Detailed Schedule

Thursday, January 14:

Room: Salt River 6/7/8

 

Cristina Bentin, CCS-P, COC, CMA

2:00pm – 3:30pm

2016 CPT Changes: Money Makers and Money Breakers

This presentation includes an update on new, revised, and deleted CPT codes in 2016 that are commonly performed in an ASC. It will include AMA applications and scenarios for reporting these changes. Reimbursement potentials and impacts from a CMS perspective for established codes will also be addressed.

3:30pm – 3:45pm Break


3:45pm – 5:00pm

ICD-10 Updates: The Aftermath of Implementation

This session will provide an overview of the common challenges occurring with the ICD-10 implementation to include trends in the areas of physician documentation, claim submissions, reimbursements/denials, and productivity.

 

5:00pm – 6:30pm

Exhibit Hall Reception

Network with your fellow ASC professionals over food and drinks. 

 

Friday, January 15:

Room: Salt River 6

Jessica Edmiston, BS, CPC, CASCC

8:00am – 9:00am

GI (EGD/Colonoscopy) 101

This session will cover all basic gastrointestinal coding. Learn the basics and what to include in various procedures like EGDs and colonoscopies, the various techniques in removing polyps, and how to apply the multiple endoscopy rule. This session will focus on some of the medical policies and Local Coverage Determinations (LCDs) that when followed, can help eliminate denials.

9:05am – 10:05am

Gynecology 101

Join this session to learn all the appropriate codes for such procedures like hysteroscopies, laparoscopies and biopsies. The different treatments for endometriosis as well as sterilization procedures will be discussed.

10:05am – 10:20am Break

 

10:20am – 12:00pm

General Surgery 101

When coding for a general surgeon, you need to know the anatomy of the body and what needs to be coded for a vast array of different procedures. This session will cover general surgeries including the extensive rules to coding lesion excisions, debridements, laparoscopic cholecystectomies, and various types of hernia repairs.


12:00pm – 1:00pm Lunch

 

1:00pm – 2:00pm


Urology 101

From bladder biopsies to placement of stents, it is extremely important to understand the anatomy and where the procedure is being performed for correct code choice. This session will take you through the various scope procedures as well as the coding guidelines specific to bladder tumors. The interstim procedures for urinary incontinence and the appropriate codes dependent upon the stage will also be discussed.


2:05pm – 3:05pm

ENT 101

When coding for functional endoscopic sinus surgery (FESS) procedures, it is important to make sure you are capturing all sinuses treated as well as billing out bilaterally when appropriate. This session will guide you through some of these cases that can sometimes involve ten or more CPT codes in one case. Some of the most common procedures performed in ASCs such as tympanostomies, tonsillectomies and adenoidectomies will also be highlighted.

3:05pm – 3:20pm Break


3:20pm – 4:30pm

Ophthalmology 101

In this session the differences between complex and simple cataracts, how to distinguish between the different types of IOLs, applicable modifiers as well as the different laser procedures and retinal cases will be discussed.


4:30pm – 5:00pm Questions

 

 

Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR (Cancelled)

8:00am – 9:00am

2016 Orthopedic Changes

This session will review any 2016 changes (CPT, CCI, or Fee schedule) related to orthopedic surgical procedures being performed in an ASC.


9:05am-10:05am

ICD-10 Issues

This session will review 7th character issues as they relate to injuries, fractures and trauma. Examples of 7th characters A, D and S will also be reviewed to make certain ICD-10 guidelines or payer policies are being followed.

10:05am – 10:20am Break

10:20am – 12:00pm

Shoulder, Elbow, and Wrist Procedures

How has NCCI bundling effected your reimbursement and bundling issues for upper arm including elbow and wrist? This session will review these surgical procedures and how they can impact your bottom line as well as what to look for in operative notes to capture all billable and reportable services.

12:00pm – 1:00pm Lunch


1:00pm – 2:00pm

Hip and Knee Procedures

More surgeons are performing femoroacetabular impingement (FAI) procedures, osteochondral autograft transfer system (OATs) with or without allograft or autograft, autologous chondrocyte implantation (ACI) procedures, as well as DeNovo on the hips and knees. If you are not aware of payer policies and issues with these procedures, you may be doing them for free. Some payers have not established policies regarding menisci procedures, both repairs and removals. This session will review operative notes, policies, and how to obtain contracted payer policies.


2:05pm – 3:05pm

Ankle and Foot Procedures

From bunions to hammertoes to ankle OATs procedures, some of the most confusing coding can be the ankle and toes. This session will take these different procedures and break them down into components that should be seen in operative notes and payer policies.

3:05pm – 3:20pm Break

3:20pm – 4:30pm

Spine Procedures

Diagnosis coding is becoming more important for the reimbursement of spine procedures. This session will help you understand how to obtain contracted payer policies and to make certain full reimbursement of spine procedures is achieved.

4:30pm – 5:00pm Questions

 

Room: Salt River 7/8

 

Lisa Rochon and Cristina Bentin, CCS-P, COC, CMA

8:00am – 9:00am

Operative Report Templates: A Help or a Hindrance? – Cristina Bentin, CCS-P, COC, CMA

How often does your ASC code selections differ from the physician's code selections due to documentation questions and/or deficiencies? Deficient or ambiguous documentation or the utilization of repetitive verbiage within operative report templates could result in erroneous payments, reimbursement delays or denials. Learn the " how, what, when, why and why not" to operative report template utilization and the financial impact when medical necessity is not met.

9:05am – 10:05am

Best ASC Business Office Practices 101 – Lisa Rochon

Would your ASC facility pass an internal revenue cycle audit of its daily functions? This session will provide tips of the trade to ensure your facility isn't tempting fate. Areas of discussion include (separation of job duties, denials and collections tracking, the patient accounting system, precertification/verification, payment posting, carrier contract grids, and electronic billing follow-up).


10:05am – 10:20am Break


10:20am – 12:00pm

ASC Billing and Resources 101 – Cristina Bentin and Lisa Rochon

ASC coding is a unique subset of the coding world and can prove intimidating to those new to the ASC arena. Reporting of procedures and services might be determined by AMA guidelines, Medicare guidelines and/or carrier specific policies. The challenge for ASC coders is knowing which guidelines to apply to ensure the integrity of the claims submitted and reimbursement received. This session will review the CMS ASC list of approved procedures, services, reimbursement expectations to include a review of CMS payment indicators, geographical wage index determination, multiple procedure reporting guidelines, and general billing guidelines. Participants will also learn about the valuable resources available that are little to no cost for your facility to include CMS’ Local Coverage Determinations (LCDs), CMS electronic billing manuals, specialty society directives/websites, commercial carrier directives/websites, and specialty societies.

Room: Salt River 7/8

 

Marvel J. Hammer RN, CPC, CCS-P, ACS-PM, CPCO

1:00pm – 2:00pm

Clear Up the Conundrum: Sacroiliac Joint Procedures

This session will cover the anatomy, common diagnoses with corresponding ICD-10 codes and compliant CPT ASC coding and billing associated with sacroiliac joint procedures. Participants will have the opportunity to review sample procedure notes and discuss when to report the L5 dorsal ramus injection as a peripheral nerve procedure (64493) versus a paravertebral facet joint procedure (64495). Understand how to code ASC SI joint lateral nerve procedures with more accuracy, so you don't increase payer audit review risk or leave money on the table.

2:05pm – 3:05pm

Avoid 2016 Payer Denials: Coding Epidural Injections

Epidural procedures can be confusing in 2016 and require accurate coding skills. If you're not capturing everything you can when these injections are performed for a chronic pain patient, your ASC may be losing out. With Medicare and private payer cuts ever looming, no ASC can afford to incorrectly bill these procedures. In this session, explore epidural coding changes for 2016, distinguish interlaminar versus transforaminal procedures as well as practice coding from actual procedure notes.

3:05pm – 3:20pm Break


3:20pm – 4:30pm

Dissecting ASC Coding for Implanted Infusion Pumps

An implantable infusion pump is intended to provide long-term continuous or intermittent drug infusion. Often these pumps are used in the treatment of chronic pain and/or spasticity. This session will cover ASC-compliant coding for the common pain management implanted infusion pump procedures, including trial and permanent placement. Focus will also include reviewing procedure notes to distinguish between ASC coding for revision versus replacement versus removal procedures.

4:30pm – 5:00pm Questions

Saturday, January 16:

Room: Salt River 7


Joanne Schade-Boyce, BSDH, MS, CPC, ACS, PCS

8:00am – 9:00am

Gastrointestinal ICD-10-CM Coding


A review of the salient coding changes to include guideline changes will be covered along with the increased level of specificity with the addition of 4th, 5th and even a 6th character levels. A special emphasis will be made to avoid NOS (unspecified codes); and thorough discussion of the potential ramifications of NOS codes with 3rd party payers. The session will review some of title changes that better reflect terminology of today’s medical practices, along with Local Coverage Determination impact on reported procedures. Participants will practice coding diagnosis codes relative to common GI procedures performed in an ASC setting.

9:05am – 10:05am

ENT and Respiratory ICD-10-CM Coding

The common diagnosis codes utilized in an ambulatory surgery center setting will be reviewed, as well as, the changes and modifications made in these areas with the new ICD-10 coding system. Participants will review and practice coding diagnosis codes relative to common ENT procedures performed in an ASC setting.

10:05am – 10:20am Break

10:20am – 12:00pm

Musculoskeletal and Pain Management ICD-10-CM Coding

The diagnosis coding for the musculoskeletal system makes up the large percentage of the changes in ICD-10-CM due to the additions of site, laterality and 7th character application. After a brief overview, participants will be given time to code common diagnosis codes utilized in an ambulatory surgery center setting. These include fractures and conditions relative to shoulders, hands, knees, toes, and pain management procedures frequently reported in an ASC setting.

 

Room: Salt River 6

 

Stephanie Ellis, RN, CPC

8:00am – 9:00am

Advanced Coding for GI and Digestive System Procedures for ASCs

This advanced session addresses the intricate coding and billing issues with GI and general surgery digestive procedures that can cause confusion and reimbursement problems. There can be reimbursement issues related to colonoscopy coding and billing that start on the front-end with the clear and proper scheduling and insurance verifications of colonoscopy procedures. Learn about correct Modifier usage with these cases and how the Medicare CCI Edits work with these procedures to help you know when a procedure can be billed separately. This session will allow you to understand more about special billing guidelines that affect your reimbursement of these commonly performed procedures in order to bill more efficiently.


9:05am – 10:05am

Advanced Urology Procedure Coding for ASCs

This advanced session goes into depth about the intricate rules for urology coding and the numerous CCI Unbundling Edits involving these procedures, which can be an important issue with Medicare claims. It is essential to understand when a urology procedure is billed separately, when it is unbundled in the CCI Edits, and when procedures can’t be billed separately. This session will help you avoid reimbursement and compliance issues with urology cases.


10:05am – 10:20am Break


10:20am – 11:00am

Advanced Coding of ENT/Respiratory Procedures for ASCs

While the coding of many ENT procedures can be straightforward, there can be some circumstances where special coding knowledge is required to code these procedures properly. Payer guidelines can complicate billing for the balloon sinuplasty procedures. There also can be seven different procedures for turbinates; however how many procedures can be billed per side? This session will outline some complicated coding scenarios related to ENT.


11:05am – 12:00pm

Advanced Coding of Ophthalmology/Oculoplastics Procedures for ASCs

This session will provide information regarding the guidelines needed to know how to correctly code and bill oculoplastic and ophthalmology procedures. While the coding of cataract procedures is quite straightforward, it is important to understand Medicare’s complicated compliance guidelines for properly handling cases when Premium IOL Lens are used in cataract procedures. There are also other ophthalmology procedures performed in ASCs that can be complex and easy to miscode, such as Retina procedures.