CMS MACRA and its Impact on Your Coding and Billing for 2018

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

Ensure Your Compliance with MACRA Regulations for Documentation, Coding and Billing in 2018

The Medicare Access and CHIP Reauthorization Act (MACRA) revolutionizes reimbursement to physicians. However, reimbursement will no longer be based simply on the level of service that was billed; instead, quality improvement activities and prevention of disease will also be factors that are considered.

Join coding and reimbursement consultant Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, to learn what changes will physician practices need to make in their documentation, coding and billing to survive the change in reimbursement. Kim will cover specific changes that you need to make in your documentation and coding, and will discuss the easiest ways to implement these changes.

You will come away with ideas to help your physicians document better—which improves patient care as well as meets the goals laid out by MACRA. You will also improve documentation and coding to maximize your performance under MACRA.

Session Highlights

This session will discuss:

  • New diagnosis coding guidelines: how to document and code to paint an accurate picture of the patients you are treating
  • The impact of the words: with, due to, caused by, secondary to
  • How reporting preventive medicine codes will impact quality reporting and reimbursement
  • How to document disease processes to accurately capture acuity
  • When “history of” is important
  • Participation in the Merit-Based Incentive Payment System (MIPS)
  • How you can expand clinical documentation improvement from the hospital to the physician practice
  • How your quality rating will be made public and how to talk to your patients about it
  • What accommodations are made for small practices

Session Agenda

This session will cover:

    • Exceptions
  • MIPS 2018
  • Quality codes
  • Improvement activities
  • Advancing care information
  • Diagnosis coding guidelines
  • Patient responsibility
  • New in ICD-10-CM: Underdosing
  • Patient refusal codes
  • Preventive medicine
  • Physician compare
  • Clinical documentation improvement (CDI)
  • Coding and CDI
  • New credential: Certified documentation expert outpatient (CDEO)

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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