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Course Description

Many of us have careers that have “grown-up” in healthcare. You know those of us that started as the check in/out girl, promoted (with no pay raise) to biller, learning that there is more to billing if you learn coding, and now with the changes in our industry focusing on performing medical audits. We often-times take the knowledge we have for granted, and we assume others know way more than they do. This session is going to explore what may be implied healthcare knowledge and what is not, along with how to become a more effective educator to our physician audience, but also to other auditors, coders, and billers in our industry.

In this presentation, attendees can expect to receive a step-by-step directive to use to approach each educational opportunity. Shannon DeConda will assist attendees in recognizing their audience and their expectations, how to keep them engaged, and will include hands-on applications of difficult physician styles, guidelines versus opinion and overcoming these obstacles.

Outline For The Session:

  • Identify what your knowledge base is and your areas of strenght and weakness
  • Recognizing your audiences and their expectation: – Characterstics, Keeping them engaged, Defining the audience, Clinical in nature, Document is NOT their happy spot.
  • Always focus on making documentation about clinical care.
  • Define the needs to document to non-clinicians
  • Define complexity of care as it relates to medical necessity
  • Teaching the how-to of getting this in the documentation

Learning Objectives:

  • Participants will receive step-by-step directive to use to approach each educational opportunity.
  • Participants will be able to understand driving documentation by being specific to provider’s service.
  • Participants will learn not only guideline and direction, but also hands-on application of difficult physicians style, guideline vs opinion, and overcoming these obstacles.
  • Participant will be able to recognize their audiences and their expectation.

Target Audiences:

  • Physicians
  • Billers
  • coders
  • Medical Auditors
  • Practice Managers
  • Compliance Officers

About Our Speaker:

Shannon DeConda, CPC, CPC-I, CEMC, CEMA, CPMA, CRTT, has been in the healthcare industry for over 20 years with experience from working in a physician practice, to providing healthcare as a respiratory therapist, to working as a biller & coder, to now providing medical audit investigations and educating others in this process.

Ms. DeConda founded NAMAS, the National Alliance of Medical Auditing Specialist, 8 years ago while working as a senior auditor for its parent organization DoctorsManagement. At the time, there were no national certification organizations validating the medical auditor so she founded NAMAS and established the CPMA (Certified Professional Medical Auditor) certification and began a grassroots effort to education and certify professionals (through a partnership arrangement the credential is now offered through another certifying body).

NAMAS is committed to training medical auditors and investigators, but we are also committed to the continued education of those auditors and investigators in the industry by ensuring that myths and legends about the rules and guidelines are separated from the facts. The pursuit that Ms. DeConda is focused on for NAMAS is standardization of processes and efforts with investigations and audits as well as working to provide full and comprehensive interpretations of guidelines and policies in an otherwise ambiguous and ever changing industry.


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