Coding & Reimbursement for ASCs

Monday, January 13–Tuesday, January 14, 2025

The Coding & Reimbursement for ASCs virtual course provides essential training for ASC billers and coders. You’ll hear from industry experts as they discuss the coding and billing updates for 2025 and share strategies you can use to maximize your ASC’s reimbursements.

Registration opening soon.

Starting January 1, this program is included with 2025 membership. Learn more.

Agenda

Monday, January 13, 2025

11:00 am–12:00 pm ET

CMS Reimbursement Updates and CPT Changes for 2025

Get an update on the 2025 reimbursement changes to Medicare’s ASC payment system, including procedures added to or removed from the final list of those eligible to be performed in the ASC setting. Learn about the American Medical Association’s CPT changes per specialty of new, revised and deleted procedures applicable to ASCs that will take effect January 1, 2025. Additionally, this session examines reimbursement potentials and comparisons from the past year.

AEU Content Area: Financial

Headshot of Cristina Bentin Cristina Bentin, CMA, CPPM, CCS-P, COC President Coding Compliance Management
12:15 pm–1:15 pm ET

Coding Best Practices and Challenges in ASCs

Join this session to get a comprehensive overview of essential coding practices and challenges commonly encountered by ASCs. This session emphasizes the importance of adhering to Medicare’s approved list of surgical procedures and shares strategies for avoiding common coding mistakes. The session also addresses some of the unique issues faced by ASCs, such as documentation and coding errors, insurance claim denials, regulatory compliance and keeping up with technological advancements. Attendees will learn strategies for improving documentation accuracy, including crafting detailed operative reports and ensuring specificity in coding. By the end of the session, attendees will be equipped with the knowledge and skills necessary to ensure accurate coding, enhance compliance and improve the financial stability of their ASCs.

AEU Content Area: Financial

Headshot of Michael Tompkins Michael Tompkins Client Services Manager in2itive Business Solutions
1:30 pm–2:30 pm ET

Mastering ENT Coding in the ASC

This session offers an in-depth review of both common and not-so-common ENT coding scenarios encountered in the ASC setting. Attendees will explore strategies for addressing challenging coding situations and ensuring proper documentation. Through the analysis of real-world operative reports, attendees will learn best practices for coding accuracy and compliance to maximize reimbursements.

AEU Content Area: Financial

Headshot of Mandeara Frye Mandeara Frye, RHIA, CHC, CPC, CPMA, CASCC, CPCO, CRC, AAPC-APPROVED, INSTRUCTOR Compliance Manager Riverside University Health System
2:45 pm–3:45 pm ET

Ophthalmology: Anatomy, Coding Tips and Common Procedures

The eyes have it! Ophthalmology coding can be tricky, even for seasoned professionals. In this session, we review the anatomy of the eye, discuss procedures commonly seen in the ASC setting and examine official guidance that will help determine correct CPT coding for procedures. Understanding the anatomy of the eye is key to accurate coding. Where does the anterior chamber begin and end? Where is the lens in relation to the cornea? Even when you’ve identified the correct area, selecting the optimal CPT code can be challenging. This session offers valuable insights for both new and experienced coders, providing the tools needed to code ophthalmology procedures with greater accuracy and confidence.

AEU Content Area: Financial

Headshot of Lizette Petersen Lizette Petersen Billing Manager American SurgiSite Centers
4:00 pm–5:00 pm ET

Urology Coding in the ASC

This session is designed to equip coding professionals and healthcare providers with a deep understanding of the nuances of urology coding in the ASC setting, focusing on maximizing accuracy, compliance and reimbursement. It covers the place of service (POS) code for ASCs and examines its impact on billing and reimbursement, and provides an overview of urological procedures frequently performed in the ASC. We discuss the appropriate use of modifiers and identify strategies to avoid common coding errors that lead to claim denials, emphasizing the importance of having accurate documentation to support coding decisions and ensuring compliance with payer requirements. Additionally, we review reimbursement policies specific to urological procedures in ASCs and highlight the role of audits in maintaining coding accuracy and preventing fraud.

AEU Content Area: Financial

Headshot of Edna R. Maldonado Edna R. Maldonado, CPC, ACS-UR Coding Manager United Urology Group

Tuesday, January 14, 2025

11:00 am–12:00 pm ET

The Necessity of Coding Audits

This session explores the crucial role coding audits play in quality assurance, compliance and revenue cycle management. These audits act as a diagnostic tool to proactively address potential future problems and optimize the revenue cycle. By identifying coding errors, mitigating compliance risks and implementing corrective actions, audits can improve coding accuracy and enhance financial performance. This session also outlines how coding audits preserve the integrity of medical records, ensure accurate billing and are essential to effective revenue cycle management, whether billing is handled in-house or outsourced to a third party.

AEU Content Area: Financial

Headshot of Lori Martini Lori Martini, CASC Founder/Managing Member Stratify Management Solutions
12:15 pm–1:15 pm ET

Gastroenterology: A Comprehensive Look

Take a deep dive into gastroenterology coding in the ASC setting, focusing on the complexities of coding for upper and lower endoscopies, bariatric surgery, and colorectal procedures. We explore common documentation challenges and discuss local coverage determinations (LCDs) that can impact accuracy and reimbursement. By addressing these issues head-on, this session equips participants with strategies to reduce the risk of denials and improve compliance in gastroenterology coding.

AEU Content Area: Financial

Headshot of Mandeara Frye Mandeara Frye, RHIA, CHC, CPC, CPMA, CASCC, CPCO, CRC, AAPC-APPROVED, INSTRUCTOR Compliance Manager Riverside University Health System
1:30 pm–2:30 pm ET

Not Your Average ASC Services: Coding for Pacemakers, Defibrillators and More

This session provides a comprehensive overview of some of the more unique cardiovascular procedures performed in the ASC setting. We review real-world operative notes, gain insights into the guidelines for correct CPT usage and explore relevant local coverage determinations (LCDs) to ensure coding accuracy. The session also covers common diagnosis codes associated with these procedures and how to appropriately use them.

AEU Content Area: Financial

Headshot of Crystal DeMario Crystal DeMario, CPC, CIRCC, CASCC, CCC Senior Coding Manager Azura Vascular Care
2:45 pm–3:45 pm ET

Pain Management in the ASC

Getting paid for the pain! This session focuses on the most common pain procedures performed in the ASC, including CPT codes and modifiers. We also review documentation examples, discuss navigating payer policies, and explore strategies for appealing denials for both preauthorization and payment. As an added bonus, this session also provides tools to help make the pain world less painful in your ASC.

AEU Content Area: Financial

Headshot of Jessyka Burke Jessyka Burke, CPC, CASSC, COSC Independent Consultant and Coder VP Surgery Center of Auburn
4:00 pm–5:00 pm ET

Orthopedics from an Audit Perspective

This session covers some of the more complex orthopedic cases for both upper and lower extremities performed in the ASC, including unlisted procedures. Attendees will learn how to navigate payer policies, handle common denials and review examples of successful appeals that result in payment. As an added bonus, you will receive a customizable template letter for unlisted procedures that you can adapt and use in your own ASC.

AEU Content Area: Financial

Headshot of Jessyka Burke Jessyka Burke, CPC, CASSC, COSC Independent Consultant and Coder VP Surgery Center of Auburn

Select each heading tab below to find out more information.

Continuing Education

To receive credit, you must complete an evaluation for each session through the Education & Events Portal by December 31, 2025. Use the same ID number listed in your registration confirmation email. If you have any questions regarding your customer ID, please contact registration@ascassociation.org.

  • Administrator Education Units (AEUs): This program is approved for up to 10.00 units of AEU credit for the Certified Administrator Surgery Center (CASC)® credential by BASC Provider #3272.
  • Nursing Contact Hours: This program is approved for up to 10.00 nursing contact hours by the California Board of Registered Nursing, Provider #6949.
  • American Academy of Professional Coders™ (AAPC): Individuals attending the Coding & Reimbursement for ASCs course will be awarded up to 10.00 CEUs. Please use the Coding & Reimbursement for ASCs code card (coming soon) to keep track of your AAPC codes.

AEUs and nursing contact hours are available for both the live broadcast and on-demand viewing. However, you must join the sessions during the live broadcast to receive AAPC CEUs. AAPC CEUs will NOT be available after the live broadcast.

Disclosure

These presentations may include opinions, advice, statements, materials, data, images, videos, documentation and other information (“Materials”) expressed or shared by presenters. The Materials are for informational purposes only, and the statements, views and opinions expressed at any presentation, or in any Materials, are those solely of the presenter and not of ASCA. Further, ASCA does not endorse or recommend any specific presenter, promoter, company or center, or any views mentioned at any conference or meeting, or in the Materials. Under no circumstances, will ASCA (or its directors, officers, employees or agents) be liable for the accuracy, quality or reliability of any of the presentations or Materials, or any defamatory, offensive or illegal conduct of presenters, including but not limited to intellectual property infringement or any direct, indirect, incidental, special or consequential damages arising from any presentations or Materials.

Cancellation Policy

Registration fees are nonrefundable.

Can’t attend? Someone from your facility can attend in your place. Substitutions can be made free of charge for your initial substitution and $55 for each additional. All requests must be made in writing and sent via email to the ASCA Meetings Department at registration@ascassociation.org.