Conference Panel

Accurate coding is the backbone of medical billing and reimbursement. However, when it comes to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies – Assigning the Correct Code , things can get complicated. The AMA CPT Manual does not cover DMEPOS, and while the HCPCS Manual does, it lacks clear coding guidelines. This creates confusion for coders, compliance officers, and revenue cycle management teams who must ensure correct claim submission. Why Is DMEPOS Coding So Challenging? Unlike procedural and diagnosis coding, DMEPOS coding often lacks clear-cut instructions. Several factors make it difficult: Limited Medicare NCCI Edits – Many edits are proprietary and unpublished, leaving coders with minimal guidance. Ambiguous HCPCS Manual Guidelines – The manual includes codes but does not always specify how they should be applied. Multiple Sources of Coding Guidance – From LCDs to PDAC and manufacturer recommendations, there is no single reference for DMEPOS coding. Modifi...

  Outbreaks of infectious disease, disasters, and conflict have reminded the world of the reality that it is still prone to health emergencies with global consequences. Significant gaps still exist in the ability of many countries to address all hazards, health emergencies, and disaster risks. WHO has played an increasingly operational role in the past few years. Ongoing conflict and inadequate health systems mean that many countries cannot provide the most basic health, nutrition, and social services. It is in these vulnerable settings where most deaths among children under five occur, as well as the highest rates of maternal mortality, unintended pregnancy, sexual and gender-based violence, malnutrition, mental disorders, underimmunisation, and infectious disease outbreaks. Conflict, climate change, population growth, and movements are changing the context in which we operate. An estimated 1.4 billion people live in fragile, conflict-affected, and vulnerable settings. Eighty perc...

  What is the non-compete law in New York 2024? Non-compete agreements are legally binding agreements that some employers impose on their employees to restrict them from working for a competing company for some time after leaving the job. Given that Employees who signed non-competes are unlikely to leave because the legal agreement limits their mobility, the classic non-compete components included preventing the complaining party from obtaining a trade secret or a customer relationship for a specific amount of time. The current global picture regarding litigation of non-compete has started to change. Recent proposals, such as Assembly Bill A1278, targeting further restrictions on the use and the enforcement of non-compete, will potentially decrease further legal battles on whether a non-compete can be enforced or not. The law would make it illegal for businesses to counteroffer without the approval of the Ministry of Economy. It would ban the use of non-compete clauses for most emp...

  The updates to the ICD-10-CM Official Guidelines for Coding and Reporting are minimal for 2025. Most of the updates are necessary to maintain consistency in how things are referenced in the guidelines based on the addition of new codes. The International Classification of Diseases 10th revision clinical modification is adapted from time to time to keep up with the changes in the University's clinical practice, the development of new diseases, and the changing of relevant regulatory guidelines. The updates of codes of ICD-10-CM Code updates 2025 are many and significant for healthcare practitioners and medical coders to learn in order to document correctly, optimally reimburse, and comply with regulations. Key Changes in ICD-10-CM Code Updates 2025 include but are not limited to: Expansion of diagnosis codes The updated codes for the year 2025 include 500 plus additional codes, which will include all known emerging diseases and conditions, for example, The code's long-term com...

  Mastering The 2024 Prior Authorization Process For Medical Providers Prior Authorizations are a cost containment strategy that third-party payers leverage to control costs, restrict patient access to services, testing, and medications, and ultimately discourage medical providers from ordering unnecessary medical treatment. Prior authorizations are a major source of headaches for healthcare providers nationwide. Despite the intention to control costs and ensure appropriate care, the prior authorization process has been criticized for its enormous administrative burden, potential delays in necessary medical treatment, and added complexity for healthcare providers. Striking a balance between cost control and efficient patient care remains a major challenge in the healthcare industry. Join us for an insightful 60-minute webinar as we take a deep dive into the complexities of the Prior Authorization process, discuss the pearls and pitfalls, define medical necessity requireme...

Credentialing 101: Detailed Guide to Provider Credentialing +  Maintaining Provider Enrollments, Updates, and Re-Validations

CMS Hospital QAPI Standards 2024

Hospital and Health Care Strategies to Address New Cybersecurity Challenges Hospitals and Health Care Providers are under attack by Cyber-criminals and closely watched by government regulators and private litigators. You must be proactive to meet these challenges. Attend this webinar to review strategies and resources to address the challenges.

  Navigating the 2024 Medicare 855 Enrollment Form Updates  

  Decrease Your Confusion with Coding Injections and Infusions Many hospital and clinic settings continue to struggle with injection and infusion coding.  Failure to report the correct injection and infusion codes may negatively impact submitted claims, fail an external audit, or be at risk for non-compliance.  Join us in this informative, educational webinar as we conquer these challenges and apply complete, compliant coding practices.  We will perform hands-on coding of various case scenarios and prepare for incoming audits surrounding these complex codes.  Whether you’re a new or seasoned coding professional, manager, educator, or student, join us as we walk through the coding guidelines, CPT hierarchy, start and stop time documentation, and many more. Register Now

CPT Coding Changes for 2024

Nursing Standards CMS Condition of Participation for Hospitals This webinar will cover the nursing services section from the Centers for Medicare & Medicaid Services (CMS) hospital Conditions of Participation (CoPs) manual. Many changes made to the hospital nursing chapter of the COP's manual are still awaiting interpretive guidelines and survey procedures. This program will discuss often-cited areas of the COP's manual regarding nursing care, including plans of care, staffing, policy changes, documentation, supervision, nursing leadership, verbal orders, and more. This program will also reference the ever-changing non-discrimination regulations of Section 1557 and will briefly cover other sections of the manual that impact nursing. Learning Objectives At the conclusion of this session, participants should be able to: Explain that CMS has a section on nursing services that every hospital must follow. Recite the three timeframes during which all medications must be administe...

  New! HIPAA Compliance for Web Sites and Tracking Technologies, Social Media, and Patient Reviews This webinar explains HIPAA Compliance Safeguards allowing Health Care Providers to do effective Internet-based marketing and comply with HIPAA.  Attend this webinar to learn the simple administrative safeguards from the HIPAA Privacy Rule that protect Health Care Providers from liability for common, dangerous HIPAA violations on the Internet. Register Now

The Secrets To Correctly Billing Shared Care And “Incident To” Services In 2024

History and Physicals: Meeting Hospital CoPs in 2023

Quality assessment and performance improvement (QAPI) have emerged as crucial components in ensuring the delivery of high-quality and safe care to patients. The Centers for Medicare & Medicaid Services (CMS) recognizes the pivotal role that a well-designed and well-maintained QAPI program plays in reducing medical errors and adverse events across Medicare-certified hospitals. In 2020, CMS introduced updated standards for QAPI, underscoring the significance of patient safety and risk management. CMS took a significant step in March 2023 by issuing new interpretive guidelines, providing essential information and direction for surveyors assessing a hospital's QAPI program. One of the key highlights of the revised CMS hospital QAPI standards is the emphasis on the responsibility of the governing body and hospital leadership in overseeing and executing the QAPI program. Leadership engagement is critical, setting the tone for a hospital-wide commitment to continuous assessment and ...

Basics of Health Information Privacy Compliance Updates for 2024

  CPT Coding Changes for 2024 Register Now

CMS Physician Final Rules for 2024 : Find out What CMS has Finalized from the Proposed Rules

On this Martin Luther King Jr. Day, let's honor the legacy of a great leader who dedicated his life to equality, justice, and peace. May we strive for a world where everyone is treated with dignity and respect.  Happy Martin Luther King Jr. Day!