CME Medical Conferences

Coding and Billing

A Seminar for Medical Coding and Billing Training
CME Conference Description:

How can you keep up with coding changes in addition to treating patients? Physician practices need help. Coding is a team effort, with physicians, coding consultants, and trained staff members each playing a part in this critical process. Proper documentation and coding can increase office income. This course will help you do that.

Numerous and continuous coding and billing changes, as well as modifications in and federal regulations affecting the health insurance industry present a constant challenge to health care personnel. Those responsible for processing health insurance claims require thorough instruction in all aspects of medical insurance, including plan options, carrier requirements, state and federal regulations, selecting relevant information from source documents, accurately completing claims, and coding diagnoses and procedures. This CME medical conference will help you become familiar with aspects of effective coding and billing. Ample time will be designated to discuss, review and perform coding and billing scenarios and for questions. Billing questions will be answered in terms you can understand.
You will receive a complimentary NPI Reimbursement manual with the registration of this course. You will not receive it until you attend the course. 

 

Physicians are encouraged to register and bring a billing specialist to the CME medical conference at a 30% discount from the regular medical conference tuition.

2010
This activity has been reviewed and is acceptable for up to 11.75 Prescribed credits by the American Academy of Family Physicians.
The Texas Academy of Family Physicians designates this educational activity for a maximum of 11.75 AMA PRA Category 1 credits TM.
Physicians should only claim credit commensurate with the extent of their participation in the activity.
2011
Application for CME credit has been filed with the American Academy of Family physicians. Determination of credit is pending.
The Texas Academy of Family Physicians designates this educational activity for a maximum of 11.75 AMA PRA Category 1 credits TM.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

Please click here to learn more about our accreditation.

CME Conference Credits: 11.75
CME Conference Objectives
·   Review Medicare benefits, coverage policies and guidelines
·   Using “Provider Newsletters”, “Memos”, “Transmittals”, “Coding and Billing Updates” and other important messages from the Centers for Medicare and Medicaid Services (CMS), and insurance carriers
·   Navigating the CMS website and State websites
·   Identify strategies for using the internet to improve billing and coding issues
·   National Provider Identifier (NPI) updates
·   Advanced Beneficiary Notices (ABN) updates and usage
·   Local Coverage Determination (LCD) policies for Medicare, explanation and review of LCD state policies
·   ICD-9, CPT- 4 and HCPCS coding updates, guidelines and polices
·   Information and explanation on how to use the National Physician Fee Schedule Relative Value File
·   Evaluation and Management guidelines and services
·   Learn how to optimize coding and billing to increase office revenues.
·   “Medical Necessity” and coding for “Medical Necessity”
·   Usage of Office Modifiers
·   National Correct Coding Initiative (NCCI) usage. Bundling and Unbundling
·   Surgical coding rules: minor office surgery, bilateral surgery, global days, global billing
·   Medical record documentation – “Documentation drives everything”
·   Medicare Preventive Services
·   Claim denials, EOBs (explanation of benefits) how to read an EOB
·   How to read your Remittance Advice (RA)
·   CMS 1500 claim form instructions
·   Site of service differentiation
·   Tracking your reimbursement and enhancing your revenue
CME Conference Fee: $800


  Location Dates Discounted Fee
Caesar's Palace
Las Vegas, NV
Instructor(s): Gayle Hucks		9/16/2010 – 9/17/2010By Aug 16 2010 then $700.00
Sheraton Dallas North
Dallas, TX
Instructor(s): Gayle Hucks		1/13/2011 – 1/14/2011By Dec 13 2010 then $700.00
Tampa Westshore Marriott
Tampa, FL
Instructor(s): Gayle Hucks		11/10/2011 – 11/11/2011By Oct 10 2011 then $700.00


You may also register by phone, fax or mail

CME Conference Agenda

Breakfast and Registration
7:30am – 8:00am daily

There will also be a 15 minute mid-morning break on days one and two and a 15 minute mid-afternoon break on day one.

Day One
8:00am-Noon
Objectives
Medicare / Centers for Medicare and Medicaid Services (CMS)
·   Who they are, what services and information they can provide
·   How to navigate websites; where to locate information; updates, bulletins and emails
NPI National Provider Identification Standards and Updates
Advance Beneficiary Notice usage
Local Coverage Determination (LCD) policies for Medicare
·   LCD policies by state – How to locate LCD policies
·   Explanation and review of LCD state policies
·   National Coverage Determination Manual
ICD-9 coding updates and guidelines
CPT coding updates and guidelines
·   Correct usage of CPT procedure codes
·   How ICD-9’s and CPT codes are linked for billing
·   Medicare Physician Fee Schedule Data Base (MPFSDB)
 
Noon-1:00pm
Lunch
1:00-5:30pm
E/M (Evaluation & Management) guidelines
National Correct Coding Initiative guidelines
·   Are you getting reimbursed for what you are billing?
·   Bundling and unbundling – what codes can be used separately and which are already included in another code
Global billing periods/days
Multiple surgery rules
Preventive Medicine Services (Medicare)
Prolong Services, Time Based Coding, Consultations
Billable drugs/medications
·   Where to find the formulary on your carrier’s websites
Superbills - Encounter Forms – Charge Tickets
·   Update on a timely basis, every 6 months or annually

Day Two
8:00am-Noon
Ways to enhance Revenue
Tracking your reimbursement and working your Denials
·   How to track and appeal denials
·   Monitoring new services
CMS 1500 Form and guidelines
Coding and billing cases
·   Office visits
·   Procedures
·   Combinations
·   Billing and Coding Questions

CME Conference Reviews

"Instructor used excellent "real world" examples to capitalize on her teaching points." - Anonymous, October 2009

"Every topic explained and the "gray areas" brought for discussion." - Anonymous, October 2009

"I am really excited to use the CD and information provided at this course.  This has not only answered difficult coding and billing questions but organized all the information at the click of a mouse for future reference.  Ms. Hucks was a great instructor and very on top of this field.  I would have to say this is the best coding and billing meeting I have ever attended." - Anonymous, March 2008

"This course is great for billers and providers who do their own billing.  It is good to have an overall knowledge." - Anonymous, March 2008

"Gayle Hucks is passionate about her field which makes this course invigorating and enlightening." - Kathy Carroll, October, 2008