Pre-Conference Workshops |  General Sessions |  Coding Track |  Reimbursement Track |  Management Track |  Show All

Reimbursement Track:

Recovery Audit Contractors – Look inside this new breed of auditors
Medicare has declared the RAC pilot program to be a big success. RACs, as they are known, recovered to Medicare more than six million dollars from health care providers in six states since 2005. Congress has made these private contractors a permanent fixture with plans to expand the program nationwide over the next two years. We will show you what to do in the event that your office is visited by a RAC.

Billing for the Non-Physician Practitioners
So many of our class participants ask us about this billing situation. We are seeing it happen more and more as physicians tighten up their schedules. But the third party carrier rules can be confusing when it comes to billing appropriately for non-physician practitioners. This session will help you better understand the rules and avoid possible fraudulent billing for your mid-level practitioners.

How to Rate a Billing Service
Whether your practice is considering outsourcing billing to an outside service or you are already working with one, you won’t want to miss the valuable tips shared in this session. You will learn how to determine when a billing service is helping or hurting your bottom line. Find out what becomes of your claims when they are processed outside the practice walls. Know what to look for in a billing service and determine if outsourcing is the best way to go for your office.

The OIG Work Plan: Big brother IS watching
Receive in-depth discussion of some vulnerable practice areas addressed by the OIG.  Every year the OIG said they have identified millions of dollars that get returned back into the Medicare trust fund. Find how what they are looking at and how your practice could be throwing up a red flag. Everyone on your reimbursement team should know and understand how the OIG Work Plan can affect your practice.

Navigating Claim Denial and Appeals Processes
These days, it seems like we receive payments 50 percent of the time, the rest is denials. Did you know that often times the payers will deny on claim and pay another one that is for the exact same thing? Don’t let it drive you crazy. Learn how to navigate your way through the ever changing face of the third party carrier and find the best way to file your appeal with them as well as Medicare.

Collections: Get Paid Now (Jerry Bridge topic)
Of the top 25 household bills, the doctor bill is ranked 24th on the priority list of bills to pay each month. Learn effective methods for collecting from patients and payers. Help patients make payment plans they can and will keep, learn how to handle negative responses to collection calls. We’ll also show you effective ways to work with collection agencies, reduce unnecessary billing costs, and much, much more!

The Effects of EMR on Your Practice: What You Don’t Know CAN Hurt You
Resistance is futile. EMR is fast becoming the norm. Setting up your systems up correctly is critical and will be a great asset to your practice in the long run. Learn what you need to look for in a good EMR system, and take a look at some of the protocols that should be in place if you are already using one. Find out what to do to avoid system glitches and overlap. Learn about incentives you can take advantage of with EMR in place.

Making the Most of Medicare’s Preventive Service Programs
Is your practice doing all it can to inform Medicare patients about their covered preventive services? Beyond informing our patients, we must also ensure that we are correctly documenting, coding and billing for these services as they are performed. As pay-for-performance becomes more commonplace, so will scrutiny on preventive services. We will review preventive services available under the Medicare program and show you how to properly document, code and bill them.

Pre-Conference Workshops |  General Sessions |  Coding Track |  Reimbursement Track |  Management Track |  Show All