EPAS: History of Pandemics – Lessons Learned & Lessons Ignored
Do you know which tests are coming back fast or reliable or not? Do you know what the Medico-legal concerns are for these patients? Do you know the differences between the Medical vs. Payment issues? History of Pandemics: Lessons Learned & Lessons Ignored Discussion of What’s Happening Now & What We Might See…
EPAS: When is COVID-19 Inpatient?
Do you know when Inpatient is appropriate for COVID-19? Do you know how long to keep them in the ICU or in the house? Do you know when the patient is finally ready to safely be discharged? COVID-19… When is it Inpatient? Discussion of Status, LOS & When to Discharge Case Discussions on Relevant Processes…
EPAS: Readmissions – Bundled or Unbundled?
Can you recognize a readmission vs. a new admission? Do you know all the factors that might influence a readmission? Do you know how to define the processes needed to tell the difference? Readmissions: Bundled or Unbundled? Discussion of When and How to “Unbundle” Case Discussions on Relevant Processes & Disease Specific Topics BY Physician…
EPAS: When is a Patient *REALLY* Discharged?
Do you really understand the WHEN of a Discharge? Do you know all the elements & processes of an “appropriate” Discharge? Do you know how to deal with the WHEN & WHO of Conditional Discharge Orders? WHEN is a Patient *REALLY* Discharged? Discussion of Confusion in Discharges Case Discussions on Relevant Processes & Disease Specific…
EPAS: The CMS Two Midnight Rule – 4 Years Later
Do you really understand the 2MN Rule of TODAY? Do you know how different Payers apply the Rule in different scenarios? Do you know how THEY define Medical Necessity, Safe to Discharge, Risk to Discharge? The CMS Two Midnight Rule – 4 Years Later Discussion of Past, Present and Future Case Discussions on Relevant Processes…
EPAS: To P2P, or Not to P2P… Should You Ask the Question?
Do you know if they actually sent a DENIAL or just a notice of intent? Do you know how to make your P2P discussion useful for a subsequent appeal? Do you know how your Payer (term used loosely) views a P2P versus how YOU view it? To P2P or Not to P2P… Should you ask…
EPAS: Controversies in TKA Bedding
Do you know how better treatments cause so much payment confusion? Do you know if the 2 Midnight Rule is helping or just causing more confusion? Do you know how to show a patient only qualifies for Inpatient vs. Outpatient status? Controversies in TKA Bedding Discussion of Confusion in and Expectations of Documentation for TKA…
EPAS: Lessons Learned from Ridiculous Denials for Readmissions
Do you know how to submit claims for Same Day Readmissions? Do you know how to submit claims for Different Day Readmissions? Do you know how to document & argue for unrelated separate issues in readmissions? Lessons Learned from Ridiculous Denials for Readmissions Discussion of What to Do When You Get Denials for Readmissions Case…
EPAS: Lessons Learned from Ridiculous Denials for Sepsis
Do you know why Sepsis denials are increasing and their sources? Do you know if your processes support billing throughput or a bottleneck? Do you know if the definition for Sepsis is the same or not in all your departments? Lessons Learned from Ridiculous Denials for Sepsis Discussion of What to Look Out for When…
EPAS: Vision: A Key Element to Transforming Documentation
Do you know why professionals the world over use coaches? Do you know what CDI’s original purpose was, compared to what it does today? Do you know how inspire others to transform documentation behavior & practices today? VISION: A Key Element to Transforming Documentation Discussion of Physician Advisors & CDI Specialists Working Together for CHANGE…
EPAS: Lessons Learned from Ridiculous Denials
Do you know a single picture could make a huge difference for a denial? Do you know how your will to appeal can make a big difference in denials? Do you know how to make sure you send everything and get them to read it all? Lessons Learned from Ridiculous Denials Discussion of What Can…
EPAS: The Magic of Pharmacology by a Physician Advisor
Do you know how & why Warfarin got its name, and where it came from? Do you know how you can use the half-life of drugs to reduce costs? Do you know how to AVOID costly & unnecessary CAT Scans & MRIs? The Magic of Pharmacology by a Physician Advisor Discussion of How You Can…
EPAS: The Potential for the Use of Six Sigma in Healthcare
What can we learn from the use of 6σ in Abu Dhabi? Do you know how to use a Dashboard to sustain improvements? Do you know how to AVOID Killing your Improvement Project? The Potential for the Use of Six Sigma in Healthcare Discussion of How You Can & Why You Should Apply Lean Six Sigma…
EPAS: Zero Trust in Healthcare – The Physician Advisor & Cybersecurity
Do you know the TRUE Financial (and Personal) Risks of being Hacked? Do you know all the risks your facility faces with all those Mobile devices? Do you know how to combat the common MYTHS about Cybersecurity & Hackers? Zero Trust in Healthcare: Physician Advisor & Cybersecurity Discussion of the New Role of the Physician…
EPAS: Decisions vs. Judgements: Tools for Clinical Decision Support
Do you know the benefits of using Artificial Intelligence (AI) for Clinical Decision Support? Do you know HOW and WHY AI can work in Real-Time and how it does that RELIABLY? Do you know what AI Clinical Decision Support Tools are available RIGHT NOW? Decisions vs. Judgements: Tools for Clinical Decision Support Discussion of the…
EPAS: Blood Cultures on Trial – How to Protect Your Diagnosis
Do you know how to detect FALSE Positive Blood Cultures & why they happen? Do you know which microorganisms represent TRUE infections 90% of the time? Do you know how HIGH your Medico-Legal Risk is when you order blood cultures? Blood Cultures on Trial – How to Protect Your Diagnosis Discussion of How Not All…
EPAS: P2P Strategies That Overturn IPOL Surgery Denials
Do you know how a Surgeon can correctly choose his/her own codes? Do you know why even a professional Coder might choose the wrong code? Do you know that you don’t have to go by the Review Organization’s coding? P2P Strategies That Overturn IPOL Surgery Denials Discussion of How You Don’t Have to Go By…
EPAS: Reducing Unnecessary Observation Stays
Do you know the difference a Physician Advisor can make on OBS Rates? Do you know what a True OP is versus True IP versus True OBS? Do you know what the true IMPACT is of mistakenly placing a True OP patient in OBS? Reducing Unnecessary Observation Stays Discussion of How Not All OBS are…
EPAS: The Role of the Physician Advisor in the Emergency Room
Can a Physician Advisor make a difference in Emergency Room documentation? Do you know why and how to create an ER Peer Review Process? Do you know how to analyze the data and find the holes in that documentation? The Role of the Physician Advisor in the Emergency Room Discussion of How a Physician Advisor…
EPAS: Strategies to Avoid Denials for IPOL Surgeries
Do you know how to EASILY find the right codes for these Surgeries? Do you know all the rules about Admission Orders for these Procedures? Do you know what tools are available to help you avoid these costly denials? Denying Denials for Inpatient & Outpatient Surgeries Discussion of Strategies for Avoiding Denials for Inpatient-Only-List (IPOL)…
EPAS: Encephalopathy and Altered Mental Status
Do you know how to confirm and/or discount these diagnoses? Do you know when Altered Mental Status is NOT Encephalopathy? Do you know how MUSIC will help you properly document these diagnoses? Relationship of Encephalopathy & Altered Mental Status Discussion of How to Properly Diagnose & Document the Two Case Discussions on Relevant Processes &…
EPAS: Pitfalls of Acute Myocardial Infarction Documentation
Do you know how to document everything your coders need for AMI? Do you know what the FOUR key elements are for coding AMI? Do you know how to properly link the signs and symptoms for ROM and SOI? Pitfalls of Acute Myocardial Infarction Documentation Discussion of How to Properly Document Acute MI Episodes Case…
EPAS: Managing Physician Conflict
Do you know how to deconstruct conflict at the Personal Level? Do you know what the FIVE styles of Conflict Resolution are? Do you know how to prepare for and successfully MANAGE physician conflicts? Physician Conflict Management & the Physician Advisor Discussion of the Physician Advisor’s Role Case Discussions on Relevant Processes & Disease Specific…
EPAS: Compliant Use of HINN & ABN Forms
Do you know which forms to use for Outpatient or Inpatient? Do you know what the four types of HINN forms are used for? Do you know what the prohibitions are on using these forms? Compliant Use of HINN & ABN Forms Discussion of How & When to Use HINN & ABN Forms Properly Case…
EPAS: Medicare Reimbursement Primer for Physician Advisors
Do you know the 3 Medicare Rules you need to understand to get paid appropriately? Do you know the most common denials and why they happen? Do you know why they call it a CYCLE if you only get paid ONCE? Medicare Reimbursement Primer for Physician Advisors Review of What Every Physician Advisor Needs to…
EPAS: Infusing Documentation for Blood Transfusions
Do you know why about 27% of all blood components transfused are unnecessary? Do you know the latest results of studies comparing Hgb Level thresholds? Do you know how those Hgb levels affect your risk of audit? Infusing Documentation for Blood Transfusions How the Latest Studies & Auditing WILL & SHOULD Affect Your Documentation Case…
EPAS: The Physician Advisor & Artificial Intelligence: The New Dream Team?
What can you trust about Artificial Intelligence? What is Artificial Intelligence already doing in Healthcare today Can Artificial Intelligence really help with something like TKA Status? How (and Why) should you be looking into AI NOW? The Physician Advisor & Artificial Intelligence: Is this the New Dream Team? How Artificial Intelligence May Extend Your…
EPAS: Total Knee Arthroplasty – IP or OP?
What do you do when CMS can’t make up their mind? What’s different about documentation for Inpatient NOW? What documentation points to Outpatient NOW? How (and Why) do you teach your physicians the difference? Total Knee Arthroplasty – IP or OP? Discussion of Compliant Status Determinations for TKA No Frills, No Fluff Case Discussions…
EPAS: Turbo-Charging Your Analytics for CDI
Ok, in case you don’t recognize it, that’s a Turbo-Charger, above… How can you detect trends in under-documentation? How can you detect trends in over-documentation? How does Benchmarking mislead you about all that? Turbo-Charging Your Analytics for CDI Discussion of Enabling CDI to “Level Up” in Improving Documentation No Frills, No Fluff Case Discussions…
EPAS: Hunting and Bagging Opportunity Days
How can you detect unnecessary hospital days? How do you reduce the number of those days? How do you get the data and the resources to do that? Hunting and Bagging Opportunity Days Discussion of Positive System Changes with Imperfect or Incomplete Data No Frills, No Fluff Case Discussions on Relevant Processes & Disease…