Learn with SPPM

Improve Your Bottom Line By Managing and Preventing Denied Claims

Presented by Melissa Billman; Aug 28, 2024

Review claim denial prevention strategies and effective strategies for responding to denied claims. (1.0 CME/ CEU)

Objectives: 

Learners will be able to identify:

1. Common Coding errors that cause denials
2. Misplaced modifiers- How to use modifiers correctly
3. Proper Documentation that prevents denials
4. Common Pre Authorization Errors that result in claim denials

Best Practices to Manage Revenue Cycle to manage denials.

Fraud and Abuse Investigations: How to avoid them and what are the auditors looking for?

Presented July 2024

Objectives:

• Update on Medicare audit activities
• Description of common Medicare audits with discussion of hot spots for interventional pain
• Practical steps to defend documentation
• Discussion of common documentation pointed out by auditors
  

What the End of COVID 19 PHE Means to Your Practice

Presented by Vicki Myckowiak, J.D.

4/18/2023

To smoothly make the transition, Vicki Myckowiak, J.D. will provide an update on the areas that pertain to many Pain Management Practices and medicine in general that will be affected. Topics include: Medicare/Medicaid; access to buprenorphine and methadone; ability to safely prescribe controlled substances via telemedicine.

A Review of the Current SI Joint Policy and the SI Fusion- Let’s Clear Up the Confusion

Presented by Amy Turner, RN, BSN, CPC, MMHC, CHC, CHIAP; 3/08/2023

At the conference Feb 9-11, 2023, there were many questions about the SI Joint Policy and the SI Fusion. Amy will review the documentation, billing and coding.

Payor Audits - OIG Focus, Target Probes, RAC Audits

Presented by Amy Turner, RN, BSN, CPC, MMHC, CHC, CHIAP; 5/10/2023

Amy will review the different Audit focus areas that Pain Management Practices need to be in compliance with. She will discuss comparative billing reports -what to look for; how to use them to improve compliance. Amy will demonstrate through real life examples how to respond to a documentation or audit request.