Medical billing is an area of significant compliance risk for health institutions and providers. Areas such as billing and coding, reasonable and necessary services and appropriate documentation have been identified as risk areas by enforcement agencies. Additionally, the Office of the Inspector General for the Department of Health and Human Services has stated:
"The proper education and training of corporate officers, managers, employees, physicians and other health care professionals, and the continual retraining of current personnel at all levels, are significant elements of an effective compliance program."1
With this in mind, both the University of Texas Systemwide Compliance Office and Medical Billing Compliance Advisory Committee have committed significant resources for education and training on the topic of medical billing.
This site provides links to recorded presentations given within the University of Texas System on topics relating to medical billing.
1 Federal Register / Vol. 63, No. 35 / February 23, 1998 / page 8994
Previous Medical Billing Compliance Education presentations.
Please use Windows Media Player to view the recorded presentations. If an unsupported protocol error occurs, please try opening the presentation with Internet Explorer.
Overview of Changes in Reimbursement & Coding for Molecular Pathology Testing
May 30, 2012
Presenter: Michelle Ruben
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Presentation Materials
Psychiatric Diagnostic Interview
July 11, 2011
Presenter: Dr. Celia Jenkins
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Presentation Materials
How ER Physicians Think: Tips for Billing and Compliance Pros
May 9, 2011
Presenter: Dr. Robert E. Suter
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Presentation Materials
Pain Management Procedure Coding
April 21, 2011
Presenter: Dr. CJ Wolf
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Presentation Materials
ICD-10 Implementation
April 11, 2011
Presenter: Kim Reid, CPC
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Presentation Materials
Medicare's Medical Review Program
March 21, 2011
Presenter: Dr. Debra L. Patterson
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Presentation Materials
2011 CPT Changes Highlights
December 9, 2010
Presenter: Dr. CJ Wolf
Each year the CPT manual is changed. This presentation will highlight some of the major additions, deletions, revisions and other changes found in the 2011 CPT manual which become effective January 1, 2011.
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Presentation Materials
Anesthesiology and Pain Management
December 8, 2010
Presenter: Dr. Charles Whitten, UT Southwestern Medical Center
This webinar will focus on the components of anesthesia billing, documentation requirements, and operational challenges in meeting documentation requirements.
Presentation Materials
Hospital Criteria for E/M Coding Under OPPS
November 17, 2010
Presenter: Angela Simmons, CPA, UT MD Anderson Cancer Center
This webinar will focus on how one hospital has approached the development of criteria and a user-friendly interface for hospital staff, such as nurses, to use in determining the intensity of hospital resources consumed during the visit.
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Presentation Materials
Oncology Coding Basics
October 7, 2010
Presenter: Dalona Beckham Griffin, UT MD Anderson Cancer Center
This session will include basic information necessary for oncology coding.
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Presentation Materials
Hospital Operational Issues and Compliance Programs Module IV
September 23, 2010
Presenter: Dr. CJ Wolf
Through a series of four modules, beginner/intermediate level participants will learn key aspects of hospital outpatient coding, billing, reimbursement and compliance.
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Presentation Materials
An Introduction to the UB-04 (CMS 1450) Module III
September 21, 2010
Presenter: Dr. CJ Wolf
Through a series of four modules, beginner/intermediate
level participants will learn key aspects of hospital outpatient coding, billing, reimbursement and compliance.
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Presentation Materials
UB-04 Form
The Fundamentals of Medicare’s
Outpatient Prospective Payment System (OPPS) Module II
September 16, 2010
Presenter: Dr. CJ Wolf
Through a series of four modules, beginner/intermediate
level participants will learn key aspects of hospital outpatient coding, billing, reimbursement and compliance.
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Presentation Materials
The Fundamentals of Medicare’s
Outpatient Prospective Payment System (OPPS) Module I
September 9, 2010
Presenter: Dr. CJ Wolf
Through a series of four modules, beginner/intermediate
level participants will learn key aspects of hospital outpatient coding, billing, reimbursement and compliance.
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Presentation Materials
Infusions and Injections Coding
May 19, 2010
Presenter: Angela Simmons, CPA
Through a series of clinical case studies, attendees will learn how to accurately capture injection and infusion (chemo and non-chemo) services in a hospital setting. Attendees will learn how to select the "initial" service according to CPT coding rules as well as learn which codes can be reported in combination with others within the infusions and injections range of CPT codes.
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Presentation Materials
Coding From the Operative Report
March 5, 2010
Presenter: Dr. CJ Wolf
Through the case study method, participants will learn how to filter key information from operative and procedure reports in order to accurately select the proper CPT codes. This session is intended to be practice for those who are preparing to sit for the national coding certification examination or just want a refresher. The level of difficulty is considered "beginner".
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Presentation Materials
Interventional Cardiovascular Coding - Part II
February 25, 2010
Presenter: Dr. CJ Wolf
Interventional Cardiovascular Coding - Part II, will focus on coding for interventional cardiovascular procedures, such as percutaneous transluminal coronary angioplasties (PTCA), stent placements, atherectomies, etc.
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Presentation Materials
Consultations in 2010
January 14, 2010
Presenter: Dr. CJ Wolf
The presentation, Consultations in 2010, will provide participants with information on the CPT Manual updates for consultations in 2010 as well as Medicare's physician payment policies for consultations and how this may impact billing.
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Presentation Materials
Highlights of the 2010 CPT Changes
December 17, 2009
Presenters: Tammy Towers - UT Southwester Medical Center at Dallas, Dr. Doug Arrington - UT Southwester Medical Center at Dallas, Kathy Taggs - UT Southwester Medical Center at Dallas, Dr. CJ Wolf - UT System
The presentation, Highlights of the 2010 CPT Changes, will provide participants with selected highlights of the additions, deletions, revisions and other changes found in the 2010 CPT manual which become effective Jan. 1, 2010.
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Presentation Materials
