A Coding and Billing Overview
This workshop is designed to provide an overview of the coding and billing
functions of the medical practice. A brief time is spent discussing the staff's
role and responsiblities as they relate to compliance and reimbursement. Medical
terminiology, insurance terminology, the life cycle of a claim, and ICD-9 and CPT codes
are all subjects which are reviewed. Additionally, there are discussions of appropriate
linkage of ICD-9 and CPT codes and an overview of local medical review policies. The
workshop is helpful in identifying and building the weaker areas of the coding and billing
process in your practice. (8 hour workshop - 2 sessions)
Basic ICD-9 Coding
This program is for the newer or less experienced staff member or can serve as a
general refresher for all staff. It has been developed to give them a basic working
knowledge of the ICD-9 coding process. Many hands-on coding exercises are use to
apply and practice coding concepts. (12 hour workshop - 3 sessions)
Breaking The News:
Tips For Building Effective Provider Communications
A workshop developed to help all coders and billers build their communication skills with providers.
We will discuss how others view our role in the healthcare office, how we see ourselves, and how we
would like to be viewed. Many, many tips for building effective communication habits will be shared
at this workshop. A must for every coder and biller in the healthcare setting! (2 hour workshop)
A workshop designed to assist participants with solutions to some of today's complex
issues in the world of healthcare compliance and provide the attendee with a basis for
their compliance plan. The workshop includes discussions relating to implementation
of policies to ensure compliance with regulatory agencies and recognizing red flags
your practice may be sending (6 hour workshop)
Exploring E&M Coding
Whether you are looking to refresh your skills or maybe even prepare yourself for an
E/M specialty certification, this is an all day trip through the E/M codes that will
benefit any coder. The workshop will explore and review each of the E/M code categories.
We will spend the entire day revisiting basics and will hi-lite some of the issues that
surround the various E/M coding categories. Along the way, you will undoubtedly pick up
some documentation tips and tricks to share with your providers. By the end of this session,
your E/M coding skills will be stronger and you will be at the top of your game. (8 hour workshop)
Evaluation and Management Coding
This workshop is highly recommended for all staff members working in the healthcare setting
where E&M codes are utilized. It is generally presented in four modules (2.5 hours each) and
will provide staff with a complete understanding of evaluation and management coding. Topics
- An introduction to E&M coding
- E&M guidelines and principles
- Documentation guidelines for E&M services
- Subsection specific coding guidelines and conventions
Evaluation and Management Coding and Documentation
"Are We There Yet?"
A 1.5 hour presentation which poses the question "Are we there yet?" 11 years after the
implementation of E&M coding and documentation guidelines. Problematic areas are discussed
as they relate to choosing an E&M code, documenting an E&M service, some of the "other" E&M codes,
and choosing an ICD-9 in relation to the E&M code. The presentation finishes by providing 24
tips to assist your providers in "getting there" and improving their E&M coding and
documentation habits. (2 hour presentation)
Evaluation and Management - Chart Auditing Workshop
Designed for attendees wishing to learn the basic concepts needed for chart auditing of the
evaluation and management service levels through hands-on exercises. Workshop includes an overview
the coding guidelines, resources and tools, how to measure risks associated with E&M trends
and patterns and how to select the level of history, and exam and medical decision-making based
on available documentation. (6 hour workshop)
Evaluation and Management – Solutions for the Sticky Issues
Designed for the attendee who works with E&M codes and would like solutions to some of the difficult
issues relating to selection, reporting and documentation of specific code ranges. Topics to be
discussed will include consultations, nurse visits, preventive vs. problem-focused visit, E&M modifiers,
and hospital visits. The workshop will provide the attendee with solutions, resources, and “best
practices” in E&M coding and documentation. It will also include hands-on exercises to refresh E&M
auditing skills. (7-hour workshop)
E&M Chart Auditing - Developing a Corrective Action Plan
Designed for the attendee who has a basic understanding of chart auditing and is performing them
in the practice. The workshop includes hands-on exercises to develop and refresh current auditing
skills. The primary focus of the workshop will bew in communicating audit results to the providers
in a positive manner that will effect change. The workshop will assist the attendee in developing
a corrective action plan for the practice and each individual provider. (6 hour workshop)
General Modifier Review
The “General Modifier Review” workshop has been developed to allow the participant to review their
knowledge of CPT modifiers and to practice effective application of modifiers.
Upon completion of this workshop, the participant will have a greater understanding of:
- The HealthCare Common Procedural Coding System and related modifiers.
- Associated CPT code sections for each modifier.
- How modifiers relate to reimbursement.
- How modifiers relate to compliance.
- How modifiers affect the global surgery package.
- Appropriate ranking of modifiers.
- Reporting requirements for each individual modifier.
- Documentation requirements for each individual modifier.
- Reimbursement issues related to modifiers.
- Examples of appropriate use of individual modifiers.
Health Care Office Staff - How To Recruit A Great Staff
Trying to staff those help wanted positions is a challenge for every medical office. This workshop
cover topics such as:
- Where To Find Staff
- Tips for Hiring the Right Candidates
- Interviewing Tips
- Job Descriptions
- Orientation and Training
- Suggestions for Slowing Turnover
(4 hour workshop)
HIPAA 102 - Privacy Re-Training
A workshop designed to review HIPAA regulations with office staff in an effort to maintain
training program requirements. A review of HIPAA terms, fundamentals of the HIPPA Privacy Rule
and policies and procedures that should be developed will be discussed. The workshop is based
on "creating a culture of caution and confidence" when handling patient informations.
(2-4 hour workshop)
HIPAA Privacy Auditing
It is recommended that auditing of HIPAA Privacy be part of your practice's privacy compliance
plan. In this workshop, the attendee will be provided with auditing worksheets, suggestions and
recommendations in performing a privacy audit. In addition to devloping a plan to implement the
audits, the workshop will review development of a corrective action plan. (2.5 hour workshop)
HIPAA Security Training
HIPAA requires practices to develop and implement a certain level of training relating to the
security rules, which became effective on April 21, 2005. This workshop provides a general training
of security issues for medical office staff. Topics include the goals of security, basic concepts of
security, the responsibility of security, threats to security, security protection, and what workforce
members can do to protect the security of patient information. (1.5 hour training)
ICD-9 Coding Changes
A look at the ICD-9 coding changes that will affect coders as of October 1. This workshop
provides an outline of all code changes and will provide discussions relating to them. (2.0 hour workshop)
ICD-9 Maintenance Check
In today's healthcare environment, ICD-9 coding is driving reimbursement. Maybe it's time
to perform a maintenance check of your ICD-9 coding process. Make sure your practice is not
experiencing diagnosis related denials or placing the practice in a high-risk complaince zone.
This "hands on" workshop will help you strive towards ICD-9 coding excellence and stretch your
ICD-9 coding expertise. (4 hour training)
ICD-9-CM Coding Basics
The ICD-9-CM Coding Basics training program is designed for the newer or less experienced staff
member to learn the essential techniques in diagnosis coding. The program has also been proven
to effectively provide a general refresher to any staff member using the ICD-9-CM code set. The
program will provide a basic working knowledge of the ICD-9-CM coding process and will focus on
the Official Coding Guidelines maintained by the Cooperating Parties for ICD-9-CM (AHA, AHIMA, CMS
and NCHS.). Learn essential concepts relating to medical necessity, late effects, accident and
injury coding, signs and symptoms, burns, fractures and other specific areas. There are many
hands-on coding exercises to apply and practice the coding concepts that will be introduced.
This training can also serve as a critical step in laying a solid foundation for the successful
implementation of the ICD-10 coding system into your organization. The Final Rule for implementation
of the ICD-10 coding system has been officially adopted and the compliance date has been set for
October 1, 2013. The experts are recommending that organizations perform an assessment of the staff’s
current level of ICD-9 coding knowledge and proficiency. Based on the results of that assessment, you
may find it helpful to enhance the staff’s diagnosis coding skills to prepare them as they move towards
the new system.
The training sessions will be held weekly (4 hours per week) and result in a total of 16 training hours.
Attendees must provide their own ICD-9-CM coding manual.
ICD-10 Implementation: Steps, Strategies and Survival
The Final Rule for implementation of the ICD-10 coding system has been officially adopted and
the compliance date has been set for October 1, 2013. To ensure successful transition to the new
coding system, CMS recommends that steps be taken to plan and prepare your strategy now. This workshop
will provide the attendee with a base of knowledge in ICD-10 coding and present a structured approach for
implementing ICD-10 into the healthcare organization.
Managing Stress - Give Me Some Stress Relief!
A seminar which takes a look at the stress levels experienced by medical office staff. The seminar
includes discussions relating to the healthcare environment, identifying stress triggers, what our
associates have done to reduce stress and steps that we can take to reduce the amount of stress in
our own medical offices. (1.5 hour training.)
An opportunity to refresh or expand your medical terminology proficiency. This is also an
excellent workshop for the new staff member. The language of medical terminology is one of
the basic and primary skills required by support staff in any practice. Development and
scheduling of the workshop is generally based on experience and proficiency of expected
This training has been designed to provide your staff with a more thorough understanding of
appropriate modifier usage. The training includes:
- An introduction to appropriate modifier usage.
- Understanding evaluation and management modifiers.
- Understanding surgery modifiers
- An overview of anesthesia, radiology and pathology modifiers.
- Individual payer policies for use of modifiers.
Optimizing Physician Reimbursement
An opportunity to audit your practice's processes relating to reimbursement through compliant
strategies. The workshop presents "The ACE Approach" to optimizing reimbursement, focusing
on auditing and analysis processes, communications, and staff education/training processes.
(7 hour workshop)
Red Flag Rule Training
The Red Flags Rule, enforced by the Federal Trade Commission, has been in effect since January 1, 2008.
The Rule requires that all healthcare organizations implement a written Identity Theft Prevention Program
designed to detect the warning sings of identity theft in their day-to-day operations. This one-hour
workshop will provide your healthcare organization with an understanding of the Rule and provide you
with the basic steps required to comply with the Rule. It will serve as a training to your staff as
part of your compliance. The initial enforcement date of this Rule is November 1, 2009. Don't delay.
Superior Customer Service and Phone Etiquette
A workshop designed for any medical practice. This two-hour workshop focuses on formulating
a "continuous process improvement plan" in relation to customer service. Participants discuss
what constitutes good customer service vs. poor customer service and allow them to assess their
own individual customer service skill level. Emphasis is placed on proper phone etiquette as
it relates to superior customer service. (2 hour workshop)
A Worker's Compensation Billing Overview
This workshop is desinged to provide an overview of the Worker's Compensation (NYS) billing requirements
for the medical practice. Discussions include how the worker's compensation system began, the players
in the system, the worker's compensation law, and the forms required to file a claim. The attendee will
learn how the worker's compensation system works, understand how to use the worker's compensation fee
schedule and the responsibilities of the medical practice. The workshop will guide the attendee through
development of a worker's compensation billing policy and procedure for their office. (4 hour workshop).