Blogs

2013 CPT Changes Overview (Webinar Replay)

Click here to see a replay of the 2013 CPT Changes Overview webinar.

This webinar will give you a better understanding of 2013 CPT changes, on this program we will cover the following topics:

 

  • Overview of changes in CPT for 2013
  • Review of each CPT change by section of CPT to include:

o Anesthesia
o Surgery
o Radiology
o Pathology/Laboratory
o Medicine and Category II & III codes

National Coverage Determinations and Consent to Treatment: An Enterprise Risk (Webinar Replay)

Click here to see a replay of the National Coverage Determinations and Consent to Treatment: An Enterprise Risk webinar. This presentation will examine the enterprise risk management (ERM) exposures stemming from the “three wrongs” NCDs. The featured speaker will discuss the importance of consent to treatment as a key ERM tool, along with other strategies to mitigate liability and exposure to compliance risks.

Objectives:

Survival Strategies and the OCR Audit Process

Click here to see a replay of the "Are You Audit Ready? Survival Strategies and the OCR Audit Process" webinar. This webinar provides guidance on how to plan and implement an audit-readiness process, including setting priorities, determining what to do with your risk analysis results, preparing your policy and documentation requirements, and assuring awareness among your organization’s leaders and management.  The discussion includes the use of tools to assist in preparatio

Laboratory Services: Preserving a Healthy Revenue Stream (Webinar Replay)

Click here to see a replay of the Laboratory Services: Preserving a Healthy Revenue Stream webinar. This webinar will help you void costly denials of payment for laboratory services by expanding your knowledge of CMS rules and guidelines for frequently ordered laboratory tests.

Confused by NCCI Edits?

A smart customer reached out with a question about what looked like a conflict - that a modifier was allowed in one setting but not another for the same two codes. While this is common (NCCI has 2 versions - Hospital and Physician), the investigation lead to a great example that illustrates an important issue with how CMS can introduce retroactive changes.

Physician NCCI

Blink and you might have missed them...new Compliance Program Guidelines for Managed Care

CMS, on July 27, 2012, issued new chapters in the Managed Care Manual (Pub. 100-16, Chapter 21) and in the Prescription Drug Benefit Manual (Pub. 100-18, Chapter 9). These chapters lay out the requirements for the compliance program that all sponsors are required to adopt and implement.  Front and center, we see a familiar seven elements that are to be the core of the program.  CMS provides plenty of details on the seven elements but leaves room for each program to be tailored to a sponsor's unique organization, operations and circumstance while cautioning that in order for a program to be effective, sufficient resources must be devoted to it.  CMS will consider a sponsor’s size, structure, business model, activities, the extent of its delegation of responsibilities to other entities, the breadth of its operation, and the risks it faces in evaluating whether adequate resources have been devoted to the compliance program.

What Is Data Analytics and How Does it Help Prepare Providers for ICD-10? (Webinar Replay)

Click here to see a replay and/or download the handouts from the What Is Data Analytics and How Does it Help Prepare Providers for ICD-10 webinar. This webinar will answer What is Data Analytics, Why Do You Need To Perform Data Analytics NOW and Who should perform the data analytic projects in both Hospitals and Physician settings. It will cover common methodologies, tools and reporting used in Data Analytic projects. Along with, examples and case studies on how to utilize and take action on the data.

Pages

Subscribe to RSS - blogs