2024 Billing & Compliance Virtual Summit
December 3 – 4, 2024
DecisionHealth's Billing & Compliance Virtual Summit provides best practices and proven strategies for building a billing and compliance program designed specifically for medical practices. The Summit offers two consecutive half days of training sessions, December 3-4, 2024.
Billing & Compliance Virtual Summit attendees will gain practice management strategies on how to stay in compliance, manage audits and denials, and secure proper payment. Here’s what we have in store for you in 2024:
- Prepare for 2025 CPT code changes, code accurately, stay compliant.
- Get an update on the 2025 Physician Fee Schedule and critical changes are coming to your billing and compliance suite.
- Decrease your risk and achieve compliance with statistical analysis tools commonly used by regulatory agencies.
- Receive Medicare Part B Provider/Supplier Enrollment Do’s and Don’ts to ensure compliance with ever-more-stringent Medicare enrollment requirements.
- Gain best practices for running an effective internal audit program that looks closely at into your coding, billing and compliance efforts.
- Learn how to bring in behavioral health and keep your patients in house.
- Expert advice: Get answers to your pressing coding, billing, and compliance questions during the Q&A sessions each day.
- Get your entire team trained without sacrificing productivity and without spending thousands of dollars.
- Reduced expenses. No travel time and no travel costs – participate from the comfort of your own happy place!
- Great networking opportunities and more engaging sessions – ask questions, get clarification and be part of the conversation.
- Access to the on-demand recording for 60 days after live event so that you can relisten and browse content at your own pace.
- Extra! Add-on a specialty – Anesthesia, Orthopedics, and/or Pain Management – and attend sessions from multiple tracks spanned over time.
At DecisionHealth, we are committed to delivering you the highest standard of training excellence, provided by nationally recognized industry experts, in an interactive virtual environment that promises more value and flexibility at an extremely affordable price.
2024 Billing & Compliance Virtual Summit
Agenda
*All times are Eastern.
Day 1 — Tuesday, December 3, 2024
12:00 p.m. – 12:45 p.m.
Prepare for 2025 Code Changes: Capture CPT Updates
Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro
You'll find dozens of new codes coming online in 2025, as the AMA completed its annual updates to the CPT Manual. This session delivers a comprehensive overview of the 2025 CPT code changes, with a full look at new, revised, and deleted codes. With a focus on oft-utilized procedure codes, as well as core E/M code choices, this session will provide an up-close look at the array of updates to the CPT Manual and deliver the details you need to incorporate new services, adapt to revised codes and avoid deleted codes.
12:55 p.m. – 1:40 p.m.
2025 Physician Fee Schedule and Revenue Cycle Hot Topics
Susan Rohde, RHIT, CCS-P, CPC, Director, Eide Bailly LLP
As Jan. 1 beckons, critical changes are coming to your billing and compliance suite. The 2025 Medicare physician fee schedule brings a flurry of regulatory updates, including new billing opportunities, code changes and payment limits. In addition to the annual fee schedule update, this session will focus on key revenue cycle areas, taking a close look at payer downcoding trends (and how to address it); split/shared billing requirements; key differences between AMA and CMS guidance and limits; add-on visit complexity code G2211; and denial trends.
1:40 p.m. – 1:55 p.m.
BREAK
1:55 p.m. – 2:40 p.m.
Compliance by the Numbers: Statistical Analysis for Risk Reduction and Compliance
Pam D'Apuzzo, CPC, ACS-EM, ACS-MS, CPMA, Managing Director, Coding, Compliance & Operational Excellence
Debra Rossi, Revenue Cycle Optimization - Coding/Compliance Consultant, VMG Health
Rather than try to do right and hope for the best, why not add a scientific edge to your compliance program? Statistical analysis tools of the kind commonly used by regulatory agencies are at your disposal as well. Pam D'Apuzzo and Debra Rossi, recognized coding and compliance leaders and industry experts, will show you how to apply these tools to health care provider audits to minimize risks and ensure compliance with regulatory standards. This session will review data analysis techniques specific to healthcare audits, identify areas of potential risk utilizing statistical models for auditing processes, and deliver strategies for maintaining compliance with healthcare regulations. Participants can expect to learn how statistical analysis can enhance the efficiency and effectiveness of healthcare audits while reducing the likelihood of regulatory disaster.
2:50 p.m. – 3:15 p.m.
Live Q&A with the Speakers
Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro
Susan Rohde, RHIT, CCS-P, CPC, Director, Eide Bailly LLP
Pam D'Apuzzo, CPC, ACS-EM, ACS-MS, CPMA, Managing Director, Coding, Compliance & Operational Excellence
Debra Rossi, Revenue Cycle Optimization - Coding/Compliance Consultant, VMG Health
Bring your questions to this live Q&A session. BONUS: Have a tough scenario or complicated question you've been struggling with, submit your scenario and/or question ahead of time. Submit to Roy Edroso at Roy.Edroso@decisionhealth.com by October 11, 2024.
Day 2 — Wednesday, December 4, 2024
12:00 p.m. – 12:45 p.m.
Medicare Part B Provider/Supplier Enrollment Do's and Don'ts
Alicia Shickle AHFI, CHC, CPC, CPCO, CPMA, CRC, CPPM, President, ProCode Compliance Solutions, LLC
Enrollment may seem like a simple item on your to-do list, but watch out: failure to comply with the ever-more-stringent Medicare enrollment requirements can result in revocation, preclusion and even exclusion from the program. This is an important refresher on a process where changes are not always well-publicized. Get up to date with this review by Alicia Shickle, coding and compliance leader and former president of the Manhattan chapter of the American Academy of Professional Coders (AAPC). Shickle will walk you through recent changes, best practices, how to keep information current, the relationship of enrollment maintenance on reimbursement, recently beefed-up penalties for non-compliance, and more.
12:55 p.m. – 1:40 p.m.
Internal Audits: Take Proactive Steps to Boost Financial Impact
Larry Tate, Billing Compliance Manager, Springfield Clinic
Running an effective internal audit program provides you with invaluable insight into your coding, billing, and compliance efforts. By doing it right, you gain the power to assess over- and undercoding challenges; missed billing opportunities (that you can correct); potential compliance issues; and external audit requests, among other gains. In this session, you will gain critical tips and strategies to unlock your full potential, featuring a mockup of an internal audit report, clear goals of an internal audit program, easy ways to communicate audit results, and staff requirements to capitalize on smooth audits.
1:40 p.m. – 1:55 p.m.
BREAK
1:55 p.m. – 2:40 p.m.
Bringing in Behavioral Health: Keep Your Patients in House
Sonda Kunzi, CPC, CPB, CRC, CPMA, CPCO, CPPM, COC, CPC-I, CEO, President, Coding Advantage LLC
As CMS expands the billing flexibilities for behavioral health services and unleashes efforts to integrate mental and physical care, savvy medical groups have the opportunity to capitalize on new billing opportunities. This session will guide you in understanding the latest changes to supervision requirements, prepare you for new care delivery strategies, and deliver a comprehensive rundown of the coding knowledge you need to accurately capture E/M service codes and ICD-10 diagnosis codes. You will also gain an understanding of the differences between Medicare, Medicaid and commercial billing as it relates to behavioral health services.
2:50 p.m. – 3:15 p.m.
Live Q&A with the Speakers
Alicia Shickle AHFI, CHC, CPC, CPCO, CPMA, CRC, CPPM, President, ProCode Compliance Solutions, LLC
Larry Tate, Billing Compliance Manager, Springfield Clinic
Sonda Kunzi, CPC, CPB, CRC, CPMA, CPCO, CPPM, COC, CPC-I, CEO, President, Coding Advantage LLC
Bring your questions to this live Q&A session. BONUS: Have a tough scenario or complicated question you've been struggling with, submit your scenario and/or question ahead of time. Submit to Roy Edroso at Roy.Edroso@decisionhealth.com by October 11, 2024.
— Agenda subject to change —
2024 Billing & Compliance Virtual Summit
Speakers
Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro Shannon is the director of HIM and coding for HCPro. She oversees all the Certified Coder Boot Camp programs. In addition, she specializes in creating custom-designed educational programs for Propel Coding membership clients. McCall was one of the original ACDIS Advisory Board members and one of the contributors to the development of the CCDS-O certification examination. |
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Sonda Kunzi, CPC, CPB, CRC, CPMA, CPCO, CPPM, COC, CPC-I, CEO and President, Coding Advantage LLC With more than 30 years of experience in healthcare, Sonda’s expertise includes comprehensive knowledge of ICD-10 and CPT coding concepts, documentation and training, compliance, and healthcare reimbursement methodology. Sonda’s experience comes from working in a variety of positions both as an outside consultant and as a professional within hospital-owned and private medical practices. Sonda holds extensive experience with the review and correct application of various healthcare regulations, currently maintains many nationally recognized certifications in coding, billing, auditing, and compliance, and has also served as an instructor for ICD-10 and Advanced Coding at Lakeland Community College in Kirtland, Ohio. |
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Susan Rohde, RHIT, CCS-P, CPC, Director, Eide Bailly LLP Susan has over 25 years of experience in the healthcare industry, with 22 years being at Eide Bailly. Susan works mainly with professional coding, with a focus on documentation, medical necessity, and compliance. Susan is proficient in all surgical specialties and works extensively with Evaluation and Management (E/M) coding and documentation. |
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Larry Tate, Billing Compliance Manager, Springfield Clinic Larry is an experienced compliance manager who has witnessed the evolution of CPT and CMS guidelines in over 30 years in the industry, including more than 25 years with the Springfield Clinic. Larry is a former member of the Illinois Medicare advisory board, where he served as the organization's Compliance Officer and developed numerous internal policies regarding billing, coding and compliance. |
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Alicia Shickle, AHFI, CHC, CPC, CPCO, CPMA, CRC, President and CEO of ProCode Compliance Soluttions LLC Alicia has decades of clinical and administrative healthcare experience. Her areas of expertise include professional revenue cycle and payment integrity, documentation and coding compliance, auditing and monitoring, practice management, and compliance program implementation. Alicia provides advisory services to attorneys, healthcare administrators, providers, and organizations. She frequently works with business litigation and health law practices on fraud and abuse intervention and providing independent and objective assessments for both plaintiff’s and defense teams. |
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Pam D'Apuzzo, CPC, ACS EM, ACS MS, CPMA, Managing Director, VMG Health Pam D'Apuzzo is a Managing Director at VMG Health in the New York office with over 30 years of healthcare consulting experience spanning academic medical centers, community hospitals, faculty practice plans and large private practices. Her consulting experience includes all areas of practice, and she is a recognized industry expert in the area of coding and compliance. In addition to coding and compliance, Pam has an extensive background in Practice Management and Operations. She works with providers to develop optimal workflows and clinical documentation improvement. Pam also developed valued due diligence services for existing large private practice clients and private equity firms. |
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Debra Rossi, Revenue Cycle Optimization – Coding/Compliance Consultant, VMG Health Debra Rossi is a Director in the Coding, Compliance, and Operational Excellence division. She has over 30 years of healthcare revenue cycle and coding experience spanning academic medical centers, community hospitals, faculty practice plans, and large private practices. She has consulting experience in all areas of practice management and is a recognized industry expert in the area of coding, compliance, and revenue cycle. Rossi conducts educational and training seminars and has overseen comprehensive coding and compliance programs at several of New York’s leading healthcare institutions. She also has a successful record with development and implementation of revenue integrity programs, denial management, and risk adjustment (HCC coding). |
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2024 Billing & Compliance Virtual Summit
Pricing
Retail price: $399.00
Add on a specialty – Anesthesia, Pain Management, and/or Orthopedics – for $100 each.
Group pricing is as follows:
- 2-10 attendees = each attendee receives 10% discount off retail price
- 11-15 attendees = each attendee receives 15% discount off retail price
- 16-20 attendees = each attendee receives 20% discount off retail price
- 21 or more attendees = each attendees receive 25% discount off retail price
Discounts will appear in your cart.
2024 Billing & Compliance Virtual Summit
Continuing Education
AAPC
This program has the prior approval of AAPC for 5.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
AHIMA
This program has been approved for 5.5 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.
BMSC
This program is approved by the Board of Medical Specialty Coding & Compliance (BMSC) — Billing & Compliance Virtual Summit on December 3-4, 2024 — 4 CEUs towards the maintenance of the ACS, SCP and CCP-P credentials.