Billing Compliance and Chart Documentation – CCA/CHCA PennCare

Pennsylvania Hospital Laborist Associates WCHS Lecture

Wednesday, September 10, 2014
8:30-10:30AM

2nd floor of the Cathcart building, ObGyn Conference Room

Venjie Largoza, MHA, CHC, CPC & James Flaherty, BS, CPC

UPHS Office of Billing Compliance

3101 Market Street, Suite 160, Philadelphia, PA 19104

Target Audience

This program has been designed for departmental/institutional faculty, fellows, residents, medical students, nurses, allied health professionals, community physicians, administrators for all medical specialties at HUP, PMC, and PAH.

Educational Objectives

After completing this activity, participants should be able to:

·  Increase awareness of government initiatives to combat fraud, waste, and abuse

·  Discuss the importance of an effective compliance plan

·  Describe how to recognize and produce properly documented medical records

·  Improve documentation and reporting of evaluation and management visits, procedures, diagnostic services or corresponding modifiers

·  Illustrate the need for clear documentation of medical necessity and reporting diagnosis codes

Accreditation

The Perelman School of Medicine at the University of Pennsylvania is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation of Credit

The Perelman School of Medicine at the University of Pennsylvania designates this live activity for a maximum of 2 AMA PRA Category 1 Credit ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Acknowledgement of Commercial Support*

NONE

For more information, please contact

Evelyn Francis

215-614-0547

Disclosure of Relevant Financial Relationships and Unapproved Uses of Products

It is policy at the Perelman School of Medicine at the University of Pennsylvania for individuals who are in a position to control the content of an educational activity to disclose to the learners all relevant financial relationships that they have with any commercial interest that provides products or services that may be relevant to the content of this continuing medical education activity. For this purpose we consider relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

The intent of this policy is not to prevent expert faculty with relevant relationship(s) with commercial interest(s) from involvement in CME, but rather to ensure that Penn CME-certified activities promote quality and safety, are effective in improving medical practice, are based on valid content, and are independent of control from commercial interests and free of commercial bias. Peer review of all content was conducted for all faculty presentations whose disclosure information provided to the Penn Office of CME was found to contain relationships that created a conflict of interest relative to the topic of their presentation. In addition, all faculty were instructed to provide balanced, scientifically rigorous and evidence-based presentations.

The staff in the Office of CME at the Perelman School of Medicine at the University of Pennsylvania, Mila Kostic, Director of CME and the peer reviewer Zalman Agus, MD, Associate Dean for CME, have disclosed that they have no relevant financial relationships with any commercial interests related to the content of this educational activity.

The following individuals have disclosed that they have no relevant financial relationships with any commercial interests related to the content of this educational activity:

Planning Committee Member Name

Robert Bacon, MHA / Nelvin “Venjie” Largoza, MHA, CHC CPC / Mary Cloney, MHA, CPC
James Flaherty, BS, CPC / Kathleen Kilgarif, BSN, RN, CPC / Ronald Barg, MD
Susan Conville, RHIA, CCS / William H. Shoff, MD / Samuel Parry, MD
Mary Mulholland, MHA, RN, CPCP / Carol Pohlig, BSN, RN, CPC / Ann Marie Holmes, BSN, RN, CPC

Presenter Name

Robert Bacon, MHA / Nelvin “Venjie” Largoza, MHA, CHC CPC / Mary Cloney, MHA, CPC
James Flaherty, BS, CPC / Kathleen Kilgarif, BSN, RN, CPC / Ronald Barg, MD
William H. Shoff, MD / Samuel Parry, MD

The following individuals have reported the listed relevant financial relationships with commercial interests related to the content of this educational activity.

Planning Committee Member & Speaker Name Name of Commercial Interest Relationship

Scott Manaker, MD, PhD Apnicure, Aetna, Pfizer, Novartis, Johnson & Johnson Consultant

Pfizer, Johnson & Johnson Spouse Stock

Relevant Financial Relationships: Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received or expected

Disclosure of Unapproved Uses of Products: NONE