Session 1: ICD-10-CM Updates for 2025

Live Date: September 24, 2024

Time: 1 PM ET

Speaker: Jill M. Young

Duration: 60  minutes

Webinar Description

Each year the ICD-10-C Coordination and Maintenance Committee meets twice to consider requests for new codes and clarifications of existing ones.   For 2025 the Committee has approved several codes of significance.  This includes classifications of Hypoglycemia and then Code Also Notes to use these as additional codes when coding certain Diabetes codes.  There are also new codes for presymptomatic Type 1 diabetes mellitus that indicate staging to learn about.  There is new Use Additional Code notation for malignant neoplasms of the breast along with new codes in the Estrogen Receptor Status section.  New codes in the unspecified synovitis and tenosynovitis in several extremities should help in identifying this disorder.   Clarifications in the Code First and Code Also listings for Pneumonia codes ask for additional information not previously required.  New SDOH codes for insufficient health insurance coverage expand this section.  Overall, for 2025 there are new codes that you should be aware of.  Just as important are the sub code notations seeking clarifications that a coder should know of and pass along to their providers to have the specificity in coding required by the ICD-10-CM codes.

Webinar Objectives

The webinar will go through all the major changes to codes.  It will also present the new codes with explanations of who requested the code, how it should be used and some limited clinical information on it.

Additions and changes to the coding guidelines are also a part of the webinar.  These details are almost as important as new codes in that they show the use just how a specific code should be assigned and any additional information that is required or needed. 

 

Session 2: Medicare enrollment revalidation form filling, fees, documentation & pitfalls -2024 Updates

Live Date: September 26, 2024

Time: 1 PM ET

Speaker: Toni Elhoms

Duration: 60  minutes

Webinar Description

The process of enrolling with Medicare as a provider/organization can be incredibly tedious and time-consuming.  Even though Medicare is the largest insurer in the country, the number of new Medicare enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements.  The cost of getting these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, denial management issues, patient satisfaction, and even impact quality scores. 

In this webinar, our expert speaker will discuss the submission options, which providers are eligible for Medicare enrollment, each form type applicable in 2024, how to navigate the 2024 complicated form sections, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, most common errors, and best practice tips for successfully completing the 2024 CMS 855 forms.

Webinar Objectives

• Dissect the various Medicare enrollment updates
• Outline a sample workflow for completing Medicare enrollment in 2024
• Review CMS Form 855A application together
• Review CMS Form 855B application together
• Review CMS Form 855I application together
• Review CMS Form 855O application together
• Discuss the most challenging 855 form sections in 2024
• Review new process for reassigning benefits to organizations in 2024
• Review the ancillary documentation required with 855 enrollment submission
• Discuss the most common rejections and errors with 855 form submissions

Webinar Agenda

• Discuss CMS 855 enrollment submission updates
• Review CMS 855A, 855B, 855I and 855O Application updates
• Discuss the most challenging CMS 855 form fields and highlight complicated sections
• Review strategies to complete the CMS 855 forms accurately in 2024
• Understand the ancillary documentation required to be attached to the CMS 855 application submission in 2024
• Discuss most common rejections with CMS 855 form submissions in 2024
• Discuss best practice tips with CMS 855 form submissions in 2024

Webinar Highlights

• Understand the CMS 855 enrollment submission process in 2024
• Recall CMS 855A, 855B, 855I and 855O Application requirements in 2024
• Recall the most complicated sections on the CMS 855 applications in 2024
• Recall strategies to complete CMS 855 forms accurately in 2024
• Recall ancillary documentation required with CMS 855 enrollment submission in 2024
• Avoid common rejections and errors with CMS 855 form submissions in 2024
• Recall best practice tips for CMS 855 form submissions in 2024

Session 3: Turning Denials into Approvals: A Strategic Approach for Healthcare

Live Date: October 8, 2024

Time: 1 PM ET

Speaker: Lynn M. Anderanin

Duration: 60  minutes

Webinar Description

A part of the revenue cycle that has gathered a lot of attention in the last few years are claim denials.  Denials can become a very complex and frustrating because they aren’t always appropriate, which makes many questions how the insurance carriers can deny claims erroneously.  It is important that part of each practice’s revenue cycle include addressing denials with tracking, reviewing, and appealing denials when they are inappropriate. 

This webinar will discuss tips on implementing and handling denials to ensure that the practice is not losing money which should be collected from the insurance companies.

Webinar Objectives

Many offices have difficulty finding the time to work denials because of other tasks that seem to be of more priority and yet many denials are received in error and will be money lost if they are not solved in the timely filing period.  When denials are worked by a process, and the burden is shared between many in the office, denials are not so much a burden but an important part of the revenue cycle process.

Webinar Agenda

• Understanding denial and remark codes
• Determining staff involvement
• Investigate what help can come from automation in the PM system
• Template letters for like denials
• Creating metrics to be able to see a new denial

Webinar Highlights

• Reading explanation of benefits
• Utilize insurance carriers forms and processes for reconsideration and appeal
• Track denials to be aware of unannounced policy changes and make corrections to avoid future denials
• Determine the capability of the PM system to assist or the creation of a manual process
• Assign different parts of denial management to qualified staff
• Have a successful process so that all claims that should be paid, are paid.

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• Chief Medical Officer
• Coder
• Biller
• Auditors
• Office Managers
• Collection staff