Survival Series: Appropriate Use Criteria

• Ordering providers role in Appropriate Use Criteria mandatory 1/1/2021
• Review Clinical Decision Support Mechanism tools available to incorporate in practices workflow to ensure additional clinical data can be efficiently gathered
• Requirements, exemptions, and ensuring medical necessity
• Understanding CPT and modifier updates to  prevent denials

Presenter:

Paula Santiago 

Paula Santiago is a Manager for Beacon Solutions Group. Ms. Santiago is certified by the American Health Information Management Association as a Registered Health Information Technician and a Certified Coding Specialist-Physician based.  Additionally Paula is certified by the American Academy of Professional Coders as a Certified Professional Medical Auditor and holds a certificate of ICD-10-CM Proficiency.   Paula is also certified by the American Academy of  Dental Coders as a Certified Dental Coder.

She has held positions as a Practice Administrator for an urgent care center, and as a Director of Revenue cycle and Health Information Management for a community hospital.  She also has held positions as an auditor for a third party payor, large health system and as an independent consultant for a wide spectrum of specialties where she provides education and training to providers, coders, office managers, billers, and front end staff on billing, coding, compliance, and HIPAA issues.

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This event has been approved for 2.0 PMI CEUs.

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