Join the most interactive specialty specific medical coding and billing conference i.e. codingcon 2015 set to take place on Dec 2-4 in Orlando, FL. Win FREE passes to attend the conference. Earn upto 18 CEUs.
Want to know more about upcoming codingCon 2015 just follow this link: https://goo.gl/Tsrl6B
This course is suitable for anyone who is involved in process hazards, risk quantification and preparation of 360 degrees, holistic, ISO 31000 compliant Risk Assessment for business, operations, projects.
The methodologies introduced in this course will greatly benefit money lenders, insurers in addition to corporate managers, upper management.
You should attend if you:
Want to do your best to ensure your business survival by proactively managing risks and crises.
Want to ensure healthy coverage (as an insurance, as an insured) and money lending (as a debtor, as a lender).
Want to be able to understand how the situation around and inside your company evolve and want to make sure you take advantage of the opportunities that arise.
Care about your workers, people, society and understand that it is important to leave a legacy that is better than the one you received.
Capitalize on the expert knowledge to gain maximum value on these vital issues:
IDENTIFY the risks that really matter and have the potential to disrupt your business
CONVINCE money lenders that your business will be sustainable in a world of shrinking credits
DISCOVER the issues that could lead to crises possibly hampering your growth
PINPOINT the threat that is lurking in any commercial contract, ready to bite you
EXAMINE what can you do if your insurance denies your next coverage
ANALYZE how can you best support the next critical decision in a transparent, rational way
EVALUATE what you can do by yourself and what should be done by a risk consultant; as well as REALIZE what you can ask from a risk consultant and what he should deliver
GENERATE value and proactively defend your business by understanding your business risk and crisis landscape.
Top stories of the 2nd pharma maintenance2 reliability minds conference 2013Maria Willamowius
From Maintenance to Reliability
Dates: 14th & 15th November 2013, Berlin / Germany
Website: http://pharma-maintenance2013.we-conect.com/en/
TOP Stories 2013:
- Dr. Ernst Keck from Roche Diagnostics GmbH in Germany will comment on how to implement a sustainable Asset Life-Cycle-Management (LCM).
- Christian Bugl from Baxter BioScience in Austria will illustrate the value of products and highlights the importance of optimizing the equipment life-cycle costs since overall equipment effectiveness specifies just a direction.
- Sergio Steffenoni from Sandoz GmbH in Germany will report on preventive, predictive and corrective maintenance and illuminate the challenges for planning and implementation of a robust and sustainable PM framework.
Find more information here: http://pharma-maintenance2013.we-conect.com/en/
The CPA of the (not too distant) future looks different that today’s CPA. Tax preparation is not a core CPA service. Increased specialization and collaboration among specialists will be necessary to service clients and work on internal organizational issues. Scared yet? Get yourself ready for this change through a glimpse of how the CPA profession is expected to evolve as we share with you the results of the AICPA’s CPA Horizons 2025 research study and key insights from thought leaders in the profession.
Areas covered will be history of HIPAA, privacy vs security, business associates, changes for 2016, audit process, paper based PHI, HIPAA and suing, texting, email, encryption, medical messaging, voice data and much, much, more
I will uncover myths versus reality as it relates to this very enigmatic law based on over 600 risk assessments performed as well as years of experience in dealing directly with the Office of Civil Rights HIPAA auditors.
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Keynote: The Future of Healthcare Events Len Starnes
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Writing SOPs or procedural documents can be challenging at times. However, writing SOPs is overall a straightforward process. However, enforcing what you already created and implemented in the pipeline is another story.
Many regulated companies preparing for FDA inspections are not prepared and the outcome can be negative as we see all the time with enforcement actions. This seminar provides the fundamentals and the ground rules on how to prepare for and survive an FDA inspection no matter if you are a Class I, II, III device or a pharmaceutical or biologics manufacturer.
Master Telemedicine Coding, Compliance, and Reimbursement for 2019SuperCoder LLC
Has your practice gone virtual and if not, do you want to learn how to do it correctly? Are you curious about what the reimbursement is for telemedicine? Take the guesswork out of telemedicine coding and billing. Let us tell you all you need to know to get reimbursed and stay compliant with telemedicine...
Learn the Ins and Outs of telemedicine and telehealth
Get insight on telehealth reimbursement while learning the basics
Gain practical advice on CPT® coding and appropriate modifiers
Take charge and stay legal by ensuring you are complying with regulations
Highlight helpful tools and resources to help ensure coding and billing compliance
Watch the webinar here: https://www.supercoder.com/medical-coding-webinars/master-telemedicine-coding-compliance-and-reimbursement-for-2019
Free E/M Coding Calculator by TCI SuperCoderSuperCoder LLC
E/M coding is so complex that it just makes sense to use the automatic E/M Calculator! This E/M free calculator helps you move quickly through the history, examination, and medical decision making components for E/M codes.
Sign Up to Access E/M Calculator for FREE: https://www.supercoder.com/coding-tools/em-calculator
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This course is suitable for anyone who is involved in process hazards, risk quantification and preparation of 360 degrees, holistic, ISO 31000 compliant Risk Assessment for business, operations, projects.
The methodologies introduced in this course will greatly benefit money lenders, insurers in addition to corporate managers, upper management.
You should attend if you:
Want to do your best to ensure your business survival by proactively managing risks and crises.
Want to ensure healthy coverage (as an insurance, as an insured) and money lending (as a debtor, as a lender).
Want to be able to understand how the situation around and inside your company evolve and want to make sure you take advantage of the opportunities that arise.
Care about your workers, people, society and understand that it is important to leave a legacy that is better than the one you received.
Capitalize on the expert knowledge to gain maximum value on these vital issues:
IDENTIFY the risks that really matter and have the potential to disrupt your business
CONVINCE money lenders that your business will be sustainable in a world of shrinking credits
DISCOVER the issues that could lead to crises possibly hampering your growth
PINPOINT the threat that is lurking in any commercial contract, ready to bite you
EXAMINE what can you do if your insurance denies your next coverage
ANALYZE how can you best support the next critical decision in a transparent, rational way
EVALUATE what you can do by yourself and what should be done by a risk consultant; as well as REALIZE what you can ask from a risk consultant and what he should deliver
GENERATE value and proactively defend your business by understanding your business risk and crisis landscape.
Top stories of the 2nd pharma maintenance2 reliability minds conference 2013Maria Willamowius
From Maintenance to Reliability
Dates: 14th & 15th November 2013, Berlin / Germany
Website: http://pharma-maintenance2013.we-conect.com/en/
TOP Stories 2013:
- Dr. Ernst Keck from Roche Diagnostics GmbH in Germany will comment on how to implement a sustainable Asset Life-Cycle-Management (LCM).
- Christian Bugl from Baxter BioScience in Austria will illustrate the value of products and highlights the importance of optimizing the equipment life-cycle costs since overall equipment effectiveness specifies just a direction.
- Sergio Steffenoni from Sandoz GmbH in Germany will report on preventive, predictive and corrective maintenance and illuminate the challenges for planning and implementation of a robust and sustainable PM framework.
Find more information here: http://pharma-maintenance2013.we-conect.com/en/
The CPA of the (not too distant) future looks different that today’s CPA. Tax preparation is not a core CPA service. Increased specialization and collaboration among specialists will be necessary to service clients and work on internal organizational issues. Scared yet? Get yourself ready for this change through a glimpse of how the CPA profession is expected to evolve as we share with you the results of the AICPA’s CPA Horizons 2025 research study and key insights from thought leaders in the profession.
Areas covered will be history of HIPAA, privacy vs security, business associates, changes for 2016, audit process, paper based PHI, HIPAA and suing, texting, email, encryption, medical messaging, voice data and much, much, more
I will uncover myths versus reality as it relates to this very enigmatic law based on over 600 risk assessments performed as well as years of experience in dealing directly with the Office of Civil Rights HIPAA auditors.
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Medical Coding and Billing Conference CodingCon Orlando
1. 13th Annual Medical Coding and Reimbursement
Conference 2015
Caribe Royale, Orlando | December 2-4
CodingCon 2015
2. CodingCon2015
13th Annual Medical Coding and Reimbursement
Conference 2015
December 2-4, 2015
Caribe Royal, Orlando, FL
70+ Educational Sessions
ICD-10 & 12+ Hot Specialties
Top Industry Experts
18 Speciality CEUs
www.codingconferences.com
ICD-10
Postimplementation
Challenges
CPT
2016
Updates
3. Content
Message from Director...............................................................(i)
About Coding Conferences......................................................(ii)
Event Overview...........................................................................(iii)
Pre Conference Workshop........................................................1-3
Family Practice...........................................................................4-5
General Surgery.........................................................................6-7
ICD-10-CM..................................................................................8-9
ICD-10 Anatomy: Learning in Motion....................................10-11
Ob-Gyn.....................................................................................12-14
Ophthalmology.......................................................................15-16
Orthopedics.............................................................................17-18
Otolaryngology.......................................................................19-20
Pain Management..................................................................21-23
Path/Lab..................................................................................24-26
Pediatrics..................................................................................27-28
Practice Management..........................................................29-30
Urology.....................................................................................31-32
Post Conference Workshop...................................................33-36
Meet the Speakers..................................................................37-50
Hotel and Travel Information.......................................................51
4. Message from Director
We are headed to Disney for The Coding Institute’s 13th Annual Medical Coding and Reim-
bursement Conference – CodingCon 2015 at the Caribe Royal, Orlando, FL on December
2-4. The only National-Level Specialty conference offers unmatched learning and network-
ing opportunities for medical coders, billers, physicians, health care consultants, practice
managers and other health care professionals over the course of two and a half days.
Conference attendees can look forward to over 70+ educational sessions by nationally-ac-
claimed speakers spread across pre, post and main conferences – covering practical advice
for coding, reimbursement and compliance pitfalls so they ensure compliant operations
and revenue cycle management success.
The focus this year will be on ICD-10 and 11 SpecialtyTracks including Ob-gyn, Orthopedics,
Pain Management, Pediatrics, Path / Lab, Urology, General Surgery, Ophthalmology, Family
Practice, Otolaryngology, and Practice Management. The best part is, unlike other confer-
ences, this conference lets attendees switch between tracks at no additional cost.
Not just this; there are plenty of other reasons be there – Opportunities to stay current on
critical business strategies, earn 18 CEUs, network with peers, and enjoy a wonderful venue
in a great city.
We’re focused on making this event a success, with increased exposure to exhibitors, deci-
sion-makers and influencers.
Come join us for the 13th Annual Coding Conference – the biggest coding and reim-
bursement conclave this fall - as we connect, share, and prepare the ground for yet
another challenging year!
Sincerely,
Jennifer Godreau , CPC, CPMA, CPEDC
AHIMA Approved ICD-10-CM/PCS Trainer
Director, Coding Conferences, The Coding Institute LLC
(i)
5. About Coding Conferences
Come experience the revolution that’s driving better coding and compliance.
Our mission is to help physician practices, hospitals, billing companies, payers, consul-
tants, third party vendors, and health systems ethically maximize reimbursements and
revenue. CodingCon has been delivering highly rated education in annual and biannual
conferences since 1998. Powered by the Florida-based Coding Institute and run by educa-
tion and coding authorities Jen Godreau, BA, CPC, CPMA, CPEDC, and Beth Martin, BS,
COC, CodingCon learning is primed by experts to make a real impact to your practice,
organization, or company. This highly popular event brings medical coders, providers,
office managers, auditors, educators, and compliance officers the most practical, special-
ty-specific education. Sessions are designed to improve coding, billing, compliance and
documentation. More than 80 percent of attendees return each year to learn practical
information.
This year nationally recognized experts, such as Jill Young, CPC, CEDC, CIMC, and Marvel
Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO, will share best strategies, real world scenarios,
and exclusive insights to help attendees avoid top coding and compliance pitfalls, under-
stand upcoming trends and regulatory changes, and implement essential documentation
improvement and payment-protecting practices. Attendees can stay energized and suc-
cessfully grasp and retain the valuable education as CodingCon uses the best learning
retention methods including directed discussions, small group activities, attendee teach-
ing, and even movement— the fastest cognitive neurobehavioral learning method.
Join us in 2015 to gain expertise in one of 11 medical specialties, multispecialties, or prac-
tice management. From CPT® 2016 to ICD-10, each conference track explores a specific
specialty in-depth, with advice and examples tailored to that specialty. Attendees are free
to customize their own agendas, choosing the sessions that most impact them. ICD-10
advanced training is offered in traditional multispecialty coverage, targeted specialty-spe-
cific focus, and kinesiology (movement-based learning) anatomic sessions. Come before
the main conference and stay after to explore basic and advanced topics in four-hour
workshops.
Many practices and systems send multiple attendees to share in the event’s learning
opportunities. Physicians, office managers, non-physician practitioners, coders, and billers
gain synergy by co-studying coding and revenue cycle improvement strategies. Nurse
practitioners and AAPC-credentialed coders can earn up to 18 CMEs/CEUs by attending
pre, main and post conference events.
(ii)
6. Event Overview
Specialty Tracks Offering In-Depth Coverage & Practical Solutions to ICD-10 and
2016 Hot Coding
Topics Attendees can focus on in-depth ICD-10 coding for their specialty (specialties) plus
gain practical solutions to hot coding topics so they are on-target to correct coding and
reimbursement in 2016. The best part is unlike other conferences, this conference allows
attendees the flexibility to jump from one specialty track to another - free of charge! Stick
with ICD-10 General for a complete foundation; supplement your base with advanced
coding on your specialty’s top ICD-10 code changes from 12 Specialty Tracks, or stick to
your Specialty Track for practical advice pertinent to your specialty on the latest coding,
reimbursement and compliance pitfalls.
Can’t Miss The 12 Dedicated Specialty Tracks present at this year’s conference include:
Ob-gyn, Orthopedics, Pain Management, Pediatrics, Path / Lab, Urology, General Surgery,
Ophthalmology, Family Practice, Otolaryngology, Practice Management, and ICD-10-CM.
(iii)
7. Billing Strategies and Process Changes Pre Conference
Coding and Billing for Midwives Pre Conference
Schedule Wednesday, December 2, 2015
1:00pm – 5:30pm Billing Strategies and Process Changes
CEUs: 4 CPPM
, CPB, and CPC
Speaker Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC
Description Billing starts from the time the patient makes an appointment and
does not end until all the money for the service has been received in
the door. This interactive workshop examines all the elements of
billing to determine where we can impact workflow, procedures, and
policies to make the billing process more efficient and effective for
the practice. Join us as we explore ways we can make a difference in
our practices to not only optimize income compliantly but also
reduce some of the stress points that we experience on a day to day
basis. Let’s look at the processes and tools available to us in 2016 that
will help us be more effective in our jobs and become heroes in our
practices.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
Schedule Wednesday, December 2, 2015
1:00pm – 5:30pm Coding and Billing for Midwives
CEUs: 4 CPC-P, CIMC, COBGC, and CPC
Speaker Joan Slager, CNM
Description In 2012 Certified Nurse-Midwives attended 8% of all births in the
United States. As a valuable member of the maternity work force,
midwives deliver satisfying, cost-effective care with excellent clinical
outcomes. This pre-conference workshop will discuss the profession
of midwifery in the United States including how midwives are
educated, regulated and credentialed. Midwifery scope of practice,
geographical distribution and practice settings will be discussed
along with how to bill and receive payment for midwifery services.
Lastly, a template for designing and implementing a midwifery
service whether as a part of an existing practice or as an independent
practice will be presented.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
1
8. Schedule Wednesday, December 2, 2015
1:00pm – 5:30pm Defining and Documenting Medical Necessity
CEUs: 4 CANPC, CPC-P, CGIC, CGSC, CFPC, CEMC, CPCD, CCVTC, CCC,
CPPM, CPCO, CPB, CPMA, CIMC, CHONC, COBGC, COSC, CENTC,
CPEDC, CUC, and CPC
Speaker Kim Garner-Huey, MJ, CPC, CCS-P, PCS, CPCO
Description Definitions of medical necessity vary depending on who you
are—physician, coder, biller, or payer. This session will explore and
apply these definitions to your medical practice, from helping your
physician’s document appropriately to support why they did what
they did to assigning the right codes and modifiers to appealing to
receive the payment deserved.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
Schedule Wednesday, December 2, 2015
1:00pm – 3:00pm Fighting Payer Recoupment
CEUs: 2 CASCC, CPC-P, CFPC, CPPM, CPCO, CPB, CPMA, CIMC, and CPC
Speaker Ann Bittinger, Esq. & Maggie Mac, CPC, CEMC, CHC, CMM, ICCE
Description Who do you call when payers send a request for payment
recoupment? The process to fight a payer audit will be outlined by an
attorney and expert coder to discuss all the steps that must be taken
to authoritatively appeal the recoupment. What steps the attorney
must undertake and what role the coder plays will all be discussed
with an actual case study.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
3:30pm – 5:30pm The Dirty Dozen
CEUs: 2 CASCC, CPC-P, CFPC, CPPM, CPCO, CPB, CPMA, CIMC, and CPC
Speaker Maggie Mac, CPC, CEMC, CHC, CMM, ICCE
Description Mistakes are still being made in billing, coding, and documentation.
Do you see your practice making any of these errors? After years and
thousands of chart reviews, the top dozen compliance errors
(and a few more) will be revealed.
Defining and Documenting Medical Necessity Pre Conference
Fighting Payer Audits and Compliance Errors Pre Conference
2
9. Schedule Wednesday, December 2, 2015
1:00pm – 5:30pm Roll With the Punches – Learn ICD-10 While You Move
CEUs: 4 CPC-P, CGIC, CGSC, CFPC, CEMC, CPCD, CPPM, CPCO, CPB, CPMA,
AANP, CIMC, COBGC, COSC, CENTC, CPEDC, CUC, and CPC
Speaker Danny Porcelli, Doctor of Chiropractic and Nikki Taylor, MBA,
CPC, COC, CMPA
Description Grab a foam roller, and let go of muscle tension while you learn
ICD-10 coding in an invigorating movement assessment and
rehabilitation class. This hands-on session puts you through stress-re
lieving range of motion exercises with a certified fitness trainer using
the same myofascial release techniques that benefit rehabbing
patients. Wear comfortable clothing to take full advantage of this
therapeutic activity, suitable for clinicians and coders alike. All
supplies provided. This session includes an overview of ICD-10 codes
for associated injuries and conditions – all during your exercise.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
Schedule Wednesday, December 2, 2015
1:00pm – 3:00pm Services for Nurse Practitioners and Physician Assistants
CEUs: 4 CASCC, CPC-P, CGIC, CGSC, CFPC, CEMC, CPPM, CPCO, CPMA,
AANP, CIMC, COSC, CPEDC, CPC, COC, and CIC
Speaker Jill M. Young, CPC, CEDC, CIMC
Description For many reasons, including the current physician shortage, the NP’s
and PA’s role in every day medicine is increasing. In the hospital on
rounds and in surgery, to nursing home care, office visits and procedures,
mid-levels are providing services that physicians traditionally
have. Medicare policy and rules can be tricky with all the unique
situations they work in. Other carriers have instituted policies that
range from a simplistic bill under the supervising provider to follow
ing Medicare policy and more. And don’t forget your State Scope and
the new Qualifier for box 17! If you have a mid-level or are thinking of
adding one, understanding the policies and how they apply to your
practice is imperative.The OIG has these services on their“hit list,”so
staying off their radar with a thorough understanding of the rules is a must.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
ICD-10 Anatomy: Learning in Motion Pre Conference
Services for Nurse Practitioners and Physician Assistants Pre Conference
3
10. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Diagnostic Coding – Tips to Get the Specificity Needed
CEUs: 2 CFPC, CEMC, CPCD, CPMA, CIMC, CPEDC, and CPC
Speaker Jill M. Young, CPC, CEDC, CIMC
Description Primary care physicians need to be familiar with a plethora of
diagnostic codes. Get tips on what is missing in your current
documentation and diagnostic coding.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Injections and Immunizations
CEUs: 1 CFPC, CEMC, CPMA, CIMC, CENTC, and CPC
Speaker Jill M. Young, CPC, CEDC, CIMC
Description Documentation is the key when billing for injections and
immunizations. For pristine claims, you also need to meet“incident
to”rules for performing these services. Join this session to master the
nuts and bolts of injection and immunization coding.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm E/M Coding: Does Your Documentation Support the Codes You
Are Billing?
CEUs: 2 CFPC, CEMC, CPMA, CIMC, and CPC
Speaker Jill M. Young, CPC, CEDC, CIMC
Description Audits are more prevalent than ever. Learn simple steps to review
and audit your office notes to see if the provider’s documentation
supports the codes billed, helping you get in front of audit issues.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Maximizing Your Nonphysician Practitioners
CEUs: 2 CPC
Speaker Jill M. Young, CPC, CEDC, CIMC
Description Physician assistants (PAs) and nurse practitioners (NPs) are more
prevalent in offices today, but is your office using them to their full
capacity? Find out how along with getting a thorough understanding
of documentation and compliance rules to ensure you get proper
payment for services.
5:00-6:30 PM COCKTAIL RECEPTION AND EXHIBITORS
Family Practice Main Conference
4
11. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Office Efficiency
CEUs: 2 CPC, CFPC, CIMC, CPPM, CPB
Speaker Jill M. Young, CPC, CEDC, CIMC
Description What areas of your office can you improve to help it run more
smoothly? What can you do to close the“great divide”that exists
between front and back office staff? Attend this session for real-world
solutions to these issues and more.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am Scheduling: Making Your Office Run on Time
CEUs: 1 CPC, CFPC, CPPM, and CPB
Speaker Jill M. Young, CPC, CEDC, CIMC
Description Vacations and holidays can wreak havoc on a schedule. This session
offers simple steps you can take to help prevent those Monday
disasters and other nightmare days in your office schedule.
Family Practice Main Conference
5
12. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Understanding Medical Necessity in Evaluation & Management visits
CEUs: 2 CPC, CPC-P, CFPC, CGSC, CPEDC, and CPMA
Speaker John F. Bishop, PA, CPC, CPMA, CGSC, CPRC
Description Make sure you are armed with the new/revised/deleted codes for
general surgery. You will get all of the new CPT®, ICD-10-CM, and
HCPCS codes, as well as any pertinent changes to CCI policy. With the
changes to the 59 modifier and the recent addition of the X-modifi
ers, this has made reporting separate billable services even more
challenging along with the other surgical modifiers. Learn the proper
use of all procedural and visit modifiers as they apply to general
surgery practices.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
Schedule Thursday, December 3, 2015
10:30am – 11:30am How NPPs affect the bottom-line in Surgical practices
CEUs: 1 CPC, COC, CASCC, CPCD, and CGSC
Speaker John F. Bishop, PA, CPC, CPMA, CGSC, CPRC
Description Learn to select the correct code from over one hundred choices
based on location: skin versus subcutaneous versus subfascial. What
constitutes a lesion versus a soft tissue tumor? What constitutes
radical excision?
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Dissecting and Coding from Op Reports Part I
CEUs: 2 CPC, COC, CASCC, CGIC, and CGSC
Speaker John F. Bishop, PA, CPC, CPMA, CGSC, CPRC
Description Discover when gastrointestinal procedures, often provided via
different approaches but in the same setting, can be billed
separately. You will get the tools for accurate claim submission,
reducing claims denials due to unbundling. Get an in-depth look at
procedures involving the GI tract along with review of the anatomy
and physiology of the GI tract.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
General Surgery Main Conference
6
13. 3:00pm – 5:00pm Dissecting and Coding from Op Reports Part II
CEUs: 2 CPC, COC, and CGSC
Speaker John F. Bishop, PA, CPC, CPMA, CGSC, CPRC
Description After a review of the most frequent procedures during the previous
sessions, attendees will have hands-on time on coding. Use real
operative reports to pick out key terminology, in words and phrases,
that you need to look for in the operative report to obtain correct
payment for the procedures your surgeon performed. Among the key
factors you’ll learn to recognize are the location and depth of the
surgery, the approach, the technique, and the differences between
excision, incision, and biopsy.
10:00am – 10:30am COCKTAIL RECEPTION AND EXHIBITORS
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Burn and Trauma Coding-Don't Be Shy!
CEUs: 2 CPC, COC, CCVTC, CGIC, CGSC, CIMC, CHONC, COBGC, and CPEDC
Speaker John F. Bishop, PA, CPC, CPMA, CGSC, CPRC
Description Not every surgical practice is the same. Get an insider’s look at
bariatric, breast, cardiothoracic, endocrine, oncologic, vascular, and
pediatric surgical procedures. This is a great session that includes
some of the areas not considered routine in general surgery practices.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am Let's look at Abdominal Tumors - ICD-10-CM For General Surgery
CEUs: 1 CPC, COC, CGSC, and CUC
Speaker John F. Bishop, PA, CPC, CPMA, CGSC, CPRC
Description Learn what constitutes a tunneled versus non-tunneled device,
pigtail or port, peritoneal or vascular dialysis catheter, and the new
ECMO codes. When can radiology guidance be billed and what type
of documentation is required?
General Surgery Main Conference
7
14. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am ICD-10-CM Specialty Coding for Cardiology
CEUs: 2 CCC and CPC
Speaker Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI
Description Specialty guidelines and coding practices for ICD-10-CM.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am ICD-10-CM Specialty Coding for Ob-gyn
CEUs: 1 CENTC and CPC
Speaker Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI
Description Specialty guidelines and coding practices for ICD-10-CM.
11:30am – 12:30pm NETWORKING LUNCH
Schedule Thursday, December 3, 2015
12:30pm – 2:30pm ICD-10-CM Specialty Coding for Orthopedics
CEUs: 2 COSC, CPC, and COC
Speaker Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI
Description Specialty guidelines and coding practices for ICD-10-CM.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Introduction to ICD-10-CM Guidelines and Coding Clinics
CEUs: 2 CPC-P, CPCO, CPMA, AANP, CPC, and COC
Speaker Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI
Description In depth discussion of changes surrounding ICD-10-CM
implementation.
5:00-6:30 PM Cocktail Reception and Exhibitors
ICD-10-CM Main Conference
8
15. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am CDI for ICD-10-CM
CEUs: 2 CPC, COC, and CPCO
Speaker Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI
Description In depth look at physician clinical documentation guidelines and
implementation.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am ICD-10-CM Specialty Coding for Gastrointestinal
CEUs: 1 CPC, COC, CPC-P, CASCC, CGIS, CPCO, CPMA, and AANP
Speaker Amy C. Pritchett, BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM, ICDCT-PCS, CMRS, C-AHI
Description Specialty guidelines and coding practices for ICD-10-CM.
ICD-10-CM Main Conference
9
16. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 11:30am What’s Holding You Back? Exercise for the Spine and ICD-10
CEUs: 3 CANPC, CASCC, CGIC, CGSC, CFPC, CPPM, CPCO, CPB, CPMA,
AANP, CIMC, CENTC, CPC, and COC
Speaker Danny Porcelli, Doctor of Chiropractic and Nikki Taylor, MBA,
CPC, COC, CMPA
Description Do you know the top three reasons a muscle can’t perform an action?
What role do joints and soft tissues play in back pain? Find out what
is holding back your back with the aid of a kinesiology expert who
will show you how to combine foam rolling and therapeutic taping to
get your spine in shape. This session includes an overview of ICD-10
codes for associated injuries and conditions. Wear comfortable
clothing for this therapeutic exercise and ICD-10 learning activity,
designed for clinicians as well as coders. All supplies are provided.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 5:00pm Your Signature Move Toward ICD-10 and Functional Movement
Patterns
CEUs: 3 CANPC, CASCC, CGIC, CGSC, CFPC, CPPM, CPCO, CPB, CPMA,
AANP, CIMC, COSC, CENTC, CPEDC, CUC, CPC, and COC
Speaker Danny Porcelli, Doctor of Chiropractic and Nikki Taylor, MBA,
CPC, COC, CMPA
Description What are primal human movement patterns? Experience them for
yourself in this innovative exploration of movement and therapeutic
taping. Learn ICD-10 codes for conditions that cause pain,
dysfunction, and impediments to peak performance, while a
kinesiology expert leads you through assessment techniques and
corrective strategies that integrate taping with treatment programs.
Wear comfortable clothing so you can move freely in this exhilarating
interactive session, designed for clinicians as well as coders. All
supplies are provided.
ICD-10 Anatomy: Learning in Motion Main Conference
10
17. 5:00pm – 6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 11:30am Looking for Stability? Movement Assessment and Intervention
with ICD-10
CEUs: 4 CPC, COC, CPC-P, CANPC, CFPC, CGIC, CGSC, CIMC, COSC, CENTC,
CPEDC, CUC, CPCO, CPPM, CPB, CPMA, and AANP
Speaker Danny Porcelli, Doctor of Chiropractic and Nikki Taylor, MBA,
CPC, COC, CMPA
Description By evaluating just two main movements, you can identify
impediments to mobility, stability, and motor control. Let a fitness
expert lead you through toe touch progressions, single and split leg
stances, and exercises for the cervical and lumbar spine. Find nirvana
in this yoga-like session while you learn ICD-10 codes for associated
injuries and conditions. Wear comfortable clothing to take full
advantage of stretching and therapeutic taping activities, designed
for clinicians as well as coders. All supplies are provided.
ICD-10 Anatomy: Learning in Motion Main Conference
11
18. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Annual Well-Woman Exam: Coverage and Coding Considerations
for Prompt, Fair Reimbursement
CEUs: 2 CPC-P, CEMC, CPCO, CPB, CPMA, CIMC, COBGC, and CPC
Speaker Melanie Witt, RN, CPC, COBGC, MA
Description Women may present for annual well-visits every year, but coding and
billing for these high volume services can be complicated if you don’t
know the nuances involved. In this session, you will learn about what
constitutes preventive care for women, how to handle circumstances
when the provider doesn’t perform a pelvic or Pap, and how
Medicare coverage affects the annual visit for both coding and
reimbursement. From modifiers to ABNs, this session will make you
an expert. Teaching points will be illustrated with physician
documentation – both the good and the bad.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Tackling NCCI Rules for Ob-gyn Services
CEUs: 1 CPC-P, CFPC, CEMC, CPCO, CPB, CPMA, CIMC, COBGC, and CPC
Speaker Melanie Witt, RN, CPC, COBGC, MA
Description If you are not updating how you code using the quarterly National
Correct Coding Initiative (NCCI) edits, then you are opening the door
for denials and possible lost reimbursement. Understanding what the
NCCI rules and edits are and how to incorporate the edits into your
coding process is critical to correct coding and reimbursement as
well as reducing denials. During this session, you will learn the
essentials of NCCI guidelines, how to read the NCCI data sheet, and
how to assign the correct code pairs. You’ll also discover how to apply
the right NCCI modifiers to ensure correct coding and avoid denials.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Practice Makes Perfect: New Challenges with ICD-10-CM Coding
for Gyn Services
CEUs: 2 CPC-P, CFPC, CEMC, CPCO, CPB, CPMA, CIMC, COBGC, CUC, CPC,
and COC
Ob-Gyn Main Conference
12
19. Speaker Melanie Witt, RN, CPC, COBGC, MA
Description Hopefully at the time of this conference we will be two months in to
using the ICD-10-CM diagnosis codes. And while you may have had
some experience to date, this session will continue your education by
highlighting the essentials that will allow the provider to document
and the coder to report the highest level of specificity using the new
system. Learning what you need to know in detail will help your
practice avoid delays in submitting claims and prevent denials for
gynecologic services. The presenter will use physician documenta
tion examples to explain how the written word should translate into
a reportable ICD-10-CM code. This session will include a bonus
handout that converts the most commonly reported ICD-9-CM
gyn-related diagnosis codes into ICD-10-CM choices, organized by
body system.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm ICD-10-CM Coding from Conception to Postpartum
CEUs: 2 CPC-P, CFPC, CEMC, CPCO, CPB, CPMA, CIMC, COBGC, CUC, CPC, and
COC
Speaker Melanie Witt, RN, CPC, COBGC, MA
Description Obstetric coding is difficult under the best of circumstances, but now
that you have some familiarity with ICD-10-CM, you know how much
tougher it can get. If you think hands-on practice will be the key to
avoiding denials under the new, more specific system, then this is the
session for you. Applying the guidelines to actual cases, this
two-hour session will concentrate on how to convert physician
documentation into specific diagnosis codes. By getting to practice
with up-to-date cases, you will become comfortable with your
diagnosis coding choices. This session will include a bonus reference
that converts the ICD-9-CM obstetric codes into their ICD-10-CM
equivalents.
5:00pm – 6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Ob-Gyn Main Conference
13
20. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Coding and Documentation Issues for Antenatal Fetal
Surveillance
CEUs: 2 CPC-P, CFPC, CEMC, CPPM, CPCO, CPB, CPMA, AANP, CIMC,
COBGC,
CPC, and CIC
Speaker Melanie Witt, RN, CPC, COBGC, MA
Description Antepartum fetal surveillance is crucial in reducing the risks of fetal
demise after 24 weeks of gestation. Fetal surveillance often delays
the need for intervention and prolongs gestation in pregnancies at
risk for preterm delivery. While there are specific CPT® codes for these
types of tests, it’s not uncommon for payers to deny reimbursement
due to incorrect modifier use, inappropriate place of service report
ing, inadequate medical indications, or poor documentation,
especially in the observation or inpatient setting. Learn accepted
standards for performing these tests and get a roadmap to avoid the
many pitfalls associated with these tests. Don’t let your antepartum
fetal surveillance tests be denied. This session will help you use the
proper tools to ensure correct coding and reimbursement for these
essential tests.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am The Ups and Downs of Counseling Time
CEUs: 1 CPC, CPC-P, CEMC, CFPC, CIMC, COBGC, CUC, CPCO, CPB, and
CPMA
Speaker Melanie Witt, RN, CPC, COBGC, MA
Description How many times has your clinician decided to report an E/M service
based on time rather than the key components? But does she under
stand the rules that surround this option? In this session, we will
discuss correct formatting of the office visit note and how to correctly
select the level of service based on time rather than the key compo
nents for both problem and preventive counseling situations. Learn
why the assumptions you have been using may be wrong, which
could lead to payer takebacks.
Ob-Gyn Main Conference
14
21. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Documentation of E/M and Eye Codes
CEUs: 2 CPC-P, CEMC, CPCO, CPB, CPMA, AANP, and CPC
Speaker Maggie Mac, CPC, CEMC, CHC, CMM, ICCE
Description Learn all the components needed to accurately and compliantly
document E/M and eye codes. Handouts will be provided for your
own personal use back in the office.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Coding for Cataract Surgery
CEUs: 1 CASCC, CPC-P, CEMC, CPCO, CPB, CPMA, AANP, CPC, and COC
Speaker Alice Reybitz, RN, BA, CPC, COC, CPC-I, CCSP
Description How to code cataract surgery with actual coding scenarios.
11:30noon – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Coding for Macular Degeneration
CEUs: 2 CASCC, CPC-P, CEMC, CPCO, CPB, CPMA, AANP, CPC, and COC
Speaker Alice Reybitz, RN, BA, CPC, COC, CPC-I, CCSP
Description How to code for diagnosis and treatment of macular degeneration
with actual coding scenarios.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Coding for Glaucoma
CEUs: 2 CASCC, CPC-P, CGSC, CPCO, CPB, CPMA, RCCB, AANP, CIMC, COSC,
CPC, COC, and CIC
Speaker Alice Reybitz, RN, BA, CPC, COC, CPC-I, CCSP
Description How to code for diagnostic tests and treatment of glaucoma with
actual coding scenarios.
5:00pm-6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Ophthalmology Main Conference
15
22. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Ophthalmic Diagnostic Tests
CEUs: 2 CPC, CPC-P, CPCO, CPB, and CPMA
Speaker Becky Shimanek, CPC
Description Learn all the ins and outs for modifiers, documentation tips, and
coding for office ophthalmology tests, such as visual fields, A/B scans,
fluorescein angiography, and more.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am Modifiers
CEUs: 1 CPC, COC, CPC-P, CASCC, CEMC, CPCO, CPB, CPMA, and AANP
Speaker Ryan Price CPC
Description When to use them and the impact on your revenue and
documentation requirements.
Ophthalmology Main Conference
Main Conference
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23. Schedule Thursday, December 3, 2015
7:00am – 8:00am NETWORKING BREAKFAST
8:00am – 10:00am Current Trends for the Orthopedic Office
CEUs: 2 CPC-P, CEMC, CPCO, CPB, CPMA, AANP, COSC, and CPC
Speaker Lynn Anderanin, CPC, CPC-I, COSC
Description When it comes to the reimbursement for orthopedic surgeons, it isn’t
always about the surgeries. This session will review the common
services and procedures performed in the office and discuss what
you can report to maximize reimbursement.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Orthopedic Coding Changes for 2016
CEUs: 1 CASCC, CPC-P, CGSC, CPCO, CPB, CPMA, AANP, COBGC, CPC, COC,
and CIC
Speaker Lynn Anderanin, CPC, CPC-I, COSC
Description Each year there are CPT® and RVU changes to procedures and
services performed by orthopedic surgeons. Not only will we review
the coding changes, but we also will review RVU changes that may
affect Medicare and other insurance payments that utilize RVUs to
determine their fees. The NCCI policy manual for 2016 will also be a
topic of discussion.
11:30pm – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Surgical Case Studies for the Lower Extremities
CEUs CASCC, CPC-P, CGSC, CPCO, CPB, CPMA, AANP, COSC, CPC, COC,
and CIC
Speaker Lynn Anderanin, CPC, CPC-I, COSC
Description Whether you are new to orthopedics or you want to make sure you
are coding surgical cases correctly, you’ll benefit from this session’s
detailed look at common surgical cases involving the lower extremity.
Get ready to learn about arthroscopy, foot and ankle services, total
joint replacements, and injury cases.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Surgical Case Studies for the Spine and Upper Extremities
CEUs CASCC, CPC-P, CGSC, CPCO, CPB, CPMA, AANP, COSC, CPC, COC,
and CIC
Orthopedics Main Conference
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24. Speaker Lynn Anderanin, CPC, CPC-I, COSC
Description This session will look at surgical cases related to the spine and upper
extremities. Spine surgery can be intimidating, but once you under
stand the fundamentals, you’ll find it becomes easier and you can
code with confidence. Surgery of the upper extremity can also be
confusing because of the number of codes necessary to report
services performed. This session will review actual operative reports
to encourage learning and discussion.
5:00pm-6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am NETWORKING BREAKFAST
8:00am – 10:00am E/M Services for Orthopedics
CEUs: 2 CASCC, CPC-P, CGSC, CEMC, CPPM, CPCO, CPB, CPMA, AANP,
COSC, CPC, COC, and CIC
Speaker Lynn Anderanin, CPC, CPC-I, COSC
Description We will start the morning of the second day by looking at the ups
and downs of a E/M Compliance Plan of an orthopedic practice. Tips
will be given on auditing E/M services and taking the results to
educate providers on the appropriate levels of service based on what
was performed. There are many common errors made, and we will
look at those to improve documentation
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30pm ICD-10 Issues for Orthopedics
CEUs: 1 CPC, COC, CIC, CASCC, CANPC, CGSC, COSC, CPCO, CPB, CPMA,
and AANP
Speaker Lynn Anderanin, CPC, CPC-I, COSC
Description 2 months after implementation, attendees will have an opportunity
to evaluate ICD-10 and share any problems or successes in the
implementation process. We will also anything that still may be a
problem, thus causing delays in revenue.
Orthopedics Main Conference
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25. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Modifiers for Otolaryngology
CEUs: 2 CPC-P, CPCO, CPB, CPMA, AANP, CENTC, and CPC
Speaker Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC
Description Modifiers are an integral part of CPT® coding. Many times the
description of the services provided cannot be complete without the
use of modifiers. Proper use will get the practice paid or enable
payment on appeal. Improper use will cause compliance issues and
potential losses in income. Modifiers affect not only compensation,
but also affect compliant coding of services provided, so the
physician, the coder, and the biller must understand how to use and
document for modifiers to maintain coding and billing compliance.
Otolarygology specific examples will be used in this class.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am ENT’s are using Botox to treat problems such as Cervical Dystonia
to Spasmodic Dysphonia, is your office getting paid
appropriately?
CEUs: 1 CPC-P, CPPM, CPCO, CPB, CPMA, CENTC, and CPC
Speaker Nancy Reading, RN, BS, CPC, CPC–P, CPC-I
Description There are reimbursable, medically necessary uses for Botox injections
in the ENT office setting. In this session we will visit the appropriate
documentation and coding for the administration of Botox. There are
very specific nuances in making this a financial success for the
medically necessary use of Botox. Issues addressed will include
special scheduling of patient visits, correct Botox codes for the
treatment at hand and the type of Botox administered, and
electrophysiologic guidance. We will address appropriate billing for
Botox wastage. The pathophysiology of the problems will be
explored as well as defining how chemodenervation works.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Coding for Endoscopic Surgery Including Balloon Dilation
CEUs: 2 CASCC, CPC-P, CPCO, CPB, CPMA, CENTC, CPC, COC, and CIC
Speaker Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC
Description This class will examine various coding scenarios when coding endo
scopic surgery in otolaryngology for sinuses using traditional FESS as
well as balloon dilation in both the office and in the OR. In this
session, we will also examine other endoscopic surgeries and their
coding when going into the throat, the larynx, and other ENT
structures.
Otolaryngology Main Conference
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26. 2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Advanced Surgical Coding Workshop for Otolaryngology
CEUs: 2 CASCC, CPC-P, CPCO, CPB, CPMA, CENTC, CPC, COC, and CIC
Speaker Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC,
and Nancy Reading, RN, BS, CPC, CPC–P, CPC–I
Description This class is dedicated to reviewing complex operative notes and
coding them together so that we can get into the nitty gritty of
coding more complex and challenging otolaryngology services.
Bring your coding manuals and plan on diving into some challenging
cases.
5:00-6:30 PM COCKTAIL RECEPTION AND EXHIBITORS
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Coding for the Ear and Audiology
CEUs: 2 CPPM, CPCO, CPB, CPMA, AANP, CENTC, and CPC
Speaker Nancy Reading, RN, BS, CPC, CPC–P, CPC–I
Description In this presentation, we will define audiology CPT® codes and discuss
their appropriate use. The fundamentals of ICD-10-CM will also be
covered. Tips will be provided on maximizing reimbursement
through appropriate coding and billing. Special billing and coding
scenarios and cases specific to the audiology practice will be
reviewed, including cerumen management, vestibular assessement,
and more.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am Allergy Coding for Otolaryngology
CEUs: 1 CPC, CPC-P, CFPC, COSC, CENTC, CPCO, CPB, CPMA, and AANP
Speaker Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC
Description Allergy coding is often challenging as it incorporates both diagnostic
and therapeutic services for the patient. This class will look at these
services, the differences between them, how to code for them,
supervision rules, and reimbursement issues. Bring your allergy
questions with you.
Otolaryngology Main Conference
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27. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Get In The Know: 2016 Pain Management Coding & Billing
Updates
CEUs: 2 CANPC, CASCC, CPC-P, CPPM, CPCO, CPB, CPMA, AANP, CPC, COC,
and CIC
Speaker Judith L. Blaszczyk RN, CPC, ACS-PM, & Marvel J. Hammer, RN,
CPC, CCS-P, ACS-PM, CPCO
Description Make sure you know and understand the changes in pain manage
ment coding and billing for 2016. You will learn the CPT® code
changes as well as any other pertinent information you will need to
hit the ground running in the new year! Bring any questions you have
on the new codes, CPT® introductory comment changes, NCCI
revisions, and any other billing updates.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Pain Management Diagnosis Coding: Where Are We?
CEUs: 1 CANPC, CASCC, CPC-P, CPCO, CPB, CPMA, AANP, CPC, COC, and
CIC
Speaker Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO
Description How has your pain management practice faired with ICD-10-CM
implementation? Are you getting denials for unspecified ICD-10-CM
diagnosis codes? How are you reporting diagnoses for your workers’
compensation claims? This session will review the 2016 ICD-10-CM
guidelines applicable to pain management practices to ensure you
are compliantly reporting your providers’diagnoses. Marvel will also
go through some of the payer coverage policies, looking at potential
ICD-9-CM coding crosswalk issues that can cause denials for your
claims.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Place of Service and Billing for Drugs and Supplies
CEUs: 2 CANPC, CASCC, CPC-P, CGSC, CFPC, CPPM, CPCO, CPB, CPMA,
AANP, CIMC, CPC, COC, and CIC
Pain Management Main Conference
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28. Speaker Judith L. Blaszczyk, RN, CPC, ACS-PM
Description Place of service reporting is currently on the OIG Work Plan. Studies
have shown that inaccurate reporting of the place of service has cost
Medicare a great deal of money, so authorities are focusing on this
billing element. Place of service impacts billing for drugs and
supplies, so get the facts you need to know. Plus, are you ever
confused when trying to calculate units for reporting medications?
Does supply billing stymy you? Attend this informative session to
gain an understanding of when it is appropriate to bill for drugs and
supplies and how to correctly report these practice expenses.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Pain Management FAQs: Procedure Coding & Billing
CEUs: 2 CANPC, CASCC, CPC-P, CPPM, CPCO, CPMA, AANP, CPC, COC, and
CIC
Speaker Judith L. Blaszczyk, RN, CPC, ACS-PM, & Marvel J. Hammer, RN,
CPC, CCS-P, ACS-PM, CPCO
Description All pain coders have faced procedure reports that just don’t seem to
have a specific code that fits. Join us for this session as Marvel and
Judi review many of the procedures like this that they have
encountered, and receive definitive answers to your questions.
You’ll get supporting documentation so you can confidently defend
your coding to your providers and the payers to whom you submit
your claims.
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 9:00am Pain Management Procedure Modifiers: Use Them Correctly to
Tell the Story
CEUs: 1 CANPC, CASCC, CPC-P, CPPM, CPCO, CPB, CPMA, AANP, CPC, COC,
and CIC
Speaker Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO
Description When you code for a pain management provider, choosing the
proper modifier for the documented procedure can get tricky. But
don’t worry! This surgical modifier session will unlock the secrets
about the modifiers you should review for use in your pain manage
ment practice. Now, more than ever before, we’re seeing decreasing
reimbursements and increased compliance scrutiny. You need every
available tool to capture revenue and avoid inaccurate — or even
Pain Management Main Conference
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29. fraudulent — pain management procedure billing. Modifiers can
make all the difference, but only if you use them correctly.
Inappropriate use of modifiers can put you at risk for compliance
breaches and potential fines if an auditor knocks on your door.
In this session, Marvel will unlock the secrets about whether to
append a procedure modifier and if so, which one.
9:00am – 10:00am Transitioning from Volume to Value: How Will It Effect Your Pain
Practice?
CEUs: 1 CPC, COC, CIC, CPC-P, CASCC, CANPC, CPCO, CPPM, CPB, CPMA,
and AANP
Speaker Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO
Description Rewarding Volume: Where we are now … Rewarding Value: Where
we are going. For the first time, Medicare has set a timeline to move
the Medicare program, and the healthcare system at large, toward
paying providers based on the quality, rather than the quantity, of
care they give patients.To help drive the healthcare system toward
greater value-based purchasing — rather than continuing to reward
volume regardless of quality of care delivered — CMS has set a goal
to have 30 percent of Medicare payments in alternative payment
models by the end of 2016 and 50 percent by the end of 2018. Where
does this leave pain management practices? Don’t feel bad if you are
confused about all the changes. Find out what you should be doing
in 2015 and 2016 to take the first steps toward the Value Based
Payment system.This session will review how the PQRS and Value
Based Payment Modifier incentive programs link with this payment
system transition.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30pm Take the Pain Out of Reporting Acute Pain Services
CEUs: 1 CPC, COC, CIC, CPC-P, CASCC, CANPC, CPCO, CPPM, CPB, CPMA,
and AANP
Speaker Judith L. Blaszczyk, RN, CPC, ACS-PM
Description Postoperative pain services are under the microscope with payers
increasingly questioning the necessity for a separate provider to
manage and report these services. Come to this session to learn
when it is appropriate to bill separately for postoperative pain blocks
and the documentation that will support this care. New procedures
have increased the scope of procedures used to treat postsurgical
pain. You will learn the anatomy and coding for these new services. A
full discussion will equip you to report postoperative pain procedures
compliantly.
Pain Management Main Conference
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30. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Legislative and Coding Update: Considering Laboratory and
Pathology 2016
CEUs: 2 CASCC, CPC-P, CPPM, CPCO, CPB, CPMA, AANP, CPC, COC, and CIC
Speaker Diana W. Voorhees, MA, CLS, MT, SH, CLCP
Description Regulatory changes present annual challenges that impact billing,
coverage, and payment. As time flies by, healthcare providers will
soon see the proposed and perhaps final rule changes for the
Medicare Physician Fee Schedule that also addresses the Clinical
Laboratory Fee Schedule. Simultaneously, rule changes will be
proposed and finalized for the Hospital Outpatient Prospective
Payment System. The Affordable Care Act and the Patient Access to
Medicare Act will introduce more changes. And, the OIG has ideas for
compliance scrutiny. This session will focus on various regulatory
issues that impact the laboratory and pathology industry.
Objectives:
1. Describe 2016 fee schedule changes for Medicare reimbursement.
2. Discuss procedural and diagnosis coding changes for 2016.
3. Identify government auditing programs and their purposes.
4. Discuss OIG agenda items for scrutiny.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Drug Testing: Coding and Coverage
CEUs: 1 CASCC, CPC-P, CPPM, CPCO, CPB, CPMA, AANP, CPC, COC, and CIC
Speaker Diana W. Voorhees, MA, CLS, MT, SH, CLCP
Description The AMA provided a massive overhaul of coding and billing for drug
testing this year. Confusion still exists regarding correct coding. CMS
declined the use of the new AMA codes and retained a listing of
various“G”codes. Of question is what will change is 2016. Will the
AMA make changes to entice CMS utilization? Will CMS buy into CPT®
coding? Will providers continue to use multiple coding mechanisms?
Will coding clarity be found? These questions will hopefully have
answers from the AMA and CMS for discussion in this session.
Objectives:
1. Describe current trends for drug testing including pain
management practices.
2. Discuss coding changes that are applicable to drug testing for 2015.
3. Identify pertinent coverage and payment changes associated with
Medicare fee schedules and those of other payers.
4. Highlight other coding and billing compliance challenges.
Path / Lab Main Conference
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31. 11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Molecular Diagnostics: Status of the World in Genomic Testing
CEUs: 2 CPC-P, CPCO, CPB, CPMA, AANP, and CPC
Speaker Diana W. Voorhees, MA, CLS, MT, SH, CLCP
Description 2012 introduced a new coding structure for molecular diagnostics.
CMS was unprepared to use these codes and other payers followed
suit. Laboratories dealt with gap-filled reimbursement for the year
and anticipated coding and reimbursement for 2014. Now in 2015,
we have faced a reincarnation of the coding and gapfilling for
molecular testing issues. Laboratory developed tests and the FDA
oversight have added to the molecular muddle. Coverage
determinations are eroding standardization of provider testing.
This session will provide updates for these issues and ancillary topics.
Objectives:
1. Discuss coding and reimbursement changes that are applicable to
molecular testing for 2015 and 2016.
2. Identify pertinent coverage and payment changes associated with
Medicare fee schedules and those of other payers.
3. Highlight coding and billing caveats and other compliance
challenges
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Ancillary Pathology Testing: What’s New, What’s Old and What’s
Unknown
CEUs: 2 CPC-P, CPCO, CPB, CPMA, AANP, CPC, COC, and CIC
Speaker Diana W. Voorhees, MA, CLS, MT, SH, CLCP
Description The last couple of years have introduced variances in coding and
billing for special stains, IHC and ISH stains, as well as morphometric
analysis. CMS and the AMA established different guidelines for
reporting these services. This session will discuss the updated use of
these related codes and the impact of other ancillary issues such as
CCI, MUEs, and LCDs.
Objectives:
1. Describe 2016 CPT® and HCPCS changes for pathology services.
2. Identify pertinent policies and issues affecting coverage.
3. Determine anticipated impact of CMS editing systems.
4. As time allows, delve into additional topics of interest or concern.
5:00pm-6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Path / Lab Main Conference
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32. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Reference Testing and Split Billing and Who Bills for What
CEUs: 2 CASCC, CPC-P, CGSC, CFPC, CPPM, CPCO, CPB, CPMA, AANP, CPC,
COC, and CIC
Speaker Diana W. Voorhees, MA, CLS, MT, SH, CLCP
Description Most laboratories refer certain procedures to another clinical or
pathology laboratory for performance. There are numerous reference
scenarios in place due to variances regarding testing sites. There are
also regulatory concerns regarding“who can bill”for testing
performed elsewhere. Hospital services typically require splitting the
billing for professional and technical components of services. This
session will review billing guidelines and nuances for attaining
compliance.
Objectives:
1. Review and discuss regulatory requirements for laboratory and
pathology billing.
2. Exemplify testing and billing scenarios.
3. Discuss problematic billing issues.
10:00am – 10:30am Refreshment Break
10:30am – 11:30am Ordering Issues and Concerns for Diagnostic Testing
CEUs: 1 CPC, COC, CIC, CPC-P, CEMC, CFPC, CPCO, CPPM, CPB, CPMA, and
AANP
Speaker Diana W. Voorhees, MA, CLS, MT, SH, CLCP
Description Requirements exist for differentiating and billing consults versus
interpretations. As the OIG scrutinizes testing utilization in light of
medical necessity, sensitivity increases regarding interpreting
physicians’orders for additional testing. Complete documentation is
crucial to support medical necessity. Testing protocols may raise
questions regarding standard of care. This session will introduce a
discussion of these concerns.
Objectives:
1. Describe ordering protocols for consults and interpretations.
2. Discuss best practices for testing documentation.
3. Identify OIG findings and current issues that lead to utilization
concerns.
Path / Lab Main Conference
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33. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am E/M Coding: Bread and Butter of Pediatrics
CEUs: 2 CASCC, CPC-P, CFPC, CEMC, CPPM, CPCO, CPB, CPMA, AANP,
CPEDC, CPC, COC, and CIC
Speaker Donelle Holle, RN
Description Learn how to properly document and code for those important daily
visits.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Hospital Procedures and Visits: What Really Is NBN Care?
CEUs: 1 CASCC, CPC-P, CEMC, CPPM, CPCO, CPB, CPMA, AANP, CPEDC,
CPC, COC, and CIC
Speaker Donelle Holle, RN
Description Understand when to bill a sick NBN and what code you should use.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Common Modifiers Used in Pediatrics
CEUs: 2 CPC-P, CFPC, CEMC, CPCO, CPB, CPMA, AANP, CIMC, CPEDC, CPC,
COC, and CIC
Speaker Donelle Holle, RN
Description Learn which modifier to use with visits and which ones to use with
procedures.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Importance of Diagnosis Coding
CEUs: 2 CPC-P, CGSC, CFPC, CEMC, CPCO, CPB, CPMA, AANP, CIMC, CPEDC,
CPC, COC, and CIC
Speaker Donelle Holle, RN
Description Understand how improper diagnosis coding can affect the bottom
line.
5:00pm-6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Pediatrics Main Conference
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34. Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Procedures: Don’t Leave Money on the Table
CEUs: 2 CPC-P, CFPC, CPPM, CPCO, CPB, CPMA, AANP, COSC, CPEDC, and
CPC
Speaker Donelle Holle, RN
Description Learn about the procedures providers typically perform in a pediatric
office.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am Let’s Just Talk: Now’s the Time to Ask That Burning Question!
CEUs: 1 CPC, COC, CIC, CPC-P, CEMC, CFPC, CPEDC, CPCO, CPPM, CPB,
CPMA, and AANP
Speaker Donelle Holle, RN
Description Ask those questions that bug you all the time but you can’t get an
answer to!
Pediatrics Main Conference
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35. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Provider Qualifications and Medicare Benefit Categories
CEUs: 2 CPC-P, CEMC, CPPM, CPCO, CPMA, AANP, CPC, and COC
Speaker Jean Acevedo, LHRM, CPC, CHC, CENTC
Description This session will explore the credentialing requirements for a variety
of non-physician practitioners, including physician assistants, nurse
practitioners, PTs, and OTs. At the end of this session, attendees will
be able to define who must be credentialed by Medicare and
whether the“incident to”or another Medicare benefit applies to their
services.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Diagnostic Test Requirements
CEUs: 1 CASCC, CPC-P, CFPC, CEMC, CPPM, CPCO, CPMA, AANP, CIMC,
CPC, COC, and CIC
Speaker Jean Acevedo, LHRM, CPC, CHC, CENTC
Description The CERT contractor has identified insufficient documentation as the
#1 reason for improper payment of diagnostic tests. This session will
review who can order and perform diagnostic tests, the definition of
medical necessity, and the nuances of an“order.”
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Therapy & Rehabilitation Services
CEUs: 2 CPC-P, CPPM, CPCO, CPB, CPMA, AANP, COSC, CENTC, CPC, and
COC
Speaker Candice Ruffing, CPC, CPB, CPMA, CENTC
Description Manual therapy & therapeutic activities have been identified by the
CERT contractor as risk areas where there is insufficient
documentation to support the codes billed. In this session, we will
review Medicare’s documentation requirements for“medically
necessary”therapy services.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Implementing an Effective Compliance Plan in Response to a
Medicare Audit
CEUs: 2 CPC-P, CPPM, CPCO, CPB, CPMA, AANP, CPC, COC, and CIC
Speaker Candice Ruffing, CPC, CPB, CPMA, CENTC
Description It’s not if, but when your organization will receive a payer audit. This
session will cover the important elements of compliance and how to
appropriately respond to a 3rd party audit request.
Practice Management Main Conference
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36. 5:00pm-6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am HIPAA & Meaningful Use
CEUs: 2 CPC-P, CPPM, CPCO, CPB, CPMA, AANP, CPC, COC, and CIC
Speaker Candice Ruffing, CPC, CPB, CPMA, CENTC
Description The Office of Civil Rights has a budget to conduct audits of HIPAA.
CMS has been conducting audits of Meaningful Use. Starting in April
2015, the OIG has stated they will be auditing Meaningful Use. Time
to get back to HIPAA basics and understand the intersection of HIPAA
and Meaningful Use.
10:30am – 11:30am PQRS, Value Based Payment Modifier and Merit-Based Incentive
Payment System (MIPS)
CEUs: 1 CPC, COC, CIC, CPC-P, CPCO, CPPM, CPB, CPMA, and AANP
Speaker Jean Acevedo, LHRM, CPC, CHC, CENTC
Description As we move towards a payment system that rewards value, quality
and outcomes, it is critical that practices understand how these
programs are interdependent and impact reimbursement now. And,
diagnosis coding is about to be more important than ever.
Practice Management Main Conference
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37. Schedule Thursday, December 3, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Improve your Urology Oncology Coding
CEUs: 2 CASCC, CPC-P, CPCO, CPB, CPMA, AANP, CHONC, CUC, CPC, COC,
and CIC
Speaker Michael A. Ferragamo, MD, FACS
Description Treatment of urinary tract tumors can make up a large part of the
urology services your practice performs. Proper coding for these
oncology services leads to increased reimbursement and fewer claim
denials. Take advantage of this session’s coding scenarios to help you
bring in the payment you’re entitled to and avoid denials or refunds
back to insurance carriers.
10:00am – 10:30am REFRESHMENT / NETWORKING BREAK
10:30am – 11:30am Coding for Endoscopic Treatment of Benign and Malignant
Lesions of the Bladder
CEUs: 1 CASCC, CPC-P, CGSC, CPCO, CPB, CPMA, AANP, COBGC, CUC, CPC,
COC, and CIC
Speaker Michael A. Ferragamo, MD, FACS
Description Endoscopic treatment of bladder lesions is a frequently performed
service. Get the guidelines on proper coding for the resection of
single or multiple bladder lesions to ensure proper coding and
payments for your practice. Discover tactics for remaining in
compliance with some unusual coding policies for these lesions.
11:30am – 12:30pm NETWORKING LUNCH
12:30pm – 2:30pm Urogynecology Coding for Urologists for 2015
CEUs: 2 CASCC, CPC-P, CPCO, CPB, CPMA, AANP, COBGC, CPC, COC, and CIC
Speaker Michael A. Ferragamo, MD, FACS
Description Urologists are now performing procedures that only gynecologists
used to perform. Many of these gynecological procedures require
multiple CPT® codes for correct billing. Follow along as the presenter
analyzes clinical scenarios and their coding, including CPT® codes
mostly unfamiliar to urologists. Gain this knowledge to increase your
practice’s revenue for operative procedures.
2:30pm – 3:00pm REFRESHMENT / NETWORKING BREAK
3:00pm – 5:00pm Radiology Coding for the Urologist
CEUs: 2 CASCC, CPC-P, CPCO, CPB, CPMA, RCCB, AANP, CUC, CPC, COC,
and CIC
Speaker Michael A. Ferragamo, MD, FACS
Description In today’s practice, urologists bill for many radiology procedures
Urology Main Conference
31
38. including sonograms of the urinary tract. A common problem area is
billing for the interpretation of these films, reporting them incorrectly
or forgetting to add them to the claim. What’s more, not all insurance
carriers will pay the urologist for his interpretation of imaging
studies. After attending this session, you will understand which
interpretation studies are payable and which are not as well as how
to bill correctly for these studies. Learn the correct coding for
imaging interpretation both in the office and in the hospital setting.
Learn to use the radiology modifiers necessary for proper payments
to urologists.
5:00pm-6:30pm COCKTAIL RECEPTION AND EXHIBITORS
Schedule Friday Morning, December 4, 2015
7:00am – 8:00am BREAKFAST
8:00am – 10:00am Nonsurgical Hospital Coding
CEUs: 2 CPC-P, CEMC, CPPM, CPCO, CPB, CPMA, AANP, CUC, CPC, COC, and CIC
Speaker Michael A. Ferragamo, MD, FACS
Description Although in-hospital urological care has decreased over the last
decade, urologists still render care in a hospital setting. By attending
this session, you will learn the complexities of coding and billing for
these services so that you will not lose revenue and hard-earned
reimbursement. You’ll learn the guidelines and follow along with
clinical examples for initial, follow up, and consultation hospital visits,
observation services, ER visits with hospital admission, shared
hospital visits, discharge services, and critical care scenarios.
10:00am – 10:30am REFRESHMENT BREAK
10:30am – 11:30am “Incident to”and Shared Visit Coding
CEUs: 1 CPC, COC, CIC, CPC-P, CEMC, CFPC, CUC, CPCO, CPB, CPMA, and
AANP
Speaker Michael A. Ferragamo, MD, FACS
Description As nonphysician practitioners (NPPs), such as physician assistants
(PAs) and nurse practitioners (NPs), assume more patient care and
responsibility, proper coding and billing for these mid-level providers
should become a top priority. This session will discuss the criteria for
NPP billing and coding, independent vs.“incident to”billing, how to
code for shared visits, and coding for the services provided by a nurse
or medical assistant. Coding for NPP services can be a source of
significant revenue, but coding correctly is the key. Substantial
paybacks have occurred recently when payers, especially Medicare,
have audited PA and NP billings. To avoid these consequences for
your practice, get the information you need by attending this session.
Urology Main Conference
32
39. Schedule Friday, December 4, 2015
12:00pm – 1:00pm NETWORKING LUNCH
1:00pm – 5:30pm Boost Your Communications IQ With Confidence
CEUs: 4
Speaker Beth Martin, BS, CPC-H
Description Assess your communications IQ with these 6 questions:
• Do you delegate projects that don’t seem to get done on time or
correctly?
• Do you miss deadlines and aren’t sure why?
• Is there low morale and negativity in your workplace?
• Do you try to do more than one task at once and feel like you can’t
do any of them well?
• Do the same issues keep resurfacing, never seeming to get
resolved?
• Is there a coworker who always seems to get under your skin?If you
answered“yes”to one or more of these questions, you can increase
your communications IQ with this interactive training session to
communicate effectively with your team, other employees, and your
manager. Successful communication includes fostering an atmo
sphere of openness and positive interactions, ensuring deliverables
are clear and measurable, and enhancing your listening and conflict
resolution skills to avoid the traps of lost productivity and damaged
relationships. Join this interactive session for hands-on training and
inside tips for the communications skills you need to succeed!
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
Career Strategies for Workplace Success Post Conference
OR
33
40. General Surgery – Coding Op Reports Post Conference
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
3:30 pm to 5:30 pm B.R.O.T - Building Relationships of Trust
CEUs: 2 CASCC, CPC-P, CGSC, CPB, CPMA, AANP, COSC, CPC, COC, and CIC
Speaker Ryan Price, CPC
Description How to establish and maintain strong relationships between
co-workers, staff, physicians, patients and clients
Schedule Friday, December 4, 2015
12:00pm – 1:00pm NETWORKING LUNCH
1:00pm – 5:30pm The Anatomy of an Operative Report
CEUs CASCC, CPC-P, CGIC, CGSC, CPCO, CPB, CPMA, AANP, COBGC,
COSC, CENTC, CUC, CPC, COC, and CIC
Speaker Nancy Reading RN, BS, CPC, CPC-P, CPC-I
Description Dissect a variety of operative notes with an emphasis on appropriate
modifier use, microscope use, and how to employ unlisted codes. Are
you familiar with how to submit documentation using the new 837P
EDI standards for 5010? We’ll cover what you need to know.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
Career Strategies for Workplace Success Post Conference
34
41. Schedule Friday, December 4, 2015
12:00pm – 1:00pm NETWORKING LUNCH
1:00pm – 3:00pm Setting Your Prices Fairly And Accurately: Workshop
CEUs: 2 CPPM, CPCO, CPB, CPMA, AANP, CPEDC, and CPC
Speaker Chip Hart
Description Attendees will receive a long-overdue understandable description of
the RVU system and how it applies to pediatrics. Attendees will
receive a link to a Build Your Own RVU calculator that will not only
help set prices properly, but will also allow the practice to analyze
their insurance contracts and payment profiles. The final 30 minutes
of the presentation will include a walkthrough of the tool.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
3:30pm – 4:30pm Pediatric Compensation Models
CEUs: 1 CPPM, CPCO, CPB, CPMA, AANP, CPEDC, and CPC
Speaker Chip Hart
Description As practices grow and add partners, determining a fair model for
distributing practice revenue becomes more and more challenging.
How do you reward productivity? How should administrative time
count? We will review different compensation models in use in
independent pediatric practices around the country and determine
which factors make some models more successful than others. We
will review satisfaction data from two different surveys to provide
guidance for paying you and your partners fairly.
4:30pm – 5:30pm How Much Should I Pay My Employed Clinician?
CEUs: 1 CPPM, CPCO, CPB, CPMA, AANP, CPEDC, and CPC
Speaker Chip Hart
Description You want to hire a new physician or nurse practitioner for your
practice…how much should you pay? How much can you pay?
We’ll work through a formula that will ensure that you don’t make the
common mistake of paying a clinician more than you afford, and we
will examine the vital non-salary options that really motivate most
employed clinicians.
How To Set Practice Fees Post Conference
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42. ICD-10 Anatomy: Learning in Motion Post Conference
Schedule Friday, December 4, 2015
12:00pm – 1:00pm NETWORKING LUNCH
1:00pm – 5:30pm Therapeutic Taping and ICD-10 – We Make it Stick!
CEUs: 4 CASC, CGIC, CGSC, CFPC, CPPM, CPCO, CPB, CPMA, AANP, CIMC,
COSC, CENTC, CPEDC, CUC, CPC, and COC
Speaker Danny Porcelli, Doctor of Chiropractic and Nikki Taylor, MBA,
CPC, COC, CMPA
Description Do you know why endurance athletes cover their bodies with bright
colored tape? Try it yourself to gain an insider’s view of movement
therapy – and get the ICD-10 codes that go with it. A kinesiology
expert walks you through taping techniques that mitigate pain,
reduce swelling, increase neuro sensory inputs, and transform rehab
potential. No prior experience with taping is required. This exercise
session also includes an overview of ICD-10 coding for associated
injuries and conditions, so the information sticks with you. All
supplies provided; comfortable clothing is encouraged.
3:00pm – 3:30pm REFRESHMENT / NETWORKING BREAK
36
43. Alice Reybitz, RN, BA, CPC, CPC-H, has been in the medical field for 20+ years. She has worked as a receptionist,
assistant, aid, biller, coder, office manager, director and nurse. She is presently employed as the facility supervisor at
Apollo Health and Rehab with Greystone Healthcare Management in St. Petersburg, Florida.
Amy is a full-time employee with HIMagine Solutions, LLC based out of Tampa, Florida. She is employed in the
capacity as a contract educator/auditor. Amy is also the owner of Gulf Coast HIM Solutions, based in Mobile,
Alabama, where her company consults, audits, and codes for several physician groups throughout the Mobile and
Texas areas. Amy earned her Bachelor of Science in Healthcare Administration through Columbia Southern Universi-
ty. She holds certifications through the American Association of Professional Coders (AAPC), American Health
Information Management Association (AHIMA), American Institute of Healthcare Compliance (AIHC), American
Medical Billing Association (AMBA), and American Medical Technologists. Amy has been published in several
magazines including, Healthcare Business Monthly (AAPC) and BC Advantage. Amy has also worked closely with
The Coding Institute throughout the years providing contract auditing and coding services. Throughout her 20-year
career, Amy has provided coding and consulting services to all provider specialties from general surgery to specialty
coding such as anesthesia. Amy is an adjunct instructor at The University of South Alabama in Mobile and has also
held high-level teaching positions at both Remington College and Virginia College in the field of medical billing and
coding. Amy is a veteran of the United States Air Force, which is where she got her start in the coding field. Amy is
very energetic and is as eager to teach as she is for her attendees to learn, so be ready for a fun-filled, action-packed
seminar full of information you will need to succeed during the ICD-10 transition.
Amy C. Pritchett
BSHA, CPC, CPC-I, CANPC, CASCC, CEDC, CASCC,
CRC, CCS, CDMP, CMPM, ICDCT-CM,
ICDCT-PCS, CMRS, C-AHI
Speciality Track : ICD-10-CM
Meet the Speakers
Alice Reybitz
RN, BA, CPC, CPC-H
Speciality Track : Ophthalmology
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44. Ann M. Bittinger
BA, JD
Speciality Track : Fighting Payer Audits and
Compliance Errors
Ann M. Bittinger, Member, Board of Directors, American Health Lawyers Association Certified by The Florida Bar as
an expert in health law (2005-10) Practice focus: business transactions and regulatory compliance within the health
care industry Demonstrated leadership abilities in complex situations. Ann Bittinger is an AV-Rated attorney with
The Bittinger Law Firm in Jacksonville, Florida. Her practice includes representation of all types of entities and
individuals in the health care industry. Practice areas include Stark and Anti-Kickback statute compliance, Afford-
able Care Act, Medicare and RAC audits, relationships with payers, joint ventures, employment agreements, corpo-
rate structure development, medical staff issues, representation before licensing boards and HIPAA. She is currently
a member of the Board of Directors of the American Health Lawyers Association, the nation’s leading professional
organization of health care attorneys. She served three terms as the Chair of the Physician Practice Group of the
American Health Lawyers Association, following six years as the vice chair. She also edited that Group’s newsletter.
She lectures frequently on health law matters for local, state and national groups, including national physician
specialty organizations and nationally-broadcast webinars. She co-presented at the Annual Meeting of the Ameri-
can Health Lawyers Association meeting in 2011 in Boston on medical staff issues in light of increased physi-
cian-hospital collaboration and mergers. She also spoke at the 2011 Physicians and Physician Organizations Law
Institute in Las Vegas on physician-hospital alignment strategies to maximize pay for performance initiatives. She
self-published an anthology and analysis of the Florida administrative and judicial decisions on the state’s Fee
Splitting Prohibition in 2008. She wrote a chapter on hospital-based physician groups’contracts with hospitals in
Representing Physicians, a book published by the American Health Lawyers Association. She also wrote a book
chapter for the Health Law Handbook 2013 and 2014 editions, edited by Alice Gosfield. She serves on the executive
council of the Health Law Section of the Florida Bar.
Ann graduated from the University of Kansas School of Law, where she was editor-in-chief of the law review. Upon
graduation, she worked for law firms in Kansas City, Missouri, practicing transactional and regulatory law for
business and health care clients. In 2001 she was hired by Nemours as its in-house health law attorney in its
Jacksonville, Florida headquarters. She established her firm in 2004.
She was named a Super Lawyers rising star in 2011. She was named one of the top up and coming attorneys in the
State of Florida by Florida Trend magazine in 2006. Her local business leadership was highlighted in 2005 when the
Jacksonville Business Journal named her one of Jacksonville’s top Up and Comers, and in 2008 when she was a class
member of Leadership Jacksonville.
She is licensed to practice in Florida, Kansas and Missouri.
Education: J.D., University of Kansas, 1998; B.A., The American University, 1993.
38
45. Barbara Cobuzzi
MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC
Speciality Track : Billing Strategies and Process
Changes and Otolaryngology
Ms. Cobuzzi is President of CRN Healthcare Solutions in Tinton Falls, NJ. She holds a BS in Industrial Engineering
from Rensselaer Polytechnic Institute and an MBA from New York University. She holds certifications from the AAPC
as a CPC®, CPC-H®, CPC-P® and a CPC-I®. She also holds a specialty certification in otolaryngology (CENTC®). Ms
Cobuzzi is a past member of the American Academy of Professional Coders National Advisory Board as well as their
Executive Board. She has also earned her certification as a Healthcare Compliance Consultant (CHCC) from Health-
care Compliance Resources. She is frequently quoted by leading industry newsletters. Barbara is a speaker for The
Coding Institute, AAPC, MGMA, Ingenix, Association of Otolaryngology Administrators, various state otolaryngolo-
gy societies, and the American Academy of Otolaryngology/Head and Neck Surgeons, among other organizations.
Ms Cobuzzi is a senior auditor and coder for The Coding Network. Barbara Cobuzzi is also the Consulting Editor of
Otolaryngology Coding Alert, Medical Office Billing and Part B Insider, as well as on many of the editorial advisory
boards of other coding publications.
Beth Rich Martin
BS, COC, CPC-H
Speciality Track : Career Strategies for
Workplace Success
Beth is the Senior Coding Content Manager for The Coding Institute where she oversees coding manuals publica-
tions. She manages a group of talented writers and editors who create and edit coding educational presentations,
marketing content, and lay terms and coding tips for procedures and diagnoses. Beth is the author of Medical
Coding: A Journey, a textbook from Pearson Prentice-Hall that teaches all facets of medical coding to beginners. She
also works an adjunct coding instructor for a post-secondary school, teaching courses in beginning, intermediate,
and advanced medical coding, as well as medical office administration, revenue cycle processes, and reimburse-
ment methodologies. She also serves on the school’s faculty advisory board. Beth previously worked as a patient
accounting, chart auditing, and customer service manager for almost a decade for large hospital systems and
physician groups. She also has experience in healthcare consulting, helping providers across the U.S. to bill and
code correctly and follow Medicare regulations. Beth has a BS degree in English/Writing and has been a certified
outpatient coder for over eight years.
39
46. Candice Ruffing
CPC, CPB, CPMA, CENTC
Speciality Track : Practice Management
Chip Hart
Speciality Track : How to set Practice Fees
Candice Ruffing holds an associate’s degree in health sciences and is a Certified Professional Coder (CPC®), Certified
Professional Biller (CPB™), Certified Professional Medical Auditor (CPMA®), and Certified Otolaryngology Coder
(CENTC™) through AAPC. Candice has over 15 years’combined experience in coding, billing, and AR management
for multispecialty physicians, including ENT, vascular, cardiology, and general surgery. In addition to her coding and
billing expertise, Candice held the previous role of IT coordinator, in which she was actively involved in the imple-
mentation, development, and maintenance of electronic health records. This includes Meaningful Use project
management. Additionally, Candice has extensive experience in reviewing and negotiating contract agreements
with all commercial payers, including provider participation agreements and specialty carve-out arrangements.
Candice is currently serving her third year on the AAPC Chapter Association Board of Directors (AAPCCA), the
Governing Board for AAPC Local Chapters, as the 2015 Vice Chair. Candice has held multiple positions with her local
coding chapter and is currently serving her third year on the National Advisory Board. Candice relies on her vast
experience in the healthcare industry valuable to assist ACI’s clients as an associate consultant.
Chip Hart is the Director of PCC’s Pediatric Solutions consulting group and author of the popular blog Confessions
of a Pediatric Practice Consultant (chipsblog.com). Mr. Hart’s two decades of pediatric practice management
expertise has helped hundreds of pediatricians increase their financial health. He has conducted many successful
insurance contract negotiations on behalf of his clients, and worked as a consultant for the American Academy of
Pediatrics (AAP) and the AAP Section on Administration and Practice Management (SO APM). As a dynamic and
motivating speaker, Mr. Hart’s leads educational seminars and consults for pediatric professionals nationwide for
organizations like the AAP, state chapter AAP programs, the MGMA, and various physician and hospital organiza-
tions around the country. Mr. Hart was a member of the CCHIT Child Health Work Group and the CDC Clinical
Decision Support working group. Chip contributes articles on practice management and health care information
technology for Pediatric Coding Alert, the AAP’s SO APM Newsletter, and Medical Group Management Association.
40
47. Dr. Danny Porcelli
Doctor of Chiropractic
Speciality Track : ICD-10 Anatomy
Learning in Motion
As one of the chiropractic physicians at the 2013 South East Regionals and National Crossfit Games in 2013, Dr.
Danny has extensive experience treating crossfit athletes. He has also been invited to the 2014 South East Regional
Games as a treating doctor and to the CrossFit Games as a RockTape® Doctor. Dr. Danny is also training to be 1 of
only 5 RockTape® certified instructors in the US. Dr. Danny Porcelli is a graduate of Parker College of Chiropractic in
Dallas, Texas. During his education he trained extensively in chiropractic sports medicine and soft tissue injuries and
treatments. Because of this he was chosen for an international program in Bogota, Colombia where he treated the
Colombian Olympic and Paralympic athletes. Dr. Danny has practiced in Naples, Florida, since 2010, and opened his
own practice, XOC Chiropractic in 2013. He holds advanced certifications in the Graston Technique, ART (Active
Release Therapy), RockTape® (specialized kinesio tape), CBP (Chiropractic Biophysics). Dr. Danny also has his CrossFit
Level 1 Certificate, Mobility WOD certification and has attended Kevin Cornell’s Level 1 Weightlifting seminar. Dr.
Danny utilizes a functional approach which integrates the spine and the extremities, looking at how posture and
movements affect each person. He uses a combination of joint mobilization, soft tissue treatments, functional
rehabilitation and educates his patients in ways that they can prevent future injury and enhance their performance.
He has a strong belief that continuous and proper movement is imperative to health and crucial for longevity. He
believes using your body through a broad spectrum of movements will create a balanced system and decrease the
incidence of repetitive use injuries. Along with extensive training in sports medicine he is experienced in treating
patients with a variety of symptoms, including: neck, back, leg and arm pain, headaches, balance and mobility
deficiencies as well as helping patients who want to proactively enhance performance, fitness and overall health.
Dr. Danny is also proficient in adjusting and treating extremity conditions and has seen many of his patients recover
quickly and get back to the sport/activity that they love. Dr. Porcelli attended Parker College of Chiropractic in
Dallas Texas where he obtained a Doctorate in Chiropractic Medicine and a B.S. in Health and Wellness. Prior to
attending Parker he received a B.S. in Psychology from the University of Central Florida, Orlando. Danny was
selected to be a treating physician at the 2010 Central American Games in Bogota, Colombia, and treated the speed
skaters and Para-Olympic Triathletes. He was also selected for the 2013 & 2014 CrossFit Games and CrossFit South
East Regionals. He has coordinated the Athlete Services for CrossFit events such as Wodapalooza, Thunderdome,
and Box Battles. Danny is the primary chiropractic physician and owner of XOC Chiropractic in Naples, Florida. He
combines joint mobilization, soft tissue treatments, and corrective exercises to obtain fast, effective and lasting
results. He holds advanced certifications in soft tissue mobilization techniques such as Active Release Therapy and
(ART) Graston Technique. Danny broke his back in the summer of 2006 as he slid down a water slide. He has since
dedicated himself to educating and inspiring people to learn more their body and its great potential to perform,
adapt, and heal.
41
48. Diana W. Voorhees
MA, CLS, MT, SH, CLCP
Speciality Track : Path / Lab
Having been Director of Sales and Marketing and Senior Consultant for a national coding and reimbursement firm
for nearly five years, Ms. Voorhees developed DV & Associates, a coding and reimbursement firm which provides
consulting for physicians and facilities in all specialties. Ms. Voorhees has created a network of consultants with
various health care backgrounds in order to provide quality, credible, and resourceful results for all consulting
services. DV & Associates has been incorporated in excess of sixteen years. Ms. Voorhees initiated her career in
laboratory medicine within the Division of Hematology (Doctors Wintrobe and Cartwright), Department of Medi-
cine, at the University of Utah. She has also worked with the Division of Hematology at The Ohio State University,
the Clinical Chemistry Department at Holy Cross Hospital in Salt Lake City, and the Special Hematology and Hemo-
stasis Laboratory at the University of Utah. She spent 14 years as an Associate Clinical Professor and administrative
faculty of Medical Laboratory Sciences in the College of Pharmacy at the University of Utah. During her last year and
a half in academia, she was recruited as Program Director to design, implement and direct the program in cytotech-
nology in the Department of Pathology. Ms. Voorhees, upon leaving the University setting, joined Coulter Corpora-
tion and provided technical support, customer training, and education primarily in the western United States. She
was recruited by a national coding and reimbursement consulting firm, ed-Index/Medicode, where she spent nearly
five years developing and marketing the consulting services for hospitals and other facilities, performing consulting
engagements, providing seminars for national associations, enhancing product development, and serving on
various corporate committees.
Donelle Holle
RN
Speciality Track : Pediatrics
Ms. Holle has nearly 30 years of coding and billing experience in the pediatric practice. She has worked in the
primary care pediatric practice as a nurse, as well as a manager and biller. She later went into consulting and began
providing seminars on coding and reimbursement. She was also a practice manager for a pediatric specialty
practice and continued to do consulting and offered assistance with changes to improve the practice’s collections.
Prior to doing consulting and seminars fulltime, Holle was the Director of Professional Services for the University of
Michigan’s Department of Pediatrics. In her tenure there, she supervised reimbursement and challenged carriers, as
well as reviewed documentation and trained physicians on proper coding and documentation. She currently
provides coding and reimbursement seminars nationally, provides onsite training, and chart auditing services.
42
49. Jean Acevedo
LHRM, CPC, CHC, CENTC
Speciality Track : Practice Management
Jean Acevedo, LHRM, CPC, CHC, CENTC, has 30 years of health care experience. She has particular expertise in chart
audits, compliance, and education and has been an expert witness in civil litigation as well as federal fraud cases.
She is a workshop presenter for the American Academy of Professional Coders, a member of the Advisory Board for
Parses, Inc., an instructor at Florida Atlantic University, and a member of several Coding Institute Editorial Advisory
Boards. Since 2008, she has presented on coding and documentation to the medical staff of Broward Health Best
Choice Plus at the health plan’s affiliated hospitals. Jean has been a participant in the CMS Medicare Provider
Feedback Group, CMS Division of Provider Information Planning and Development, since 2007 and is a member of
the Jurisdiction 9 MAC’s Provider Outreach and Education Advisory Group. Her firm, www.AcevedoConsulting-
Inc.com, is endorsed by the Palm Beach County Medical Society, Broward County Medical Association, American
Academy of Hospice and Palliative Medicine, and the Florida Society of Rheumatology.
Jill M. Young
CPC, CEDC, CIMC
Speciality Track : Family Practice and Services for
Nurse amily Practitioners and
Physician Assistants
Jill Young, CPC, CEDC, CIMC, is the principal of Young Medical Consulting, LLC, a company founded 11 years ago to
meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience
working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments
and opinions can be seen in several publications and also heard on a variety of audioconferences. Her background
gives her a unique style of teaching using real life examples of coding and billing situations. She hates boring
lectures, so be prepared for today’s talk to have a mix of humor and a fast-paced style that will keep you engaged
and informed.
43
50. Joan Slager
CNM, DNP, CPC, FACNM
Speciality Track : Coding and Billing for Midwives
Joan Slager graduated from the Frontier School of Midwifery and Family Nursing in 1991and completed her Master
of Science in Nursing at Case Western University in 1993. She graduated from Oakland University in Rochester, MI
with a Doctor in Nursing Practice in Dec. 2008. In 1993, she helped to establish Bronson Women’s Service in Kalama-
zoo, Michigan which is now Michigan’s largest midwifery service. Ms. Slager became the practice director in 1995.
Ms. Slager practices full scope midwifery in a hospital based collaborative practice with 15 midwives, 5 OB-GYN
physicians and 2 Maternal Fetal Medicine specialists. Joan Slager served 2 terms as Chair of the Business Section of
the Division of Standards and Practice for the American College of Nurse-Midwives and 4 years as the Division Chair.
She is currently the Treasurer on the ACNM Board of Directors. She has lectured extensively on billing and coding
and other business and clinical topics.
John F. Bishop
PA, CPC, CPMA, CGSC, CPRC
Speciality Track : General Surgery
Mr. Bishop is a Certified Professional Coder through the AAPC with surgical specialty certification in Plastic and
Reconstructive Surgery and General Surgery, as well as, a Certified Professional Auditor. John has been an active
Surgical Physician Assistant for the past 40 years. His clinical experience includes:
John is now the Director of Surgical Services for The Coding Network, LLC. This includes remote coding, auditing
and Gap analysis, ICD-10 preparation and provider on-site education and training for all surgical specialties and
most sub-specialties. He was the President and CEO of John Bishop and Associates, LLC a surgical, medical and
Coding, Auditing, Reimbursement and Compliance consulting company. John has also developed and published
several Coding, Billing and Reimbursement manuals for Burns, Trauma, Wound Management and Plastic Surgery.
John has over 30 years experience being a leader, director and manager of many different disciplines, over 25+
years experience with Coding, Billing, Compliance and Reimbursement issues and over 20 years experience with
Physician Practice Business Development and Provider education.
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51. Judith L. Blaszczyk
RN, CPC, ACS-PM
Speciality Track : Pain Management
Judi L. Blaszczyk, RN, CPC, ACS-PM, brings 18 years of experience as a registered nurse working in an acute care
hospital setting. This background provides invaluable insight into the clinical aspects of medical coding and
documentation as well as experience interacting with physicians and other clinicians. In addition to her clinical
background, Mrs. Blaszczyk has 20 years of experience in medical coding and billing with a specialization in
anesthesia and pain management. She received her CPC® from the American Academy of Professional Coders in
1999 and her Advanced Coding Specialist-Pain Management Certification from the Board of Medical Specialty
Coding in 2006. For 18 years she was part of the management team for a large anesthesia and pain management
billing company. This allowed her to work with practices of various sizes, scope of practice and geographical
location. She currently works as a compliance auditor for Auditing for Compliance and Education, Inc. One of her
passions is assisting providers and their coding and billing staff to understand and remain current on ever-chang-
ing coding and billing regulations. Mrs. Blaszczyk is also a nationally recognized speaker on coding and documenta-
tion related issues. As a member of the BMSC National Pain Management Advisory Board, she has further opportu-
nity to impact the future of the coding and billing industry.
Kim Garner-Huey
MJ, CHC, CPC, CCS-P, PCS, CPCO
Speciality Track : Defining and Documenting
Medical Necessity
Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding
and reimbursement functions for physicians. Kim completed three years of premedical education at the University
of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s
degree in Health Care Management and went on to obtain certification through the American Academy of Profes-
sional Coders and the American Health Information Management Association. Recognizing the important position
of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant
and a Certified Healthcare Audit Professional and has recently earned a Master of Jurisprudence in Health Law. Kim
is also an AHIMA-approved ICD-10-CM Trainer and a member of the AHIMA Coding Community Council.
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52. Lynn Anderanin
CPC, CPC-I, COSC
Speciality Track : Orthopedics
Lynn Anderanin, CPC, CPC-I, COSC, is the Senior Director of Coding Compliance and Education for Healthcare
Information Services, a physician’s billing service. She has 30 years’experience in all areas of physician practice,
specializing in orthopedics. With AAPC, Lynn is a national conference, workshop, and audio conference presenter
and a former member of the National Advisory Board.
Maggie M. Mac
CPC, CEMC, CHC, CMM, ICCE
Speciality Track : Career Strategies for Workplace
Success and Fighting Payer Audits
and Compliance Errors and
Ophthalmology
Ms. Mac has served the health care industry for over 20 years. Currently, Maggie is President of Maggie Mac-Medical
Practice Consulting in Clearwater FL. She served previously as the Director of Network Compliance with Mount
Sinai Medical Center - Compliance Department in New York City. Maggie works with attorneys across the country
providing assistance with appeals and litigation and performs preventive baseline reviews for compliance with
government regulations and shadows physicians during rounds to assist providers with clinical documentation
improvement. Maggie also serves as a Senior Coding Manager with Aviacode overseeing a team of remote coders
across the world. Maggie is a national speaker, delivering information to audiences on topics dealing with medical
practice compliance issues, personnel management, human resources, internet resources, coding and reimburse-
ment, chart audits and federal regulations and recoupments. She is a frequent contributor to and serves on the
Editorial and Consulting Advisory Board to many health management and coding publications nationally. She has
earned numerous awards, recognition and respect for her professional achievements and contributions to the
healthcare community across the country.
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53. Marvel J. Hammer
RN, BS, CPC, CCS-P, ACS-PM, CPCO
Speciality Track : Pain Management
Marvel J. Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO, is an accomplished professional with considerable years of
experience both in the business and medical fields. She is a coding, billing, and compliance consultant and owner
of MJH Consulting based in Denver, Colorado. She provides medical coding and billing education and performs
compliance reviews for her clients. Marvel enjoys teaching providers and their staff on correct coding and billing
issues and presents on these topics nationwide. Her field of specialties includes pain management, physical
medicine & rehabilitation, addiction medicine, neurology, and occupational medicine. Some of her pastime activi-
ties include wildlife photography and exploring the great outdoors.
Melanie Witt
RN, CPC, COBGC, MA
Speciality Track : Ob-gyn
Ms. Witt is a registered nurse with experience in maternal-fetal medicine. She holds a master’s degree in health
economics and is the former program manager for the American College of Obstetricians and Gynecologists
Department of Coding and Nomenclature. Ms. Witt was editor of several ACOG publications, including CPT® Coding
in Obstetrics and Gynecology, ICD-9-CM Diagnostic Coding in Obstetrics and Gynecology, and Ob-Gyn Coding
Manual: Components of Correct Procedural Coding. She is currently providing coding education seminars to
individual ob-gyn practices and performs shadow audits for practices that have been targeted by third-party payers
for overpayments or fraud and abuse or compliance issues. She is on the Advisory Board and is the technical editor
for The Coding Institute’s monthly newsletter Ob-Gyn Coding Alert.
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54. Dr. Michael A. Ferragamo Jr.
MD, FACS
Speciality Track : Urology
Dr. Ferragamo received his undergraduate degree from Columbia University in New York City, his medical degree
from State University of New York, Downstate Medical Center, Brooklyn, New York, and after two years of general
surgical training at The Brooklyn Hospital, completed his three years of urological training at the Kings County
Hospital Medical center, Brooklyn, New York, under the late Keith R. Waterhouse MD. Dr. Ferragamo served two
years in the United States Navy during the Vietnam conflict as Lieutenant Commander in the medical corps and as
assistant chief of urology at the St. Albans Naval Hospital, Queens, New York. Dr. Ferragamo is an Assistant Clinical
Professor of Urology at the State University of New York, University Hospital and School of Medicine at Stony Brook,
Long Island, New York. He is also the Senior Urologist with Urocare Associates of New York, a six person private
urological practice for which he oversees coding and reimbursement issues. Dr. Ferragamo is a consultant for the
Physicians Reimbursement Systems, Denver, Colorado, the America Association of Professional Coders as well as a
coding consultant for a number of private practices, medical institutions, clinics, and hospitals including The Lahey
Clinic, The Mayo Clinic, Urology Department, Jacksonville, Florida, Arizona Health Science Center, Tucson, Arizona,
Section of Urology, State University of New York, Downstate Medical Center, and the Brookdale Medical Center
Campus, Concord Hospital Center for Urological care, McKay Urology, Charlotte, North Carolina, New York Universi-
ty, Department of Urology, New York City, New York, and University Urology at Stony Brook, New York. Dr. Ferraga-
mo has given seminars on urological coding and reimbursement at several regional sections of the AUA and at the
AUA. He has presented numerous national teleconferences for The Coding Institute of Naples, Florida, Eli Research
of North Carolina, and for Decision Health, Baltimore, Maryland. He has published papers on urology coding and
reimbursement in the Journal of Endourology and Contemporary Urology and is consulting Editor for Urology
Coding Alert, a monthly newsletter devoted to proper urology coding and reimbursements. Dr. Ferragamo is the
former chief of urology at the Hempstead Medical Center and the Franklin Medical Center in Long Island, New York
and is an honorary attending in the Departments of Urology of Winthrop University Hospital in Mineola, New York,
and Mercy Hospital in Rockville Center, New York.
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55. Nikki Taylor
MBA, CPC, COC, CMPA
Speciality Track : ICD-10 Anatomy
Learning in Motion
Nikki Taylor, MBA, CPC, COC, CMPA, is an auditor for The Coding Institute where she completes audits for several
clients, including, hospitals, large and small group practices, and specialty clinics. She has more than a decade of
experience in multispecialty coding and auditing, billing, and practice management. She left the physician practice
world for her current role with The Coding Institute. Nikki holds a Bachelor of Science in healthcare management
from Mount Olive University in Mount Olive, North Carolina, and a master’s degree in business administration with a
concentration in healthcare management from Saint Leo University in Saint Leo, Florida. She obtained her Certified
Professional Coder (CPC®), Certified Outpatient Coder (COC®), Certified Professional Medical Auditor (CPMA®)
certifications through AAPC. She maintains her coding knowledge through education, attending conferences,
seminars, and reading coding periodicals and journals.
Nancy Reading
RN, BS, CPC, CPC-P, CPC-I
Speciality Track : General Surgery - Coding Op
Reports and Otolaryngology
Nancy comes with a great deal of experience; she earned an RN license in 1979, she earned a BS in Biology/Chemis-
try in 1987 and has been coding since 1991. She has worked the gamut from a large university practice with over
1000 multi –specialty providers to Medicaid. As a past Director of Education for the AAPC she has a long teaching
history whether it is face to face, over the Internet or in teleconferencing. She is currently serving as a CDI Nurse for
HCA covering 3 hospitals in the Mountain Division. Surgery coding of all varieties is Nancy’s favorite.
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