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8:00 am–9:15 am
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2023 Updates to Medicare’s ASC Payment System and CPT Changes Coding
Get an update on the 2023 reimbursement changes to Medicare’s ASC payment system, including procedures added or removed from the final list of those eligible to be performed in an ASC setting. Discuss the American Medical Association’s CPT changes per specialty of new, revised and deleted procedures applicable to ASC facilities that will take effect January 1, 2023 and examine reimbursement potentials and comparisons from the past year.
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Positioning Your ASC for Regulatory Success Management
Take a close look at your governing body’s role in the development and monitoring of operational areas that include credentialing, infection prevention and control, and quality improvement. Get a head start toward understanding the key administrative and clinical drivers integral to positioning your ASC for regulatory success.
AEU Content Area:
Regulatory and Legal Issues
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9:15 am–10:15 am
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Navigating Pain Management Procedural Coding Coding
Are denials for pain management procedures getting on your last nerve? Are injection edits a pain in your sacrum? Join this session as we stimulate your neural networks and navigate pain management procedural coding. We will ablate confusion surrounding anatomy distinctions, separately reportable imaging assistance, injections, nerve destruction and neurostimulators. We will also alleviate the anguish of applying modifiers and satisfying LCDs. After this session, compliant coding will be all gain and no pain!
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Understanding and Mitigating Risk in Today's ASC Management
Although ASCs were once considered a low-risk setting, times have changed. As increasingly complex procedures migrate into ASCs, talent acquisition challenges drive an increased use of contract or less experienced workers, anesthesia provider shortages continue and the expectations of patients, physicians and staff continue to grow, the risks ASCs face continue to escalate. Explore the ways an ASC administrator can assess and mitigate these risks.
AEU Content Area:
Quality Management
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10:30 am–11:30 am
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Gastroenterology: From EGDs to Colonoscopies Coding
New and emerging technologies in the field of medicine require coding professionals to be sharp and abreast of constant progress and changes. Gastroenterology is no exception to the rule. Explore and dissect the unique challenges the field of gastroenterology presents to coders. During this session, we will navigate the coding anatomy of the digestive system as it relates to these procedures, the latest federal guidance regarding screenings and the policies of Medicare and commercial payers. Attendees can expect to leave this session with a clear understanding of the official ICD-10-CM and CPT coding guidelines that are applicable to EGDs and colonoscopies.
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Maximizing the Safety and Efficiency of Perioperative Analgesia for Ambulatory Surgery Management
Properly managed analgesia can be key to creating a positive experience for patients in your ASC. Discuss the implications of ineffective analgesia in an ambulatory surgery setting, review the potential advantages associated with multimodal analgesia and regional anesthesia, and learn about some analgesic pathways that have been successfully established.
AEU Content Area:
Delivery of Patient Care
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12:30 pm–1:30 pm
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Urology Coding Hot Spots Coding
Come to this session with your urology coding questions and leave with the confidence and information you need to submit the coding your billing office needs to produce clean claims to the insurance carriers. Topics will include the anatomy knowledge you need, recent CPT changes, common procedures in an ASC, common bundling issues causing denials, differences in American Medical Association (AMA) and Correct Coding Initiative (CCI) edits on certain procedures, confusion regarding unilateral and bilateral procedures, and descriptions of the various prostate (BPH) procedures.
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Ins and Outs of QAPI Management
Your QAPI program shouldn’t just be an exercise in documentation—you should use it to improve patient outcomes and identify other opportunities for improvement. This session will review the requirements of an effective, comprehensive and robust QAPI program. Learn about program specifics, ongoing monitoring, measured indicators, benchmarking and QI studies. Discuss the role of the HVA, risk assessments and how they are part of QAPI, and the annual review of your QAPI program. Consider quality activities you should be reviewing and reporting on at your individual ASC. Leave with tips and tools for implementing, documenting and reporting your facility’s QAPI activities.
AEU Content Area:
Quality Management
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1:30 pm–2:30 pm
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ENT Coding Tips and Traps Coding
Join this insightful discussion of guidelines and policies for ENT coding, including issues from an auditing perspective. Hear tips and tricks to improve reimbursement and documentation of commonly performed ENT surgeries. Take a focused look at functional endoscopic sinus surgery combination codes when multiple procedures are performed, different devices used and HCPCS assignments.
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The Essentials of Credentialing Management
It all begins and ends with credentialing. Join this session to walk through the credentialing process from beginning to end and gain guidance on best practices along the way. You will leave with the knowledge you need to ensure your ASC is meeting all necessary requirements.
AEU Content Area:
Human Resources
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2:45 pm–3:45 pm
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Ophthalmology and Oculoplastic Surgery Coding
Review the fundamentals of coding ophthalmology and oculoplastic surgery; then, learn how to code accurately for new technology and procedures currently considered experimental or investigational. The newest information on these topics released by the American Medical Association will be discussed.
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Staffing Challenges in ASCs Management
Meeting staffing requirements in an ASC is now more of a challenge than ever. How do you find administrators and clinical directors? How do you train a new clinical director who has never worked in an ASC? How do you find nurses? Who will assist nurses in their patient care duties? What defines safe staffing? Join this session to get answers to all these questions and more. In addition to recruitment and scope of practice, this session will also cover competencies and appraisals, which are important compliance and retention tools for ASC managers. Review appropriate competencies for your team and discuss meaningful ways appraisals should be used in your facilities.
AEU Content Area:
Human Resources
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3:45 pm–4:45 pm
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Advanced Orthopedics: Upper and Lower Extremities Coding
Gain a better understanding of the orthopedic CPT code set; learn how to determine ICD-10 diagnosis coding for acute and chronic conditions; and review the carrier payment policies that help define best practices for billing orthopedic procedures in this session designed to help you tackle even the most daunting orthopedic coding challenges. Maximize your orthopedic coding efficiency, and never feel intimidated again when you have to code something like an arthroscopic superior capsular reconstruction (ASCR) of the shoulder or a posterolateral corner repair of the knee.
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Emergency Preparedness Requirements Management
Though CMS’s requirements for emergency preparedness can seem overwhelming, there are a variety of tools and strategies you can use to ensure your facility is compliant. Join this session to learn about the most recent guidance for Clinical Standards and Quality and for Quality, Safety & Oversight, so you and your team can successfully maneuver and meet all emergency preparedness requirements.
AEU Content Area:
Regulatory and Legal Issues
Faculty:
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