Reimbursement: Trends and Strategies in Emergency Medicine February 3-5, 2013

Transcription

1 SAVE MONEY With Early Bird Discount 2013 UPDATES ICD-10 Value-Based Payment Modifier Reimbursement: Trends and Strategies in Emergency Medicine February 3-5, 2013 Advanced Procedure Coding for Emergency Medicine February 6-7, 2013 Introduction to Emergency Department Coding February 5, 2013 Marriott Marquis & Marina San Diego, CA 13-Reimbursement Coding-San Diego.indd 1 10/29/12 2:28 PM

2 Dear Colleague: The Supreme Court decision has ushered in the next wave of health care reform. Statewide initiatives with health insurance exchanges and Medicaid expansion will quickly be redefining our payer mix. The formation of ACOs will impact ED payment methodologies. Private payers are starting their own initiatives and ramping up expansive audit processes. Medicare and Medicaid have targeted emergency physicians for explosive audit campaigns. 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, It is time to get informed and gain the tools to safeguard your group s financial future. What You Will Learn: Managed care contract negotiation strategies Strategies for prospering in the next wave of health care reform The value-based payment modifier and what it means to you Optimizing the revenue cycle through the application of benchmarks and throughput strategies The 2013 Medicare Fee Schedule 2013 CPT and ICD-9 update The latest coding news regarding observation services and critical care Advanced coding and hot topics: Scribes, anesthesia, ICD-10, pediatrics, and EHR issues Register yourself and your group today! All the speakers were excellent in both knowledge/expertise and presentation skills. Well organized, pertinent timely information provided. Presenters all experts in their field and well prepared. Presenters were great and clearly knew their topics. Enjoyed the format. Look forward to the next one! Will bring more folks with me. I knew nothing about these concepts when I arrived and now I feel confident that I can make a difference to my group Each speaker was very clear and easy to understand. The information was extremely informative and helpful. Michael A. Granovsky, MD, CPC, FACEP Course Director It is extremely valuable to have the caliber of speakers to learn from and use as a resource - thank you!

3 Great learning experience! Also, feel more confident in the way I am assigning codes and physician levels. This is a great conference! Information is so current, fresh and valid. I also appreciated the basic coding review - can always use a refresher Sometimes I ll question myself and when I come here, it s like you re reading my mind and answer all my questions. It s a great learning experience! Always a great source of information in a short period of time. Syllabi a great reference forward; thank you to all It was a very relaxed atmosphere. The speakers did a great job going over the info in great detail. Panel is so knowledgeable presenting information in fresh, interesting manner I like the format with case studies 13-Reimbursement Coding-San Diego.indd 3 New! Webinars on Reimbursement and Coding Topics! ACEP will be offering a series of three webinars taught by Dr. Michael Granovsky, chair of ACEP s Reimbursement and Coding conferences. You do not have to be registered for the conferences to gain access to these valuable webinars. However, as an added benefit to registering for these conferences, you can purchase the webinars at a discounted rate to supplement your conference experience. November 27, 2012: Focus on Critical Care January 8, 2013: Basics of insurance payments, RVU valuations, and quality payments (Perfect primer course for the conference) May 14, 2013: Important updates in reimbursement and coding not available during conference RESERVE YOUR ROOM NOW! ACEP S ROOM BLOCK WILL SELL OUT EARLY San Diego Marriott Marquis & Marina 333 Harbor Drive San Diego, CA Reservations: or Group Code: Must inform agent that you are attending the American College of Emergency Physicians Reimbursement and Coding conferences, reference #M-FH0M2R to get the room rate. Web Site: Rate: $238 single/double, plus taxes and fees Experience Southern California cool at the San Diego Marriott Marquis & Marina. Overlooking the hotel s private marina on the San Diego Bay, steps away from the vibrant Gaslamp Quarter entertainment district, and 10 minutes away from the airport, this hotel makes it easy to get to everything. The deadline to make reservations at the discounted rate is Thursday, January 10, After January 10, rooms and rates are subject to availability. All reservations must be guaranteed with a paid deposit for the first night s guestroom and tax charge. Air Travel Make your airline reservations through Campbell Travel, ACEP s official travel agent, for best prices and service. Call or , Monday - Friday from 8:00 am 5:00 pm CST, or travel@campbelltravel.com. A $20 service fee will be added to the total amount of the purchase. Ground Transportation San Diego Marriott Marquis is just 10 minutes from the San Diego International Airport and the estimated taxi fare is $15 one way. ACEP Member $150 Non-Member $175 Conference Attendee $99 (Per webinar) For information visit, 10/29/12 2:28 PM

4 Reimbursement: Trends and Strategies in Emergency Medicine Sunday Monday Tuesday February 3 February 4 February 5 7:00 am Registration and Continental Breakfast 8:00 am 2013 Reimbursement Update and National Trends Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE 9:00 am Incentive-Based Compensation Programs: Practical Approaches That Work Kevin M. Klauer, DO, EJD, FACEP 10:00 am Break 10:15 am The Next Wave of Healthcare Reform: The Impact of the 2012 Elections and the SCOTUS Decision Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE 11:15 am Will You Measure Up?: Reimbursement Realities of the CMS Quality Programs Kevin M. Klauer, DO, EJD, FACEP 12:00 pm Lunch (On Your Own) 1:00 pm The Effect of EMRs on Productivity, Reimbursement, and Liability Kevin M. Klauer, DO, EJD, FACEP 2:00 pm Tracking the Effectiveness of Your Billing Company: Key Metrics and Reports Michael A. Granovsky, MD, CPC, FACEP 3:00 pm Break 3:15 pm Product Showcase 7:30 am Continental Breakfast 8:00 am Avoid the Rapids: Additional Revenue Stream Opportunities Michael A. Granovsky, MD, CPC, FACEP 9:00 am Maximizing Patient Throughput Kirk B. Jensen, MD, MBA, FACEP 10:00 am Break - Visit the Exhibits 10:30 am Why Didn t You Become an Orthodontist, but Since You Didn t What Should You Do About Governmental and Private Payor Audits? Edward R. Gaines, III, JD, CCP 11:30 am Transitioning from Fee for Service to Risk, Shared Savings and Gainsharing The Patient Protection and Affordable Care Act (PPACA) and What Could It Mean to Your Practice? Edward R. Gaines, III, JD, CCP 12:30 pm Lunch (On Your Own) 1:30 pm ED Benchmarking Kirk B. Jensen, MD, MBA, FACEP 2:30 pm Break - Visit the Exhibits 3:00 pm 2014 A Healthcare Odyssey: An Epic Drama of Commercial Payer Evolution in a Post Health Care Reform World Ron Howrigon 4:00 pm Question & Answer Session Michael A. Granovsky, MD, CPC, FACEP (Moderator); Edward R. Gaines, III, JD, CCP; Kirk B. Jensen, MD, MBA, FACEP Exhibits Monday, February 4 Wednesday, February 6 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. 7:30 am Continental Breakfast 8:00 am Dancing with the Devil: How to Negotiate with Manage Care Companies Ron Howrigon 9:30 am Break - Visit the Exhibits 10:00 am What is a Forward Looking Compliance Risk Assessment and What Are Mitigation Strategies for ED Coding, Billing & Compliance? 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 session Tuesday, February 5 Introduction to Emergency Department Coding New 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 Exhibits 4:00 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

5 Advanced Procedure Coding for Emergency Medicine Wednesday 7:30 am Continental Breakfast 8:00 am 2013 Coding Update - CPT, ICD-9, PQRS, and the Latest Audits: What You Need to Know Now Michael A. Granovsky, MD, CPC, FACEP; David McKenzie, CAE 9:00 am Don t Get Shocked: Critical Aspects of Critical Care Coding Dennis M. Beck, MD, FACEP 10:00 am Break - Visit the Exhibits 10:30 am Ultrasound Coding in Catch The Wave 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 12:00 pm Lunch (On Your Own) 1:00 pm PQRS Coding: 2013 Game Changers Michael A. Granovsky, MD, CPC, FACEP; Todd Thomas, CCS-P 1:30 pm Lightning Rounds: Don t Get Struck ICD-10 Preparation and Other Hot Topics David McKenzie, CAE (Moderator); Dennis M. Beck, MD, FACEP; Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Michael A. Granovsky, MD, CPC, FACEP; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P 2:30 pm Break 2:45 pm Lightning Rounds: Don t Get Struck ICD-10 Preparation and Other Hot Topics (continued) David McKenzie, CAE (Moderator); Dennis M. Beck, MD, FACEP; Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Michael A. Granovsky, MD, CPC, FACEP; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P Thursday February 6 February 7 7:30 am Continental Breakfast 8:00 am Don t Get Stuck - Advanced Procedure Coding in 2013 Michael A. Granovsky, MD, CPC, FACEP 9:00 am Advanced Coding Case Study Workshop David McKenzie, CAE (Moderator); Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Michael A. Granovsky, MD, CPC, FACEP; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P 10:30 am Break 10:45 am Advanced Coding Case Study Workshop (continued) David McKenzie, CAE (Moderator); Caral L. Edelberg, CPC, CPMA, CAC, CCS-P, CHC; Michael A. Granovsky, MD, CPC, FACEP; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P 12:15 pm Lunch (On Your Own) 1:15 pm Finding the Path: Observation Services - Professional and Facility Coding Complexities 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); Caral L. Edelberg, CPC, CPMA,CAC, CCS-P, CHC; David McKenzie, CAE; Candace E. Shaeffer, RN, MBA, RHIA; Todd Thomas, CCS-P Course objectives can be found on the conference website Continuing Education Credit 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 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 17.0 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 hours of ACEP Category I credit; Optional Session: Introduction to Emergency Department Coding/Advanced Procedure Coding for Emergency Medicine has been approved for a maximum of 17.0 hours of ACEP Category I credit. Reimbursement: Trends and Strategies in Emergency Medicine has prior approval of the American Academy of Professional Coders for 16 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 17.0 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 hours of AOA Category 2-B and Optional Session: Introduction to Emergency Department Coding/Advanced Procedure Coding for Emergency Medicine for 17.0 hours of AOA Category 2-B credit.

6 Invited Faculty Dennis M. Beck, MD, FACEP President and CEO, Beacon Medical Services, Aurora, Colorado; Past Chair and current member, ACEP Reimbursement, Quality and Performance Committees; Current member, ACEP Coding and Nomenclature Committee; Chair, CO ACEP Finance Network; Member, CO ACEP representative to TrailBlazer Carrier Advisory Committee; Co-Chair, ACEP Value Based Emergency Care Task Force (2008-9); Chair, ACEP Episodes of Care Task Force ( ); Co-Chair, ACEP Healthcare Delivery Reform Task Force ( ); Past Member, AMA RUC; Past President, CO ACEP 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, ACEP Faculty Member of the Year; 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 Edward R. Gaines, III, JD, CCP Chief Compliance Officer, Medical Management Professionals, Inc., Greensboro, NC; Co-founder, Past Chair and current Board Member, Emergency Department Practice Management Association (EDPMA), McLean, Virginia; Fellow, Certified Compliance Professional (CCP) and Board Member, Health Ethics Trust; Ex-Officio Member, ACEP and NC CEP Reimbursement Committees; ACEP Honorary Member (2012); Member, North Carolina State Bar and Member of the Bar of the United States Supreme Court; ACEP Outstanding Speaker of the Year Award Michael A. Granovsky, MD, CPC, FACEP President, LogixHealth; Editor ED Coding Alert, Subject Matter Expert AAPC ED Subspecialty Certification Exam; Chair, ACEP Coding and Nomenclature Committee; Member, Reimbursement Committee; CFO Greater Washington Emergency Physicians, Fort Washington, Maryland; Course Director. Reimbursement Trends and Strategies in EM/Advanced Procedure Coding for EM 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 Kirk B. Jensen, MD, MBA, FACEP Chief Medical Officer, Best Practices, Inc.; Executive Vice President, EmCare; Faculty Member, Institute for Healthcare Improvement (IHI); Studer Group, National Speaker, Raleigh, North Carolina Kevin M. Klauer, DO, EJD, FACEP 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.; ACEP Council Vice Speaker; Board Member, NEMPAC 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 Business Unit, Optum, Bellevue, Washington; Clinical Faculty, University of Washington Health Informatics and Health Information Management Program; Contributing Writer, HCPro s Briefings on APCs; Member, AHIMA, Coding and Nomenclature Committee, ACEP 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; ACEP Outstanding Speaker of the Year Award 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 2013 Reimbursement and Coding conferences, call , ext. 6.

7 Register Today Discounts End January 3, 2013 Reimbursement: Trends and Strategies in Emergency Medicine February 3-5, 2013 Advanced Procedure Coding for Emergency Medicine February 6-7, 2013 Introduction to Emergency Department Coding February 5, 2013 Marriott Marquis & Marina San Diego, CA Registrant Information Name ACEP ID# NPI number Title Address city/state/zip Address Telephone Fax Registration Categories Last day to pre-register is January 25, 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. Reimbursement: Trends and Advanced Procedure Coding Strategies in Emergency Medicine for Emergency Medicine February 3-5, 2013 February 6-7, 2013 Discount fee on Regular fee Discount fee on Regular fee or before 1/3/13 after 1/3/13 or before 1/3/13 after 1/3/13 ACEP Member... $ $ $ $595 Add l Member Same Inst*... $ $ $ $555 Non-Member Physician... $ $ $ $730 Add l Non-Member Physician Same Inst*... $ $ $ $660 ACEP Member Resident... $ $ $ $410 Non-Member Resident/Resident Fellow**... $ $ $ $470 Physician Assistant... $ $ $ $470 Nurse/NP... $ $ $ $470 Billing/Coding Professional... $ $ $ $700 Add l Billing/Coding Professional*... $ $ $ $610 Consultant... $ $ $ $700 Add l Consultant*... $ $ $ $610 Yes, I would like to attend the Product Showcase on Sunday, February 3, (included in fee) Yes, I would like to attend the Optional Session: Introduction to Emergency Department Coding on Tuesday, February 5, (additional $125) Yes, I would like to register for Reimbursement/Coding webinar. (additional $99 each) Nov. 27, Jan. 8, May 14, 2013 * 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. Payment Information Enclosed is my check for $ Charge my: Visa MasterCard Discover American Express card # expiration date signature security code Online: Phone: , ext. 6 Registration: meetingregistrar@acep.org Mail Registration: ACEP Meeting Registrar / P.O. Box / Dallas, TX

8 NON-PROFIT US POSTAGE PAID DALLAS, TX PERMIT NO Remember, this is the only offering of these popular conferences for this year! Reimbursement: Trends and Strategies in Emergency Medicine February 3-5, 2013 Advanced Procedure Coding for Emergency Medicine February 6-7, 2013 Introduction to Emergency Department Coding February 5, 2013 Marriott Marquis & Marina San Diego, CA 13-Reimbursement Coding-San Diego.indd 8 100% 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. 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 10/29/12 2:31 PM