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Billing with Modifiers
Modifiers are used to describe specific situations for claims processing of medical claims. Insurance carriers expect to see modifiers in certain scenarios based on their policies as well as guidelines from the American Medical Association, Medicare, and speci ...
- Intermediate
- 60 Mins
- Lynn Anderanin
- Jan 26, 2021
HIPAA in 2021 — Critical Compliance Concerns in the Year Ahead
Over many years, the heads of the US DHHS have indicated that patient access of information is a key priority in order to improve the health of the nation. Patient rights under HIPAA have been expanded to include several rights of access, and detailed guidance ...
- Basic & Intermediate
- 90 Mins
- Jim Sheldon-Dea
- Jan 28, 2021
Hospital Case Management Utilization Management: At the Bedside or Centralized?
As hospital case management departments have evolved and matured, leaders are required to evaluate models and roles. Typically, all four roles of utilization management, care coordination, discharge planning and resource management have functioned at the bedsi ...
- Basic & Intermediate
- 60 Mins
- Beverly Cunning
- Jan 28, 2021
Dispensing DME in the Medical Office
Medicare and other insurance carriers have specific guidelines for documenting, dispensing, and billing for Durable Medical Equipment. Many offices struggle with profit losses because they do not have a good process for DME. There are new guidelines for docume ...
- Basic & Intermediate
- 60 Mins
- Lynn Anderanin
- Feb 09, 2021
HIPAA Enforcement and Auditing in 2020: Latest Examples and New Guidance
While the worldwide pandemic has prompted some relaxation of HIPAA requirements in specific circumstances to ease the provision of medical services while preserving social distancing requirements, enforcement of HIPAA has continued. Recent enforcement actions ...
- Basic & Intermediate
- 90 Mins
- Jim Sheldon-Dea
Mindset Reset: 7 Steps to Conquer Negativity and Overwhelm
In today’s culture, which prizes busy-ness and sees stress as a status symbol, negativity and overwhelm are universal. They wreak havoc on our moods, bodies, and minds, not to mention our businesses and bottom lines One reason that negativity is so insidious ...
- Basic
- 60 Mins
- Sonia Satra
COVID-19 and Wage and Hour Issues under the FLSA
The COVID-19 pandemic has presented challenging wage and hour questions for employers. The federal Fair Labor Standards Act (FLSA)—and corresponding state wage and hour laws are not on hold during the pandemic. In addition to FLSA obligations, decisions regard ...
- Basic & Intermediate
- 90 Mins
- Janette Levey F
Medical Staff Fair Hearings From a Hearing Officer's Perspective - Is Your Process Lawsuit-proof
It sometimes becomes necessary for the medical staff to recommend to the governing board that the medical privileges of a practitioner either be removed or denied. Before such adverse action is taken, it is very important that the practitioner is afforded due ...
- Intermediate
- 60 Mins
- William Mack Co
COVID-19 and Employment Law Issues
The Coronavirus may have brought much of the world as we know it to a temporary halt. Employment laws, and employers’ obligations, however, are not on hold. Employers still have an obligation to provide their employees a safe, workplace, free of harassment a ...
- Basic & Intermediate
- 90 Mins
- Janette Levey F
HIPAA Compliance During COVID-19: OCR Guidance and Best Practices
During the Coronavirus Disease 2019 (COVID-19) public health emergency, the HHS Office for Civil Rights (OCR) provided guidance that helps explain privacy rights laws as well as how the HIPAA Privacy Rule allows patient information to be shared in the pandemic ...
- Basic & Intermediate
- 60 Mins
- Jonathan P. Tom