2021 Billing & Compliance Summit

November 8–10, 2021 | Orlando, FL

Join us for the 2021 Billing & Compliance Summit held November 8–10 at the Hilton Orlando Lake Buena Vista—Disney Springs Area. We’re so excited to see you again!

This two-and-a-half-day conference will provide strategies on how to stay in compliance, beat audits and denials, and secure proper payment with a billing and compliance program designed specifically for your practice. 

The Billing & Compliance Summit is packed with informative sessions brought to you by world-class speakers that will take the hassle out of the everyday routine and take your business to the next level. You’ll hear from your favorite speakers, with some fresh faces and topics added to make sure everything covered is up to the minute and immediately actionable. During your time at this year’s summit, you’ll get:

  • An entire preconference dedicated to the E/M changes and how to set up your practice for success
  • A breakdown of the latest laws and regs and how they change your business, from policy and payment changes to provisions in the Physician Fee Schedule
  • Updates on hot state and federal investigation targets that can snag the unwary and cost you millions in takebacks and fines if you don’t head them off now
  • Info on how to prevent denials at your practice and handle the ones that slip through your defenses
  • Q&A sessions to make sure your issues get addressed

Our expert speakers will cover important changes in billing, coding, and government regulations, including the following topics:

  • Top takeaways from the 2022 Medicare Physician Fee Schedule
  • A 2022 CPT® update and analysis
  • How to improve your income through strategic analysis
  • MIPS basics and beyond
  • Breach-proofing your practice to stay on the right side of HIPAA and protect your patient data from ransomware
  • Finding value in risk-based reimbursement
  • What’s new and dangerous in federal law and regulatory enforcement 
  • Writing compliance plans that protect your people, your revenue, and your reputation
  • Revenue cycle tune-up to stop cash leaks and decrease costly denials
  • Auditing to tighten up coding and documentation
  • What to do when the feds come knocking

And more expert instruction and Q&A on the billing and compliance issues that keep you up at night.

BONUS: All attendees will automatically be registered for a complimentary billing and compliance virtual training! Attend the in-person event, then relisten and retrain as needed with the virtual event—gather your billing team and compliance for it once you’re back in the office, for example. Learn more about this virtual below:

2021 Billing & Compliance Summit


Preconference — Monday, November 8, 2021

7:00 a.m. – 8:00 a.m.
Registration and Continental Breakfast

8:00 a.m. – 10:10 a.m.
The Basics and Beyond: Navigating Two Sets of Guidelines
Jillian Harrington, MHA, CPC, CPC-I, CPC-P, CCS, CCS-P, CEMC, MHP, Regulatory Specialist and Instructor - HCPro

The E/M code set remains at the center of many medical groups’ revenue streams. With drastic changes in 2021 among the office visit portion (99202-–99215) of the codes, practices must juggle two sets of standards. In this session, you will learn to interpret CPT coding guidelines and current regulatory guidance related to E/M codes, apply rules accurately, and ensure appropriate E/M category and level assignment. You will review all aspects of E/M, including key component– based coding, time- vs. MDM- based coding, per diem codes and time-only codes, as well as prolonged services.

10:10 a.m. – 10:30 a.m.
Networking and Refreshments Break

10:30 a.m. – 11:30 a.m.
The Basics and Beyond: Navigating Two Sets of Guidelines (cont.)

11:30 a.m. – 12:30 p.m.
Lunch (provided)

12:30 p.m. – 1:30 p.m.  
Auditing E/M Services: A How-To Guide to Protect Claims

This session will take participants on a comprehensive dive into the E/M audit process, from learning about what coding and billing elements are reported through how to interpret and respond to audits. You will review the importance of audits in the physician practice, and conduct some E/M auditing to put your knowledge to work and bring home clear guidance. The afternoon will wrap up with an opportunity to work with our expert speaker through common and complicated E/M scenarios to learn how to choose the proper codes. You’ll also have the chance to ask your most pressing questions.

1:40 p.m. – 2:40 p.m.
Auditing E/M Services: A How-To Guide to Protect Claims (cont.)

2:40 p.m. – 3:00 p.m.
Networking and Refreshments Break

3:00 p.m. – 5:10 p.m.
Scenario Work and Q&A With the Expert

Work with our expert speaker through common and complicated E/M scenarios to learn how to choose the proper codes. Also, during this time, ask your most pressing questions of the expert.

5:10 p.m.
Preconference Adjourns


Main Conference Day 1 — Tuesday, November 9, 2021

7:00 a.m. – 8:00 a.m.
Registration and Continental Breakfast

8:00 a.m. – 9:00 a.m.
The 2022 Medicare Physician Fee Schedule: Top Takeaways for Medical Groups
Jillian Harrington, MHA, CPC, CPC-I, CPC-P, CCS, CCS-P, CEMC, MHP, Regulatory Specialist and Instructor - HCPro

The Physician Fee Schedule constitutes the marching orders for Medicare Part B providers, implementing billing, regulatory, and fee changes for the new year. Discover the most significant updates, changes, and revisions to Medicare policy, including the latest on the conversion factor, coding and billing updates, scope of practice, and much more.

9:10 a.m. – 10:10 a.m.
The 2022 CPT Update: The Changes in Context
Jillian Harrington, MHA, CPC, CPC-I, CPC-P, CCS, CCS-P, CEMC, MHP, Regulatory Specialist and Instructor - HCPro

New codes, revised codes, deleted codes—the annual CPT update is a must-read. But it’s not just a matter of what codes are in or out; these changes have to be understood in context and in terms of bundling, MUEs, etc. Jill Harrington will take you through the big changes with examples and scenarios so you don’t miss the big picture.

10:10 a.m. – 10:30 a.m.
Networking and Refreshments Break

10:30 a.m. – 11:30 a.m.
Privacy and Security Update: Keep Up With the Growing Risk
Kim Clayson 

Medical practices today face some harsh realities: greater scrutiny of HIPAA compliance, tough new privacy and security regulations that every practice is expected to meet, and an HHS initiative that has already snared several doctors—one solo-physician practice paid $100,000 after one patient complained! This session will bring you up to date on HIPAA and other rules that are designed to protect practices and patients from privacy and security risks.

11:30 a.m. – 12:30 p.m.
Lunch (provided)

12:30 p.m. – 1:30 p.m.
Management Reports You Need: How to Improve Your Income through Strategic Analysis
Daniel J. Crane, MBA

Many managers only look at total collections and a few other reports to determine the success and health of a practice. In this session, you will find detailed tips on key production reports, expense reports, and billing efficiency reports to make critical pivots and adjustments to take your practice to the next level. Understanding a few simple reports that not only helps one know the future of practice but change the future of the practice. Reports help billers and managers proactively lead with data rather than be emotionally reactive after the fact.

1:40 p.m. – 2:40 p.m.
Compliance for Practice Managers

If compliance is your business—as a dedicated compliance officer or as a department head—you have to know more than the corporate counsel’s phone number. Walk through the details on how to set expectations for internal audits, and how to handle different over-coding scenarios—discerning the ones you can handle yourself, with education and admonition, and the ones that require a call to the attorney. Also, learn how and when to schedule regular reviews of policies and procedures, and what they are meant to accomplish.

2:40 p.m. – 3:00 p.m.
Networking and Refreshments Break

3:00 p.m. – 4:00 p.m.
Finding Value in Risk-Based Reimbursement
Ginger Avery, CPC, CPMA, CRC, Coding and Compliance manager - RT Welter & Associates, Inc.

With the growth of Medicare Advantage and other risk-based payment plans, it’s time to focus on the CMS- HCC model. In this session, you’ll discover how diagnosis reporting can impact reimbursement, review data and samples in relationship to HCCs, learn to appreciate the impact of quality documentation on appropriate diagnosis reporting, and get tips for implementing an effective ICD-10 CDI review program.

4:10 p.m. – 5:10 p.m.
Decrease Costly Denials
Melissa Billman, Director of Billing Services - CE Medical Group

Dealing with claims denials and the arduous appeals process can waste your practice’s time and drain its money. Discover a foolproof process to successfully appeal the most common types of denials that you see from your payers. In this session, you will learn what payers are looking for to avoid denials at first submission, how to streamline internal pre-auth processes, the proper steps to appeal a denied authorization, and how to analyze your denial trend.

5:10 p.m.
Adjourn Day 1


Main Conference Day 2 — Wednesday, November 10, 2021

7:00 a.m. – 8:00 a.m.
Continental Breakfast

8:00 a.m. – 9:00 a.m.
Compliance Roundup 2022
Scott Grubman, Partner - Chilivis Cochran

Scott Grubman, former Assistant U.S. Attorney and DOJ Trial Attorney, knows compliance because he’s a former fraud cop and he’s seen it all. During this session, Grubman will bring you up to speed on what happened in 2021 and what’s in store for 2022. If you want to avoid an audit, don’t miss his session!

9:10 a.m. – 10:10 a.m.
Audit Defense that Works: Be Prepared and Proactive

When facing the threat of an audit, don't wait for MACs, RACs and other auditors to come sniffing around. Take steps to prepare and ensure an optimal outcome for payer and compliance audits by doing your own due diligence audits. This session also instructs you on the feds' processes, and enables you to have answers ready to the most common auditor questions. Learn the customary audit steps, what your rights are and how to minimize the damage if it goes sideways.

10:10 a.m. – 10:30 a.m.
Networking and Refreshments Break

10:30 a.m. – 11:30 a.m.
Coming to Cases: HIPAA
Scott Grubman, Partner - Chilivis Cochran

This presentation will discuss expected trends for HIPAA investigations and enforcement activities, as well as some new initiatives that may ease the burden of compliance for individuals and entities subject to HIPAA.

11:40 a.m. – 12:40 p.m.
Communicating Documentation and Coding Feedback Effectively With Clinicians
Ginger Avery, CPC, CPMA, CRC, Coding and Compliance Manager - RT Welter & Associates, Inc.

Recognize the value of ongoing educational audit reviews to improve coding patterns, reimbursement, and compliance programs. Learn how to deliver feedback on record reviews that will encourage clinicians to improve the quality of documentation and help reduce the administrative burden of documentation practices.

12:40 p.m.

2021 Billing & Compliance Summit

Your Presenters

Ginger Avery Ginger Avery, CPC, CPMA, CRC, is the coding and compliance manager with RT Welter & Associates, Inc. She has over 25 years of experience in the healthcare industry, including auditing, abstract coding, coding education and training, regulatory compliance, revenue cycle management, EMR/EHR advisement, reimbursement models, and extensive involvement in major third-party HCC projects. She is a national speaker and educator with expertise in a wide range of provider specialties and organizational types, including FQHCs and RHCs. Avery enjoys medical record auditing and provider and coder training. She performs internal audits, provider education, and collaboration to improve the use of electronic medical record programs with practices and organizations across the country. Prior to joining RT Welter, she was a coding consultant, auditor, and trainer at Brown Consulting Associates.
Melissa Billman Melissa Billman is the director of billing services for CE Medical Group. With over 10 years of billing experience, Billman has developed a rare talent to get accounts with extensive account receivables back in order. Clients love her expertise in customer service and effective billing processes. As a team manager, she uses her team’s strengths to efficiently reach goals. Not only can she get a client’s billing into shape, but she can also assist with management consulting and auditing services. Billman speaks nationally, educating providers and billers about billing and coding compliance.
Kimberly Ross Clayson Kimberly Ross Clayson is the managing attorney and chief of operations at Maxwell Dunn, PLC, a boutique law firm that serves small businesses and entrepreneurs, including healthcare businesses and physician practices. Kim has been practicing law for 15 years working on the business aspects of healthcare businesses and physician practices and collaborating with Vicki Myckowiak on healthcare compliance issues. She graduated from University of Detroit Mercy School of Law and with a book award for legal research and writing. Kim is an adjunct professor at the University of Detroit Mercy School of Law and has written on a variety of legal subjects for the Michigan Institute of Continuing Legal Education.
Daniel Crane Daniel J. Crane, MBA, is the president for CE Medical Group. Crane's specialties are strategic planning and development for physician groups. He has been a faculty instructor for numerous national pain society conferences, including SPPM and ASIPP. His expertise in business management, marketing strategies, and practice expansion are why his team has managed over $350 million in revenue for private practices. Crane’s greatest professional joys are watching practices grow through the business strategies CE Medical Group implements and helping clients achieve financial success.
Scott Grubman Scott R. Grubman is a partner with the law firm of Chilivis Grubman in Atlanta, Georgia. Grubman focuses his practice on representing healthcare providers of all types and sizes in connection with government investigations and compliance related matters. Prior to joining private practice, Grubman served as both a Trial Attorney for the United States Department of Justice in Washington, D.C., and as an Assistant United States Attorney in Savannah, Georgia. As an Assistant United States Attorney, Grubman served on his district’s healthcare fraud task force, and was responsible for investigating and litigating healthcare fraud matters on behalf of the United States. In addition to his practice, Grubman serves as an adjunct professor of law at both Emory University and Georgia State University.
Amy Turner Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP, has a widespread background in clinical operations, revenue cycle, internal audits, risk management, and healthcare administration. Turner has 21 years of pain management experience and uses her unique blend of clinical training, coding education, and revenue cycle knowledge with an overlay of regulatory compliance expertise to offer insights that speak to both clinicians and executives. Turner’s experience includes working in large and small private practices, at academic facilities, and with hospital-based physicians. She is responsible for proposing, budgeting, staffing, leading, and conducting various consulting engagements covering a wide spectrum of healthcare-related needs.

2021 Billing & Compliance Summit


Hilton Orlando Lake Buena Vista—Disney Springs Area
1751 Hotel Plaza Boulevard
Lake Buena Vista, FL 3283 

Room rate: $199/night*
Hotel cut-off date: Monday, October 18, 2021. Hotel rooms may sell out earlier than the cut-off date, so book early!
Toll-free reservation center: 800-782-4414 (reference the DecisionHealth Advanced Specialty Coding Symposium room block and group code DEH)
Reservations URL: https://book.passkey.com/e/50164835
Hotel website: https://www3.hilton.com/en/hotels/florida/hilton-orlando-lake-buena-vista-disney-springs-area-ORLDWHH/index.html

There is a similarly named hotel in the vicinity of the Hilton Orlando Lake Buena Vista—Disney Springs Area, so please be sure to use the above information for directions to the venue.

*In addition to the room rate, the hotel is offering an OPTIONAL $20.00 daily resort fee that includes the following amenities:

  • High-speed guest room internet access
  • Unlimited movie rentals from DVDNow
  • Disney bus transportation—daily to Disney Theme Parks (Magic Kingdom, Epcot, Animal Kingdom, Hollywood Studios, Typhoon Lagoon, and Blizzard Beach) and nightly to Disney Springs (beginning at 7 p.m.)
  • Two 16-oz Starbucks coffees or two 16.9-oz bottles of water
  • Local, toll-free, domestic, and credit card calls (no access fee)
  • Complimentary access to the 24-hour on-site fitness center


Exclusive Disney Discount!

Disney World is offering a special discount on Twilight Tickets as well as discounted multi-day tickets for Nov 6-11, 2021. Multi-day tickets include a complimentary bonus visit to an additional Disney experience. Purchase the tickets here.

Offer ends November 5, 2021. 

2021 Billing & Compliance Summit


PreCon + Main Con (kit): $1,295.00
PreCon + Main Con (kit) Early Bird:
$1,145.00 — Early bird extended to August 31, 2021

Main Conference
Retail Price: $925.00
Early Bird Price: $825.00 — Early bird extended to August 31, 2021

Retail Price: $595
Early Bird Price: $495.00 — Early bird extended to August 31, 2021


2021 Billing & Compliance Summit

COVID Safety

Simplify Compliance places the highest priority on the safety of our guests. In preparation for attendance at our events, we want to share the following measures to promote health and well being:

  • Current hotel policy outlines that fully vaccinated guests are no longer required to wear face coverings or social distance in indoor and outdoor areas at our hotels, unless required by local law. Unvaccinated guests must still wear face coverings and practice social distancing when they are in indoor public spaces.
  • Meeting rooms will be set to comply with state and local recommended social distancing guidelines.
  • Food service will follow the safety guidelines implemented by the hotel.

To view all the safety measures that the Hilton Orlando Lake Buena Vista has implemented, please see the information listed on their website: https://www.hilton.com/en/corporate/cleanstay/

Simplify Compliance will continue to monitor the COVID-19 environment and the recommended guidelines, and we will communicate any adjustments to the on-site policies and procedures as we approach the live event date.

2021 Billing & Compliance Summit

Product Code: BCS--

Quick Overview

Join us November 8–10 for the 2021 Billing & Compliance Summit. Focus on strategies to protect your organization from unnecessary audits and denials, while ensuring accurate and timely payments.

Interested in Registering Multiple Attendees?

Send your team of three or more and save an additional 10%! Your savings will automatically calculate in your cart when you register.

Prefer to register by phone? Contact John Prentice or Megan Ireland at 1-855-225-5341 x4005 or email us at HCEvents@hcpro.com

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Event Cancellation & Related Policies
By registering for this event, you are agreeing to the terms outlined in our Event Registration Policy. Please review the complete document here for details around cancellations, refunds, and your on-site experience.

2021 Billing & Compliance Summit