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Bundle - Purchase both HCC webinars here and save! Hierarchical Condition Categories, HCCs, are a reimbursement methodology used primarily by Medicare Advantage payors to collect and stratify clinical risk in the patient populations they manage. Because HCC data is driven by diagnosis codes physicians and other providers play a vital role in how population risk is scored. The higher risk the population, the more CMS pays the payor to manage it. And ultimately, that affects provider reimbursement rates - regardless of whether you are in private practice or employed. Click the course titles to view individual descriptions -  $99 each. Save over $45 when you purchase the bundle. Each one of these webinars helps you gain a deeper understanding of the importance of HCCs: 1. Why all the Fuss About HCCs? What They are and how They Impact Physicians - $99 This webinar will give you the fast 411 about HCCs, how physician documentation and diagnosis coding play a key role in the risk adjustment score and how HCCs impact your reimbursement. Commercial payers are beginning to adopt HCCs too, so even if you don't see or treat Medicare Advantage patients, your future commercial reimbursement will most likely be affected. 2. How Coding and Documentation Impact HCCs: Understanding Condition Tracking, Claim Data Validity, and Audits - $99 This webinar will review examples of documentation (good and bad) to gain a deeper understanding of the importance of documenting co-morbidities that affect patient care. You'll also learn how the RADV (HCC) auditors will review documentation to identify appropriate HCC coding. Important Note Availity cannot issue refunds. Read More

Can a practice bill Medicare for Non-Physician Practitioner (NPP) services under the physician's NPI? The stakes are high for the practice in terms of revenue and compliance. Ask around the office, and there is often significant disagreement over the Medicare rules for these services, including in what setting each can be provided. This session will provide definitive answers about billing for NPPs incident-to or as shared services. 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 2 AAPC CEUs (can be earned through September 30, 2019) Important Notes Recorded August 16, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.   Special Purchasing/Volume Discounts This is course five of a five-part series: The Confident Coder Series with Betsy Nicoletti. To see the bundle click here. Read More

Medical practices can decrease denials and accelerate payments, by setting up work processes that use advance functions in their software systems to identify, quantify, and categorize coding denials. The purpose is to identify patterns related to coding and avoid these denials. 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 2 AAPC CEUs (can be earned through September 30, 2019) Important Notes Recorded August 17, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.   Special Purchasing/Volume Discounts This is course four of a five-part series: The Confident Coder Series with Betsy Nicoletti. To see the bundle click here. Read More

In a fee-for-service world, diagnosis coding has one function: to establish the medical necessity of the service. However, many practices are joining ACOs, reporting using MIPS, joining APMs, or have risk-adjusted contracts with private payers. This makes it critical to accurately report diagnosis codes that reflect the complexity of patients. Learn how risk adjustment works as we move from fee-for-service to value-based payments. 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 2 AAPC CEU (can be earned through September 30, 2018) Important Notes Recorded August 15, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.   Special Purchasing/Volume Discounts This is course one of a five-part series: The Confident Coder Series with Betsy Nicoletti. To see the bundle click here. Read More

Evaluation and Management (E/M) services account for 30% of the revenue paid by Medicare for all physician services. For many specialties, E/M codes account for 60-70% of total revenue. Maximum reimbursement depends on understanding to rules regulated to these services. This session outlines the rules related to major categories of E/M service. 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 2 AAPC CEUs (can be earned through September 30, 2019) Important Notes Recorded August 3, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.   Special Purchasing/Volume Discounts Like this course? This is course two of a five-part series: The Confident Coder Series with Betsy Nicoletti. To learn about the other courses in the series, click here. Read More

Physician services are paid based on CPT and HCPCS codes, when medical necessity is supported by the ICD-10 code. Simple, until you factor in rules related to place of service, modifiers, NCCI edits, global payments, and coverage determinations. This is an essential primer for new staff and providers. 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 2 AAPC CEUs (can be earned through September 30, 2019) Important Notes Recorded August 1, 2016. Availity cannot issue refunds. This program has the prior approval of AAPC for up to two continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. Special Purchasing/Volume Discounts Like this course? This is course one of a five-part series: The Confident Coder Series with Betsy Nicoletti. To learn about the other courses in the series, click here. Read More

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