CMS MACRA Final Rule and its Impact on your Coding and Billing

Event Information
Product Format
Prerecorded Event
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
60 minutes
Product Description

Learn About the Changes in Documentation, Coding and Billing that Physician Practices Need to Make Under MACRA to Thrive

The Medícare Access and CHIP Reauthorization Act (MACRA) will revolutionize the way physicians are paid: Is your practice ready for the revolution?

By shifting the focus from the level of services billed to quality improvement activities and disease prevention, MACRA means your practice will need to make important changes to your documentation, coding and billing systems in order to survive the major changes to physícian reimbursement that this law requires.

MACRA’s Quality Payment Program for 2017 is already underway, and you can earn a positive Merit-Based Incentive Payment System (MIPS) payment adjustment for 2019 if you submit 2017 data by March 31, 2018. If you participate in an Advanced Payment Model (APM) in 2017, you may earn a 5% incentive payment in 2019.

Join expert speaker Kim Huey in this informative session to learn everything you need to know about the new coding guidelines and the impact of reporting preventive medicine codes on quality reporting and reimbursement under MACRA. You’ll also learn how to document disease processes and how to participate in MIPS and APMs. She’ll help you identify the changes you need to make in your documentation, coding and billing practices in order to thrive as MACRA rolls out this year.

Session Highlights

  • Understanding the new coding guidelines—how to document and code to paint an accurate picture of the patients you’re treating
  • Understanding the impact of using the words “with,” “due to,” “caused by” and “secondary to”
  • How reporting preventive medicine codes will impact quality reporting and reimbursement
  • Documenting disease processes to accurately capture acuity
  • When “history of” is important
  • Participating in MIPS
  • Expanding clinical documentation improvement (CDI) programs from the hospital to your practice
  • How your quality rating will be made public—and how to talk to your patients about it
  • Accommodations available for small practices

Agenda Highlights

  • MACRA and its exceptions
  • Understanding MIPS, especially in 2017
  • Quality codes and measures
  • Improvement activities and examples
  • Advancing care information
  • The role of cost
  • Diagnosís coding guidelines and examples
  • Historical conditions
  • Patient responsibility and refusal
  • New coding for underdosing
  • Preventive medicine
  • The connection to CMS’s Physícian Compare program
  • Clinical documentation improvement
  • Coding and CDI made simple
  • Tips for small practices
  • How MACRA’s improvement activities work together

Who should attend

  • Physicians
  • Coders
  • Billers
  • Office managers

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About Our Speaker

Kim Garner Huey - Health Care Management Expert

Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.

Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...   More Info
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