2014 Winter Coding Seminar

2014 Winter Coding Seminar Evaluations and AEU Certificates

Thursday, January 16

Friday, January 17 (Room 1)

Friday, January 17 (Room 2)

Friday, January 17 (Room 3)

Saturday, January 18 (Room 1 – ICD-10-CM)

Saturday, January 18 (Room 2 – Anatomy & Physiology)

Agenda

Session Descriptions

Registration Fees & Discounts

Faculty

Course Evaluations can be completed by going to ascameetings.com/coding and entering your Login ID located on the back of your name badge.

After completion of this evaluation, you will have until Friday, February 28, 2014 to print out your certificate for Administrator Education Units (AEUs) or Certificate of Attendance. Please do not fax any paperwork to ASCA as the online process defined above is the only way continuing education will be awarded.

You can receive your AAPC credit by filling in the AAPC CEU Code Card, located on the last page of your syllabus. At the end of each session, a code was read aloud by the speaker. You must copy that code down on your code card and submit it directly to AAPC for credits.

Medical Coding CEUs

Click on the heading tabs below to find out more information.

Thursday, January 16, 2014

	Room 1: Cristina Bentin
1:00pm-3:00pm	2014 CPT Changes and CMS Updates
3:15pm-4:15pm	Assessing Coding Accuracy and Productivity
4:15pm-5:15pm	ICD-10-CM: The Nuts and Bolts

Friday, January 17, 2014

	Room 1: Rebecca Overton	Room 2: Margie Scalley Vaught	Room 3: Marvel Hammer
8:00am-9:00am	Ophthalmology	Commonly Reported Diagnosis Codes: Before and After October 2014
9:05am-10:05am	Gastroenterology	Hips & Knees
10:20am-12:00pm	General Surgery - Integumentary, Soft Tissue, Hernias, Hemorrhoids	Spine Coding
1:00m-2:00pm	Common ENT Procedures	Shoulders	Part 1:Coding for Common Pain Management Procedures
2:05pm-3:05pm	Urology	Podiatry	Part 2: Coding for Common Pain Management Procedures
3:20m-4:30pm	Gynecology	Hands/Wrist	Coding for Pain Management Neurostimulator Services
4:30pm	Questions	Questions	Questions

Saturday, January 18, 2014

	Room 1 - ICD-10-CM*: Joanne Schade-Boyce	Room 2 - Anatomy & Physiology: Angela Talton
8:00am-9:00am	Introduction, Organization, and ICD-10-CM Coding Guidelines & Documentation Requirements	A & P of the Integumentary and Musculoskeletal Systems
9:05am-10:05am	ICD-10-CM Code Structure & Building Codes Using the System	A & P of the Digestive and Respiratory Systems
10:20am-12:00pm	Integumentary & Musculoskeletal CM Coding	A & P of the Cardiovascular and Urinary Systems

		Denis Rodriguez
1:00m-2:00pm	Respiratory & Digestive CM Coding	A & P of Male and Female Genital Systems
2:05pm-3:05pm	Uro/Male/Female CM Coding	A & P of Eye and Auditory Systems
3:20m-4:30pm	Nervous/Eye/Auditory CM Coding	A & P of the Nervous System
4:30pm	OP Report Wrap Up	Questions

*This session is for participants who already have a working knowledge of medical terminology; anatomy and physiology; and a basic understanding of ICD-10-CM.

Speaker: Cristina Bentin, CCS-P, CPC-H, CMA
Coding Compliance Management, LLC

2014 CPT Changes and CMS Updates (1:00pm-3:00pm)
This presentation includes an update on new, revised, and deleted CPT codes in 2014. It will include AMA applications and scenarios for reporting the new CPT codes as well as reimbursement potentials and impacts from a CMS perspective for established codes. A review of CMS payment indicators, multiple procedure reporting guidelines, and general billing guidelines will also be addressed during this session to assist in the coders understanding of “if” and “how” a procedure will be reimbursed.

Assessing Coding Accuracy and Productivity (3:15pm-4:15pm)
The assessment of a coder’s productivity has always been a dilemma for office managers particularly since many coders hold a multi-functional position. It has become more difficult to establish productivity measures for coding professionals due to a variety of impediments. Does your coder perform other job responsibilities throughout the day such as front desk support or collection calls? Is your facility a multi-specialty or a single specialty facility? What is the volume of cases and number of coders in your facility? This session reviews productivity considerations and the necessity of compliance audits to assess your coder’s accuracy.

ICD-10-CM: The Nuts and Bolts (4:15pm-5:15pm)
If you think you can wait until October 2014 to evaluate your work protocols and knowledge of the ICD-10 methodology, think again! The ICD-10 implementation involves changes and considerations that must be implemented now. Will an ICD-9-CM code considered medically necessary under a state LCD policy continue to be reimbursed when mapped to a corresponding ICD-10-CM after October 2014? Will ICD-10-CM continue to support NOS codes in the upcoming years? Learn what coders, staff, physicians, and ancillary partners should expect with regards to detailing clinical documentation in order for your facility to generate a clean claim the first time.

Speaker: Rebecca Overton, CPC
Surgical Management Professionals

Ophthalmology (8:00am-9:00am)
This session will review and apply CPT and diagnosis coding related to retina, cataract, DCR, yag laser, foreign body and other ophthalmology procedures performed in the ASC today.

Gastroenterology (9:05am-10:05am)
This session will review and apply CPT and diagnosis coding related to upper and lower endoscopy procedures, screening vs. diagnostic coding requirements, gastric bypass and refill guidelines as well as other gastroenterology related coding points.

General Surgery – Integumentary, Soft Tissue, Hernias, Hemorrhoids (10:20am-12:00pm)
This session will review and apply CPT and diagnosis coding related to skin excisions, tissue transfers, Moh’s procedure, hernia repairs, hemmorrhoidectomies and other related topics.

Common ENT Procedures (1:00m-2:00pm)
This session will discuss common ENT procedures to include tonsillectomy, adenoidectomy, tympanoplasty, balloon and non-balloon sinuplasty procedure as well as include diagnosis related coding for these and other ENT procedures.

Urology (2:05pm-3:05pm)
This session will include discussions of common procedures such as vasectomy and vasectomy reversal, cystoscopy, sling, TURP, penile implantation, bladder stimulator as well as other related urologic coding topics.

Gynecology (3:20m-4:30pm)
This session will review and apply diagnosis and CPT coding related to some of the more common ASC procedures such as hysteroscopy/laparoscopy procedures, tubal ligation, dilation and curettage, endometrial ablation, hysterectomy, and LEEP.

Questions (4:30)

Speaker: Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR
Healthcare Consultant

Commonly Reported Diagnosis Codes: Before and After October 2014 (8:00am-9:00am)
This presentation touches on the highlights regarding ICD-10-CM and how it will effect orthopedic coding. Learn the importance of the 7th character for injuries, trauma and fracture.

Hips & Knees (9:05am-10:05am)
Scopes in the hips and knees can be challenging especially when it comes to multiple procedures during the same session. This session will review the common procedures that are performed in the ASC.

Spine Coding (10:20am-12:00pm)
More and more spinal procedures are now being performed in an ASC/outpatient setting. Understanding the CCI guidelines as well as edits will be key in sumitting the correct codes for reimbursement.

Shoulders (1:00m-2:00pm)
Oh the pain of shoulder scopes! Since 2013 it has been difficult with the CCI edits and not allowing modifiers for the same shoulder. This presentation will navigate the obviously confusing bundling issues as well as appropriate documentation necessary for correct code selection.

Podiatry (2:05pm-3:05pm)
It can be very frustrating attempting to dicepher the intricate procedures performed on the feet and toes. This presentation will dissect the common procedures of the feet and toes for a better understanding of the doucmentation needed to support the different codes.

Hands/Wrist (3:20m-4:30pm)
This session will review the differences between primary and secondary coding. Tendon procedures, reconstructive procedures and arthroscopic hand/wrist procedures that are performed in the ASC will be covered.

Questions (4:30)

Speaker: Marvel Hammer, RN, CPC, CCS-P, ACS-PM, CHCO
MJH Consulting

Part 1: Coding for Common Pain Management Procedures (1:00m-2:00pm)
This session will cover the anatomy, common diagnoses, and compliant CPT ASC coding and billing associated with Interventional Pain Management. Procedures to be covered include interlaminar /caudal epidural injections, transforaminal epidural injections, facet joint injections, facet joint nerve destructions, SI joint injections, SI joint nerve injections / destruction, etc. Focus will include what constitutes a “level” based on the CPT code descriptors as well as practice examples for compliant coding of these “add-on” code procedures.

Part 2: Coding for Common Pain Management Procedures (2:05pm-3:05pm)
Continuation of Part 1

Coding for Pain Management Neurostimulator Services (3:20m-4:30pm)
This session will cover ASC compliant coding for epidural and peripheral nerve neurostimulators, both trial and permanent procedures, as well as the auriculo point stimulation procedure. Focus will include the differentiation between the percutaneous versus incisional implantation technique. In addition, get the "scoop" on when ASCs should and should not separately bill for the neurostimulator implants.

Questions (4:30)

Speaker: Joanne Schade-Boyce, BSDH, MS, CPC, ACS, PCS
FairCode Associates, LLC

This session is for participants who already have a working knowledge of medical terminology; anatomy and physiology; and a basic understanding of ICD-10-CM.

Introduction, Organization, and ICD-10-CM Coding Guidelines & Documentation Requirements (8:00am-9:00am)
This session will kickoff the ICD-10-CM program by reviewing the salient information relative to organizational changes in ICD-10-CM, the ICD-10-CM Coding Guidelines, and documentation requirements. Tips for Physician education and documentation will be disscussed.

ICD-10-CM Code Structure & Building Codes Using the System (9:05am-10:05am)
This session will review and practice the key concepts to using the ICD-10-CM coding system. The structure of the coding system will be reviewed. Codes to compare and contrast between the ICD-9-CM and ICD-10-CM, as well as building codes in ICD-10-CM will be discussed.

Integumentary & Musculoskeletal ICD-10-CM Coding (10:20am-12:00pm)
Common diagnosis codes utilized in an Ambulatory Surgery setting will be reviewed, as well as, the introduction of new diagnosis codes offered in the ICD-10-CM coding system, such as the difference between inclusion and sebaceous cysts; and the review of a Maisoneuve fracture with a syndesmosis injury. Where possible, operative reports will be reviewed and coded using the new ICD-10 system.

Respiratory & Digestive ICD-10-CM Coding (1:00pm-2:00pm)
Common diagnosis codes utilized in an Ambulatory Surgery setting will be reviewed, as well as, the changes and modifications made in these areas with the new ICD-10-CM coding system. A special emphasis will be made to avoid NOS (unspecified codes); and thorough disscussion of the potential ramifications of NOS codes with 3rd party payors. Where possible, operative reports will be reviewed and coded using the new ICD-10-CM system.

Uro/Male/Female ICD-10-CM Coding (2:05pm-3:05pm)
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. This presentation will review some of the title changes that better reflect terminology of today’s medical practices, along with the noted organizational changes.

Nervous/Eye/Auditory ICD-10-CM Coding (3:20m-4:30pm)
Common diagnosis codes utilized in an Ambulatory Surgery setting will be reviewed, as well as, the changes and modifications made in these areas with the new chapters added for the “sense” organs in the ICD-10-CM coding system. Where possible, operative reports will be reviewed and coded using the new ICD-10-CM system.

OP Report Wrap Up (4:30pm-5:15pm)
This session will encompass a review of several select operative reports were the participants will apply the information learned throughout the day. Additionally, this time will be used for a question and answer session.

Speaker: Angela Talton, MBA, RHIA, CCS, CPC, CPC-H
National Medical Billing Services, LLC

A & P of the Integumentary and Musculoskeletal Systems (8:00am-9:00am)
This presentation includes a review of the skin layers and its components, diseases of the skin, burns and the degree, hair and nails. The musculoskelatal review will include: number of bones, type of bone tissue and bone processes.

A & P of the Digestive and Respiratory Systems (9:05am-10:05am)
This presentation includes a review of the digestive system i.e. mouth, esophagus, gall bladder, pharynx, stomach, small and large intestine and rectum. Respiratory system review will also include common terms and processes such as inspiration, expiration, lungs, diffusion of gases, upper and lower respiratory systems and nasal cavity and diseases.

A & P of the Cardiovascular and Urinary Systems (10:20am-12:00pm)
This presentation includes a review of heart structure and components, diseases of the heart and some procedures. Th Urinary system review will identify the organs and processes involved in urine production.

Speaker: Denis Rodriguez, CPC-H, CASCC
The Coding Network, LLC

A & P of Male and Female Genital Systems (1:00pm-2:00pm)
This presentation includes a review of the male and female genital system anatomy and physiology as it pertains to capturing correct coding. These systems require more detail in order to assign the proper code for diagnosis and procedure; this course will provide information on what you need to know about these body systems in order to code accurately.

A & P of Eye and Auditory Systems (2:05pm-3:05pm)
This presentation includes a review of the eye and auditory system anatomy and physiology as it pertains to capturing correct coding. These systems require more detail in order to assign the proper code for diagnosis and procedure; this course will provide information on what you need to know about these body systems in order to code accurately.

A & P of the Nervous System (3:20pm-4:30pm)
This presentation includes a review of the nervous system anatomy and physiology as it pertains to capturing correct coding. These systems require more detail in order to assign the proper code for diagnosis and procedure; this course will provide information on what you need to know about this body system in order to code accurately.

Questions (4:30)

ASCA Membership Discount: ASCA members receive $100 off the registration fee.

Multi-Attendee Discount: ASCA members who register more than one attendee as a group receive a $100 discount. Requirements:

Your facility/organization must be a current member of ASCA
All registrants must work at the same location
All registrations must be submitted together. No exceptions. Please be sure to register your entire group together to receive the discount. Once your group has registered, we are not able to add registrants to your group at the discounted rate.
When registering online, click the "Register Multiple Attendees to Receive Discount" button. When registering by fax, submit a form for each person.

Not a member, but want to enjoy these great discounts?
Join ASCA now and you can! Call our member services team at 703-836-8808 ext 114 or visit: www.ascassociation.org/ASCA/Membership.

All cancellation requests must be submitted via the Online Refund Request Form. Through November 21, refunds are given minus a $50 administrative fee per cancellation request. From November 22 through December 27, refunds are given minus a $100 administrative fee.No refunds will be given after December 27. If you registered as part of a group with the multi-attendee discount, the refund will be made on the lowest registration fee paid minus the administrative fee. If the entire group must cancel, one cancellation request per person is required.

Questions?
Please contact our Meetings Department at registration@ascassociation.org or call 703.836.5904.

Full Price

ASCA Member Discount:

1st Attendee

2nd+ Attendee

Cristina Bentin, CCS-P CPC-H CMA

Cristina Bentin is the president and founder of Coding Compliance Management, LLC, a healthcare consulting company specializing in the markets of ambulatory surgery centers with emphasis on business office assessments, coding support, revenue cycle audits and training. Ms. Bentin is nationally recognized as a leading freestanding ASC coding educator and speaker with over 22 years of experience in the ASC and physician healthcare setting. Ms. Bentin is a member of the American Academy of Professional Coders (AAPC) Certified Professional Coder Hospital based, a member of the American Health Information Management Association (AHIMA) Certified Coding Specialist - Physician based, an AHIMA-approved ICD-10-CM Trainer, a member of the National Association of Health Professionals and a member of the North American Spine Society. Ms. Bentin currently serves on the Education & Program Committee for ASCA.

Prior to establishing Coding Compliance Management, LLC, Ms. Bentin was CFO of a surgical hospital and participated in its start-up and development. Ms. Bentin has had extensive experience with education and training for a national healthcare corporation, and was directly involved in the continued education of its 200 + ASC facilities and coders nationwide ensuring OIG, Medicare and state requirements were met. Her revenue cycle lectures include national groups such as FASA, ASCA, Ambulatory Surgery Foundation, Becker's ASC, The Coding Institute/ACS, AHIMA, AAPC, OR Excellence, and various individual state ASC Associations nationwide. She frequently contributes trade articles to ASC Focus,, Becker's ASC Review and Outpatient Surgery Magazine.

Marvel J. Hammer, CPC CCS-P ACS-PM CHCO

Marvel J. Hammer is an accomplished professional with considerable years of experience both in the business and medical fields. She is a coding, billing and compliance consultant and owner of MJH Consulting based in Denver, Colorado.

She provides medical coding and billing education and performs compliance reviews for her clients. Marvel enjoys teaching providers and their staff on correct coding and billing issues and presents on these topics nationwide. Her field of specialties includes Pain Management, Physical Medicine & Rehabilitation, Neurology, and Occupational Medicine.

Marvel received a BS from the University of Colorado - Denver with an emphasis in finance and information systems. She has worked in computer billing software design, implementation, training, and conversion of software systems. Marvel is a registered nurse with over twenty-five years experience in a multitude of specialties. Some of her pastime activities include wildlife photography & exploring the great outdoors.

		Rebecca Overton, CPC
		Ms. Overton has over 15 years of experience in healthcare receivables and overall revenue cycle management. She currently serves as the Director of Revenue Cycle Management for Surgical Management Professionals. Ms. Overton has assisted in development and implementation of policies and procedures the decrease risk in CMS post-payment audit processes, pre-payment audit plans and other CMS initiatives for a number of ambulatory surgery centers. Specifically she has assisted in developing protocols for proper documentation and coding compliance programs to reduce the potential for lost revenue and compliance issues.

Denis Rodriguez, CPC-H CASCC

Denis Rodriguez, CPC-H, CASCC is a Senior Ambulatory Surgery Center Coder and Compliance Auditor for The Coding Network, LLC., the largest specialized coding company in the United States. Past certifications he has held include: Certified Interventional Radiology Cardiovascular Coder (CIRCC), Certified Coding Specialist (CCS), and a proficiency certificate in Emergency Department coding from the AAPC.

During his nearly 23 years of experience in the healthcare field, 10 years specifically coding for ASC's, Denis has managed a performance improvement and research department for one of the nation's largest owners and operators of ambulatory surgery centers. He managed a staff that educated and assessed approximately 60 ambulatory surgery center coders. In that capacity he directly wrote and oversaw the development of weekly and monthly coding newsletters and yearly coding refreshers. He has had articles published in specialty magazines such as Outpatient Surgery Magazine, Becker's ASC Review, and AAPC's The Coding Edge. Denis has also served as a panelist for Coding Q&A: Ask the Experts, an online column of Advance for Health Information Professionals newsmagazine. He has performed hundreds of ASC coding audits for surgery centers throughout the country, identifying compliance issues and areas of missed revenue.

		Margie Scalley Vaught, CPC CPC-H CPC-I CCS-P MCS-P ACS-EM ACS-OR
		Margie Vaught has over 25 years of experience in the healthcare arena, twenty of those years spent in the field of Orthopedics. She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served as a National Board Member for over 3 years. Ms. Vaught worked with AAPC as a technical support person in the Education Department, for over 3 years. In 1996 she obtained the status of Professional Credit Executive (PCE), which deals with extending credit issues, bankruptcy and collection efforts under the current legal system. She obtained the designation of CCS-P (Certified Coding Specialist - Physician) in September 2000 from American Health Information Management Association (AHIMA), and the credential of Medical Compliance Specialist-Physician (MCS-P) in Jan. 2001, providing a more detailed background of compliance issues as outlined by the OIG. In 2003, Ms. Vaught obtained the credential of ACS-OR Advanced Coding Specialist - Orthopedic. She is a recognized AAPC Approved PMCC Instructor. She has served as the technical advisor for the Orthopedic Practice Coder (PinkSheets), for DecisionHealth (DH) since 2000 and was Coding Content Specialist for DecisionHealth (DH) from April 2007 to March 2010, currently helping DH in Orthopedic relating products. Since 1998, Ms. Vaught has been providing consulting services to CodeCorrect.com/Medassets.com, in regards to their question and answer sections. In addition, she contributes and writes articles for the AAOS Bulletin on an ongoing basis as well as other publications such as AAPC Coding Edge, Orthopedic Technology Review and CodeCorrect. In addition, Ms. Vaught performs internal audits; education and training of physicians and office staff, and helps clinics and companies establish billing and coding compliance manuals, as an Independent Consultant. She also presents to physician offices/groups regarding documentation and coding requirements. Ms. Vaught is a current member of MGMA/ACMPE, BONES, AAPC, Society for Clinical Coding (SCC), PACHOM and AHIMA. She stays current by attending the annual conventions for BONES, AAPC, MGMA and also the AMAs CPT symposium.

Joanne Schade-Boyce BSDH MS CPC ACS

Director of Education & Curriculum, Health Revenue Assurance Associates, Inc. and AHIMA Certified ICD-10-CM/PCS Trainer has vast experience as a Clinician, Educator, Insurance Director, Business Administrator, Lecturer, and Consultant. Ms. Schade-Boyce has over 30 years of experience in healthcare administration with a Master of Science, its focus on Education & Management, from Old Dominion University. Ms. Schade-Boyce has been a lead instructor of educational courses for well over 25 years, as well as an expert in development of user-friendly training and instructional manuals. Joanne's areas of expertise include surgical coding, compliance monitoring, external coding audits, on- and off-site training of surgical coding and billing, as well as consultations. Ms. Schade-Boyce is a nationally recognized speaker and her lectures include groups such as Federated Ambulatory Surgery Association, Ambulatory Surgery Center Association, DecisionHealth, The Board of Medical Specialty Coding, The Coding Institute, Coding Conferences, AHIMA, and ASC Communications, Inc. Additionally, she is a member of and attends the annual meetings for the American Academy of Professional Coders (AAPC) and the American Healthcare Information Management Association (AHIMA), focusing on healthcare coding & compliance trends. Ms. Schade-Boyce is a Senior Consultant and Director of Education for HRAA a consulting firm specializing in coding education, coding audits, and clinical documentation improvement strategies.

Angela Talton, MBA RHIA CCS CPC CPC-H

Angela joined National Medical in 2012. As Senior Vice President of Coding, she leads the company's coding and compliance departments, providing the long-term planning and operational oversight. Angela is also responsible for planning and managing the strategic integration of regulatory changes such as ICD-10 at the corporate level and ensuring all National Medical's coders are properly trained.

Prior to joining National Medical, Angela was the Regional Epic Product Specialist-Health Information Management for a healthcare IT organization. There she was responsible for building, testing and implementing Epic EHR Systems and providing on-site client support during the go-live phase. Throughout her career, Angela has held numerous leadership positions in which she directed departments for coding, billing and operations for healthcare organizations.

Currently, Angela is the President of Eastern Missouri Health Information Management Association. During her tenure, this chapter was recognized by the state organization, Mo-HIMA, as the "model association to seek for innovation in providing coding education to members." Angela is also an AHIMA approved ICD-10 certified trainer.

Angela earned a Bachelor's degree in Health Information Administration from Stephens College in Columbia, Missouri and a Bachelor's degree in Business Administration - Management Organizational Behavior from the University of Missouri-St. Louis. She also earned an M.B.A. from Lindenwood University in St. Charles, Missouri.