Billing & Compliance Virtual Summit

December 5–6, 2023

Gain Practice Management Strategies, Stay in Compliance & Secure Proper Payment for Your Practice 

The 2023 Billing & Compliance Virtual Summit provides best practices and proven strategies for building a billing and compliance program designed specifically for your practice. Learn from expert speakers as they provide key 2024 payment, CPT®, and compliance updates, as well as insights into expanding, nationwide billing opportunities that will allow you to tap into Medicare’s emerging service lines.  

In 2023, we’re bringing the Billing & Compliance Summit to YOU! We are redefining our billing education—and we can’t wait to share it with you. Get ready for a virtual experience unlike any other!  

Here’s just a sampling of what we have in store for you in 2023: 

• 2024 payment and CPT update, including updates to Medicare payment policies, the rate-setting conversion factor, coding and billing updates, scope of practice rules, and more! 
• E/M for 2024: Get updates across office visit codes, inpatient services, prolonged care and specific time, and medical decision-making (MDM) elements. 
• Compliance best practices: Stay ahead of DOJ, OIG, and OCR top targets. 
• Take your billing audit process to the next level to decrease costly denials. 
• Empowering NCCI Compliance: Learn how and when to appeal an NCCI edit denial and stop cash leaks. 
• Expert advice: Get answers to your pressing coding, billing, and compliance questions during the Q&A sessions each day. 
• Get your entire team trained without sacrificing productivity and without spending thousands of dollars. 
• Reduced expenses. No travel time and no travel costs—participate from the comfort of your own happy place! 
• Great networking opportunities and more engaging sessions—ask questions, get clarification, and be part of the conversation. 
• Access to the on-demand recording for 60 days after live event so that you can relisten and browse content at your own pace. 
• Extra! Add-on a specialty coding training – Anesthesia, Pain Management, and/or Orthopedics – and attend sessions from multiple tracks spanned over time.

At DecisionHealth, we are committed to delivering you the highest standard of training excellence, provided by nationally recognized industry experts, in an interactive virtual environment that promises more value and flexibility at an extremely affordable price.

Billing & Compliance Virtual Summit

Agenda

*All Times are Eastern

Main Conference Day 1 — Tuesday, December 5, 2023

12:00 p.m. – 12:45 p.m.
2024 Medicare Physician Fee Schedule: Ready Your Billing, Compliance Systems
Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CPC emeritus
Kick off 2024 right with a comprehensive preview of Medicare physician payment and billing policy changes coming Jan. 1. This session will break into the final 2024 Medicare physician fee schedule and cover not only the important payment updates and compliance and policy changes, but also the new revenue opportunities that these new regulations offer.  

12:55 p.m. – 1:40 p.m.
2024 Coding Update: Capture CPT Changes
Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro, a Simplify Compliance Brand
Dozens of new codes are coming online in 2024 as the AMA completes its annual updates to the CPT Manual. This session delivers a comprehensive overview of the new, revised, and deleted CPT codes, with a focus on oft-utilized procedural sections of the Manual, helping you code accurately to the new standards and evade denial traps.

1:40 p.m. – 1:55 p.m.
Networking Break

1:55 p.m. – 2:40 p.m.
E/M for 2024: Office Visits, Telemedicine, Time Changes, MDM, and More
Kimberly Cunningham, CCS, CPC, Coding Instructor, HCPro, a Simplify Compliance Brand
A target of considerable change in recent years, the E/M code set continues to see fine-tunings and tweaks. Understanding the latest changes is critical to your coding and your revenue streams. Discover updates from CMS and the AMA across office visit codes, inpatient services, prolonged care and specific time, and medical decision-making (MDM) elements. This session then drills down into MDM coding to ensure your claims are on target.

2:50 p.m. – 3:15 p.m.
Q&A Session With the Speakers
Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CPC emeritus
Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, Director of HIM and Coding, HCPro, a Simplify Compliance Brand
Kimberly Cunningham, CCS, CPC, Coding Instructor, HCPro, a Simplify Compliance Brand
Bring your most pressing and challenging questions and our expert speakers will answer them during this session. BONUS: Have a tough scenario or complicated question you’ve been struggling with? Submit your scenario and/or question ahead of time to Roy Edroso at REdroso@decisionhealth.com.

3:25 p.m. – 3:55 p.m.
Cocktail/Favorite Beverage Virtual Reception
Roy Edroso (Moderator)
Bring your drink and your biggest issue with a carrier/payer, and let’s spill the tea!

3:55 p.m.
Day 1 Concludes

Main Conference Day 2 — Wednesday, December 6, 2023

12:00 p.m. – 12:45 p.m.
Regulatory Compliance: Stay Ahead of DOJ, OIG, and OCR Top Targets
Scott Grubman, JD, Founder/Partner, Chilivis Grubman
A former Assistant United States Attorney (AUSA) and Department of Justice Trial Attorney, Scott Grubman leads attendees through a wide lens view of federal compliance trends, recapping the big stories from 2023 and highlighting the areas of focus that regulators will be honing in on in 2024. From trends in contractor investigations to the latest post-public health emergency (PHE) targets on the Department of Justice (DOJ), Office of Inspector General (OIG) and Office of Civil Rights (OCR) hit lists, this macro-level session delivers key cautionary advice to help attendees avoid falling afoul of the law or regulators.

12:55 p.m. – 1:40 p.m.
Take Your Billing Audit Process to the Next Level
Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, Manager of Coding Compliance & Provider Education, Loudoun Medical Group P.C.
Accuracy and compliance in medical billing are a make-or-break proposition. Medical groups need to scrutinize their claims to an unprecedented level as auditors ramp up activity. Walk through a detailed roadmap to conduct a prospective billing audit, common mistakes to avoid when billing claims, best practices for conducting a retrospective audit, a framework for a recurring process for regular billing audits, and for when things get tough, a financial recovery plan.

1:40 p.m. – 1:55 p.m.
Networking Break

1:55 p.m. – 2:40 p.m.
Empowering NCCI Compliance: How and When to Appeal an NCCI Edit Denial
Tami Carter, CPCO, CHC, Manager, Clinical Compliance and Health Information, Trillium Health
Staying on top of the National Correct Coding Initiative (NCCI) edits keeps your claims billing sharp. This session brings you a key understanding of where to find and how to read the NCCI edit manuals and what their MUE adjudication indicators indicate about the claims. Learn how to distinguish procedure-to-procedure (PTP) edits from medically unlikely edits (MUE) and, critically, discover when you can and can’t appeal these denials, with tips and examples of successful appeals based on NCCI edit denials. Also learn how to use this knowledge to write your own successful appeals.

2:55 p.m. – 3:15 p.m.
Q&A Session With the Speakers
Scott Grubman, JD, Founder/Partner, Chilivis Grubman
Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, Manager of Coding Compliance & Provider Education, Loudoun Medical Group P.C.
Tami Carter, CPCO, CHC, Manager, Clinical Compliance and Health Information, Trillium Health
Bring your most pressing and challenging questions and our expert speakers will answer them during this session.
Submit your scenario and/or question ahead of time to Roy Edroso at REdroso@decisionhealth.com.

3:15 p.m.
Conference Concludes

— Agenda subject to change —

Billing & Compliance Virtual Summit

Speakers

	Tami Carter, CPCO, CHC, is a compliance analyst and educator for the University of Rochester Medical Center in Rochester, N.Y. Carter has nearly 20 years’ experience in billing and coding compliance primarily in orthopedics and internal medicine. She is currently working for the office of integrity and compliance at URMC focusing on compliance and education for the outpatient OBGYN, pediatric and orthopedic departments. Her areas of expertise include CMS billing requirements, E/M coding audits, provider education, clinical documentation improvement and privacy compliance.
	Kimberly Cunningham, CCS, CPC, is an instructor for HCPro’s Certified Coder Boot Camp® programs. She has extensive experience with education, auditing, and management, and has worked to implement processes, policies, and curricula in her various roles. Prior to joining HCPro, she worked for an industry-leading university health system as a coding compliance manager, where her duties included education for providers, coders, and clinical documentation integrity specialists. Cunningham has also worked as an auditor on behalf of CMS and HHS.
	Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CPC emeritus, is an independent consultant with the MGMA Health Care Consulting Group and a principal of Enos Medical Coding. Enos has 40 years of experience in the practice management field. She was a practice manager for 18 years before she joined LighthouseMD in 1995 as the director of Physician Services and Compliance Officer. In July 2008, she established an independent consulting practice, Enos Medical Coding (www.enosmedicalcoding.com). As an Approved PMCC and ICD-10 Instructor by the American Academy of Professional Coders, Enos provides coding certification courses, outsourced coding services, chart auditing, coding training, and consultative services and seminars in CPT and ICD-10 coding, E/M coding and documentation, and compliance planning. Enos frequently speaks on coding, compliance and reimbursement issues to audiences including national, state, and sectional MGMA conferences, and at hospitals in the provider community specializing in primary care and surgical specialties. Enos is a Fellow of the American College of Medical Practice Executives. She served as a College Forum Representative for the American College of Medical Practice Executives.
	Scott R. Grubman, JD, a partner with the law firm of Chilivis Grubman in Atlanta, Georgia, is a former Assistant United States Attorney and Department of Justice Trial Attorney who represents businesses and individuals across a wide variety of industries in connection with government and internal investigations, False Claims Act litigation, and white-collar criminal defense. Although Grubman represents clients across industries, a substantial portion of his practice involves representing healthcare providers of all types and sizes in connection with high-stakes government investigations—both criminal and civil—by agencies such as the U.S. Department of Justice, HHS-OIG, the FBI, and state Medicaid Fraud Control Units. Grubman also has extensive experience representing healthcare providers in connection with administrative proceedings, payer audits, and general healthcare regulatory matters, particularly those related to the False Claims Act (including qui tam whistleblower actions), Stark Law, and Anti-Kickback Statute. He has represented healthcare clients ranging from multihospital health systems to individual physicians, ancillary providers, and every type and size in between.
	Corella Lumpkins, CHC, CPC, CPCO, CPB, CPPM, CPC-I, CCS, CCS-P, is the manager of coding compliance and provider education at Loudoun Medical Group PC. She has over 30 years of experience working in every area of the healthcare revenue cycle. She has a bachelor’s degree in health science administration and has an extensive background in auditing, billing, coding, compliance, denials management, education, and practice management. Lumpkins works closely with providers and staff and is a certified instructor teaching both the Certified Professional Biller (CPB®) and CPC® curriculum. She is a mentor to her students and an active member and past president of AAPC’s Leesburg, Virginia, local chapter.
	Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, is the director of HIM and coding for HCPro, a Simplify Compliance brand. She directs HCPro’s Certified Coder Boot Camp® programs and is the developer of the Certified Coder Boot Camp®—Inpatient Version and the Evaluation and Management Boot Camp®. Recently, she collaborated with HCPro’s CDI team to develop the Risk Adjustment Documentation and Coding Boot Camp®. As a consultant for HCPro, McCall works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues with a particular focus on education, coding reviews, and audits.

Billing & Compliance Virtual Summit

Location

At DecisionHealth, we are committed to delivering you the highest standard of training excellence, provided by nationally recognized industry experts, in an interactive virtual environment that promises more value and flexibility at an extremely affordable price.

 We aim to provide you with:

• More flexibility to attend sessions from multiple tracks spanned over time, and the ability to browse content at your own pace.
• Opportunity to get your entire team trained without sacrificing productivity and without spending thousands of dollars.
• Reduced expenses. No travel time and no travel costs – participate from the comfort of your own happy place!
• Great networking opportunities and more engaging sessions – ask questions, get clarification and be part of the conversation.

We look forward to seeing you virtually!

Billing & Compliance Virtual Summit

Pricing

Group pricing is as follows:

• 2-10 attendees = each attendee receives 10% discount off retail price
• 11-15 attendees = each attendee receives 15% discount off retail price
• 16-20 attendees = each attendee receives 20% discount off retail price
• 21 or more attendees = each attendees receive 25% discount off retail price

Discounts will appear in your cart.

Billing & Compliance Virtual Summit

Continuing Education

AAPC
This program has the prior approval of AAPC for 5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

AHIMA
This program has been approved for 5.5 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

BMSC
This program is preapproved by the Board of Medical Specialty Coding & Compliance (BMSC) for 4 CEUs towards the maintenance of the ACS, SCP and CCP-P credentials. 

Billing & Compliance Virtual Summit

Sponsors

DecisionHealth delivers the most credible content attracting medical practice decision makers. DecisionHealth delivers the most credible content attracting medical practice decision makers.

Reach hundreds of medical practice professionals looking for solutions to their unique challenges! Capitalize on this opportunity by exhibiting onsite and generate new leads and sales for your company.

For information on sponsorship opportunities, please contact Regina Dexter at rdexter@decisionhealth.com or (800) 727-5257 x6061.