The New “Liquid Gold”
Webinar Description
This will be a discussion about the “new” liquid gold…which is urine. Both providers and laboratories have identified the DNA/RNA range of CPT codes as valuable sources for high reimbursement. The specimen of “the moment” is urine. Health plans and even CMS have millions of dollars of monthly spend on these codes due to the lack of edits in place. However, there are new policies available that speak to the utilization of molecular syndromic panels for infectious disease pathogen testing, which if enforced, could force providers to move on to the next scheme. We will review these policies, discuss the potential for “turning on edits”, and give examples of incorrect billing behavior. Additionally, we will explain how we leveraged the LCD’s companion coding article to carefully craft our denials to avoid “plan-directed care” overturns. We will also present our observations, experience, and actions taken as providers began to adjust their billing behavior in response to our claims denials, how we use data and other tools to “stay ahead of the curve”, and how to apply the applicable policies to all other infectious disease processes which are also vulnerable to abusive billing/coding behavior.
Faculty
Tameika Lewis, MD, FACOG
Medical Director, WellMed/Optum
Alyssa Feldman
Director, Data Analytics, WellMed/Optum
New Registration Process for 2024
- This webinar will be complimentary to employees of Member Organizations, Affiliate Members, Government Liaisons, and Supporting Members from March 1 – March 31.
- Beginning April 1 there will be a $50.00 fee to register for all Member Organizations.
- Individual Members may purchase the webinar from March 1 – June 30 for $50.00.
Registration Information
Employees of NHCAA Member Organizations, Government Liaisons, Supporting Members, and Individual Members can register online for NHCAA webinars. A registration form is not available, you must login as a member to register. If you are having issues logging in or registering, please contact training@nhcaa.org.
Non-members, including local, state, and federal public agencies who are not NHCAA Government Liaisons, do not have access to NHCAA webinars.
REGISTRATION RATES
| March 1 – 31 | April 1 – June 30 | |
| NHCAA Member Organizations1 | Complimentary | $50 |
| NHCAA Government Liaisons2 | Complimentary | $50 |
| Individual Members3 | $50 | $50 |
REGISTRATION POLICIES
Complimentary registration closes on the last day of the month. Paid registration is open for three (3) additional months after the complimentary time-period ends. The registration period for both complimentary and paid registrations will end at 11:59 pm Pacific Time.
Cancellation/Substitution
All cancellations (regardless of date) will be assessed with a $10 administrative fee.
All written notice of cancellations and substitutions should be sent via email to training@nhcaa.org. Cancellations received within 5 days of the date of purchase will result in a refund minus an administrative fee if the training has not occurred. No refunds will be issued if any portion of the webinar has been viewed. Registrations are non-transferrable for webinars.
Concerns
For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.
Details & Frequently Asked Questions
Webinar programs are most appropriate for beginning and mid-career analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry.
As a level II, or intermediate program, some investigative / health care / coding expertise is assumed. Training content is focused on the detection and investigative processes, using case examples to highlight strategy and techniques.
There are no pre-requisite requirements to attend webinar programs.
All webinars are approved by: NHCAA for 1 CPEs
Participants earn 1 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation.
Webinars are delivered via NHCAA Learn. You will need a good internet connection and an up-to-date version of Chrome, Firefox, Edge, or Safari. Internet Explorer is not recommended and will not render content correctly.
Video content will open in a pop-up window. You may need to disable a pop-up blocker.
Our FAQ website will be available soon. Registration and login questions can go to training@nhcaa.org. Questions about content or NHCAA Learn functionality can be directed to learn@nhcaa.org.
1Member Rate applies to all NHCAA Member Organizations, Affiliate Members, and Platinum Supporting, Premier Supporting and Supporting Members.
2Government Liaison Rate applies to employees of NHCAA Government Liaisons only.
3 Individual Member Rate applies to individuals that have applied for and been approved for individual membership and whose membership dues are current.
- CPEs: 1
