Early Career Practice Management Essentials
Education Program

Reimbursement 101: The Basics

Description

Dr. Littenberg provides an overview of the Early Career Practice Management Essentials Program in this introductory module to the series. This module highlights the various components of reimbursement including how payment is determined, the importance of proper coding and complete documentation.

Learning Objectives

• Learn the essentials of coding, coverage and payment
  
• Examine the reimbursement process from the initial service to claim payments
• Identify the relative Relative Value Units (RVUs) and physician payment calculation
• Understand the importance of complete documentation and its role in practice audits and reimbursement process
  

Contents

Module 1: Components of Reimbursement

• Overview of coding, coverage and payment

Module 2: The Reimbursement Process

• Overview of the process from the initial service to claim payment/adjudication
• Called the Revenue Cycle by practice management professionals

Module 3: Physician Coding and Payment

• Physician Coding
• Overview of relative RVUs
• MD payment calculation

Module 4: Importance of Complete Documentation

• Role in our reimbursement process
• Protection in practice audits

Bonus Module: Unlisted Procedure Billing Tools

• Deeper dive into the details of how to do billing, coding and to pursue reimbursement for unlisted procedures

Quality 101: The Basics

Presented by:

Lukejohn W. Day, MD, FASGE
Rajesh N. Keswani, MD, MS
V. Raman Muthusamy, MD, MAS, FASGE
Jose Nieto, DO, FASGE
Aasma Shaukat, MD, MPH, FASGE
Eun Ji Shin, MD, PhD

Learn more about the Presenters

Description

The second of four essential modules in the Early Career Practice Management Essentials Program series, Quality 101: The Basics reviews core topics that cover the basic foundation on quality in endoscopy for advanced fellows and physicians beginning their endoscopy careers. The series provides key insight to maintain a high-quality endoscopy unit, understand key quality indicators in endoscopy, the importance of efficiency, and infection control in endoscopy. The series additionally reviews advanced endoscopy procedures such as ERCP and EUS and includes a bonus module on the importance and benefit of providing the optimal patient experience.

Learning Objectives

• Define key components to a high-quality endoscopy unit
• Identify the key quality indicators of a colonoscopy
• Review the metrics and develop workflow processes to achieve efficiency
• Understand endoscope-associated infections and reports on transmissions
• Know why quality makers are important in advanced endoscopy procedures
• Measure the patient experience and the factors that influence the experience

Contents

Module 1: What Constitutes a High-Quality Endoscopy Unit?

• Overview of the importance of quality in an endoscopy unit
• How to start a quality program

 Module: 2: Quality Indicators for Colonoscopy

• Review quality Indicators and the fundamentals of a high-quality exam
• Discussion on the fundamentals of a high-quality exam

Module 3: Improving Efficiency in Endoscopy Units     

• Define efficiency and what has been learned from the business community
• Review reports on efficiency in GI healthcare
• Discuss ways to improve efficiency in your endoscopy unit

Module 4: Infection Control in GI Endoscopy

• Review endoscope-related infection transmissions
• Review how duodenoscope infections are acquired
• Discuss the challenges in reprocessing

Module 5: Quality Markers in Advanced Endoscopy: ERCP and EUS

• Discuss the importance, uniformity and guidelines followed in advanced endoscopy
• Overview on advanced endoscopy training and review training assessment statistics
• Review quality indicators for ERCP and EUS

Bonus Module: The Patient Experience

• Discuss the importance of benefits
• Review measurement of the patient experience
• Overview of the factors influencing and methods to improve the patient experience

Practice Management 101: The Basics

Presented by:

Sufiyan Chaudhry, MD, MBA
Frank J. Chapman, MBA
Amy Doran, MD
Erica Natal, BSN, MHA, MBA
Barbara Tauscher, MHA, FACMPE
Hillary Tompkins, MD

Learn more about the Presenters

Description

The third essential module in the Early Career Practice Management Essentials Program series, Practice Management 101: The Basics covers principal topics in practice operations.

Learning Objectives

• Understand the workings of an employee contract
• Review four practice models to better understand options in unit settings
• Identify GI practice benchmarking key performance indicators essential to quality and efficiency in the ASC and clinic settings
• Learn basic components of the business side of operations

Contents

Module 1: Employment Contracts

• Overview of employment contracts and negotiating elements, letters of interest and intent
• Identify the requirements of a contract

Module: 2: Practice Models

1. Independent Single Specialty
2. Hospital/Health System – Owned Multi-Specialty Practice
3. Clinician and Clinician Educator Tracks
4. Physician equity-backed Multi-State Practice

• Understand four perspectives of practice models to gain a basic knowledge of these work settings

Module 3: GI Practice Benchmarking Key Performance Indicators 

1. Ambulatory Surgery Center
2. Clinic

• Learn the different key performance indicators such as adenoma detection rate, cecal intubation rate and withdrawal times, that are benchmarked in the ASC and Clinic settings

Module 4: Basics of Finance

• Discuss a business plan, accounting techniques and pro forma as basic business techniques

Coming Soon