Tracks


Sessions presented at PaRADigm are based on the RBMA Common Body of Knowledge. Listed below are the tracks available along with the corresponding session.

Billing/Coding Track

Monday, April 6, 2020

11-noon
Overcoming RCM Challenges in Interventional Radiology
Jennifer Bash, RHIA, RCC, CPC, CIRCC

This session will explore the revenue cycle challenges unique to interventional radiology. Because of the various systems and touchpoints in interventional radiology, there are often misconceptions among clinical and billing personnel as to who is ultimately responsible for coding these procedures. Additionally, interventionalists are responsible for the evaluation and management of their patients, but barriers to communication and system limitations often lead to services being left out of the billing cycle completely. To further complicate the process, there are many coding edits and guidelines that limit what can actually be billed. The lack of understanding of these challenges often leads to frustration from the providers as well as potential delay and reduction in revenue. Attendees will gain a better understanding of these obstacles and with discussions get solutions that have been used effectively in other practices.
At the conclusion of the session, the attendee will be able to:

  • Recognize the different payment systems for hospital and physician billing and how each impact interventional radiology
  • Identify potential solutions for capturing evaluation and management services within the hospital in order to bill appropriately and effectively
  • Gain knowledge of the most common interventional coding edits and guidelines that may impact the workflow and revenue cycle

1-2 p.m.
Chart Conundrums: Be Mindful of PA Radiology Documentation
Kelly Long, CPC

This session delves into the detailed guidelines related to reporting for physician assistants (PAs) as well as common coding and documentation issues. After a brief overview of PA roles in radiology, the speaker will discuss the fundamentals of CMS reimbursement, including how to meet documentation requirements for Incident-to and Shared Visit billing scenarios. Attendees will discover how EHR safeguards can correctly capture and quantify the patient care contributions made by PAs, and how to use safeguards in RIS systems to support compliant documentation. The speaker will address the significance of the False Claims Act and share strategies for mitigating compliance risk by avoiding OIG violations. The session will provide extensive discussion and practical takeaways for applying documentation and coding best practices to promote thorough, compliant and accurate PA reporting.
At the conclusion of the session, the attendee will be able to:

  • Assess specific PA documentation and coding issues that impact compliant and accurate reporting
  • Analyze the fundamentals of CMS reimbursement, including guidelines for Incident-to and Shared Visit billing scenarios
  • Determine how to avoid noncompliant claims by promoting accurate PA reporting

2:45-3:45 p.m.
Revenue Cycle Optimization in the Era of Data Overload
Theresa King, CPC, CPM, and Sharon Fremer

This session is designed for revenue cycle managers and executives. Whether you outsource this function or manage it in-house, you will be better able to effectively analyze and assess your revenue cycle performance. During the session, presenters will go beyond monitoring traditional key performance indicators to help you identify inefficiencies and establish best practices.
At the conclusion of the session, the attendee will be able to:

  • Set and manage measurable expectations
  • Execute key processes for favorable results, avoid drowning in the details
  • Broaden your library of benchmark and metrics with new and creative ways to evaluate your revenue cycle; including high-risk areas

Tuesday, April 7, 2020

11-noon
Dig in and Let’s “Talk” Ultrasound!
Debby Mann, RCC, CPC, ROCC

Ultrasound – It’s not just a section in the book it’s a modality with a lot of specific guidelines and exceptions! Gain insight into specific coding guidelines and documentation that will surely strengthen your coding scope or assist with physician dictation requirements. Participants will review key ultrasound risk areas found in radiology along with actual dictations. Let’s talk about it! This session is interactive and encourages collaboration through sharing. How are you incorporating clinical vs. non-clinical staff? What relationships and processes work best? What works for you, might work for someone else!
At the conclusion of the session, the attendee will be able to:

  • Recall the CPT required elements.
  • Apply specific coding guidelines and strengthen your coding scope or assist with physician dictation requirements
  • Share your knowledge on how to clearly identify missing elements.

1:30-2:30 p.m.
Time to Bring Revenue Integrity Back to the Claims Process
Timothy Mills

Studies suggest that most providers see overall denial and rejection rates as high as 15-20 percent. Because radiology practices have limited and often overworked resources, a good percentage of denied and rejected claims never get resubmitted, which results in lost revenue. In the session, the presenter shares the startling statics around the true cost of this traditional claims submission-rejection-abandonment approach and demonstrates how to evaluate where many claim errors originate within the workflow of the revenue cycle and how to determine the most common cause for claims denials/rejections. During the session, attendees will learn the importance of preemptive workflow assessments in evaluating and implementing preventative maintenance much earlier in the workflow – at the encounter level, when coding a patient visit, and during charge capture or charge entry.
At the conclusion of the session, the attendee will be able to:

  • Assess the rising costs of denied claims and industry trends in response to typical claim error origination within the overall revenue cycle workflow.
  • Identify common causes of denials and claim rejections and what methods can help to avoid or eliminate those issues before they happen.
  • Apply a preemptive workflow assessment, a proactive approach to process improvement, along with technology to effectively prevent these types of errors from occurring.

3:15-4:15 p.m.
Building a Successful Interventional Coding Team
Jennifer Studdard, RCC, CCS-P, CPC, CPCO, ICD-10-CM AHIMA Approved Trainer

It can be difficult to recruit a single IR coder.Developing a solid team that can adapt to the changes ahead of us is even more daunting because as soon as they are trained, they "transfer" across town.This session provides tips to identify the unique skill set required to build a successful IR coding team and the steps necessary to keep them engaged and thriving.
At the conclusion of the session, the attendee will be able to:

  • Identify the differences in skill set for IR vs. diagnostic services.
  • Define those resources - internal/external - required for success.
  • Design a strategy to retain skilled IR coders.

Wednesday, April 8, 2020

9:30-10:30 a.m.
Strategic Imperatives for Patient Collections
Steve Kahn

Practices are seeing more patients with increases in patient financial responsibility. Practices are working harder to collect from the patient resulting in delayed payments or not being paid and being written off as uncollectable. Interested in developing or retooling patient collections in your practice? Are you ready to increase revenue for your practice? This session introduces tools, techniques, and ways to present to the patient with proven communication mechanisms for payment while also maintaining the integrity and compliance of the practice.
At the conclusion of the session, the attendee will be able to:

  • Develop the strategies for the practice to address patient collections
  • Identify and implement the tools and techniques required for your practice to create the efficiencies for patient collections.
  • Communicate effectively with patients regarding their financial responsibility

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