Behavioral Health Billing Solutions, LLC
A special thanks from Sonda Kunzi, Christine Smalley and myself for all that attended our webinar this morning. It was great to see so many people from across Ohio on the call and we hope the information provided was helpful to you and your agencies. Below are 4 links. One to each presentation and one to the recorded version. Please ignore the spider incident, it just had to happen when I was unmuted. And just so you know, he is now missing so I’m moving my desk for the afternoon.
NCCI Edits by Sonda Kunzi
Internal QI and the Prior Auth and clinical appeal process
Link to the complete recording
Behavioral Health Billing Solutions, LLC (BHBS) is hosting a webinar on August 15th from 11:00 am – 12:00 pm focusing on some of the critical clinical challenges many agencies are facing as we transition into Managed Care.
Topics include discussing what NCCI edits are and when they are appropriate for usage. We also have a specialist in Clinical quality assurance and the clinical appeal process who will provide more detail on how to improve your internal processes in areas that are now something all agencies will need to become more familiar with.
Sonda J. Kunzi, CPC COC CPB CPCO CPMA CPPM CPC-I
Coding Advantage, LLC
Sonda will be talking about the clinical reasoning behind NCCI edits and when the use of specific, allowed modifiers to bypass are appropriate.
With more than 30 years of experience in healthcare, Sonda’s expertise includes comprehensive knowledge of ICD10 and CPT coding concepts, documentation and training, compliance and healthcare reimbursement methodology. Her experience comes from working in a variety of positions both as an outside consultant and as a professional within hospital-owned and private medical practices. She has experience with review and application of the Ohio Administrative Code (OAC) relating to her work with community behavioral health agencies in Ohio.
Sonda is a Certified Professional Coder (CPC), Certified Professional Outpatient Coder (COC) Certified Professional Biller (CPB) Certified Professional Compliance Officer (CPCO) Certified Professional Medical Auditor (CPMA), Certified Physician Practice Manager (CPPM) an AAPC approved coding instructor (CPC-I) Sonda is also part of the adjunct faculty of the Health Information Management department at Lakeland Community College in Kirtland, Ohio.
Christine Smalley, M.A., LPCC-S
Christine will be discussing the benefits of having a solid QI process within your agency and how to deal with clinical appeals, which with the MCO Carve in have become critically important.
Some of Christine’s experience areas include:
Navigating the nuances of BH Redesign; assistance with strategic planning, preparing clinical documentation to support billing for Managed Care company’s, performing clinical audits, setup and support of quality improvement and compliance programs, demonstrating medical necessity, preparing for certification and accreditation, training staff on clinical documentation and medical necessity, developing better clinical programs, and writing prior authorizations and appeals to payors, preparing for audits.
BHBS knows that following and understanding proper clinical documentation guidelines is critical to being successful through the Ohio BH Redesign and MCO Carve in changes.
While our expertise lies in billing, billing support, implementation on an EHR and bringing small to medium agencies onto our CareLogic Affiliate structure, we feel it’s important to share information and some of the contacts we utilize when the need is outside of our specialty. We hope you can attend this FREE webinar and benefits from some of the information provided by our subject matter experts.