Clinical documentation is at the core of every patient encounter. In order to be meaningful it must be accurate, timely, and reflect the scope of services provided. Recognizing the value of clinical documentation is key as we shift towards a focus on value and data transparency. The overarching goal is to significantly improve the competency of clinical documentation to capture all the services provided, the complete severity-of-illness being managed and to comply with all regulatory standards and audits.

Join us in Atlantic Beach as we dive deep into Evaluation and Management (E&M) service guidelines and ICD-10 CM Diagnosis coding guidelines and conventions.

AAPC ApprovedThis workshop is approved for 10 AAPC and 10 BMSC CEUs


This workshop is intended for individuals responsible for coding and billing within a physician practice and/or hospital, and is also valuable for those responsible for management of the coding and billing function, and other reimbursement and financial managers who need to be abreast of the changing cardiology coding policies and procedures.


Melissa Pratt

Melissa Pratt, CPC

Consultant – Revenue Cycle Solutions, MedAxiom Consulting

Melissa is a certified professional coder (CPC) and member of the American Academy of Professional Coders, Melissa has more than 15 years of experience in all aspects of medical billing and coding. Prior to joining MedAxiom, Melissa was the cardiovascular billing and coding leader for Mount Carmel Medical Group.

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Jammie Barsamian, CPC, CCC, CEMC, CCS-P, CPMA

Consultant – Revenue Cycle Solutions, MedAxiom Consulting

Jammie’s background includes ten years of diverse experience in medical coding, medical auditing, business administration, relationship management and customer service. She is committed to continuously seeking educational opportunities and achieving relevant certifications and proficiencies in all aspects of medical billing, coding and compliance.

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Nicole Knight, LPN, CPC, CCS-P

Director, Revenue Cycle Solutions, MedAxiom Consulting

Nicole’s decades of hands-on healthcare experience includes cardiology and neurology practice operations, clinical management, business office management, and consulting for coding and compliance. The most recent years have been devoted to practice operations and Electronic Health Record project management and implementation.

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Jennifer Baukus, CPC, CEMC, LPN, CPC, CCS-P

Consultant – Revenue Cycle Solutions, MedAxiom Consulting

Jennifer has a passion for identifying all elements of the coding practice and is a highly-analytical thinker. Her background includes coding and auditing for a large family practice physician group and she is enthusiastic about continuous personal and professional development.

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Joline Bruder, CPC, CCVTC

Consultant – Revenue Cycle Solutions, MedAxiom Consulting

Joline has worked in health care administration for over 15 years. Her health care experience includes cardiology, cardio-thoracic surgery, vascular surgery, supervising, and consulting for coding and compliance.

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AAPC CEUs have been approved
for this Workshop


In healthcare we know times are changing. It is difficult to get a clearer picture of the new healthcare landscape and its implications for you, your providers, and your organization. This workshop provides a roadmap for understanding the role of clinical documentation, specificity of code (CPT and ICD-10) assignment and the necessary development of internal audit/compliance processes for Cardiovascular Services.


8:00 am – 8:30 am


8:30 am – 8:45 am


8:45 am – 9:30 am

Clinical Documentation Improvement – Why It Matters?

We hear about “quality metrics,” MACRA, ACOs and “population health approach,” etc. What is the impact of the evolution of health care on the Revenue Cycle? This high-level presentation will focus on the fundamental understanding of the transformation of health care, the impact of clinical documentation, the Revenue Cycle and ICD-10.

9:30 am – 10:30 am

Evaluation and Management 101 – Part 1

This two-part session will focus on the documentation requirements for E&M services, including critical care, teaching physician and NPP guidelines. Understand the differences in the 1995 and 1997 CMS E&M Coding Guidelines and specific payer guidance available. We will focus on how to use the E&M audit tool to breakdown the E&M levels into easy manageable steps, common areas of risk, frequently asked questions and potential solutions to audit challenges.

10:30 am – 10:45 am


10:45 am – 12:00 pm

Evaluation and Management 101, Continued – Part 2

12:00 pm – 1:00 pm


1:00 pm – 2:00 pm

Apply the E&M Guidelines and Audit Tool Concepts

Participants will have the opportunity to audit and discuss real world Cardiovascular specific scenarios.

2:00 pm – 3:00 pm

ICD-10-CM Updates

Are you coding to the highest level of specificity contained in your documentation? This session will focus on the continued impact of ICD-10 CM coding. What role does clinical documentation play? What can you and your providers do to ensure accurate submission of diagnosis codes and HCC assignment? Includes key ICD-10 diagnosis coding rules for cardiovascular services.

3:00 pm – 3:15 pm


3:15 pm – 4:15 pm

What’s New with E&M Services?

This session will focus on the new or revised E&M services, including the transitional care codes, advanced care planning codes, chronic care codes and telemedicine, etc.

4:15 pm – 5:00 pm

E&M Modifiers

Correct modifier use is an important part of avoiding non-compliance issues. One of the top billing errors determined by federal, state and private payers involves the incorrect use of modifiers. Some of the topics discussed in this presentation will include appropriate use of modifier 25, global service modifiers and understanding CCI edits.

5:00 pm


8:00 am – 8:30 am


8:30 am – 9:00 am

Understanding the MedAxiom Riskometer and CMS E&M Bell Curves

Are you using data to monitor your physician trends? Review tools that can assist with understanding the distribution of utilization by code within each E&M category. The data is provided by specialty and shows how physicians are using E&M codes. If the physician(s) in your practice are outside the expected use of E&M codes, there is some risk of audit

9:00 am – 10:00 am

Creating and Managing an Audit Program

Being proactive and creating and implementing a physician audit program is essential. Learn how to create an audit plan, document education/compliance activities. This session will provide a look at some best practices of managing your audit program within your organization.

  • What are you reviewing now?
  • What steps are you documenting in your risk assessment?
  • Do your “corrective action” plans correct the problem?
  • New 60-day Overpayment Rule: avoid errors and noncompliance penalties

10:00 am – 10:45 am

Compliance and Auditing in Electronic Medical Records

This presentation looks at the risks of the electronic health record, common issues found in EMR chart auditing, and strategies and challenges for the coder/auditor to insure compliance and accuracy of the health record.

10:45 am – 11:45 am

What is the Cardiovascular Coding and Billing Forecast for 2017?

What will impact the Cardiovascular Service Line for 2017? This session will focus on the most up-to-date information affecting cardiovascular services, billing and reimbursement for the new year

11:45 am – 12:00 pm

Open discussion and questions

12:00 pm



MedAxiom Members

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Register Now

MedAxiom retains the final authority for approval of all non-member registrations.
Cancellation policy: Cancellations will be assessed a $100 administrative processing fee. No refunds will be made for cancellations after July 15, 2016


pierAtlantic Beach, Florida

Located in Northeast Florida, Atlantic Beach claims miles of laid-back beaches and close proximity to excellent golf, parks and big-city Jacksonville. Jacksonville is a vibrant Northeast Florida destination, an inspiring coastal retreat teeming with sandy beaches, exciting cultural attractions and outdoor activities. Plan thrilling family vacations and corporate retreats under the Florida sun and surf with a stay at One Ocean Resort & Spa.

one-oceanOne Ocean Resort

The artful getaway is situated on the sweeping white sands and rolling waves of the Atlantic Ocean in Atlantic Beach, minutes from Jacksonville. The luxury oceanfront resort is nestled directly across from the picturesque Beaches Town Center, luring guests in with its cobblestone streets featuring an eclectic mix of shops, restaurants, art galleries, ice-cream parlors and nightlife options.

To make your hotel reservations, with the GROUP RATE OF $179 + tax/NIGHT, please click here or call 904.249.7402 or 800.874.6000 and refer to “MEDAXIOM.”

One Ocean Resort
One Ocean Boulevard,
Atlantic Beach, Florida 32233

Resort Telephone: 904.249.7402
Toll-free Reservations: 800.874.6000

In the unlikely event that the program is canceled, MedAxiom will refund the registration fee in full but is not responsible for any travel or hotel costs you may incur.

For more information please call MedAxiom at 904.249.1880.

For Jacksonville/Atlantic Beach transportation information to and from the airport and around town, we recommend:

Bob’s Limousine and Airport Service

East Coast Transportation
$79.00 airport travel (each way)

Floridian Transportation
$45.00 per person
Shared shuttle service

GO Airport Shuttle
$30.00 first person, $8.00 each additional person

Checker Cab

Jax Airport Affordable Ride
$55.00 per person
Flat rate for up to 6 persons

Jax Airport Affordable Ride
$55.00 per person
Flat rate for up to 6 persons

For information about the Beaches Trolley, click here to download the brochure with routes, times and fare information.

Your Stay in Atlantic Beach – Things To Do

Here is a just a sampling of things to do in Atlantic Beach and the Jacksonville Area during your stay!
On-Site Activities:
Treat yourself to a spa day at theOne Ocean Spa

On-Site Dining:
At One Ocean Resort & Spa, guests can experience innovative, mouthwatering cuisine at signature restaurant Azurea, which has quickly become a “must experience” destination for discerning diners.

Off-Site Dining:

Off-Site Activities:



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