1. education

Emergency Medicine
Reimbursement Issues...
This course presents valuable
information and updates for
emergency physicians, billing
and coding professionals, and
group managers.
November 17, 2014
Johnson Center, Cleary University-Livingston Campus
Howell, MI
$traight Talk XXIII – Tracks
Professional Coding Tracks
Basic: Participants will learn the fundamentals of CPT and ICD-9 coding for the professional aspect of emergency medical care,
and then have the opportunity to apply this knowledge through discussion of actual ED cases.
Advanced: Participants will have the opportunity to review the appropriate use of CPT and ICD-9 codes for professional
services provided in the emergency department.
Facility Coding Track
Participants will review the unique aspects of facility coding for emergency services provided to ED patients. Included will be
discussions of the current CMS proposals around E/M visit levels, packaging and the final impact on ED facility coding for 2015.
Physician/Administrative Track:
Participants will:
• Review documentation requirements for various emergency services.
• Learn about how upcoming Healthcare Reform, the ACA and payment reforms will impact your practice.
• Review opportunities for groups to better address the payor audit and compliance challenges.
• Be given tools to better assess their group’s billing and collection performance
This course offers information updates for emergency physicians and for billing/coding professionals and group managers.
Lunch offers unstructured time to interact with peers and to share information about the dynamic reimbursement environment.
Faculty
Antonio X. Bonfiglio, MD, FACEP
Karen Marsh, RN, MSN
Edward Gaines, III, JD, CCP
David A. McKenzie, CAE
Michael A. Granovsky, MD, CPC, FACEP
Sandra A. Steele, CPC, CPMA, CEDC
Program Director, $traight Talk XXIII; Medical Director,
Emergency Department, St. John Macomb/Oakland Hospital,
Madison, MI; Past President, Michigan College of Emergency
Physicians; Chair, MCEP Health-Finance Committee.
Chief Compliance Officer, Zotec-MMP, Greensboro, NC;
Co-founder, current Board & Executive Committee Member,
Emergency Department Practice Management Association
(EDPMA); Member ACEP Reimbursement Committee; and
Faculty National ACEP Coding & Reimbursement Conference.
President, LogixHealth; Course Director, National ACEP’s
Coding and Reimbursement Conference , Editor, ED Coding
Alert , Subject Matter Expert National ACEP Technical Panel
for Quality Measure Development, National ACEP Coding
and Nomenclature Committee, Member, Reimbursement
Committee, ACEP; Professor George Washington University
Department of Emergency Medicine; Technical Editor,
American Academy of Professional Coders, Specialty
Credential Study Guide for Emergency Medicine.
President, Kare-Med Consulting, LLC, Dandridge, TN;
past chairperson, Emergency Nursing Association Leadership
Conference; member American Academy of Professional
Coders.
Reimbursement Director at the American College of
Emergency Physicians; Staff Liaison to the National
ACEP Reimbursement & Coding & Nomenclature Advisory
Committees; Staff to the AMA CPT and RUC processes.
Director of Coding & Billing Services, Midwest Emergency
Services, LLC, Fraser, MI.
Todd Thomas, CPC, CCS-P
President, ERcoder, Inc., Oklahoma, OK; Past-President,
Oklahoma City Chapter, American Academy of Professional
Coders.
In accordance with ACCME Standards and ACEP policy, all faculty are required to disclose to the program audience any real or apparent conflict(s) of interest related
to the content of their presentation(s).
Location & Accommodations
The Johnson Center – Cleary University (Livingston Campus), 3725 Cleary Drive, Howell, MI 48843
Directions to the meeting facility will be mailed with your meeting confirmation.
Holiday Inn Express Hotel & Suites*
1397 N. Burkhart Road
Howell, MI 48855
(517) 548-0100
Baymont Inn & Suites*
4121 Lambert Drive
Howell, MI 48855
(517) 546-0712
Homewood Suites
8060 Challis Rd
Brighton, MI 48114
(855) 239-9397
*Adjacent to Tanger Outlet Mall
Small Room Block at the
Courtyard by Marriott
7799 Conference Center Drive
Brighton, MI 48114
(810) 225-9200
www.marriott.com/dtwbr
Use the code MCPMCPB for Two Queens or MCPMCPA for a King.
Room rates single/double: $99
Please note the MCEP room block expires October 17, 2014.
Program Schedule
7:30 – 7:55
Registration
7:55 – 8:00
Opening Remarks
7:30
8:00 –– 7:55
9:00
Registration
What’s New for 2015?
CPT Coding Update, ICD-9 & PQRS Other Issues
Opening
Remarks
You Need
to Know
7:55 – 8:00
8:00
9:00 –– 9:00
10:00
What’s
NewCompliance
for 2015? Issues
Emerging
CPT Coding Update, ICD-9 & PQRS Other Issues
You
Need to Know
Registration
Break
7:30 ––7:55
10:00
10:15
9:00
7:55 –– 10:00
8:00
Bonfiglio
All Attendees
Granovsky
McKenzie
All Attendees
Bonfiglio
All Attendees
Granovsky
Gaines
McKenzie
AllAll
Attendees
Attendees
Emerging
Compliance Issues
Opening Remarks
Gaines
Bonfiglio
AllAttendees
Attendees
All
Granovsky
Bonfiglio
McKenzie
Granovsky
All Attendees
10:15 – 11:15
Break
What’s New for 2015?
Michigan
Update
CPT
Coding
Update, ICD-9 & PQRS Other Issues
Observation
You Need to Know
11:15
11:30
9:00 ––10:00
Michigan
Emerging Update
Compliance Issues
Bonfiglio
Gaines
AllAttendees
Attendees
All
11:30
10:00 –– 12:30
10:15
Lunch
Break
Granovsky
Thomas
All Attendees
10:15 – 11:15
Observation
10:00
10:15
8:00 ––9:00
11:15 – 11:30
11:30 – 12:30
Lunch
CODING TRACKS
12:30 – 2:00
Coding Hot Topics – Lightning Rounds
CODING
TRACKS
10:15 – 11:15
Observation
•
Avoiding Pitfalls of EMR Documentation/Scribes
•TopicsUltrasound
12:30
Coding HotMichigan
– Update
Lightning Rounds
11:15 –– 2:00
11:30
Critical Care
•• Avoiding
Pitfalls of EMR Documentation/Scribes
11:30 – 12:30
Lunch High RVU Procedures
•• Ultrasound
Sedation
Services
•• Critical
Care
CODING TRACKS
Granovsky
2:15 –– 4:30
4:30
2:15
•
High RVU Procedures
Break Hot• Topics
Coding
– Lightning
Rounds
Sedation
Services
•
Avoiding Pitfalls of EMR Documentation/Scribes
2015 Updates on Facility Coding/Workshop
Break
•
Ultrasound
•
Critical
Care
BasicUpdates
ED Coding
& Cases
2015
on Facility
Coding/Workshop
•
High RVU Procedures
Advanced
•Coding
Sedation
Basic
ED Coding
&Workshop
CasesServices
Steele
Bonfiglio
Thomas
Thomas
Thomas
Steele
Steele
Thomas
Thomas
Steele
Thomas
Marsh
Steele
Thomas
Steele
Marsh
Thomas
Thomas
Steele
Steele
2:15
2:00 –– 4:30
2:15
Advanced
Coding Workshop
Break
Thomas
2:00
12:30– –2:15
2:00
2:15 –– 2:15
4:30
2:00
2:15 –– 4:30
4:30
2:15
ADMINISTRATIVE TRACK
2:15 – 4:30
2015 Updates on Facility Coding/Workshop
ADMINISTRATIVE
TRACK
12:30 – 2:00
2015 Reimbursement & Payment Reform Strategies for the Future
2:15 – 4:30
Basic ED Coding & Cases
12:30
–
2:00
2015
2:00 – 2:15
BreakReimbursement & Payment Reform Strategies for the Future
2:15 – 4:30
Advanced Coding Workshop
2:00 – 2:15
Break
2:15 – 4:00
Hot Topics – Lightning Rounds
EHR/Scribes
2:15
– 4:00
Hot
Topics –• Lightning
Rounds
ADMINISTRATIVE
TRACK
Bankruptcy
•• EHR/Scribes
12:30 – 2:00
2015 Reimbursement
& Payment
Reform Strategies for the Future
Credit
Balances/Refunds
•• Bankruptcy
•• Credit
UrgentBalances/Refunds
Care Facilities
2:00 – 2:15
Break
•• Urgent
Care Facilities
Freestandings
2:15 – 4:00
Hot Topics•– Lightning
Rounds
Freestandings
•
EHR/Scribes
4:00 – 4:30
2015 Reimbursement
Issues Panel
4:00 – 4:30
2015 Reimbursement
Issues Panel
•
Bankruptcy
-Schedule Subject
All Attendees
All Attendees
All Attendees
All Coding Tracks
AllAttendees
Coding Tracks
All
All Coding Tracks
Facility Track
BasicTrack
Pro Track
Facility
Adv
Pro
Track
Basic
Pro
Track
Adv Pro Track
Marsh
Facility Track
Steele
Granovsky/Gaines/McKenzie
Thomas
Basic Pro Track
Physician/Admin Track
Adv Pro Track
McKenzie
Gaines
McKenzie
Granovsky/Gaines/McKenzie
Gaines
Gaines
Gaines
Granovsky
Granovsky
Granovsky
Physician/Admin Track
Granovsky/Gaines/McKenzie
Physician/Admin Track
Physician/Admin Track
Physician/Admin Track
Physician/Admin Track
Granovsky
McKenzie
Gaines
to Change-Schedule Subject to Change•
Credit Balances/Refunds
Gaines
Urgentprogram
Care Facilities
*The Case Studies used• in this
may be downloaded from the Granovsky
MCEP website, www.mcep.org. If you provide us
*The
Casee-mail
Studiesaddress
used •inupon
this
program
maywe
be will
downloaded
from
If youavailable
provide us
Freestandings
Granovsky
with your
registration
e-mail you
thethe
linkMCEP
to ourwebsite,
website.www.mcep.org.
Cases will be made
on-line
with your e-mail address upon registration we will e-mail you the link to our website. Cases will be made available on-line
after
November2015
1, 2014.
2014.
PleaseIssues
takePanel
minutetotodownload
downloadthese
thesecases
cases&&familiarize
familiarizeyourself
yourself
with
examples.
4:00 – 4:30
Reimbursement
after
November
1,
Please
take
aaminute
with
thethe
examples.
-Schedule Subject to Change-
*The Case Studies used in this program may be downloaded from the MCEP website, www.mcep.org. If you provide us
This
activity
has been
beenaddress
plannedand
and
implemented
accordance
withthe
theEssential
Essential
Areas
and
Policies
Accreditation
Council
for
Continuing
Medical
withactivity
your e-mail
upon
registration
we will with
e-mail
you
the Areas
link
to
our
website.
Cases
will be
made
available
on-line
This
has
planned
implemented
ininaccordance
and
Policies
of of
thethe
Accreditation
Council
for
Continuing
Medical
Education
through the
the
joint
sponsorship
ofthe
theaAmerican
American
College
Emergency
Physicians
and
Michigan
College
Emergency
Physicians.
after November
1,joint
2014.
Please of
take
minuteCollege
to
download
thesePhysicians
cases
& and
familiarize
yourself
with
the
examples.
Education
through
sponsorship
ofofEmergency
thethe
Michigan
College
of of
Emergency
Physicians.
TheThe
American College
College of
ofEmergency
EmergencyPhysicians
Physiciansisisaccredited
accreditedbybythe
theAccreditation
AccreditationCouncil
Councilforfor
Continuing
Medical
Education
to provide
continuing
medical
American
Continuing
Medical
Education
to provide
continuing
medical
education for
for physicians.
physicians.
education
Credit
The
College
of
Physicians
designates
this
live
activity
forforaAreas
maximum
ofof
7 AMA
PRA
Category
1 Credit
(s)for
™.Continuing
Physicians
should
American
College
ofEmergency
Emergency
Physiciansin
designates
this
live
activity
a maximum
7 AMA
PRA
Category
1 Credit
(s)
™.
Physicians
should
ThisAmerican
activity has
been planned
and implemented
accordance
with
the
Essential
and Policies
of the
Accreditation
Council
Medical
claim
only
the
with
ofoftheir
participation
ininthe
claim
only through
the credit
credit
commensurate
withofthe
the
extent
their
participation
theactivity.
activity. and the Michigan College of Emergency Physicians. The
Education
thecommensurate
joint sponsorship
theextent
American
College
of Emergency
Physicians
American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical
Approved
American
I credit.
Approved
by the
the
AmericanCollege
CollegeofofEmergency
EmergencyPhysicians
Physiciansfor
for7 7hour
hour(s)(s)ofofACEP
ACEPCategory
Category
I credit.
education by
for
physicians.
This
program
prior
approval
ofofthe
American
Academy
ofofProfessional
Coders
forfor7 7Continuing
Education
Units.
Granting
this
approval
in no
This
program has
has
priorof
approval
the
American
Academy
Professional
Coders
Continuing
Education
Granting
of this
approval
in no
The American
College
Emergency
Physicians
designates
this
live
activity for
a maximum
of
7 AMA PRA
Category
1Units.
Credit
(s) ™. of
Physicians
should
way
endorsement
by
ofofthe
content
program,
oror
program
sponsor.
claimconstitutes
only the credit
commensurate
with
the extent
ofprogram
their participation
inthe
the
activity.content
way
constitutes
endorsement
bythe
theAcademy
Academy
the
program
contentofofthe
program,
content
program
sponsor.
Approved by the American College of Emergency Physicians for 7 hour (s) of ACEP Category I credit.
This program has prior approval of the American Academy of Professional Coders for 7 Continuing Education Units. Granting of this approval in no
way constitutes endorsement by the Academy of the program content of the program, content or program sponsor.
Presorted Standard
US Postage
PAID
Lansing MI
Permit #60
6647 West St. Joseph Hwy.
Lansing, MI 48917
$TRAIGHT TALK XXIII
November 17, 2014
The Johnson Center – Cleary University (Livingston Campus)
Howell, Michigan
REGISTRATION FORM
Payment Method:
MasterCard
Check Enclosed
American Express
Card #____________________________________
VISA
Expiration Date_____________________________
Card Holder’s Signature______________________
NAME
ADDRESS
CITY
STATE
PHONE
Home
ZIP
Business
E-MAIL
ON-LINE REGISTRATION IS AVAILABLE AT WWW.MCEP.ORG. However if you are registering in the
groups of 3 or more this is not an option and you will need to phone or fax in your registration(s).
ACEP Physician
$275
Physician, Non-Member $325
Non-Physician Registrants in groups of 3 or more $225/each
�Facility
Resident Member
All Other Registrants
$50
$250
Please indicate which TRACK(S) you will be attending:
�Professional (Please circle: Basic or Advanced) �Administrative
Cancellation Policy:
All refunds must be requested in writing. If your written cancellation is received two weeks prior to the course date, you will receive a full
refund minus a $50 administrative fee. No refunds on cancellations received after November 3, 2014.
Handouts:
Handouts will NOT be printed for this event and will be available prior to the course date on our website, www.mcep.org, for download.
Please make check payable & return to:
MCEP, 6647 West St. Joseph Hwy. Lansing, MI 48917, PHONE 517-327-5700, FAX 517-327-7530