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Be Prepared for your next HIPAA Audit

Being in compliance with HIPAA involves not only ensuring you provide the appropriate patient rights and controls on your uses and disclosures of protected health information, but you also have the proper policies and procedures in place. If audited or the subject of a compliance review you will be required to show the government you have all the necessary documentation in place for safeguarding patient Protected Health Information and indicate how you addressed all required security safeguards. This starts with the understanding the fundamentals of a HIPAA compliance. If your healthcare practice, business, or organization needs to understand how to be prepared for a HIPAA audit and to make sure your current safeguards are adequate and can withstand government scrutiny, please join us for this informative and interactive course. Why should you Attend: Almost 120,000,000 individuals were affected by HIPAA data breaches. This is a significant reason why Congress has inquired about the recent and very sizeable increases in cyber-attacks that inflect the risk of medical identity theft. And with the Phase 2 Audit program underway, selected Covered Entities will soon receive written notifications they are going to be audited. Attendees will leave the course clearly understanding of all the requirements that must be in place for HIPAA and how to demonstrate compliance if audited. After completing this course, a Covered Entity or Business Associate will be able to know what needs to be place when it comes to all of the HIPAA regulations. Areas Covered in the Session : Why was HIPAA created? What are the HIPAA Security and Privacy Rules? What is a HIPAA Risk Management Plan? What is meant by “Required” and “Addressable” Implementation Specifications? What are Administrative, Technical, and Physical Safeguards Requirements? What is a HIPAA Risk Assessment? What are HIPAA training requirements? What is a HIPAA data breach and what happens if it occurs? What are the penalties and fines for non-compliance and how to avoid them? Preparing for a HIPAA Audit Creating a Culture of Compliance Interactive Q&A Session Who Will Benefit: Compliance Officer HIPAA Privacy Officer HIPAA Security Officer Medical/Dental Office Managers Practice Managers Information Systems Manager Chief Information Officer General Counsel/lawyer Practice Management Consultants Any Business Associates that accesses protected health information IT Companies that support Medical/Dental practices or other healthcare organizations

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Best Practices for Having Successful Performance Discussions

How we talk about performance – how successful we are in doing this – is critical to the team relationships we forge and the effectiveness of team performance. Part of talking about performance is knowing how to have an effective performance discussion. The performance discussion is truly a collaborative process that we have – there must be an open exchange of views, ideas, and issues. The primary purpose of the discussion is to provide specific feedback concerning performance, to explain and gain mutual understanding of the ratings you have given, and to build a sound foundation for goal setting and development planning for the next year. Specifically, the purpose of the Collaborative Performance Discussion is: To provide feedback to the Team Member concerning performance To clarify for the Team Member individual strengths and areas needing development To discuss and gain mutual understanding of the ratings assigned and achieve closure To help the Team Member structure a Career Development Plan for the next year that will result in continued more effective and significant improved performance During this webinar, we will discuss some of the challenges of the Collaborative Performance Discussion, provide you with an opportunity to self-assess your discussion skills, and introduce you to the Coaching for Performance Model. Why You Should Attend: The primary reason for participating in this webinar is to ensure that you build effective collaborative relationships. For your management of team performance to be successful, you must overcome a number of critical challenges. Success in this case means that both you and your Team Member leave the discussion feeling that the process was fair, objective, helpful, and sets the stage for continued effective performance. Specifically, this webinar will help you to meet the challenges that you are facing including: Structuring a performance message that conveys a supportive tone, presents the evaluation in easy-to-understand terms, is fair and able to be supported and sustains a good working relationship Setting the stage for the discussion by creating a supportive environment Providing clear and relevant feedback Effectively handling disagreements when they arise Achieving mutual understanding of performance ratings, strengths, and development needs and achieving closure Areas Covered in the Session : Having a Collaborative Performance Discussion Challenges of the Collaborative Performance Discussion The Coaching for Performance Model Preparing for the discussion Providing Feedback Establish Mutual Understanding and Achieve Closure Who Should Attend: This webinar is suitable for professionals across all industries and functions. A must for all Directors, VP’s, Managers, Supervisors, Team Leads and everyone who may want to improve their ability to effectively manage performances.

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Behavior Health Coding and Documentation

Evaluation and Management codes are often vulnerable to third-party auditor scrutiny. Payers frequently use different types of analyses to identify outliers with E/M coding, such as physicians who bill higher-than-normal levels of more intensive codes. Other auditors, such as Recovery Auditors, Medicare Administrative Contractors, and Zone Program Integrity Contractors often follow the same process to use this same type of data to calculate from analytics. Given the increased scrutiny of these codes, it’s important to be confident with E/M and other coding that it is reflective of the accurate documentation during the patient encounter. During this webinar, we will revisit E/M coding guidelines and other top office services for Behavior Health professionals. There will be sample scenarios used during the webinar to help define the reason for the patient encounter documentation requirements that meet the definition of the code. Why You Should Attend: According to the CMS documentation audit tool, medical necessity is the overarching criterion in determining the level of service to bill, along with the individual requirements of a particular CPT code. It would not be appropriate to document and bill a higher level of service when a lower level of service is warranted. Nor should the volume of documentation be the primary influence for which level of E/M service is billed. Due to increasing audits with E/M coding and documentation, each provider should be asking the question, “Does my documentation truly justify the services rendered, and are those services medical necessary for the diagnosis treated? Areas Covered in the Session : E/M documentation guidelines Review all the key components of choosing the accurate code When is it appropriate to bill two types of CPT codes Meeting coding and documentation requirements for time-based psychotherapy services Key documentation points for supporting the code for Interactive Complexity Documentation focus and coding for Family therapy Medical record templates and medical necessity Sample Behavior Health scenarios used in presentation Who Should Attend: Physicians Billers/Coders for Behavior Health Compliance Officers