providers, coders, billers, and others on how to handle it
  • Use new techniques that have helped others eliminate waste and leakage from audits and denials and boost practice revenue
  • Create a plan to build a compliance program that protects their organization
  • Identify strategies to audit-proof their organization
  • Bring deeper understanding and practical techniques for management back to their workplace and managers

Part B News Reimbursement Virtual Symposium

Day 1: December 1, 2020


12:00 p.m. – 12:45 p.m.
The 2021 Physician Fee Schedule, Part 1: The Big E/M Changes 
In the 2021 round of physician fee schedule (PFS) rulemaking, CMS has given the green light to the momentous E/M changes developed by the American Medical Association (AMA). For outpatient E/M, 99201 is gone, and history and exam elements no longer go into code level selection. Instead, your decision will rest solely on either medical decision-making (MDM) or time. How does this work out in practice? How will it change your documentation, coding and billing? Our E/M expert will walk you through the new order on these high-usage codes. 

12:55 p.m. – 1:40 p.m.
The 2021 Physician Fee Schedule, Part 2: Payments, Codes, Quality Reporting and More 
The 2021 Medicare physician fee schedule is full of big changes – to the conversion factor that sets charges, new codes and reimbursement opportunities, the Quality Payment Program, MIPS and value-based programs, scope of practice regulations and more. But CMS often doesn’t make these changes very clear, which is why our fee schedule expert will talk you through them and make them easy to understand. 

1:50 p.m. – 2:20 p.m.
Live Q&A

2:20 p.m.–2:50 p.m
Break (30 minutes)

2:50 p.m.–3:35 p.m.
CPT 2021 Update: Above and Beyond E/M
The scope of CPT code changes goes far beyond the E/M office visit update. In this session, you’ll discover many more changes in the annual CPT update, with codes going live Jan. 1, 2021. Our expert presenter will analyze all the new and changed definitions and explain how they affect your coding, billing, documentation and auditing. 

3:45 p.m. - 4:30 p.m.
CPT 2021 Update: Above and Beyond E/M
The scope of CPT code changes goes far beyond the E/M office visit update. In this session, you’ll discover many more changes in the annual CPT update, with codes going live Jan. 1, 2021. Our expert presenter will analyze all the new and changed definitions and explain how they affect your coding, billing, documentation and auditing. 

3:45 p.m. - 4:30 p.m.
Demystify NCCI and MUE policies
If you are one of those who believe the acronym NCCI stands for No Coder Can Interpret why they exist, you won’t want to miss this. (Disclosure: NCCI is the National Correct Coding Initiative.) You’ll leave the session understanding how to interpret procedure-to-procedure (PTP) edits, what reasons an edit may be utilized and, most importantly, when it may be appropriate to override the NCCI edit or appeal when they lead to claim denials. Participants will also learn about the medically unlikely edits (MUE) and add-on code (AOC) edits and how they may impact your claims and appeals process.

4:40 p.m. – 5:10 p.m.
Live Q&A 


Day 2: December 2, 2020

12:00 p.m. – 12:45 p.m.
Compliance Roundup: How to Avoid a Costly Government Investigation or Audit
There’s nobody better than a former fraud cop to tell you what federal auditors are keying in on and how to stay off their radar! The speaker, a former federal health care fraud prosecutor turned top Atlanta health care defense attorney, updates you on enforcement trends, key vulnerabilities and best practices to avoid a costly government investigation or audit. 

12:55 p.m. – 1:40 p.m.
Update Your Compliance Plan the Right Way
Federal and state auditors and investigators change their enforcement plans regularly. How about you? How long has it been since you’ve updated your compliance plan? If you don’t have millions of dollars to spend on fraud settlements, you need to make sure you have an air-tight compliance program. This session uses recent government actions to alert you to the latest compliance risks for the practice, the clinicians and the coders, and give you up-to-the-minute tips to make sure you have a compliance plan that protects everyone from those risks. You’ll also receive guidance for getting physicians to buy into compliance and back up the compliance officer when there’s a dispute over what’s right. 

1:50 p.m. – 2:20 p.m.
Live Q&A 

2:20 p.m.–2:50 p.m
Break (30 minutes)

2:50 p.m.–3:35 p.m.
Patching Leaks in the Revenue Stream: From Front to Back Desks

The scope of CPT code changes goes far beyond the E/M office visit update. In this session, you’ll discover many more changes in the annual CPT update, with codes going live Jan. 1, 2021. Our expert presenter will analyze all the new and changed definitions and explain how they affect your coding, billing, documentation and auditing. 

3:45 p.m. - 4:30 p.m.
Billing and Collections: To Keep or Not to Keep
Should you do it yourself, or hire a vendor? Our practice management expert will talk you through the steps of assessing the risks and benefits of internalizing your billing/collections processes and key contracting consideration for outsourced billing; lay out the top three factors to consider when choosing to outsource; and describe the due diligence required to find the correct candidate and/or company. 

4:40 p.m. – 5:10 p.m.
Live Q&A 


Day 3: December 3, 2020

12:00 p.m. – 12:45 p.m.
Payer Contracts Assessment and Renegotiation: Know How to Getting Started
Once you have identified what payers’ rates are needing the most improvement and when/how you can approach them, you get a payer to the table to negotiate … but then what do you do when they say ”we are not negotiating at this time,” or “what did you have in mind?” Don’t blow the opportunity to achieve your improvement goals by using less than adequate data or analysis! This session walks you through how to create an offer and evaluate a counter-offer based on tried and true methods so that you are confident that both the aggregate improvement and the code specific impact are figures you and your physicians can live with. 

12:55 p.m. – 1:40 p.m.
Analyzing a Payer Offer and Modeling Counteroffers
Federal and state auditors and investigators change their enforcement plans regularly. How about you? How long has it been since you’ve updated your compliance plan? If you don’t have millions of dollars to spend on fraud settlements, you need to make sure you have an air-tight compliance program. This session uses recent government actions to alert you to the latest compliance risks for the practice, the clinicians and the coders, and give you up-to-the-minute tips to make sure you have a compliance plan that protects everyone from those risks. You’ll also receive guidance for getting physicians to buy into compliance and back up the compliance officer when there’s a dispute over what’s right. 

1:50 p.m. – 2:20 p.m.
Live Q&A 

2:20 p.m.–2:50 p.m
Break (30 minutes)

2:50 p.m.–3:35 p.m.
Telehealth During and After COVID-19

The COVID-19 public health emergency has transformed the use and means of telehealth. Providers have seen waivers added and changed frequently throughout the pandemic. This session will cover the latest information on proper coding and billing for telehealth, virtual visits and electronic visits. The speaker also will navigate the pre- and post-COVID telehealth landscape. 

3:45 p.m. - 4:30 p.m.
Writing Impactful and Influential Internal Audit Reports
Sure, your audit skills are spot on and you’re seen as the expert. But are you clearly communicating your thoughts when writing the report, or are you causing confusion or agitation for the provider? What are the best approaches to writing concise and diplomatic explanations that influence behavior? How do you turn your audit report into an educational instrument instead of a punitive or insulting piece of work? Our speaker, a veteran auditor and technical review expert, will walk you through scenarios that show you how.

4:40 p.m. – 5:10 p.m.
Live Q&A 

Speakers

Doris Branker

      

Doris Branker, CPC, CPC-I, CPMA, CIRCC, CANPC, CEMC
President, DB Healthcare Consulting and Education
Doris Branker is a nationally recognized educator, coding expert, and practice management consultant, as well as an approved educator and PMCC licensed instructor with AAPC. Her areas of expertise include medical coding, compliance, auditing, billing, and collections management. She holds specialty certifications in E/M, interventional radiology, and cardiovascular coding. She regularly speaks at webinars and in-person training events. Her practice management consulting firm also offers medical coding preparation camps.

Linda Duckworth

Linda Duckworth, CPC, CHC
Senior Managing Consultant and Compliance Officer, SCBI
Linda Duckworth has over 30 years of experience in healthcare, encompassing physician practice management, staff/physician education, and compliance. For the past 16 years, she has focused on the areas of audit, corporate and HIPAA compliance, and consulting. She has developed surgical and E/M audit programs for a multitude of specialty practices, as well as CME and CEU training courses for physicians and staff. She has authored articles for coding, reimbursement, and physician specialty industry publications and spoken at conferences on topics such as documentation, preparing for and responding to payer audits, correct coding, and compliance. Currently, she is a senior managing consultant and compliance officer with Soerries Coding & Billing Institute where she concentrates her efforts on regulatory issues and assists physicians with third-party payer challenges. She also sits on a local college advisory panel for those seeking degrees and certifications in healthcare.

Brenda Edwards

Brenda Edwards, CPC, CDEO, CPB, CPMA, CPC-I, CEMC, CRC, CPMS, CMRS, CMCS
Executive Managing Consultant of Risk Adjustment, SCBI
Brenda Edwards has been involved in the healthcare arena for more than 25 years with experience in chart audits, coding and billing, education, consulting, practice management, and compliance. She has worked closely with practices, providers, and residency programs to ensure documentation is compliant and accurate. Edwards has written many articles for national publications and associations, including Healthcare Business Monthly, the American Academy of Family Physicians, and BC Advantage. Her humorous and engaging presentation style has made her a conference favorite at both national and regional conferences.

 

Scott Grubman

Scott Grubman
Partner, Chilivis Cochran
Scott R. Grubman is a partner with the law firm of Chilivis Cochran in Atlanta, Georgia. Grubman focuses his practice on representing healthcare providers of all types and sizes in connection with government investigations and compliance related matters. Prior to joining private practice, Grubman served as both a Trial Attorney for the United States Department of Justice in Washington, D.C., and as an assistant United States attorney in Savannah, Georgia. As an Assistant United States Attorney, Grubman served on his district’s healthcare fraud task force, and was responsible for investigating and litigating healthcare fraud matters on behalf of the United States. In addition to his practice, Grubman serves as an adjunct professor of law at both Emory University and Georgia State University.

Shannon McCall

Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O
Director of HIM and Coding, HCPro, a Simplify Compliance Brand
Shannon serves as the director over all of the Certified Coder Boot Camp® programs with HCPro. She is the developer of the Certified Coder Boot Camp® – Inpatient Version and the Evaluation and Management Boot Camp®. Most recently she worked in collaboration with the CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp®. As a consultant for HCPro, Shannon 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.

Vicki Myckowiak

Vicki Myckowiak, Esq.
Founding Partner, Myckowiak Associates, P.C.
Vicki Myckowiak focuses her practice on representing anesthesia and chronic pain groups on issues such as compliance programs, fraud and abuse investigations, reimbursement, third-party payer audits, coverage issues, and contacts. She has helped implement compliance programs for dozens of chronic pain practices and billing companies across the country.

Betsy Nicoletti

Betsy Nicoletti, MS, CPC
Consultant, Medical Practice Consulting, LLC
Betsy Nicoletti, MS, CPC, is a speaker, writer and consultant with expertise in physician coding and compliance for medical practices. Her latest resource, CodingIntel.com, is an on-line library providing education and resources for coders and medical practices.

She is the author of The Field Guide to Physician Coding 4th edition and Auditing Physician Services 3rd edition. She’s written for Physicians Practice, Family Practice Management, Medscape and the Journal of Practice Management, and writes a popular blog, NicolettiNotes. Her coding education sessions for medical practitioners are fast paced, accurate and engaging, resulting in increased coding accuracy and clarity for clinicians. Her webinars and in person presentations simplify complex coding rules. 

Penny Noyes

Penny Noyes
President, CEO, and Founder, Health Business Navigators
Penny Noyes has spent 18 years on the payer side of the industry and 22 years on the provider side. She founded HBN in 1999, which is a firm that focuses solely on payer contracting and credentialing. Prior to HBN she was senior VP of business development for US HealthWorks, heading up the acquisition process for 23 deals involving nearly 100 clinics in seven states that included approximately $100 million in revenue. She renegotiated the payer contracts nationwide and achieved delegated credentialing with all payers. Noyes also spent six years at Allmerica Financial where she was assigned the project of starting Private Healthcare Systems (PHCS) and oversaw the contracting and credentialing of over 180,000 providers. Noyes speaks regularly on webinars; presents at conferences for MGMA, DecisionHealth, physician specialty board meetings, and other organizations; and is called upon by industry news writers for articles and opinions on health plan and credentialing issues and trends. 

Part B News Reimbursement Virtual Symposium

Product Code: BCSV12012020

Quick Overview

Part B News Reimbursement Virtual Symposium is a three-day deep dive on the major practice management, compliance, auditing, coding, and billing trends covered in Part B News throughout the year. It provides practical analysis and guidance on the important 2021 updates to medical practice laws and regulations—including the 800-pound gorilla of Medicare regs , the Physician Fee Schedule.

Price: $399.00

Part B News Reimbursement Virtual Symposium