|
Speaker |
Toni Elhoms |
|
Industry |
Healthcare |
|
Speciality |
Medical Billing Coding Webinars |
|
Available |
All Days |
|
Duration |
120 Minutes |
Description
Description
Each year, the Medicare Physician Fee Schedule (MPFS) Final Rule changes are published, and healthcare professionals are tasked with navigating the myriad of complex changes. The 2024 MPFS Final Rule changes are massive and encompass significant cuts to the 2024 conversion factor, updates to the Medicare Economic Index, massive changes to Evaluation and Management (E/M services), updates to code valuations, updates to various quality reporting programs, and so much more. As a result of these significant 2024 MPFS updates and record-breaking inflation, many physician and provider organizations are outraged and calling for urgent congressional action and payment reform. Today’s webinar will drill down into these updates extensively and provide you with tangible information that can be put into action immediately.
Learning Objectives
Areas Covered
Why Should You Attend
Medicare fee schedule and policy changes are complex to navigate. Without the proper guidance, a healthcare organization can miss important details like coverage determination updates, coding changes, policy changes, reimbursement shifts, relative value unit changes, etc. The cost of non-compliance can be catastrophic.
Description
Healthcare is a multi-trillion-dollar industry that remains highly regulated. When organizations bill for services, they are reimbursed on a good-faith basis with the expectation that clinical documentation supports the services reported and regulatory compliance has been met. Every year the OIG releases its respective work plan which highlights areas and services that represent high-priority audit targets during the upcoming year. Each year the OIG releases their respective work plan which highlights areas and services that represent high-priority audit targets during the upcoming fiscal year and releases monthly updates to the work plan.
It is imperative for organizations to stay diligent and apprised of these compliance initiatives and be especially proactive in their compliance efforts, conduct regular audits of processes and clinical documentation, and comply with the mandatory self-reporting requirements set forth by the Affordable Care Act. In today’s webinar, we discuss the key governing authorities involved in healthcare compliance in 2024, pathways involved in audits and investigations, review the OIG work plan with the most recent updates, spotlight current audit trends and audit targets in 2024, identify relevant action protocols, discuss examples of the latest OIG advisory opinions, identify elements of an effective compliance plan based on recent updates, and discuss actionable best practice tips to set you up for success in 2024 and beyond.
Learning Objectives
Areas Covered
Why Should You Attend
Today’s webinar will cover the key governing authorities involved in healthcare compliance, dissect various pathways involved in audits and investigations, review the OIG 2024 work plan, spotlight 2024 audit trends and audit targets, identify relevant action protocols, discuss recent OIG advisory opinions, identify elements of an effective compliance plan, and discuss actionable best practice tips for success in 2024.
Who Should Attend
(CCS, CPC, CPMA, CRC)
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Toni's expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement. She serves as ACE’s Senior Consultant and conducts training and educational seminars across the country. With well over a decade of industry experience, Ms. Elhoms has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives.
Toni is a frequent contributor to various media outlets, a highly sought-after conference speaker, and a regular guest on industry podcasts. She frequently serves as an expert and consulting witness in both civil and criminal litigation matters. Ms. Elhoms was appointed as an editorial advisory board (EAB) member for The Coding Institute (TCI) in 2020. She created and regularly hosts the Alpha Coding Podcast series (rated a top industry podcast) to share her industry Pro-Tips. She is a regular volunteer and mentors a network of Revenue Cycle Management (RCM) and Health Information Management (HIM) professionals across the United States.