Thursday, January 16
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.
Friday, January 17 (Room 1)
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)
Friday, January 17 (Room 2)
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)
Friday, January 17 (Room 3)
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)
Saturday, January 18 (Room 1 – ICD-10-CM)
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.
Saturday, January 18 (Room 2 – Anatomy & Physiology)
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)