AAHIM December Meeting

Thursday, December 5, 2019

8:00 AM - 4:00 PM


Agenda

8:00 – 8:45 - Registration/Breakfast

 

8:50 – 9:00 - Welcome and Opening Remarks

 

9:00 – 10:00 - Evaluation & Management Coding Changes 2021
Tammie Lunceford, CMPE, CPE Warren Averett LLC

1 CE - Clinical Data Management

 

The 2020 Proposed Medicare Fee Schedule includes monumental changes to the outpatient office visit E&M codes. In an effort to reduce the administrative burden physicians have through EMR, the code description change for 2021 will give the option of coding the visit using time spent with the patient or based on the medical decision-making.

Audiences will learn:

* The Final 2020 E&M Decision

* Key details related to 'time' and Medical Decision Making

* Financial impact of coding changes

* Preparation in 2020 for 2021

 

10:00 – 10:45 - Compliance/Regulatory Update

Brian Bates, CPA, CHC, MAcc
Dr. Stephen Stair, MD, FACP

1 CE - External Forces

 

10:45 11:00 - Break

 

11:00 12:00 - The Road Map to Successful Denials Management, Prevention, & Recovery
Shavonne Thompson
1 CE - External Forces

 

Claim denials plague health care providers nationwide, siphoning up to 5 percent of patient net revenue per year and causing a cycle of rework on roughly 20 percent of claims. Couple that with the troubling statistic that upwards of 50 percent of denied claims are never worked by hospitals, and the scope of the issue becomes clear: denials management is vital to the financial health of your organization.

 

Join us for an informational presentation geared towards collections and denials professionals to learn proven strategies for protecting revenue and minimizing cost to collect. Hear how providers are tackling denials to improve billing processes for denials prevention through analytics, technology, and staffing education and support.

 

12:00 1:00 - Lunch and AAHIM Board Update

 

1:00 – 2:00 - Coming and Going: CMS Guidance on Status and new Regulations on Discharge
Joan Ragsdale, JD
1 CE - External Forces

 

Admission and discharge requirements have been an area of focus for CMS and other payers for a number of years. Admission requirements have focused on whether services are appropriate for inpatient admission rather than outpatient services and the discharge focus has been on practices designed to prevent readmissions. Newly issued discharge regulations and increased denials related to patient status require a focus on the changing regulatory environment and the importance of processes needed to address both admissions and discharges. This presentation will focus on regulatory requirements and practical ways to address ensure compliance and avoid denials.

 

2:00 2:15 - Break

 

2:15 3:00 - Current Contractor Reviews and Findings
Karen Northcut, BS RN, COC
1 CE - External Forces

 

Be able to identify the Medicare contractors and associated entities who perform medical review of Medicare records Know where to locate information on Medicare requirements for coverage, documentation, coding and billing Know what topics are currently being reviewed in your area by both local and national Medicare review entities Be able to identify 'at risk' topics for your hospital.

 

3:00 3:45 - TBD
1 CE - TBD

 

3:45 4:00 - Closing Remarks


Speakers

Brian Bates, CPA, CHC, MAcc

 

Mr. Bates is the Chief Compliance Officer for UAB Medicine/UAB Health System. Prior to joining UAB Medicine, he was the Chief Compliance and Privacy Officer for the Baptist Health System in Birmingham, Alabama. Mr. Bates is responsible for the daily operations of the UAB Medicine Compliance Program and helps coordinate compliance activities across the UAB Health System. Mr. Bates takes a “hands-on” approach to compliance working with UAB Medicine leadership, providers, and staff to identify, manage, and mitigate the risk areas that are specific to health care services provided by UAB Medicine. Mr. Bates has worked with and been an advocate for hospitals and providers for twenty (20) years.

 

Mr. Bates is a frequent local, regional and national speaker for organizations such as Association of American Medical Colleges (AAMC), Vizient/University Health System Consortium (UHC), Medical Group Management Association (MGMA), American Health Lawyers Association (AHLA), American Academy of Professional Coders (AAPC), and Healthcare Information and Management Systems Society (HIMSS) on health care topics including but not limited to Fraud and Abuse compliance, HIPAA, and Quality Payment Programs .

 

Mr. Bates was one of the first people certified in healthcare compliance (CHC) and is a member of the Health Care Compliance Association (HCCA) and Healthcare Information and Management Systems Society (HIMSS). Mr. Bates is very active nationally with UAB Medicine's academic medicine peer institutions. Mr. Bates currently serves on the AAMC Compliance Officers Forum's (COF) Executive Steering Committee and Peer Evaluation Team Mr. Bates also serves as the chairperson of the Vizient (formerly UHC) Legal and Compliance Network.

 

Tammie Lunceford, CMPE, CPC

 

Tammie Lunceford serves Warren Averett as a dental and healthcare consultant. She obtained her Bachelor of Science in Health Administration from UAB in 1995. Tammie is a Certified Medical Practice Executive, CMPE, Certified Professional Coder, CPC and registered with the American Society of Pathology as a medical laboratory technician, collectively bringing her clinical and administrative experience to more than 25 years. Tammie was formerly the Director of Primary Care University of Alabama Health Services Foundation and Director of Business Operations Urology Centers of Alabama. She has served in an Administrator or Director role in multiple specialties, with health systems, private practice, and medical management organizations. Tammie serves medical and dental practices by evaluating scheduling, patient flow, operational efficiencies, revenue cycle management, and EMR selection process and planning. In addition, she has experience with the Merit Based Incentive Program. Throughout this past year held workshops for Alabama MGMA State Conferences and regional workshops across Florida and Alabama, including the Medical Association for the State of Alabama.

 

Karen Northcut, BS RN, COC

 

Karen M. Northcutt, BSRN, COC is the co – founder and Executive Vice President of Medical Management Plus, Inc. (“MMP, Inc.”), Birmingham, Alabama. MMP, Inc has been in business since 1989 providing healthcare consulting services. Prior to co-founding MMP, Inc., she was a registered nurse with experience in medical / surgical and urgent care nursing. Karen earned her bachelors degree in Nursing at the University of Alabama at Birmingham (UAB) in 1984.

 

Ms. Northcutt directs all revenue integrity services including charging, billing, clinical composition audits, HCPCS/CPT/ICD-10 coding, Charge Description Master Reviews, medical record documentation audits, UB04 audits and Corporate Compliance consulting projects. Ms. Northcutt has worked primarily with acute care facilities throughout the Southeast ranging in size from 35 to 902 staffed beds and representing not-for-profit, for-profit corporations, major teaching, general and tertiary provider status.

 

Ms. Northcutt assisted the Alabama Hospital Association in establishing and facilitating the Revenue Integrity Committee (RIC) in 2002. In this capacity Ms. Northcutt assists the Alabama Hospital Association in facilitating the statewide Revenue Integrity Committee in identifying common reimbursement issues and clarification of billing / documentation guidelines with Alabama's MAC, Palmetto Government Benefit Administrators (GBA), Medicaid of Alabama, Blue Cross Blue Shield of Alabama and select Medicare Advantage Plans. In this capacity as a provider representative, Karen presents issues and facilitates discussion and promotes resolution with representatives of the major payers in the state of Alabama.

 

Joan Ragsdale, JD

 

Ms. Ragsdale serves as the Chief Executive Officer for MedManagement, LLC, a company she cofounded in 1995. She is a Phi Beta Kappa graduate of the University of Alabama where she received her Bachelor of Arts degree, magna cum laude. She received her law degree from the University of Alabama where she was an editor of the Alabama Law Review and was on the National Moot Court team. Prior to joining MedManagement, she practiced law in Birmingham. She was a partner with Sirote & Permutt and later, Bradley, Arant, Rose & White where she served as Chair of the Healthcare Group.

 

Joan is a life member of AHLA and four practice groups; Fraud & Abuse, Hospitals & Health Systems, Physician Organizations, and Regulation, Accreditation, & Payment.

 

She is a past-President of the Health Law Section of the Alabama Bar, was previously selected for inclusion in the Best Lawyers in America as one of the Birmingham Business Journal's “Top Ten Business Women in Birmingham” and as a Birmingham Health Care Hero. She is a frequent speaker and author on current health care regulatory and compliance issues. She is a board member of the Jefferson County Medical Foundation Trust, Chairperson of the UAB Callahan Eye Foundation, Inc. Board, and a member of the University of Alabama at Birmingham Medical Leadership Committee.

 

Dr. Stephen Stair, MD, FACP

 

Dr. Stephen W. Stair, MD is a board certified (internal medicine) clinical associate professor and medical compliance officer at the University of Alabama, Department of Medicine. He received his MD from UT- Memphis College of Medicine and post doctoral training at the University of Alabama. He has been heavily involved in compliance issues and reviews and is a frequent speaker and educator covering a wide variety of issues, including compliance and billing and coding and compliant physician documentation.

 

Shavonne Thompson

 

Shavonne Thompson is the Manager of Advisory Services at nThrive. In her role, she helps manage nThrive's business optimization advisory services. By taking a holistic approach to optimization and working to align people, processes and technology, the business optimization team help clients understand and address issues within the revenue cycle that impact profitability and patient satisfaction.

 

Shavonne has worked with a variety of healthcare providers to help them focus on centralization, workflow efficiency and technology optimization. This experience combined with a data-driven approach to problem solving allows her to develop customized solutions.

 

Shavonne has a Masters in Healthcare Administration from University of North Carolina at Chapel Hill and Juris Doctor at North Carolina Central University School of Law.

 

 


Register

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Registration open through 12/3/2019 Central Time (US & Canada).

 

When you register online, you will have the option to pay by mail with a check or pay online with a credit card (AMEX, Discover, MasterCard, or Visa). You will receive two emails once you join – 1) a confirmation email and 2) a registration statement email which serves as your receipt (if you paid by credit card) or invoice (if you plan to pay by check).

 

If you are paying by check, make your check payable to KnowledgeConnex, include your invoice # that is on your registration statement email, and mail your check to KnowledgeConnex. The mailing address will be on the registration statement email.


Cancellation

View Terms and Conditions

 

Click here if you need to cancel your registration or provide a substitute.


Continuing Education

CEUs: 6 AHIMA/AAPC

 

This program has been approved for 6.3 nursing CEs.

 

During the week following the meeting, all paid attendees will receive an email with a link to the online evaluation and a CE certificate.


Pricing

Member: $75

 

Non Member: $75

 


Location

Vestavia County Club

400 Beaumont Drive
Birmingham, AL 35216

Click here for directions