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Online Compliance Training by SkillAcquire

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HIPAA Privacy Rule Primer — What the HIPAA Privacy Officer Needs to Know

This Webinar discusses the foundations of HIPAA and how they relate to the issues of today. The rules to be discussed encompass the full range of the HIPAA Privacy Rule, with particular focus on the areas that have seen changes in the rules, technologies, or practices that impact HIPAA compliance. Patient rights and controls on uses and disclosures have been in flux, HHS has issued guidance, and other regulations related to personal information have been enacted or modified. Healthcare entities face significant challenges with issues today that didn’t even exist a few years ago, such as insecure communications, Ransomware, and the E.U.’s GDPR, protecting all kinds of personal information. As opioid issues have spread, interactions with the SAMHSA 42 CFR Part 2 regulations on information relating to substance use disorders have taken center stage. There is no shortage of topics of interest to the HIPAA Privacy Officer.

This session will focus on understanding what are the issues that a HIPAA Privacy Officer faces, and what are the areas of HIPAA that are changing. While the rules have been in place for years now, the focus of their application has changed as technologies and practices have changed, and changes to the rules are on the horizon. In addition, there are changes in other regulations that interact with HIPAA requirements, and that require consideration in your planning. The session will discuss the latest topics of interest and describe how they relate to the regulations and their enforcement today.

Learning Objectives:

The HIPAA expert and HIPAA newbie will be able to:

Stay up with changes to HIPAA and related regulations in personal information privacy and security
Understand the regulatory issues most frequently encountered in day-to-day operation of health care entities
Understanding the variety of forms entities can take under HIPAA and how they relate to one another
How patient rights such as access and amendment of information , are protected and enforced under HIPAA
How uses and disclosures may take place in a wide variety of circumstances, including such hot topics as sharing information with the family and friends of a patient when they’re involved with the patient’s care
Areas Covered In This Session:

Current topics of interest to be discussed include:
Current enforcement and audit activity,
Changes to Substance Use Disorder records confidentiality under 42 CFR Part 2,
Dealing with the European Union’s General Data Protection Regulation (GDPR), and
Ensuring individuals have adequate access of their information under the rules.
The place of Information Security and incident management under the HIPAA Security and Breach Notification Rules will be explained.
Processes to be used in managing security, mitigating risks, and handling incidents will be explained.
Proper methods of documentation and training to ensure compliance and help avoid penalties will be explained, including the use of internal audits and drills to develop and hone the ability to:
improve compliance continuously and
be prepared for incidents and enforcement investigations.

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HIPAA and The Medical Practice - Live Webinar

We have all heard and been exposed to HIPAA in the healthcare field, but do you really know what it means and exactly how it applies to you? This webinar provides an often-overlooked basic overview of the origins of HIPAA and the actual laws and statutes that make up the HIPAA Omnibus Rule. The speaker will then highlight the major changes that must have been implemented after the 2013 HIPAA updates. Thereafter, the attendee will learn the basic requirements for a Notice of Privacy Practices as well as when authorizations are and are not required for the use and disclosure of a patient’s protected health information. The latter half of the webinar will focus on the identification of a breach and what the required process is to remedy a breach if it is determined one has occurred.

The Federal Office for Civil Rights, the government entity tasked with enforcing HIPAA began a preliminary pilot program in 2015 to ensure a certain number of random compliance audits of Covered Entities. The initial overview of HIPAA requirements and policies will help the attendee determine if his or her practice is compliant. Thereafter, the speaker will highlight what “red flags” the Office for Civil Rights looks for when determining whether to audit a practice and learn what to do in the event you are selected for a random audit.

Session Objectives:

Determining the level of compliance with HIPAA
Recognizing areas that need to be brought into compliance
Learning how to analyze a breach
Current trends in enforcement actions
Areas Covered In The Session :

HIPAA Basics
Notice of Privacy Practices
Use and Disclosure of PHI
Physical, Technical and Administrative Safeguards
HIPAA Breaches
Business Associates and Business Associate Subcontractors
Enforcement Actions
Q&A Session

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Payers, particularly Medicare, now place limits on the number of contiguous fracture and dislocation treatments that can be billed during the same encounter. Meanwhile, on the diagnosis coding side, questions remain about reporting 7th characters for active treatment and follow-up care and differentiating between chronic and acute injuries, among other details.

This session by expert speaker Margie Scalley Vaught will navigate through the specific requirements of fracture coding and also give you the supporting information from official sources (CMS/AAOS/CPT) to get those claims paid and paid appropriately. Margie will also help you go over the new CCI guidelines related to closed treatment without manipulation fractures.

Session Objectives:

Participants will be able:

To learn ICD-10 issues relating to fracture care treatment.
To learn how to recognize different types of fracture treatments in the op-note and how to code them.
To understand the difference between open fractures and open treatment, and between closed fractures and closed treatment.
To know what is percutaneous fixation and what should the documentation say.
To know and understand itemized billing method and global fracture care reporting
To understand when and how to use correct modifiers
To understand Issues related to E/M reporting with a global fracture CPT code.
NCCI rules for coding the reduction of multiple contiguous fractures
To understand different confusing issues relating to fracture treatment, such as when the patient first presents in the ER, or when postop follow-up care is done by a separate provider etc.
Session Agenda:

ICD-10 Issues
What is ‘initial encounter’
ICD-10 issues for Fx Care
Types of fracture treatment
Open treatment definition
Percutaneous treatment definition
Closed treatment definition
CPT coding of Closed treatment without reduction
Closed Treatment with reduction
Presentation vs. treatment
Global fracture care and it’s CPT Codes
Itemized billing method
Global fracture care vs. Itemized Billing method
Use of Modifiers
CPT guidelines
Coding scenarios
EM and fracture care
Q&A Session and much more

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This workshop explores E/M coding for both physicians and hospitals and include a brief discussion of consultation codes for telehealth. Documentation issues and challenges relative to auditing E/M coding discussed for both physicians and hospitals. Compliance issues and concerns are discussed relative to E/M coding. The use and misuse of the “-25” modifier along with other modifiers surrounding E/M coding the global surgical package. Audit techniques are outlined relative to assuring proper compliance with E/M coding.

Possible changes to E/M coding for Medicare for CY2019 will be addressed. While significant changes for the office visits (99201-99215) have been proposed, the final changes will be announced in the first half of November, 2018.

Understand How Physicians and Hospitals Use E/M Codes
Appreciate the Need to Review E/M Coding and Judge Associated Documentation
Learn About the CMS Facility E/M Coding Principles and the G0463
Understand the Difficulties with E/M Coding for the ED
Appreciate How To Adjust to CMS Dropping the Consultation Codes
Appreciate the Differences Between Specialty Clinic Coding and Primary Care Clinic Coding for E/M Services
Appreciate Documentation System Including ‘Copy and Paste’ Capabilities
Understand the Interplay Between Facility component E/M Coding and Physician E/M Coding
Learn About the Difference Between a ‘New’ Patient versus an ‘Established’ Patient
Understand How to Organize an E/M Coding Audit for Either Physicians or Hospitals
Understand the Importance of the “-25” Modifier
Appreciate the Compliance Challenges Surrounding E/M Coding
Learn About Changes in Office Visit for Medicare for CY2019
Session Objectives:

To review the E/M codes as they appear in the CPT Manual.
To explore different guidelines that are used by physicians and hospitals.
To understand the use of G0463 and BBA 2015 Section 603 clinics.
To discuss establishing an E/M coding audit and audit program.
To appreciate the difference between ‘new’ versus ‘established’ patients for physicians and hospitals.
To appreciate physician coding for incident-to billing.
To understand the differences in E/M coding for ER physicians and provider-based clinic physicians both primary care and specialty.
To appreciate the physician E/M documentation guidelines.
To explore the compliance challenges faced by both physicians and hospitals for E/M coding and the “-25” modifier.
Recognize how to make changes to accommodate CMS’s dropping the use of the consultation codes.
To explore how electronic health record systems create challenges for developing proper documentation to support E/M coding.
To review changes that are being made for office visit E/M codes for Medicare starting in 2019.
Session Agenda:

E/M Coding Under RBRVS
E/M Coding Under APCs
E/M Codes – General Categories
Physician Use of E/M Codes
Electronic Health Record Systems
Update to Office Visit Codes for Medicare
CMS Proposal for Special G-Codes
Changes in Documentation Guidelines
E/M Coding Guidelines
Physician Guidelines
Hospital Developed Guidelines
BBA 2015 Section 603 Clinics
Variations for ED and Provider-Based Clinics
Consultation Code Issues and the “-AI” Modifier
CMS Coding System Principles and Guidance
CMS Guidelines
CMS Audit Criteria
CMS Expectaion
Planning An E/M Coding Audit
Overall Objective
Number of Cases For Selection
Stratification of E/M Levels
Use of OIG’s RAT-STATS Program
Audit Guidelines
Developing Recommendations
Assessing Impact of Electronic Health Record Computer Systems
Report Writing and Recommendations
Case Studies/Exercises
Sources for Further Information

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The expert Lynn M. Anderanin will provide guidance on the proposed changes to E&M services performed in the office, how they will likely impact your practice, and what will need to be changed in the workflow, policies, and procedures. Learn about the proposed changes to reimbursement of E&M services in the office when procedures and/or services with a 0 or 10-day global period will be significantly reduced, and how they will affect you.

This session helps you learn and understand the potential changes, as well as know why CMS is proposing these changes in the first place. Lynn will walk you through the possible payment options proposed, and the documentation changes relative to history, exam, and medical decision making. Find out what will happen if reimbursement becomes time-based, a method of reimbursement for office visits used in the early 90s. And if you’re a specialty practice that relies primarily on office visits, you’ll look forward to knowing more about the proposal to make available and report G-codes in certain scenarios where visits are more complex due to the patient’s condition.

Session Objectives:

After attending this session, you’ll be well-prepared for the changes when they most likely come into effect on January 1, 2019. Moreover, Participants will be able:

To understand the proposed rule as it to pertains to E/M service in the office setting and begin to review the impact of these changes in your office.
To understand proposed payment methodologies for office visits for new and established patients in 2019.
To learn major new changes to documentation guidelines that could become reality.
To learn how to focus the level of service on medical decision making with less focus on history and examination.
To learn how to assign one fee for several different levels of service
To understand potential fee reductions for office visits and procedures and/or services on the same day
To learn additional reimbursement for some specialty providers on office visits
To learn and understand how to prepare for the potential changes.
Session Agenda:

Medical Record Documentation Supports Patient Care
Documenting E/M Requires Choosing Appropriate Code
Level of E/M Visits
Key components when selecting the appropriate level of E/M services
Mecial Decision Making or Time
How to Streamline E/M Payment and Reduce Clinician Burden
Payment for E/M – Established & New Patient
Additional Payment Codes
Advancing Virtual Care
Q&A Session

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The expert, Margie S. Vaught walk you through the 2019 changes relating to orthopedic coding and documentation for CPT® codes, CCI bundling issues, and CMS fee schedule. Find out how CMS wants to change documentation for E&M services, which new codes ICD-10 has added, and how the documentation guidelines to support ICD-10 diagnosis codes have been updated. But that’s not all: find out about the likely changes to NCCI guidelines, as well as to chapter four of the guidelines.

Session Objectives:

After attending this webinar, participants will be able:

Know the ICD-10 changes for orthopedic offices
Know what are the new and changed 2019 CPT coding for orthopedic issues
Access the CMS final physician fee schedule for 2019
Learn to prepare for the 2019 NCCI bundling and unbundling for musculoskeletal issues
Know when and how to use modifiers
Session Agenda:

New and changed 2019 CPT codes and guidelines
ICD-10 codes for orthopedics offices.
CMS 2019 Final physician fee Schedule
2019 NCCI bundling and unbundling for Musculoskeletal Issues
E&M services documentation changes
Modifier use
Q&A Session

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SkillAcquire is a US-based online live webinar service provider, we provide live & interacting webinars which are guided by industry experts. These webinars are very helpful in staying updated with medical compliance. Our online compliance training courses provide the best training to the medical professionals and help in gaining good insights of the industry, we also provide a certificate after the seminar.

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