Reimbursement: Trends and Strategies & Advanced Procedure …. Granovsky to... · 2011-11-04 · Granovsky, MD, CPC, FACEP; Ron Howrigon Optional Session Wednesday, January 25 Introduction

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January 23-27, 2012

Reimbursement: Trends and Strategies & Advanced Procedure Coding

FOR EMERGENCY MEDICINE

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January 23-27, 2012

PLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINOPLANET HOLLY WOOD RESORT & CASINO

12-Reimbursment Coding-Las Vegas.indd 1 9/19/11 8:22 AM

ACEP WILL KEEP YOU UPDATED!

Since this will be the only offering of these courses, ACEP will provide any important reimbursement and coding updates via webinar at an extremely discounted rate to all conference registrants.

WHO SHOULD ATTEND

• Emergency Physicians• Hospital Out-

Patient Coders• Emergency

Department Nursing Directors

• Billing/Coding/Medical Records Professionals

• Graduating Residents• Reimbursement/

Practice Management Consultants

• Emergency Physician Group Managers

100% NO RISK GUARANTEE

ACEP guarantees the quality of its educational conferences. If, for any reason, you are dissatisfied with the educational content of a conference for which you have paid, notify the ACEP Meeting Registrar in writing within 30 days of attending the conference, and ACEP will give you a credit toward another conference of comparable value or refund your registration fee.

For more information, visit www.acep.org/rc


Dear Colleague: Emergency Physician reimbursement methodologies are rapidly evolving. Private payers and Medicare are redefining critical aspects of the ED revenue cycle process. Widespread implementation of Heath Care IT systems in our EDs is altering the strategies we employ to optimize productivity and efficiency. Financial success and effective group leadership will require in-depth knowledge of optimal coding, maximum compliance, and the development of strategies to confront the latest reimbursement challenges. Now, more than ever, is the time to protect and safeguard your group’s financial future. Just a few of the critical topics covered:

• Managed care contract negotiation strategies

• Surviving the next wave of healthcare reform

• Tools to manage the effect of EMRs on productivity, reimbursement, and liability

• Optimizing the revenue cycle through appropriate application of benchmarks and metrics

• The 2012 Medicare Fee Schedule• 2012 CPT and ICD-9 update• The Latest Coding News Regarding

Observation Services• Advanced Coding and Hot Topics:

Scribes, Ultrasound, and Critical

Michael A. Granovsky, MD, CPC, FACEPCourse Director

RESERVE YOUR ROOM NOW — ACEP’S ROOM BLOCK WILL SELL OUT EARLY!Planet Hollywood Resort & Casino3667 Las Vegas Boulevard, SouthLas Vegas, Nevada 89109Reservations: 866-919-7472Group Code: Must inform agent that you are attending the American College of Emergency Physicians’ Reimbursement and Coding conference to get the room rate.Web Site: www.planethollywoodresort.comRate: $159 single/double plus taxes and feesPlanet Hollywood, known as “the house that fame built” is hip, modern, and located in the heart of the Las Vegas Strip featuring movie-themed rooms. It is home to the Gallery, the Miracle Mile Shops, and dining options at the Strip House, Spice Market Buffet, Yolos, and P.F. Chang’s.The deadline to make reservations at the discounted rate is Thursday, December 22, 2011. After December 22, rooms and rates are subject to availability. Make your reservations by calling 866-919-7472. All reservations must be guaranteed with a paid deposit for the first nights guestroom and tax charge.

Air Travel Make your airline reservations through Campbell Travel, ACEP’s official travel agent, for best prices and service. Call 800-875-2540 or 972-789-5611, Monday - Friday from 8:00 am – 5:00 pm CST, or email [email protected]. A $20 service fee will be added to the total amount of the purchase.

Ground Transportation Planet Hollywood is located almost 4 miles from the Las Vegas McCarran International Airport. Taxis are available for approximately $20 - $25 one way. Several shuttle services are available at approximately $6 one way. Upon arriving at the airport, taxi and shuttle areas are clearly marked in the baggage claim area and are located outside door exits 7-13. Reservations are not required.


7:30 am Continental Breakfast8:00 am Dancing with the Devil:

How to Negotiate with Manage Care Companies Ron Howrigon

9:30 am Break - Visit the Exhibits10:00 am Avoiding Landmines:

Compliance Strategies for Obtaining and Keeping Appropriate Reimbursement Edward R. Gaines, III, JD, CCP

11:30 am Question & Answer Session Edward R. Gaines, III, JD, CCP; Michael A. Granovsky, MD, CPC, FACEP; Ron Howrigon

Optional SessionWednesday, January 25

Introduction to Emergency Department CodingNew to emergency department coding? You must attend this session!

This 4-hour session is designed for those new to emergency department coding or desire a basic ED coding refresher. Scheduled between the Reimbursement and Coding conferences, this course will bring you up to speed for the Advanced Coding conference, and provides 4 additional hours of CME credit/AAPC CEUs (Additional $125 fee)

1:30 pm Basic E/M for Coding for Physicians Services in the ED Todd Thomas, CCS-P

3:30 pm Break – Visit the Exhibits4:00 pm Case Study Presentation:

Charting a Course to Coding a Chart David A. McKenzie, CAE (Moderator); Dennis M. Beck, MD, FACEP; Todd Thomas, CCS-P

MondayJanuary 23

TuesdayJanuary 24

WednesdayJanuary 25

8:00 am Registration and Contintental Breakfast

9:00 am 2012 Reimbursement Update and National Trends Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE

10:00 am Incentive-Based Compensation Programs: Practical Approaches That Work Kevin M. Klauer, DO, EJD, FACEP

11:00 am Lunch (On Your Own)12:00 pm Sink or Swim: The Next

Wave of Healthcare Reform Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE

1:00 pm Will You Measure Up?: Reimbursement Realities of the CMS Quality Programs Kevin M. Klauer, DO, EJD, FACEP

1:45 pm Break2:00 pm Avoid the Rapids:

Additional Revenue Stream Opportunities Michael A. Granovsky, MD, CPC, FACEP; Kevin M. Klauer, DO, EJD, FACEP

3:15 pm Product Showcase (This is a non-CME activity)

7:30 am Continental Breakfast8:00 am The Effect of EMRs

on Productivity, Reimbursement, and Liability Daniel J. Sullivan, MD, JD, FACEP

9:00 am Tracking the Effectiveness of Your Billing Company: Key Metrics and Reports Michael A. Granovsky, MD, CPC, FACEP

10:00 am Break - Visit the Exhibits10:30 am Documentation: The

Good, the Bad, and the Ugly Daniel J. Sullivan, MD, JD, FACEP

11:30 am Don’t Worry, Be Happy: MACs, Medicare/Medicaid RACs, CERT, and Private Payor Audit Issues and Strategies Edward R. Gaines, III, JD, CCP

12:30 pm Lunch (On Your Own)

1:30 pm The Patient Protection and Affordable Care Act (PPACA): What Could it Mean to Your Practice Edward R. Gaines, III, JD, CCP

2:30 pm Break - Visit the Exhibits3:00 pm Controlling the Left Side

of the Ledger: Managing Malpractice Costs Daniel J. Sullivan, MD, JD, FACEP

4:00 pm Question & Answer Session Michael A. Granovsky, MD, CPC, FACEP (Moderator); Edward R. Gaines, III, JD, CCP; Daniel J. Sullivan, MD, JD, FACEP

5:00 pm Wine and Cheese Reception in the Exhibit Hall

Reimbursement: Trends and Strategies in Emergency Medicine

Course objectives can be found on the Conference website

“Presenters were great and clearly knew their topics. Enjoyed the format. Look

forward to the next one! Will bring more folks with me.”


7:30 am Continental Breakfast 8:00 am Advanced Procedure

Coding Michael A. Granovsky, MD, CPC, FACEP

9:00 am Advanced Coding Case Study Workshop Michael A. Granovsky, MD, CPC, FACEP (Moderator); Dennis M. Beck, MD, FACEP; Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P

10:30 am Break 10:45 am Advanced Coding

Case Study Workshop (continued)


1:15 pm To Be or Not To Be? Observation Services: Professional and Facility Coding Concerns Michael A. Granovsky, MD, CPC, FACEP; Candace E. Shaeffer, RN, MBA, RHIA

2:15 pm Open Forum: Your Specific Coding Concerns Addressed Michael A. Granovsky, MD, CPC, FACEP (Moderator); Dennis M. Beck, MD, FACEP; Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P

Help Make the “Open Forum” Even More Rewarding! We want to address your most important and challenging concerns. Questions will be answered during “Open Forum: Your Specific Coding Concerns Addressed.” E-mail your questions to [email protected].

ThursdayJanuary 26

FridayJanuary 27

7:30 am Continental Breakfast 8:00 am 2012 Coding Update -

CPT, ICD-9, and PQRI: What You Need to Know Now Michael A. Granovsky, MD, CPC, FACEP

9:00 am Critical Care Coding Dennis M. Beck, MD, FACEP

10:00 am Break - Visit the Exhibits 10:30 am The Latest Buzz on

Ultrasound Coding Michael A. Granovsky, MD, CPC, FACEP

11:00 am Compliance Concerns - They Are Watching You! What You Need to Know to Be Safe Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC


1:00 pm 2012 PQRS Coding: The Coder’s Perspective Michael A. Granovsky, MD, CPC, FACEP; Todd Thomas, CCS-P

1:30 pm Hot Topics and Lightning Rounds Michael A. Granovsky, MD, CPC, FACEP (Moderator); Dennis M. Beck, MD, FACEP; Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P

2:30 pm Break 2:45 pm Hot Topics and Lightning

Rounds (continued)

Advanced Procedure Coding for Emergency Medicine


The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.Reimbursement: Trends and Strategies in Emergency Medicine The American College of Emergency Physicians designates this live activity for a maximum of 15.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Optional Session: Introduction to Emergency Department Coding/ Advanced Procedure Coding for Emergency Medicine The American College of Emergency Physicians designates this live activity for a maximum of 17.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Reimbursement: Trends and Strategies in Emergency Medicine has been approved by the American College of Emergency Physicians for a maximum of 15.75 hours of ACEP Category I credit; Optional Session: Introduction to Emergency Department Coding/Advanced Procedure

Edward R. Gaines, III, JD, CCP Member, Emergency Department

Practice Management Association (EDPMA), McLean, Virginia; Fellow, Certified Compliance Professional (CCP) and Board Member, The Health Ethics Trust, Alexandria, Virginia; Member, Bar of the Supreme Court of the United States and North Carolina State Bar; Ex-Officio member, ACEP Reimbursement Committee; 2007-08 ACEP Outstanding Speaker of the Year Award

Michael A. Granovsky, MD, CPC, FACEP President, MRSI, an ED Billing Company;

Editor, ED Coding Alert ; Member, Coding and Nomenclature Committee, ACEP; Member, Reimbursement Committee, ACEP; Member, American Academy of Professional Coders; Chief Financial Officer, Greater Washington Emergency Physicians; Technical Editor, American Academy of Professional Coders, Specialty Credential Study Guide for Emergency Medicine; Course Director, 2012 Reimbursement Trends and Strategies in Emergency Medicine/Advanced Procedure Coding for Emergency Medicine

Ron Howrigon President & Founder, Fulcrum Strategies, Managed Care

Consulting and Marketing Firm for Medical Practices; Chief Operating Officer, Raleigh Neurology Associates; Chairman of the Board of Directors, The Mariposa School for Children with Autism; Former Member, Board of Directors, Lovelace Health Systems; Former Chairman of the Board of Directors, North Carolina Association of Health Plans

Kevin M. Klauer, DO, EJD, FACEP Assistant Clinical Professor, Michigan State University,

College of Osteopathic Medicine; Chief Medical Officer, EMP, Ltd.; Director, Center for Emergency Medical Education, Canton, Ohio; Editor In Chief, Emergency Physicians Monthly ; Board Member, Physicians Specialty Limited, Risk Retention Group, Board Member, Emergency Medicine Physicians, Ltd

David A. McKenzie, CAE Reimbursement Director, ACEP, Irving, Texas; Staff

Contact, AMA RVS Update Committee, the CPT Editorial Panel, and the CPT Advisory Committee; Liaison to Reimbursement and Coding and Nomenclature Advisory Committees, ACEP

Candace E. Shaeffer, RN, MBA, RHIA Chief Compliance Officer, LYNX Medical

Systems/ OptumInsight, Bellevue, Washington; Clinical Faculty, University of Washington Health Informatics and Health Information Management Program; Contributing Writer, HCPro’s Briefings on APCs; Member, Coding and Nomenclature Committee, ACEP

Daniel J. Sullivan, MD, JD, FACEP President, The Sullivan Group, Risk Management

Consulting; Assistant Professor, Department of Emergency Medicine, Cook County Hospital/Rush Medical College, Chicago, Illinois; Chairman of the Board, MEA Management, LLC; Co-Editor, ACEP’s Emergency Medicine Risk Management Text, Second Edition

Todd Thomas, CCS-P President, ERcoder, Inc; Oklahoma City, Oklahoma;

Past-President, Oklahoma City Chapter, American Academy of Professional Coders; Member, ED Coding Alert Editorial Advisory Panel; Member, Coding and Nomenclature Advisory Committee, ACEP; 2009-10 ACEP Outstanding Speaker of the Year Award

Dennis M. Beck, MD, FACEP President and CEO, Beacon Medical Services; Past

Chair, Reimbursement Committee, ACEP; Member, Quality and Performance Committee, ACEP; Member, Coding and Nomenclature Committee, ACEP; Chair, CO Finance Network; Member, ACEP; CO Representative to TrailBlazer Carrier Advisory Committee, ACEP; Past Co-Chair, Value Based Emergency Care Task Force, ACEP; Past Chair, Episodes of Care Task Force, ACEP; Co-Chair, Healthcare Delivery Reform Task Force, ACEP; Past Member, AMA RUC

Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC President, Edelberg Compliance

Associates, Baton Rouge, Louisiana; Member, ACEP Coding and Nomenclature Advisory Committee; AHIMA Approved ICD-10-CM Trainer; Clinical/Technical Editor, ED Specialty Credential Study Guide and Specialty Certification AAPC ; Past Member, National Advisory Board, AAPC; Recipient, Faculty Member of the Year (ACEP); Past President, Baton Rouge Chapter AAPC; Past Editor, Emergency Department Answer Book ; Member Editorial Advisory Board, ED Coding Alert; Member Editorial Advisory Board/Columnist, ED Management

Invited Faculty

Coding for Emergency Medicine has been approved for a maximum of 17.5 hours of ACEP Category I credit.Reimbursement: Trends and Strategies in Emergency Medicine has prior approval of the American Academy of Professional Coders for 15.75 Continuing Education Units; Optional Session: Introduction to Emergency Department Coding/Advanced Procedure Coding for Emergency Medicine has prior approval of the American Academy of Professional Coders for 17.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the academy of the program, content or the program sponsor.Reimbursement: Trends and Strategies in Emergency Medicine and Optional Session: Introduction to Emergency Department Coding/Advanced Procedure Coding for Emergency Medicine have been approved by the American Osteopathic Association; Reimbursement: Trends and Strategies in Emergency Medicine for 15.75 hours of AOA Category 2-B and Optional Session: Introduction to Emergency Department Coding/Advanced Procedure Coding for Emergency Medicine for 17.5 hours of AOA Category 2-B credit.

Continuing Education Credit

REGISTRATION FORM


Reimbursement: Trends and Advanced Procedure Coding Strategies in Emergency Medicine for Emergency Medicine

January 23-25, 2012 January 26-27, 2012________________________________________________ ________________________________________________

Discount fee on Regular fee Discount fee on Regular feeor before 12/23/11 after 12/23/11 or before 12/23/11 after 12/23/11

ACEP Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $650 . . . . . . . . . $725. . . . . . . . . . . . . . . $520 . . . . . . . . . . $595Add’l Member Same Inst* . . . . . . . . . . . . . . . . . . . . . . . $540 . . . . . . . . . $615. . . . . . . . . . . . . . . $480 . . . . . . . . . . $555

Non-Member Physician . . . . . . . . . . . . . . . . . . . . . . . . . . . . $840 . . . . . . . . . $915. . . . . . . . . . . . . . . $655 . . . . . . . . . . $730 Add’l Non-Member Physician Same Inst* . . . . . . . . . . $695 . . . . . . . . . $770. . . . . . . . . . . . . . . $585 . . . . . . . . . . $660ACEP Member Resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . $460 . . . . . . . . . $535. . . . . . . . . . . . . . . $335 . . . . . . . . . . $410Non-Member Resident/Resident Fellow** . . . . . . . . . . . . $495 . . . . . . . . . $570. . . . . . . . . . . . . . . $395 . . . . . . . . . . $470Physician Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $495 . . . . . . . . . $570. . . . . . . . . . . . . . . $395 . . . . . . . . . . $470Nurse/NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $495 . . . . . . . . . $570. . . . . . . . . . . . . . . $395 . . . . . . . . . . $470Billing/Coding Professional . . . . . . . . . . . . . . . . . . . . . . . . . $740 . . . . . . . . . $815. . . . . . . . . . . . . . . $625 . . . . . . . . . . $700 Add’l Billing/Coding Professional* . . . . . . . . . . . . . . . . $635 . . . . . . . . . $710. . . . . . . . . . . . . . . $535 . . . . . . . . . . $610Consultant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $740 . . . . . . . . . $815. . . . . . . . . . . . . . . $625 . . . . . . . . . . $700 Add’l Consultant* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $635 . . . . . . . . . $710. . . . . . . . . . . . . . . $535 . . . . . . . . . . $610

Yes, I would like to attend the Product Showcase on Monday, January 23, 2012. (included in fee)Yes, I would like to attend the Wine and Cheese Reception on Tuesday, January 24, 2012 (included in fee)Yes, I would like to attend the Optional Session: Introduction to Emergency Department Coding on Wednesday, January 25, 2012 (additional $125)

* The additional member, non-member same institution, and additional billing/coding professional or consultant fee is applicable when registering three or more paid registrants from the same institution or group. The three or more registrations must be mailed together and full payment must be included.

** Letter of verification required.

• Last day to pre-register is January 6, 2012. All registration fees must be prepaid. Your registration fee includes conference handouts, exhibits, continental breakfast, and coffee breaks.

• A cancellation fee of $50 will be assessed if cancellation is received within 30 days from the beginning of the meeting. A cancellation fee of $100 will be assessed if cancellation is received less than 30 days from the beginning of the meeting. No refunds will be given after the meeting begins.

NAME ACEP ID#

TITLE ADDRESS

CITY/STATE/ZIP

TELEPHONE FAX

E-MAIL ADDRESS

CARD #

SIGNATURE SECURITY CODE

EXPIRATION DATE

Enclosed is my check for $ ________________________________ Charge my: Visa MasterCard Discover

PAYMENT INFORMATION

REGISTRANT INFORMATION

REGISTRATION CATEGORIES

REGISTRATION FORM

Register Online: To register online go to www.acep.org/rc. Written confirmation will be emailed approximately one week after processing to verify registration and payment.

To register by phone, call 800-798-1822, ext. 6 or call 972-550-0911. Charge your fees to your VISA, MasterCard, or Discover.To register by mail, complete this form and mail it with your check (payable to ACEP) or credit card information to ACEP Meeting Registrar, PO

Box 619911, Dallas, Texas 75261-9911.To register by fax, complete this form (including credit card information) and fax it to ACEP’s 24-hour fax line 972-580-2816.Email: For questions or additional information, e-mail [email protected]


NON-PROFIT

US POSTAGE

PAID

DALLAS, TX

PERMIT NO. 1586

Remember, this is the only offering of these popular conferences for this year!

Reimbursement: Trends and Strategies in Emergency Medicine January 23-25, 2012

Advanced Procedure Coding for Emergency Medicine January 26-27, 2012

Introduction to Emergency Department Coding January 25, 2012

Americans with Disabilities Act In accordance with the Americans with Disabilities Act, ACEP uses only facilities that are in compliance. If you are disabled requiring special assistance while attending the 2012 Reimbursement and Coding conference, call 800-798-1822, ext. 6.

Electronic Syllabus Course Syllabi will be available exclusively in electronic format. Prior to the meeting, registrants may access course syllabi submitted by faculty on the conference website. Syllabi will also be distributed on a flash drive during the meeting.

ExhibitsTuesday, January 24 –Thursday, January 26 During the breaks, visit our exhibit program featuring companies ready to demonstrate what’s new in products and services specific to your reimbursement and coding needs.


Documents

Reimbursement: Trends and Strategies & Advanced Procedure …. Granovsky to... · 2011-11-04 · Granovsky, MD, CPC, FACEP; Ron Howrigon Optional Session Wednesday, January 25 Introduction