Availity Learning Center

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Course 1 of 7: Employers have watched healthcare costs increase over the past twenty years. Then they shifted part of those costs to employees’ premiums. This increase also impacts your practice. Patients have higher co-pays and deductibles, and you have to collect these to pay for your costs and services. Elizabeth Woodcock guides you through the revenue cycle including planning, prepping, and being accurate.   About the Speaker This course is hosted by Elizabeth Woodcock, a speaker, trainer and author who is passionately dedicated to helping physician practices achieve and sustain patient satisfaction, practice efficiency, and profitability. An expert at practice operations and revenue cycle management, she is nationally recognized for her outstanding presentations and writings aimed at improving the business of medicine. Her education and expertise, combined with her humor and an engaging delivery, make her popular with physicians and administrators alike. Important Notes This course is on managing the revenue cycle in a physician's office. It is not specific to Availity RCM product. Availity cannot issue refunds. The CEU for this course has expired and is no longer available however the content is still relevant. Special Purchasing\Volume Discounts: This is course one of a seven-part series: Become a Revenue Cycle Expert with Elizabeth Woodcock. To see the bundle or enroll in the next course, click here.   Read More

$30 discount - Just $69.00 for a limited time! UPDATED with new October 2017 ICD-10 updates for mental, behavioral, and neuro-developmental disorders. The coding for psychiatric and psychotherapy services changed in 2013, and although that was years ago many psychiatrists, psychiatric nurse practitioners (NPs), and psychiatric physician assistants (PAs) are still adjusting to the change. Psychologists, social workers and other licensed mental health professionals also saw their coding change in 2013, although not as drastically. It is important to stay on top of these changes in order to ensure accuracy. Click here to check out other expert led coding training in the Availity Learning Center. As a result of this webinar, you will be able to Differentiate between coding and reimbursement Identify CPT codes for behavioral treatment Select the correct code for assessment, therapy, and crisis services Bill correctly for medication management Understand diagnosis codes in DSM-5 and ICD-10 Select accurate and specific ICD-10 codes   Who should attend Psychiatrists, psychiatric nurse practitioners (NPs), and psychiatric physician assistants (PAs) Practice administrators Billing and operations managers Billing and coding staff (Codes changed less drastically for psychologists, social workers, and other licensed mental health professionals)   About the Speaker This course is hosted by Betsy Nicoletti, co-founder of Codapedia.com, a wiki devoted to physician reimbursement. As a certified coder, Betsy simplifies complex coding rules for practitioners and engages physicians in a positive and respectful way, which encourages attention and accuracy in their coding. Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education, billing and accounts receivable management. CEU 1 AAPC CEU (can be earned through May 31, 2019)   Important Notes Recorded March 22, 2017. Updated October 2017. Availity cannot issue refunds. The CEU for this course has expired and is no longer available however the content is still relevant.  Read More

Getting paid for open and laparoscopic bariatric procedures requires that surgeons code correctly and follow the right guidelines. For example, what can be billed in addition to the bariatric procedure? Is hernia repair separately reported? And if so, with which codes, and will a modifier be necessary? Equally as important is understanding coverage policies. Medicare has a national coverage policy that is implemented at the discretion of local Medicare carriers. Private payors have their own coverage criteria that must be met before reimbursement will be authorized. Bariatric surgeons must be familiar with payor-specific policies, and ensure that all patients comply with requirements. This course covers Coding Bariatric Procedures Coding Hiatal Hernia Repair with Bariatric Procedures Coverage Policies and Bariatric Procedures About the Speaker Teresa "Teri" Romano, RN, MBA, CPC, CMDP As a faculty member of the national Society for Vascular Surgery (SVS) coding courses Teri works directly with the CPT advisors on vascular coding and provides accurate coding advice from the official source, as well as information on coding changes that are in the works. Objectives Coding for bariatric procedures: open and laparoscopic. Coding for hiatal hernia repair with a bariatric procedure: When is it appropriate? Which codes should be used? Will it get paid? Coding for gastric band adjustment during and after the global period. Medicare coverage for bariatric procedures. What does Medicare consider medically necessary (and reimbursable) for bariatric procedures? Private payor coverage for bariatric procedures. How and where do you find coverage policies for your top private payors? What are they likely to include?   Important Note Availity cannot issue refunds. Read More

Note: This is a series. Read the full description to see about purchasing individual courses. The transition and pace from volume to value is unique to your specific market’s value-based maturity level. How do you know when and where to focus your resources? The move from volume to value triggers significant financial opportunities for those primary care practices able to modify and adapt process, people and technology to the medical neighborhood mindset. This webinar series presents what you need to know to prevail and succeed in value-based models best suited for Primary Care organizations.  In an internet world of vast amounts of value-based information and data, Primary Care practices need a proven source of consumable, meaningful content applied in real-world ways that make the most sense. This series takes away the mystery of value-based reimbursement and provides exactly what you need to know about people, process and technology to prevail and succeed in MACRA’s MIPS/APM, PCMH, Shared Risk/Gain, Population Health and Partial/Global Capitation models.  About the Speaker Denny Flint is an expert and national speaker focused on physician practice management and strategic planning, sharing clinical documentation, coding and financial expertise for hospital and health systems, and physician group practices.   Transforming Your Practice in a Value-Based World, Primary Care series. You can purchase the entire Primary Care series (at a discounted price!) or individual courses. There may be some courses that better meet your needs depending on where you are in terms of your transformation to the value-based world. Click the course titles to view individual descriptions. The Value-Based World - A Foot in Two Boats MACRA: MIPS and APMs - More Acronyms and More Reporting in the Value-Based World What Your Providers Need to Know in the Value-Based World What Your Staff Needs to Know in the Value-Based World What Primary Care Needs to Know in the Value-Based World Designing Physician Compensation Models in the Value-Based World Risk Contracting in the Value-Based World Capitation, Global Reimbursement, and Population Health in the Value-Based World Practice Alignment in the Value-Based World Managing Your Vendors as Advocates not Adversaries in the Value-Based World + MACRA 2018 Update   Click here to view the Specialist series (11 courses + MACRA 2018 Update) Click here to view the Multi-Specialty series (12 courses + MACRA 2018 Update)   Important Note Availity cannot issue refunds. Read More

Note: This is a series. Read the full description to see about purchasing individual courses. The move from volume to value is the most significant change to health care in over 30 years. How are you going to make the transformative shift? As payers and employers narrow networks to partner with only those specialists who demonstrate and prove cost-effective, quality care, you will understand how to secure access to insured lives. As the consumerism of health care continues, specialists must understand how to differentiate themselves and their practice from their colleague-competitors.  For specialty practices, the list of possible value-based models is ever expanding. From initial forays into shared risk to bundling and eventually to global capitation and population health, the decision to move to these new models is fraught with danger. The pace for how and what you need to transform within your organization is unique to your specialty, specific value-based market maturity, referral patterns, ability to withstand risk, predict and model the drivers of health care spend, and the technology to prevail and succeed. This webinar series provides a common-sense approach toward mission-critical decision points that demystify value-based reimbursement models by showing you exactly what you need to do to not just survive, but to prevail. About the Speaker Denny Flint is an expert and national speaker focused on physician practice management and strategic planning, sharing clinical documentation, coding and financial expertise for hospital and health systems, and physician group practices.   Transforming Your Practice in a Value-Based World, Specialist series. You can purchase the entire Specialist series (at a discounted price!) or individual courses. There may be some courses that better meet your needs depending on where you are in terms of your transformation to the value-based world. Click the course titles to view individual descriptions. The Value-Based World - A Foot in Two Boats MACRA: MIPS and APMs - More Acronyms and More Reporting in the Value-Based World What Your Providers Need to Know in the Value-Based World What Your Staff Needs to Know in the Value-Based World Episode Payment Models and Bundling in the Value-Based World What Specialists Need to Know in the Value-Based World Designing Physician Compensation Models in the Value-Based World Risk Contracting in the Value-Based World Capitation, Global Reimbursement, and Population Health in the Value-Based World Practice Alignment in the Value-Based World Managing Your Vendors as Advocates not Adversaries in the Value-Based World + MACRA 2018 Update   Click here to view the Primary Care series (10 courses + MACRA 2018 Update) Click here to view the Multi-Specialty series (12 courses + MACRA 2018 Update)   Important Note Availity cannot issue refunds. Read More

Note: This is a series. Read the full description to see about purchasing individual courses. The move from volume to value is the most significant change to health care in over 30 years. How are you going to make the move? For multi-specialty group practices that span both primary and specialty care, unique opportunities exist to thrive in the value-based environment if risk and reward is clearly understood. Because there is no one-size-fits-all model and the decision to participate depends upon value-based market maturity, size, specialty mix, payer adoption, network integration, and hundreds of other variables, the need for a series of common sense webinars that march a multi-specialty group from initial adoption through full-on global capitation has never been greater.  With so much to know and so much information out there about each facet of value-based adoption, you need a clear path to get from the excesses of volume-driven reimbursement through the no-man’s land of transition where both volume and value are present to full risk population health management where provider, in effect becomes payer. These webinars benefit all sizes and shapes from fully integrated delivery networks to the smallest multi-specialty group practice. About the Speaker Denny Flint is an expert and national speaker focused on physician practice management and strategic planning, sharing clinical documentation, coding and financial expertise for hospital and health systems, and physician group practices.   Transforming Your Practice in a Value-Based World, Multi-Specialty series. You can purchase the entire Multi-Specialty series (at a discounted price!) or individual courses. There may be some courses that better meet your needs depending on where you are in terms of your transformation to the value-based world. Click the course titles to view individual descriptions. The Value-Based World - A Foot in Two Boats MACRA: MIPS and APMs - More Acronyms and More Reporting in the Value-Based World What Your Providers Need to Know in the Value-Based World What Your Staff Needs to Know in the Value-Based World Episode Payment Models and Bundling in the Value-Based World What Primary Care Needs to Know in the Value-Based World What Specialists Need to Know in the Value-Based World Designing Physician Compensation Models in the Value-Based World Risk Contracting in the Value-Based World Capitation, Global Reimbursement, and Population Health in the Value-Based World Practice Alignment in the Value-Based World Managing Your Vendors as Advocates not Adversaries in the Value-Based World + MACRA 2018 Update   Click here to view the Primary Care series (10 courses + MACRA 2018 Update) Click here to view the Specialist series (11 courses+ MACRA 2018 Update)   Important Note Availity cannot issue refunds. Read More

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