Melody W. Mulaik, MSHS, FAHRA, CRA, RCC, RCC-IR, CPC, CPC-H is the President of Revenue Cycle Coding Strategies LLC and our presenter. Every organization needs to ensure correct coding and billing practices to optimize appropriate reimbursement and adhere to payer and CMS guidelines. Whether the providers are responsible for coding or the organization employs coding professionals there are steps every organization should take to ensure correct processes. This session will break down the key areas of concern and provide realistic solutions to efficiently and effective validate current processes and identify areas of potential concern.
Cindy Groux, CHBME/Board Member at HBMA and CEO, President and Owner of Health Care Practice Management, will address new CPT codes for 2021 to include prolonged services and clinical staff services, documentation changes to reduce the administrative burden, decreased needs for audits and how to promote coding consistency, and new rules for time billing.
Catherine Short speaks with Trey Scott, Coordinating Attorney for Kennedy, Attorneys & Counselors at Law located in Dallas, TX. The topic of today’s program is “Steering Clear of Legal Liability.” The discussion will help the audience navigate the choppy waters of potential legal actions that often arise in the world of healthcare. We will start with a basic overview of the typical steps leading up to the filing of a lawsuit. Listeners will also learn how to prepare for potential future litigation, and how to avoid simple mistakes that can later prove costly in a lawsuit.
Catherine Short speaks with Courtney Tito, Esq., Member of the Health Law group at McDonald Hopkins, LLC in its West Palm Beach office about “Payor Disputes and Audits: Observations & Strategies.” Our discussion will help listeners better understand the payor audit process and prepare the organization to respond. We will talk about the payor audit process from the government perspective and compare and contrast typical government audits with typical commercial audits. Finally, we will identify some best practices that providers can implement now to prepare for payor audits.