• Medicare 2012

    Prepare for Audits, EHR Incentives/Meaningful Use, and Important Medicare Updates

    With Medicare a hot-button issue in Washington, the pressure is on to reduce costs and improve efficiency. Physicians and staff need to understand the ever-more-complicated Medicare system to ensure they can get paid accurately, benefit from incentives, and avoid allegations of fraud and abuse.   

     In this seminar, we’ll show you how to:

    • Prepare your practice for potential audits
    • Gather relevant information when appealing audit letters 
    • Identify the areas of Medicare auditors’ focus
    • Use TrailBlazer’s website to decipher claim denials (e.g., coding and billing errors)
    • Get ready for changes in the Medicare program
    • Comply with HIPAA 5010 electronic standards
    • Get help with electronic health record (EHR) selection and implementation
    • Earn incentives through quality reporting, meaningful use, and e-prescribing

  • Schedule8-8:30 am 
    8:30 am-12:45 pm
    Registration Fee$159.00 -TMA members
    $129.00 - Second attendee
    $229 - Non-members
    CME Course Credits4.0 AMA PRA Cat. 1 (including 3 Ethics credits)
    4.0 AAPC
  • Cities & Dates

    Nov. 2, 2011

    Abilene Christian University
    Hunter Welcome Center
    McCaleb Conference Center, Zone A (East campus entrance)
    1949 ACU Drive
    Abilene, TX 79601
    (Directions )

    Pre-registration closed.  Please register at the door.

    Special thanks to Potter/Randall CMS for their support.

    Nov. 3, 2011
    Texas Tech University 
    Health Sciences Center
    Academic Classroom Building (ACB) Rm. 110
    3601 4th Street
    Lubbock, TX 79430
    Park in lots D1, D2, C1, C2  (Parking Map)  
    (Directions) (Campus map)

    Preregistration closed.  Please register at the door.

    Special thanks to Lubbock-Crosby-Garza CMS and Texas Tech University for their support.

    Nov. 8, 2011

    Corpus Christi
    Doctors Regional-Doctors Pavilion
    3240 Texan Trail
    Corpus Christi, TX 78411
    (Map and directions)
    *The conference center is located behind the hospital on Fort Worth St. off of Texan trail. (Behind the Emergency entrance to Doctors Regional.) Parking is available in front of the conference center.

    Preregistration is closed. Please register at the door.

    Special thanks to Nueces CMS and Doctors Regional Hospital for their support.

    Nov. 9, 2011

    San Antonio
    Norris Conference Center
    4522 Fredericksburg Road
    San Antonio, TX 78201
    *Park near the Target, and enter the conference center to the right of the store.

    Preregistration closed. Please register at the door.

    Special thanks to Bexar CMS for their support.

    Nov. 10, 2011

    Wyndham Garden Hotel
    3401 South I-H 35
    Austin, TX 78741

    Preregistration is closed.  Please register at the door.

    Special thanks to Travis CMS for their support.

    Nov. 15, 2011

    Marriott Courtyard
    7424 South Broadway Avenue
    Tyler, TX 75703

    Preregistration is closed.  Please register at the door.

    Special thanks to Smith CMS for their support.
    Nov. 16, 2011

    Hilton Garden Inn
    Dallas Market Center
    2325 North Stemmons Freeway
    Dallas, TX 75207

    Preregistration closed.  Please register at the door.

    Special thanks to Dallas CMS for their support.

    Nov. 17, 2011

    Forth Worth
    Tarrant County Medical Society
    555 Hemphill Street
    Fort Worth, TX 76104

    Preregistration closed.  Please register at the door.

    Special thanks to Tarrant CMS for their support.

    Nov. 29, 2011

    The Forum
    In the 495 Commerce Business Park
    1100 East Laurel
    McAllen, TX 78501

    Preregistration closed.  Seats still available. Please register at the door.

    Special thanks to Hidalgo/Starr CMS and Health Care Unlimited for their support.

    Nov. 30, 2011

    Houston (North)
    Methodist Willowbrook Hospital
    18220 Tomball Parkway
    Conference Center
    Houston, Texas 77070

    Preregistration is closed.  Seats are still available. Please register at the door.

    Special thanks to Harris CMS and Methodist Willowbrook Hospital for their support.  

    Dec. 1, 2011

    Houston (West)
    Methodist West Houston Hospital
    Conference Center
    Mesquite A
    18500 Katy Freeway
    Houston, Texas 77094


    Preregistration closed.  Seats still available. Please register at the door.

    Special thanks to Harris CMS and Methodist West Houston Hospital for their support.  

  • Agenda

    Fraud, Waste, and Abuse Initiatives (Ethics)

    Overview of ALL Medicare audits
    Comprehensive Error Rate Testing (CERT)
    Office of Inspector General (OIG)
    Zone Program Integrity Contractor (ZPIC)
    Recovery Audit Contractor (RAC)
    RAC audits — updates, examples, and avoiding errors
    OIG 2012 Work Plan and new technology for finding fraud and abuse

    Medicare Updates (Ethics)
    Changes you need to know about: fee schedule, dual eligibles, notice of non-coverage, advanced diagnostic imaging accreditation
    Open enrollment period (3 participation options)
    Claims reprocessing due to the Affordable Care Act
    DMEPOS competitive bidding

    Practice Exercises in Medicare Coding and Billing

    Health Information Technology (Ethics)
    HIPAA 5010: Comply by Jan. 1, 2012, or you won’t get paid.
    Physician Quality Reporting System (PQRS)
    Electronic health record incentives

  • Your Speakers

    Erin Gregorcyk Smith, CPC, is a TMA reimbursement specialist in the Payment Advocacy Department specializing in Medicare. She also assists physician practices with issues affecting payment through the TMA Hassle Factor Log Program and regular meetings with insurance carriers. She has experience in physician office education and training physicians and staff in correct coding/billing practices. Mrs. Smith also serves as a member of TrailBlazer's Provider Outreach and Education-Advisory Group, co-chair of the AMA Medicare Advantage Work Group, Professional Association of Healthcare Office Management (PAHCOM) and is also an active member of the American Academy of Professional Coders.

    Shannon Moore directs TMA’s Health Information Technology Department, which provides education and resources to Texas physicians. She serves on the board of the Austin chapter of the Health Information Management Systems Society and is an active member of the Travis County chapter of Professional Association of Health Care Office Managers. 

    Tyler Patterson is with the Texas Medical Association as Marketing and Resource Coordinator for the Health Information Technology (HIT) department, providing education and resources to Texas physicians.  Previously, he ran his own small marketing and consulting business helping clients succeed using open-source platforms and social media.  Tyler completed his MBA at the Acton School of Business in Austin and is a Certified Health Education Specialist (CHES). 

  • Continuing Medical Education

    The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

    The TMA designates this live activity for a maximum of 4 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

    This program has been designated as 3 hours of ethics and/or professional responsibility education. 

    This program has prior approval of the American Academy of Professional Coders for 4.0 continuing education units. Granting of this approval in no way constitutes endorsement by AAPC of the program, content, or program sponsor.

    CME Disclosure Statement

    Policies and standards of the Texas Medical Association, the Accreditation Council for Continuing Medical Education, and the American Medical Association require that speakers and planners for continuing medical education activities disclose any relevant financial relationship they may have with commercial entities whose products, devices or services may be discussed in the content of the CME activity. 

    The content of this material does not relate to any product of a commercial interest; therefore, there are no relevant financial relationships to disclose. 

  • Is This Course for You?

    This program is designed for physicians, compliance officers, office managers, and billing/coding personnel in all specialties who treat Medicare patients. 
  • Course Objectives

    Upon completion of this program, participants should be able to:

    • Describe Medicare's fraud and abuse initiatives and prepare your practice for potential audits.
    • Identify best practices for Medicare billing and coding.
    • Recognize the importance of health information technology and what is required to achieve meaningful use and 
      comply with HIPAA 5010.
    • Identify resources to assist with electronic medical record selection, implementation, e-prescribing, and PQRS.
  • Teaching Methods

    • Lecture
    • Audio-visual presentation
    • Interactive participation
    • Questions and answers
  • Questions?

    If you have any questions about the content of this seminar or need help with registration, contact the TMA Knowledge Center at 800-880-7955. You can email them at: knowledge@texmed.org

    You may also contact Gay Anderson at 512-370-1421, email: gay.anderson@texmed.org  

    If you are unable to attend the seminar, forward a refund request to Gay Anderson via fax at 512-370-1457, or send an email to gay.anderson@texmed.org . TMA charges a $45 processing fee for each refund.

    /assets/0/1336/1749/1765/1769/e6f811d9-8442-4304-a62b-392c5b40ebc9.gif Individuals in need of special assistance with regard to this educational program should contact Gay Anderson at
    800-880-1300, ext. 1421.