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This comprehensive workshop addresses Medicare eligibility and coverage; the coordination of Medicare, Medicaid, and private insurance; insurance authorization; medication formularies and pre-authorization requirements; ICD-10 coding; the basics of diagnosis and procedural coding for nephrology care; and Medicare incentive payment programs.
Contact hours available until 5/4/18.
Requirements for Successful Completion: Complete the learning activity in its entirety and complete the online CNE evaluation. You will be able to print your CNE certificate at any time after you complete the evaluation.
Faculty, Planners, and Speakers Conflict of Interest Disclosure:
Planning Committee Disclosures: • Denise Murcek – Employee, Fresenius Medical Care • Dawn Koonkongsatian – Employee, Fresenius Medical Care • Melissa Nesmith-Vester – Employee, Aegerion • Elizabeth St. John - Employee, Fresenius Medical Care • Kyra Trappett – Employee, DaVita • Kimberly Waugh – Employee, Fresenius Medical Care
There are no other disclosures to declare.
Commercial Support and Sponsorship: No commercial support or sponsorship declared.
Accreditation Statement: American Nephrology Nurses’ Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910.
Objectives: • Identify the basics of ICD and procedural coding (CPT). • Discuss the key components of accurate billing and coding for CKD services. • Review the services included in the monthly capitation payment for managed care organizations (MCOs). • Summarize the Medicare incentive payment programs (PQRS, meaningful use, value-based payment modifier).