AUDIOCONFERENCE ON TAPE, CD OR AUDIO ARCHIVE
Sponsored by Compliance Officer’s Handbook
presented on July 19, 2007
Can your physician practice afford to pay penalties of $11,500 per claim?
Medicare’s “incident to” billing requirements include specific criteria which must be met to bill non-physician services “incident to” a physician. While these requirements seem basic on the surface, they become much more complicated when applied to real-life situations. Consider your answers to the following questions:
- Can your practice identify the ways that coding or billing may solicit the attention of the OIG?
- Do you always ensure that the required direct physician supervision is clear in the medical record?
- Do you know what constitutes a change in a patient’s treatment plan?
Submitted incident-to claims that do not meet Medicare rules may violate the False Claims Act. Such violations can cost your physician practice up to $11,500 per claim—plus triple damages if the government determines the physician should have known the rules.
Avoid being a Medicare target
Listen to this live 90-minute audioconference where nationally recognized healthcare consultant Jennie Campbell, CPC, CCS-P, CMPE and Suzan Hvizdash, CPC, CPC-EMS, CPC-EDS, physician education specialist for the Department of Surgery at the University of Pittsburgh Medical Center (UPMC), will clear up some of the questions associated with the most confusing incident-to billing questions, help your practice stay in compliance, and avoid drawing attention from the OIG. This program will identify potential compliance risks and introduce strategies your practice can implement to stay out of the danger zone.
*Note: Participants must have an understanding of the fundamentals behind incident-to billing. For a quick brush up, you may be interested in checking out our intermediate program that aired last August, Strategies to Appropriately Bill for Nonphysician Practitioners.
Learning Objectives
At the end of this audioconference, listeners will know how to:
- Properly document incident-to services
- Create internal review strategies
- Ensure physician extenders are handling their incident-to services appropriately
- Comply with Medicare documentation requirements
AGENDA
- How Medicare chooses audit targets
- Utilization considerations
- Whistleblower issues
- Common compliance pitfalls and danger zones
- What constitutes a change in treatment plan
- Physician of record vs. current supervising physician
- How to ensure direct supervision is clear in the record
- Continued involvement in patients’ treatment
- Consultations
- Internal review strategies
- Q and A
BONUS MATERIALS INCLUDED IN YOUR PACKET!
In addition to the expertise and advice presented during this audioconference, you'll also receive a helpful sample performance grid. These materials are provided with PDF links.
NEW PURCHASE OPTION
In addition to the regular purchase options for HCPro audioconferences, audio tape or audio CD, we are pleased to offer a new option, an audio archive. Audio archive allows you to download the program and play it back at your convenience through your computer or MP3 player.
MEET THE SPEAKERS
Jennie Campbell, CPC, CCS-P, CMPE has held a variety of physician practice administration and consulting roles over the past 22 years. She worked with practices across the country to help ensure compliance in regulatory matters including Medicare billing and coding. Her work has included support for practices to appeal denials and audits as well as litigation support specific to “incident to” billing. She has managed practice operations and business offices for numerous multi-million dollar physician has participated in due diligence and contracting for physician practice mergers, acquisitions and divestiture, as well as negotiation and administration of managed care contracts for both primary care and specialty physician groups.
Suzan Hvizdash, CPC, CPC-EMS, CPC-EDS, is responsible for teaching more than 200 staff/faculty about the intricacies and importance of compliance with current documentation requirements as the Physician Education Specialist for the Department of Surgery at the University of Pittsburgh Medical Center (UPMC). In addition to her position with UPMC, she is also actively involved as the senior auditor for ACE Med, is on the Professional Advisory Board for Ingenix Publishing, an advisory board member for General Surgery Coding Alert at Eli Publishing, and a former national advisory board member of the American Academy of Professional Coders (AAPC).
WHO SHOULD LISTEN?
Physician practice administrators, billers and coders, compliance officers, and physicians.
Purchase a tape, CD, or audio archive of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
