Presented Live November 27-29, 2023
Downloads/Materials:
Day 1
Fast Facet Facts—Avoid the Latest Audit Traps and Meet the Prior Auth Requirements
Presented by Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP
Medicare Administrative Contractors (MAC) released a uniform local coverage determination for facet joint interventions in 2021 and audits based on the new policy have already started. In a March audit report, the HHS Office of Inspector General announced that providers received $30 million in overpayments in a three-month period. In addition, Medicare added facet joint interventions to the prior authorization list for procedures performed in the outpatient setting. In this session, learn how to shore up documentation and smooth out the prior authorization process to protect facet joint intervention revenue.
2024 Update: Prepare for the Coding Changes That Will Impact Your Practice
Presented by Julia Kyles, CPC
A new year, a new round of coding updates—and for practices that aren’t prepared, a new round of underpayments and denials. Don’t let it happen to your practice. Get an overview of the relevant procedure code updates that will go into effect Jan. 1, 2024, and cover changes to ICD-10-CM guidelines for fiscal year 2024. Bonus: Get up to date on the COVID-19 public health emergency waivers that were extended past May 11.
Peripheral or Unlisted? Here’s How to Find the Answer
Presented by Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC
When the documentation for a pain block doesn’t match up with a specific code, how do you know whether you should report 64450 (Injection[s], anesthetic agent[s] and/or steroid; other peripheral nerve or branch) or 64999 (Unlisted procedure, nervous system)? Learn the difference between the two codes and how to use the chart to track down the correct code so that you receive the appropriate revenue. Also discover the additional information you’ll need to report when the answer is Unlisted.
Q&A Session With the Speakers
Presented by Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, Julia Kyles, CPC, & Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP
Day 2
Who’s the Boss? Take Control of Private Payers That Don’t Meet Their Obligations
Presented by Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC
Your practice struggles to meet all the obligations in its private payer contracts, but getting a private payer to hold up its end of the contract can seem like an impossible task. But you aren’t doomed to slow claims processing, ignored deadlines, and missed payments. Work through real-world examples that show you how to create an effective internal escalation process, make the contract work for your practice, and receive the revenue you’re due.
Diagnosis Coding for Pain Management: Get It Right and Get Paid
Presented by Jessyka Burke, BSHA, CPC, COSC, CASCC
Diagnosis coding is a team effort. The treating practitioner must accurately document the patient’s condition and the coder must accurately use the ICD-10-CM guidelines to translate that documentation into the correct diagnosis code—or codes—for the encounter. Work through real-world scenarios that illustrate how detailed diagnosis documentation and coding connects directly to the services that a practice can report. Get specialty-specific guidance that shows you how to quickly make your way through the thousands of codes that are associated with pain management services so you can file accurate claims and receive the revenue you’re due.
Find the Missing Connections for Your Spinal Neurostimulator Claims
Presented by Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP
What’s missing from your neurostimulator claims? The HHS Office of Inspector General found that pain management doctors frequently failed to document essential portions of the service and an update to spinal neurostimulator codes is due next year. Learn how to detect and correct the documentation and coding errors for implants, revisions, replacements, and removals that trigger denials and overpayment demands. Bonus: Get a first look at spinal neurostimulator codes that will go into effect Jan. 1, 2024.
Q&A Session With the Speakers
Presented by Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, Jessyka Burke, BSHA, CPC, COSC, CASCC & Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP
Day 3
Practical Answers to Your E/M Coding Riddles
Presented by Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC
E/M guidelines keep changing and coders are struggling to keep up. Not only has the AMA updated E/M guidelines in the CPT manual, but it has also issued off-schedule updates. Stop puzzling over the tricky parts of E/M coding and get you caught up with the latest E/M guidance while getting straight-forward solutions to tough E/M problems so you’ll have time to prepare for the next round of changes.
HIPAA Compliance: Craft Policies for Each Department in Your Pain Clinic
Presented by Mardelle Klaus, RHIA, CHC, CCS, CPC, CHIA
HIPAA privacy and security compliance is not one size fits all. Not only do different provider types face different risks, but departments within the same practice have different risks. A practice that doesn’t understand how to customize its compliance efforts will waste time and money and might increase its risk exposure. Learn how HIPAA’s privacy and security rules can impact a practice’s employees in their respective departments. Take a deep dive into how these rules impact administration, clinical, registration and scheduling, patient financial services, and billing and coding departments differently. You’ll leave this session with best practices to follow for each department in your practice.
Testing, Testing! Make Sure You Meet the Requirements for Urine Drug Testing
Presented by Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP
Urine drug testing is an essential part of chronic opioid therapy. Unfortunately, the test is the target of intense scrutiny by auditors and investigators, and there have been non-stop updates to the codes and guidelines. Get detailed explanations of the documentation and coding principles that will protect your practice from denials and failed audits while continuing to provide your patients with the best care possible.
Q&A Session With the Speakers
Presented by Doris V. Branker, CHC, CPC, CIRCC, CPMA, CPC-I, CANPC, CEMC, Mardelle Klaus, RHIA, CHC, CCS, CPC, CHIA & Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP