Session 1 - Telehealth Updates for 2022
Speaker - Stephanie Thomas | Duration - 60 Min
Telemedicine guidelines are changing all the time. Providers and their staff are expected to stay informed of these changes, regardless of properly communicated to them from payers. It can cost practices thousands and endless denials for simple clerical errors that could have been avoided with some research. During this webinar speaker will take a deep dive into the history of telemedicine and how far we’ve come. Find out the different code options there are and how to find the most appropriate for your payers.
This webinar will also go over the known changes for 2022 and how to implement those into your practice. Best practices on how to utilize PM and EHR software to do some of the work and “heavy lifting” for us during these times of ever-changing information.
Also, find out tips and tricks on how to deal with denials for claims, if you come across any.
Webinar Objectives
- Denials for incorrect modifiers
- Denials for an incorrect place of service
- Denials for CPT® billed
- Payer changes unknown
- PM/EHR how to use appropriately
- Payer website research
Webinar Agenda
- Payer changes, how to research-find info-then implement into practice
- How to prevent denials from happening by staying up to date on changes
- Different CPT® codes used for telemedicine/telehealth
Webinar Highlights
- How to research for 2022 changes with top payers
- Feel confident of CPT®’s to submit for services performed
- Proper use of Modifiers and place of service
- Deal with denials if some should arise
- Work as a team to ensure all staff are benefiting from telehealth services
Session 2 - Navigating Remote Therapeutic Monitoring Codes in 2022
Speaker - Toni Elhoms | Duration - 60 Min
Remote Therapeutic Monitoring (RTM) CPT codes were developed to represent general medicine codes that capture non-physiological data. Unlike Remote Patient Monitoring (RPM) services which are restricted to providers that can bill for evaluation and management services, RTM was created to capture services provided by practitioners that cannot report evaluation and management services. RTM services require the use of an FDA-defined medical device to collect non-physiological data. This webinar by our expert speaker Toni Elhoms will drill down into these coding updates extensively, highlight the key differences between RTM and RPM services, and provide you with tangible information that can be put into action immediately.
Webinar Objectives
- Identify the new RTM codes for 2022
- Outline clinical use cases for RTM programs
- Discuss which providers can order and bill for RTM services
- Review RTM medical device requirements
- Discuss appropriate RTM medical device collection methods
- Outline the key differences between RTM and RPM services
- Review RTM Clinical Documentation requirements
- Identify next steps for your organization to implement RTM programs
Webinar Agenda
- Review the new RTM codes for 2022
- Outline RTM Clinical Documentation requirements
- Discuss which providers can order and bill for RTM services
- Discuss RTM medical device requirements and data collection methods
- Highlight key differences between RTM and RPM services
Webinar Highlights
- Understand the new RTM codes for 2022
- Recall which providers can order and bill for RTM services
- Recognize RTM medical device requirements and data collection methods
- Understand RTM Clinical Documentation requirements
- Recognize key differences between RTM and RPM services
Session 3 - E & M Update for 2022
Speaker - Lynn M. Anderanin | Duration - 60 Min
Each year there are changes made by the AMA to the CPT® manual and 2022 is no different. This year’s changes to the Evaluation and Management section of CPT® focuses on not only clarifying some issues with the 2021 E/M guidelines for office and outpatient services but providing revisions and code additions to critical care, care management services, remote monitoring services. This webinar will look at all of the changes made here for 2022 so that attendees will not only learn about the changes but will have the knowledge to apply them in their office environment to effectively implement the changes for maximum reimbursement.
Webinar Objectives
When CPT® codes are not accurately reported the provider runs the risk of an audit by any insurance company or governmental entity that is responsible for coding accuracy and compliance. Coding error can also cause claims denials which either slow or prohibit reimbursement for services rendered. Knowledge of the coding changes allows the office staff to establish workflow and process based on the coding changes and also share documentation requirements for compliance.
Webinar Agenda
This webinar will review each individual change in the E/M section of CPT® whether it is a revision or addition to the codes or guidelines. The information shared will be directly from CPT® and the AMA
Webinar Highlights
- Review of documentation guidelines changes for office and outpatient visits not published in CPT® 2021.
- Revision to the services included in critical care
- Services that can be reported in addition to preventative services
- New guidelines for Remote Physiologic Monitoring
- New introductory information for care management services and care planning
- Revised coding table for chronic care management services
- A New category in care management- principal care management services
Session 4 - Navigating the 2022 OPPS Final Rule Changes
Live Date: January 11 2022 | Speaker - Toni Elhoms | Duration - 60 Min
Each year the OPPS Final Rule changes are published, and healthcare professionals are tasked with navigating the myriad of complex changes. The 2022 OPPS Final Rule Changes include changes to the Physician Fee Schedule (PFS) conversion factor, RVU updates, new Category III codes for Telehealth, new HCPCS codes for synthetic graft skin substitute products, changes to split/shared services guidelines, updates for evaluation and management services, updates for Physician Assistant billing to Medicare, updates regarding appropriate use criteria for diagnostic imaging, and so much more. The 2022 OPPS Final Rule also includes significant updates to critical care coding and reporting. This webinar will drill down into these updates extensively and provide you with tangible information that can be put into action immediately.
Webinar Objectives
- Outline the most important 2022 OPPS updates
- Identify PFS conversion factor changes
- Discuss the financial impact of the 2022 OPPS updates
- Review evaluation and management (E/M) changes
- Review National Coverage Determination updates
- Discuss changes to patient cost-sharing for Colorectal Cancer Screenings
- Discuss Appropriate Use Criteria (AUC) updates for Advanced Diagnostic Imaging
- Discuss strategies for educating key stakeholders on these updates
- Identify next steps for your organization to successfully navigate the 2022 OPPS updates
Webinar Agenda
- Review the most important 2022 OPPS updates
- Outline National Coverage Determination updates
- Review evaluation and management (E/M) changes
- Review changes to patient cost-sharing for Colorectal Cancer Screenings
- Review the financial impact of the 2022 OPPS updates
- Discuss strategies for educating key stakeholders on these updates
Webinar Highlights
- Understand the key 2022 OPPS updates
- Recall strategies for educating key stakeholders on these updates
- Recognize evaluation and management (E/M) changes
- Understand new Medicare billing rules for Physician Assistant billing
- Recognize Appropriate Use Criteria (AUC) updates for Advanced Diagnostic Imaging
- Recall the financial impact of the 2022 OPPS updates
Session 5 - Case Management Updates for 2022 and Beyond!
Live Date: January 13 2022 | Speaker - Toni Cesta | Duration - 60 Min
Healthcare is a rapidly evolving business. With that, case management departments and professionals must remain current and compliant with new regulatory changes, updates, and best practices. The Centers for Medicare and Medicaid Services (CMS) updates the Conditions of Participation for Utilization Review and Discharge Planning annually. Sometimes there are no significant changes, but in the last two years, both utilization review and discharge planning have progressed in terms of regulatory changes, as well as best practices and IT solutions.
In this webinar, our expert speaker Toni Cesta will review the most recent best practices for utilization review including new information technology solutions that support this role and can make it more efficient. She will discuss the new Conditions of Participation for discharge planning that went into place two years ago. These new expectations from CMS include the additional functions we must perform. In order to be compliant in your practice, you must have a working knowledge of these new requirements and how these affect the practice of case management professionals. Documentation requirements related to discharge planning are more comprehensive than they have been in the past and require that the physician of record participate in the discharge planning documentation as well. Discharge planning must be a team effort. In order to demonstrate that is, documentation must be timely, comprehensive, and complete.
Finally, this webinar will discuss best practices in terms of model designs, roles, and staffing ratios. While models are very important, the staffing ratios to support them are equally as important. We will review the staffing ratios for the most frequently used models, the integrated model, and the collaborative model.
Webinar Objectives
It can be difficult to remain current in your role as a case management professional when your practice and daily work life and busy and you are constantly on the move. Rather than having to read through numerous publications and online information, this webinar will summarize the need-to-know elements of the regulatory issues affecting your practice.
In the recent past, the Conditions of Participation were updated to include additional responsibilities for case managers and physicians. These changes require modifications to the ways in which discharge planning is performed and documented. Case management professionals must be compliant with these new requirements.
Newly emerging IT solutions geared toward clinical reviews are emerging that can help facilitate the UR process.
There are best practices for design, roles, and staffing ratios.
Webinar Agenda
- Conditions of Participation for Utilization Review and how to ensure compliance
- Emerging IT solutions for utilization review
- Conditions of Participation for Discharge Planning
- Updates to the Conditions of Participation for Discharge Planning
- Changes in practice and documentation needed in response to the new discharge planning requirements
- Best practice case management roles and models
- Best practice staffing ratios for case management departments
Webinar Highlights
- Compliance as it relates to utilization management
- Conditions of participation for utilization review
- Components of a compliant utilization review plan
- Components of a compliant utilization review committee
- Emerging IT solutions for utilization review
- Updated Conditions of Participation for discharge planning.
- Regulatory requirements associated with discharge planning.
- Best practice case management models
- Best practice roles for RN and social work case managers
- Best practice staffing ratios
Session 6 - Pre-Authorization Updates 2022
Live Date: January 18 2022 | Speaker - Stephanie Thomas | Duration - 60 Min
Pre authorizations are one of the most important aspects of medical practice. If you are seeing patients out of network, even more so! Commonly health care providers and practices are scrambling to find a balance between time for patient care and the increasing administrative burden of prior authorizations and denials. On average, 14.6 hours per week is spent on pre-authorizations and UM (utilization management), totaling more than $68,000 per year, per practice. Let us show you how to simplify this process and save valuable time for your staff and practice.
Ever-changing guidelines and regulations make this process frustrating and seem impossible for some practices to get it right. There is hope!
Some of the major insurance companies have very specific policies, being educated and confident of this upfront will significantly increase your success rate. The provider cannot allow payers to determine how patients are treated, this webinar will allow your practice to take back that power and get authorizations and referrals upon the first submission. Our expert speaker Stephanie Thomas will show your team tips on how to identify where to find payer-specific guidelines and what to provide in requests to get better results from their hard work!
Make sure your entire care team attends this highly informative webinar, this will protect your bottom line.
Webinar Objectives
- Payer changes-How to learn about these changes and implement them into the business
- How to understand these policies and read between the lines of the changes
- Denied auths-Identify trends quickly and implement changes to avoid future issues
- Appealing denied auths-what to include to increase chances for success
- Team meetings-the importance of groups coming together to discuss their roles and how to further improve processes
Webinar Agenda
Changes in policies across all major payers will be discussed. We will discuss how to be notified of these changes as well as how to locate these changes proactively. These changes can be hard to implement across a medical practice and often things get missed, especially early in the year. We will go over how to deal with these issues and ways to identify trends and streamline internal processes to improve your pre-auth process and protect your bottom line.
Webinar Highlights
- Payer Changes, be proactive!
- Policies/Guidelines, what do they mean?
- How to handle denied authorizations due to changes
- Appeal follow up for success
- Identify issues within your practice early
- Providing what the payer is looking for in an authorization
- Time management, be more effective
- Internal processes to make your life easier
- Payer goals (aka making your life harder) and how to avoid their efforts
- Pros and Cons of outsourcing this process
Session 7 - Medicare Updates to Physician Fee Schedule for 2022
Live Date: January 20 2022 | Speaker - Jill M. Young | Duration - 60 Min
Each year CMS/Medicare releases a Proposed Rule for the Medicare Physician Fee Schedule mid-year outlining changes it is proposing for the following year and beyond. This is for services that are connected with the Physician Fee Schedule for Medicare (the 30+ column excel spreadsheet of CPT codes that lists RVU’s). In the late fall, after soliciting and considering comments from shareholders, a final rule is released. This webinar is based on the official final rule. Additional information is gleaned from the many pages of comments from shareholders and the subsequent discussion by CMS/Medicare in addressing the questions. If you have questions regarding a particular code or series of codes, check out
For the most part, the finalized rules are effective January 1 of the upcoming year, in this case, 2022. But sometimes the implementation is delayed or is over a period of time. One needs to pay attention to the date the new or changed rule was enacted.
Webinar Objectives
The extension of codes and the restrictions within that particular code set so participants are prepared for January 2022. For example:
- Split Shared Visits – how is this concept used with the new guidelines for Office and Other Outpatient services in 2022 AND in other locations. Additionally, what is the definition of Substantive and why do you need to understand it?
- When has Medicare declared the PHE is over?
- What is the fate of Telehealth visits for Medicare patients after the PHE is declared over
- What are the new services added to the list of eligible codes for telehealth?
- What is the rule for 2022 regarding Time and selecting a level of service for Teaching Physicians?
- What changes have occurred to the payment model for direct care provided by Physician Assistants?
Webinar Highlights
- Overview of changes to services furnished during the same clinical encounter as certain colorectal cancer screening tests
- Organizational changes to Physician Assistant’s services
- The fate of Audio only calls after PHE is over
- Defining Appropriate Use Criteria for advanced diagnostic imaging and what it means to your practice
- Discussion of the eligibility of patients, post COVID-19, with respiratory issues and their eligibility for Pulmonary Rehabilitation
- Updates to the requirement for electronic prescribing for controlled substances
Session 8 - Navigating the 2022 CMS 855 Forms Update
Live Date: January 27 2022 | Speaker - Toni Elhoms | Duration - 60 Min
The process of enrolling with Medicare as a provider/organization can be tedious and time-consuming. The number of Medicare enrollment applications continues to decline due to the enormous complexities surrounding application submission. The cost of getting these enrollment application submissions wrong or missing a deadline can have systemic consequences on an organization, including credentialing issues, coding issues, denial issues, patient satisfaction, and even impact quality scores. In this webinar, our expert speaker Toni Elhoms will discuss which providers are eligible for Medicare enrollment, the types of forms, how to navigate the form fillings, what ancillary documentation is needed with enrollment submission, applicable fees, common errors, and best practice tips.
Webinar Objectives
- Discuss new enrollment submissions
- Discuss revalidation process
- Review CMS Form 855I
- Review CMS Form 855R
- Discuss form fields and highlight complicated sections
- Discuss strategies to complete forms accurately
- Review process of attaching providers to billing entities
- Outline deadlines for form completions
- Outline ancillary documentation required with enrollment submission
- Discuss common rejections and errors with form submissions
- Discuss best practice tips
Webinar Highlights
- Understand new enrollment submissions vs. revalidation process
- Recall CMS Forms 855I and 855R
- Recall form fields and complicated sections
- Recall strategies to complete forms accurately
- Understand process of attaching providers to billing entities
- Know the deadlines for form completion
- Recall ancillary documentation required with enrollment submission
- Avoid common rejections and errors with form submissions
- Recall best practice tips
Session 9 - 2022 CPT Updates
Speaker - Jill M. Young | Duration - 60 Min
Each year the American Medical Association (AMA) releases revisions and additions to the CPT codes. For 2022 there are over 400 editorial changes, 40% of which are tied to new technology services, Category III services, and the proprietary lab analysis section of codes that continues to expand. This session will cover a formal listing of the release of COVID-19 vaccination codes released throughout 2021 and new codes in 2022. This includes both codes for the vaccine serum and codes for administration. This includes codes for vaccines for 5–11-year-olds.
Join this webinar by our expert speaker Jill M Young to understand the new codes to report therapeutic remote monitoring and how they relate to remote psychologic monitoring and also a new code section on Principal Care Management, a concept allowing for physician reporting of care management services in particular instances.
Webinar Agenda
- Presentation of each of the new codes and information released by the AMA on each new or revised CPT codes on what the indications are for use of the code
- Changes and additions for Category III including when to use these codes
- Any other updates presented by the AMA at their annual Symposium Event
Webinar Highlights
New and Revised Codes in the following sections of CPT:
- Digital Medicine
- Vaccines and Immunization Administration
- Orthopedic Surgery
- Neurosurgery/Spine Surgery
- Radiology
- Otolaryngology
- Cardiology and Interventional Cardiology
Session 10 - Payer updates, Are you ready for 2022?
Speaker - Stephanie Thomas | Duration - 60 Min
Payer updates happen often, much of the time without notification. A lot of these updates will come on January 1st, 2022. From Medical Policy changes, to Patient benefit changes you and your staff needs to be educated and prepared to handle these as of the change date. This webinar will go into how to find these updates and implement the education to your team. We have found getting the information to the right peoples’ hands is always the biggest hurdle. With our help your team will feel confident about where to research for changes and how to decipher them to plain English and be sure your practice is protected.
Payer updates can be extremely costly to practices, groups, individual providers. One small preauthorization update could mean hundreds or thousands of dollars of lost revenue. Be sure your staff attends this webinar and is ready to learn the top 10 tricks to benefits and authorization success, when it comes to changes and updates for 2022.
The most important aspect this webinar will cover is teamwork, learn/build/win as a team when all feel confident in what the right hand is telling the left hand. Your team will surely get quality information to bring back and implement into their daily duties and increase productivity and success.
Webinar Objectives
- Denials for policy changes
- Missed revenue
- Confusion on benefits or policy coverage
- The verbiage of policies, how to understand
- Implementation of information
- Preauthorization
- Best practices with payers and their policies
- Patient involvement
Webinar Agenda
This webinar will cover the top 10 tricks for prior authorizations in regard to how to ensure you are researching changes. This can save from costly mistakes. We will also cover how to research effectively and properly implement changes and information into your daily work.
Webinar Highlights
- Payer website research tips
- Best practices of information sharing
- Top known changes for 2022
- Denials for policy changes
- Patient benefits and how to get them involved
- Balancing workload
Who Should Attend
- Medical office staff
- Administrators
- Office managers
- Pre authorization staff
- Billing staff
- Billing managers
- Front desk staff
- Medical assistants
- CNA’s
