November 10-15

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ACR Convergence 2023

San Diego, CA

Home // Get a handle on compliance, coding, auditing during pre-meeting courses

Get a handle on compliance, coding, auditing during pre-meeting courses


2 minutes

Two days of pre-meeting courses at the ACR/ARHP Annual Meeting will offer information on MACRA, MIPS, claims denials, and audits.

The ACR Coding Clinic: Addressing Information Security, Risk & Compliance Workshop is being held from 7:00 am – 4:00 pm on Friday, followed by the ACR Practice Mgt Course: Refocus Your Practice: Innovation, Improvement, & Insights from 7:00 am – 4:15 pm on Saturday. During both daylong sessions, leading experts in auditing, compliance, MACRA, MIPS, and evaluation and management (E/M) documentation will dive into the most common coding and compliance pitfalls experienced by most rheumatology practices and tools and resources to help to avoid them. 

On Friday, speaker Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, along with ACR staff members Melesia Tillman, CPC, CPC-I, CRHC, CHA, and Antanya Chung, CPC, CPC-I, CRHC, CCA, will delve into key areas on common coding and billing denials in rheumatology practices. The presenters will share resources and tools on how to avoid coding pitfalls, review the grey areas of auditing documentation, and drill down the elements of E/ M documentation.

The practice management hands-on workshop on Saturday features expert panelists in the healthcare industry who will drill down on office compliance, auditing from both CMS and commercial payers, as well as monitoring process of the Office of Inspector General. A roundtable discussion on MIPS led by ACR staff member Ryan Larosa, Director of Registry Operations, will focus on the current and new MIPS criteria, as well as practical tips for rheumatology practices to apply the guidelines to meet the required standards.

Keynote speaker Sean M. Weiss, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, of Doctors Management and one of the nation’s most recognized and respected authorities on compliance, will address areas of practices facing heavy scrutiny from the government as well as from private payers. Mr. Weiss will walk attendees through the specific steps necessary to create an effective OIG Compliance Plan, including policies specific to medical practices and the necessary steps to ensure their effectiveness. The session will provide attendees with an opportunity to gain a comprehensive understanding of how to cover their assets.

Larry Kemp of Physician Reimbursement Systems, Thornton, CO, and healthcare attorney Bryn Hull, JD, MPH, will cover current hot topics in fraud and abuse, value-based contracting as well as crucial areas practices will need to focus on regarding the uncertainty of the Affordable Care Act.