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In this presentation we'll review cardiac anatomy and physiology and provide an overview of the sub-specialties concerned in the cardiology field. We'll also discuss ICD-10-CM coding for both congenital and non-congenital conditions with CPT coding and billing for common general cardiology procedures. Finally, we'll cover common E/M scenarios for the office and facility settings, including addressing modifiers and global periods.

Presented by: Stacy Donnelly, CPC, CPMA, CIRCC, CCVTC, CCC

2 CEUs

  Key Objectives:

• Identify the characteristics and knowledge base audit team participants need.
• Recognize the value of proactive monitoring of external events and information.
• Explain why performing mock audits to identify errors is beneficial.
• Understand the ramifications of the 60-day rule.

Presented by: Rose T Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS

1.5 CEUs

This presentation focuses on common and complex ear conditions, surgical interventions, and diagnostic procedures. We’ll explore the nuances of CPT, ICD-10, and HCPCS codes specific to otology, providing actionable tips to avoid errors and ensure compliance. Attendees will leave with a clear understanding of how to navigate challenging scenarios, including modifier usage and payer-specific guidelines, for accurate documentation and maximum reimbursement.

• Understand the Anatomy and Terminology: Gain a foundational understanding of ear anatomy and common ENT terms essential for accurate coding.
• Master Key Codes: Learn to identify and apply the correct CPT, ICD-10, and HCPCS codes for common ear procedures, such as tympanoplasty, myringotomy, and cochlear implant services.
• Improve Documentation Practices: Discover best practices for documentation to      support medical necessity and avoid denials.
• Navigate Challenges: Address complex scenarios, including modifier application, bilateral procedures,      and payer-specific requirements.
• Boost Confidence: Enhance coding accuracy and confidence through practical examples and real-world case studies.

Presented by: Jennifer McNamara, CPC, CCS, CRC, CPMA, CDEO, COSC, CGSC, COPC, CPC-I

1 CEU

This presentation provides a comprehensive guide to navigating denials and appeals, offering

strategies to identify root causes, craft effective appeals, and optimize the use of technology.

Beginners will gain foundational skills and a clear understanding of the denials process, while

advanced learners will explore complex resolution strategies and escalation pathways. Whether

you’re new or experienced, this session delivers actionable tools to improve outcomes and

prevent future denials.

Objectives:

1. Learn to identify and classify denials effectively using key resources like EOBs, ERAs, and dashboards, enabling better prioritization and faster resolution.
2. Gain step-by-step insights into constructing compelling appeals, including essential administrative details, proper documentation, and payer-specific guidelines.
3. Understand how to combine human expertise with technology solutions to create a reliable “source of truth” for efficient claims management
4. Learn best practices for escalating unresolved denials through internal and external channels, including payer grievances and regulatory complaints, backed by data and contract knowledge.

Presented by: Vanessa Moldovan, CRCR, CPB, CPC, CPPM, CPMA, CPC-I 

1.5 CEUs