Hospital and Healthcare Regulatory Compliance Training - Live Webinars, Recordings & CDs

This webinar will explain the Civil Monetary Penalties Law (CMP) and its mandatory and permissive exclusions and penalties. It will also cover obligations under EMTALA, violations of the Anti-Kickback Statute and Stark including amendments under the PPACA.

Skilled auditors require a method that aligns what they experienced during the reviewing process with what they compose during the writing process. This report writing workshop will provide foundation resources that participants can continually turn to during intense, complex audit engagements.

This is the second part of a three-part CDI series. This webinar program will look closely at the components of inpatient (IP) and outpatient (OP) documentation. We will review some examples of diagnostic discrepancies for improvement through querying the provider. You will learn about documentation process improvement. In addition, we will recap the steps and effective communication for a healthcare system to take to help improve IP and OP CDI.

This training program will provide a comprehensive look at the changes in the new access rights under HIPAA and CLIA regulations and prepare attendees for the process of incorporating the changes into how they do business in their facilities. It will also explain how the HIPAA audit and enforcement activities are now being increased and what needs to be done to survive a HIPAA audit.

Promoting employees from within is not without its risk and if not handled properly can result in potential legal liability. This webinar will offer attendees an understanding of what should be accomplished when promoting current employees to management or supervisory positions.

The "Welcome to Medicare" visit and Annual Wellness Visits (AWV) are important screening services available to Medicare beneficiaries at no cost. More and more practitioners are providing these services, often missing key elements to support the codes. In this session, we will look these services and discuss the typical problems providers are struggling to document when performing these visits.

New guidelines for office and outpatient Evaluation and Management (E/M) codes 99202-99215 were effective on January 1, 2021. This is biggest change in E/M coding and documentation since the 1995 and 1997 guidelines were published. Learn everything you need to know about documenting and coding under these new guidelines.

The current guidelines for documentation of office and outpatient visits were implemented in the early 90’s and have become cumbersome and outdated for the current medical provider. For 2021 CMS and the AMA have joined together to create and implement new documentation guidelines for office and outpatient visits that must be used starting January 1, 2021.

This webinar will give the physician’s perspective on how documentation and medical necessity play into appropriate coding and compliance for these E/M services. How coders and auditors need to understand what certain words, phrases, orders, and clinical plans mean when a physician uses and documents them.

This presentation will provide a comprehensive overview of the successful elements of a clinical documentation improvement/integrity (CDI) program. A successful CDI program includes staffing and operational processes that have integrity and are compliance centered.

The Medicare/Medicaid Fraud and Abuse Anti‑Kickback Statute (the “Statute”) is alive, still with us and as viable as ever. The Statute provides that the offer or payment, as well as the solicitation or receipt, of “any remuneration” in exchange for referrals of any good, facility, service, or item for which payment may be made in whole or in part under Medicare/Medicaid is prohibited.

Social determinants of health (SDOH) are the economic and social conditions that influence individual and group differences in health status. They are conditions in which people are born, grow, live, work and age and may impact a wide range of health, functioning, and quality-of-life outcomes and risks. More healthcare data is needed to assist in identifying these contributing factors; thus, health information professionals can assist by assigning ICD-10-CM codes.

Each year the Center for Medicare and Medicaid Services (CMS) approves updates to the ICD-10-CM of diagnosis codes to become effective for medical claims beginning on October 1st. The changes must be implemented by all medical providers in order to have medical claims submitted and reimbursed in a timely manner. This webinar will highlight the 2021 changes to ICD-10-CM for attendees.

This webinar will review not only the Anti-Kickback Statute and its safe harbors, but will provide an in-depth overview of OIG guidance and advisory opinions dealing with marketing activities, as well as a review of case law regarding marketing behavior.

In this care coordination training you will learn how to apply the key strategies for reducing your hospital’s cost and length of stay. Also you will learn how to appreciate the role of interdisciplinary care rounds by identifying your hospital’s strength and weakness related to care coordination.

Each year the American Medical Association (AMA) makes changes to the CPT® manual that become effective for dates of service January 1st. This year is no exception with 307 total changes that include 207 new codes, 48 revised codes, and 52 deleted codes.

This case management webinar will explore how an initial assessment and clinical review can better ensure that patient is placed in the correct setting right from the get-go which is a very unique role played by ED and admitting office, transfer center case managers and social workers. The 2 midnight rule and the part that case management plays in managing it will also be reviewed. It will give idea about reducing the use of Condition Code 44 or self-denials when patients get admitted to the incorrect level.

For FY2021 there are 544 new PCS codes! Hospital Coding and CDI professionals need to review key aspects to the Official Guideline changes. Understanding the new ICD-10-PCS codes changes and the clinical meaning including new devices and new technology (i.e. convalescent plasma) are vital for coding accuracy. Coding staff must gain the knowledge of the coding conventions, what documentation is needed to report the PCS codes and how they impact the ICD-10-PCS tables.

In this training program, attendees will discover how to create a record of disruptive behavior and the efforts taken by the organization to combat the problem. The webinar will also illustrate why such disruptive behavior can be a continuing problem; and therefore, why appropriate documentation is imperative.

Coding for shoulder arthroscopy can be difficult and confusing but the 2021 CPT® changes may help to make it a little easier. There are new descriptions for debridement of the should and new instructions for the removal of loose or foreign bodies. Case studies will be looked at for accurate coding.