16th Annual NAMAS Conference

Telehealth has undergone more changes in the past four years than most billed services see in a lifetime, and yet—here we go again! As we launch into telehealth in 2025, we face new telehealth codes, rules, and guidelines.

We must be prepared to update compliance policies for 2025, educate physicians and coding teams on these changes, and audit the compliance documentation. This session will ensure you are ready to go live with these telehealth changes on January 1, 2025.

We often receive questions regarding official resources that can be used to support compliance and make more informed, authoritative decisions. Unfortunately, we also frequently encounter decisions made in practices and facilities that lead to self-reporting scenarios that could have been avoided.

To effectively invoke change in practice, it is essential to be aware of available resources, know how to find them, and understand their impact on the changes. These changes can often be jarring for physicians, providers, and administrative staff, and decisions should not be approached lightly or without solid research and resources.

1. During this session, we will explore the research and resources from the (surgical/E/M) perspective that should be used to make informed decisions.
2. We will walk through real-life examples of scenarios where practices had to self-report and refund reimbursement they were not entitled to. 
3. We will review proactive and retrospective steps you can take to implement new services compliantly. 

Are you Team Paul, Team Scott, or Team Stephanie? Join Moderator Shannon DeConda as she leads teams in a friendly battle of trivia and wits, focusing on compliance and auditing knowledge. Let’s engage in some friendly competition and challenge each other's expertise. Prizes will be awarded to the winning team!

JOIN PAUL'S TEAM FOR TRIVIA
CLICK HERE TO *BUY A T-SHIRT TO REPRESENT TEAM PAUL!*

Are you Team Paul, Team Scott, or Team Stephanie? Join Moderator Shannon DeConda as she leads teams in a friendly battle of trivia and wits, focusing on compliance and auditing knowledge. Let’s engage in some friendly competition and challenge each other's expertise. Prizes will be awarded to the winning team!

JOIN SCOTT'S TEAM FOR TRIVIA

CLICK HERE TO *BUY A T-SHIRT TO REPRESENT TEAM SCOTT!*

Are you Team Paul, Team Scott, or Team Stephanie? Join Moderator Shannon DeConda as she leads teams in a friendly battle of trivia and wits, focusing on compliance and auditing knowledge. Let’s engage in some friendly competition and challenge each other's expertise. Prizes will be awarded to the winning team!

JOIN STEPHANIE'S TEAM FOR TRIVIA
CLICK HERE TO *BUY A T-SHIRT TO REPRESENT TEAM STEPHANIE!*

If you stop and think about it, physician education is a significant responsibility. You are effectively teaching physicians how to be compliant or noncompliant, and if you get it wrong, the consequences are far greater than just a poor rating.

Auditing feedback sessions in compliance and quality assurance are pivotal in ensuring organizational integrity and performance improvement. However, what happens when you are the physician educator and you disagree with the auditor’s conclusions?

This session will equip the educator with the skills and strategies necessary to navigate such scenarios confidently and professionally. Preparing for an effective training session is crucial for ensuring success, whether it’s an audit findings session or a general training session.

Learning Objectives:
1. Identify Training Needs: Determine your physicians’ specific training needs to tailor the content accordingly.
2. Design a Structured Curriculum: Create a curriculum that covers essential topics and skills in a structured
manner.
3. Engage and Educate: Utilize interactive and engaging training methods to enhance learning and retention.

So, You Got "The Letter"Retrospective payer audits wield a significant influence on your organization.

Prior to addressing the needs of healthcare compliance to ensure accuracy and integrity in billing and reimbursement processes, it is essential to grasp the workings of the payer audit system thoroughly.

Our session commences with identifying the key stakeholders and their roles as audit requestors. However, each audit requestor pursues distinct objectives and operates differently. Therefore, we will examine and contrast their objectives, methodologies, and areas of focus. Additionally, we will explore the implications of these audits for healthcare providers, including potential financial impacts, compliance obligations, and effective response strategies.