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Cracking the Code: Billing & Compliance for Primary Care Providers

Summary

Are you reimbursed for the full value of your care? Documentation drives reimbursement for all health care services. Healthcare regulations are constantly evolving, with changes in regulations, payment structures, coding, and coverage for services. Accordingly, medical billing and payer regulations are complex, particularly in primary care, where patient encounters are predictably unpredictable. Yet, billing is not part of the graduate educational curriculum for the majority of advanced practice providers. Careless billing practices are responsible for an escalating number of fraudulent lawsuits. Further, the shift in payment models from volume to value, and the increased responsibility of providers to improve patients’ overall health outcomes, means that primary care visits are increasingly complex. Are you up to the challenge?

Come join us for a full and exciting day of learning at the Cracking the Code: Billing and Compliance for Primary Care Providers Conference at The Friday Center in Chapel Hill on November 10th, 2017!


Offered through the UNC School of Nursing’s Center for Lifelong Learning in collaboration with the UNC Advanced Practice Provider Center, and the UNC Health Systems Office of Professional Compliance, this course will fill the gap between graduate education and professional practice. Our line-up of keynote speakers are all healthcare providers at the top of their professions, and professional compliance executives who will teach you to reflect your professionalism in your documentation. Ample time will be provided to reinforce your learning through case studies in which you practice coding patient encounters, and work with the experts to audit your charts. You’ll leave with new knowledge and the ability to apply recent changes in clinical guidelines to your practice.


The conference topics include:

  • Billing process from a payer’s perspective
  • Organizing documentation to ensure maximum reimbursement
  • Guidelines for effective billing of E&M and CPT coding
  • Billing complex and hybrid visits
  • How to bill for time, and medical complexity
  • Billing for special situations, such as office procedures, and counseling services meaningful use
  • Auditor’s red flags and how to avoid legal pitfalls

Accreditation Statement

 The University of North Carolina at Chapel Hill School of Nursing is accredited as a provider of continuing nursing education (CNE) by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).

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