Beyond the Basics: Advanced Coding Strategies to Boost Accuracy and Compliance

Course Description:

Navigating today’s complex coding landscape requires more than just foundational knowledge. In this advanced-level webinar, we will go beyond the basics to explore strategic approaches that enhance both coding accuracy and compliance. Designed for experienced coders, billers, and clinicians, this session will address nuanced documentation requirements, evolving payer expectations, and high-risk coding areas that commonly lead to denials or audits.

Participants will learn how to confidently document and report services that meet medical necessity, stay compliant with regulatory guidelines, and proactively address billing challenges impacting medical practices today. Packed with real-world examples and actionable tips, this webinar will empower you to refine your coding practices, reduce risk, and optimize reimbursement accuracy.

Learning Objectives:

• Apply advanced knowledge to accurately document and report medical encounters that align with payer medical necessity requirements.
• Explore complex coding and documentation challenges, including strategies to navigate gray areas and avoid denials.
• Identify current coding and billing issues affecting medical practices and learn practical tips to strengthen your own coding accuracy, efficiency, and reimbursement outcomes.
• Analyze high-risk coding areas commonly targeted during audits and implement preventive strategies.
• Demonstrate how to translate clinical documentation into accurate codes that support compliant billing.
• Evaluate payer-specific documentation and coding requirements to minimize denials and rework.
• Apply updates from CPT and ICD-10-CM guidelines to current coding scenarios in dermatology and other specialties.
• Recognize documentation deficiencies that contribute to claim denials and develop corrective action plans.
• Utilize coding best practices to streamline workflow and improve reimbursement timelines.
• Interpret complex clinical scenarios and determine the correct level of service coding.
• Strengthen internal audit readiness by enhancing documentation standards and justification strategies.
• Educate providers on effective documentation techniques that support compliant and defensible coding.
• Assess how emerging regulatory trends impact coding and reimbursement practices.
• Implement proactive billing review procedures to reduce payment delays and recoup lost revenue.
• Understand the intersection of clinical care, documentation, and revenue integrity in outpatient settings.
• Develop a framework for improving interdepartmental communication around coding and billing accuracy.
• Promote a culture of compliance and accuracy within the coding and billing functions of your organization.
• Utilize case-based learning to apply theoretical coding principles to real-world examples.
• Incorporate strategies to maintain coding consistency across multiple specialties or provider groups.
• Apply critical thinking to resolve ambiguous coding scenarios using payer guidelines and clinical context.

Areas Covered in the Session:

• Learn how to confidently document and report services that meet medical necessity
• Learn tips on how to stay compliant with regulatory guidelines
• Learn how to proactively address billing challenges impacting medical practices today
• Learn how to empower your coding confidence so you can refine your coding practices, reduce risk, and optimize reimbursement accuracy
• Understand how to navigate complex coding scenarios and improve decision-making processes
• Learn strategies for addressing high-risk coding areas that commonly lead to denials or audits
• Gain insights into payer-specific requirements and how to minimize claim denials and rework
• Develop techniques to enhance communication between coders, billers, and clinicians for accurate and efficient coding practices
• Live Q&A Session

Suggested Attendees:

• Healthcare Administrators
• Physicians and Non-Physicians Providers
• Medical Coders
• Billing Specialists
• Gastroenterologists
• Clinic Managers
• Nurses
• Experienced Coders
• Experienced Billers
• Clinicians
• Medical Billers
• Healthcare Compliance Officers
• Clinical Documentation Specialists
• Practice Managers
• Revenue Cycle Managers
• Health Information Managers
• Medical Office Managers
• Medical Auditors
• Revenue Cycle Analysts
• Medical Reimbursement Specialists
• Coding Educators
• Healthcare Consultants

About the Presenter:

Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, has a wide range of experience in various medical specialties, solo and group practice settings, from cardiology to endocrinology to dermatology. Her passion, however, lies in dermatology. She is the Assistant Editor for Derm Coding Consult (DCC) – a quarterly coding and regulatory newsletter published by the American Academy of Dermatology (AAD ) ¬- and has been a regular feature contributor to the Association of Dermatology Managers/Administrators (ADA/M) Newsletter, the Journal of Dermatology Nurses Association (JDNA), the American Health Information Management Association (AHIMA) Journal and the American Academy of Professional Coders (AAPC) Journal.  

She is the AAD staff liaison to the AMA CPT Editorial Panel and the ICD-10 Workgroup. She has written extensively on coding, reimbursement, and regulatory changes and how they affect physician practices. She is also a presenter at the AAD Annual and Summer Meetings, ADA/M, JDNA, State Specialty Society meetings, and monthly AAD webinars. As a member of the American Health Information Management Association (AHIMA), she is a member of the Clinical Terminologies & Classifications Practice Council. She is also a member of the American Academy of Professional Coders (AAPC).  

She is a Registered Health Information Technician (RHIT) and Certified Professional Coder (CPC) with specialization in dermatology coding.  She has other certifications in medical office management. medical coding and billing and coding for physician services. She is currently the Senior Manager, Coding and Reimbursement, at the American Academy of Dermatology Association in Rosemont, Illinois. 

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Snippet From Our Previous Session:

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FAQ:

1. Live Access:
   • For individuals who want real-time participation.
2. On-Demand Recording:
   • Best for flexibility and learning at convenience.
   • Forever access with unlimited views and resources.
3. Flash Drive + Replay:
   • Physical flash drive with full webinar recording.
   • Ownership with bonus forever digital replay access. 
4. Live + On-Demand Bundle:
   • Covers both live interaction and future reference.
   • Includes live session participation and forever on-demand access. 
5. Live + Flash Drive + Replay:
   • Physical flash drive with full webinar recording.
   • Permanent ownership, with bonus forever digital replay access.
   • Includes live session participation for real-time engagement.
6. E-book Format:
   • Comprehensive written guide with power point slides and visual references.
   • E-Book will be sent after the Live Session is done.
   • Ideal for learners who prefer reading over watching videos.
7. Corporate/Team Access:
   • Ideal for teams (up to 10 members) looking for a shared experience.
   • Live or on-demand access with team dashboard and group certificates.

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff

"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN" 

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer