Co-chairs: R. Dale Blasier, MD, FRCSC, MBA; Scott I. Horn, DO
Recognized by spine professionals as one of the most comprehensive, informative, and interactive courses in the spine industry, the NASS coding course is essential to practices desiring to maximize reimbursement through proper coding while staying on the forefront of coding changes, payer policies and new government regulations. The course provides tools and instruction to increase your practice’s bottom line and propel it into the future, including ICD9/ICD10 cross walking, E&M coding, and CPT4 coding of surgical, medical, and radiologic procedures. Participants will leave this course with tips on how to navigate through the authorization and denial process, utilize Medicare NCCI edits, and properly document to receive reimbursement.
Participants will be given the opportunity to meet one-on-one with physician faculty who lead NASS’ CPT, RUC and reimbursement efforts; participate in “real op notes” hands-on coding sessions and be part of an interactive panel discussion with leading experts in the spine coding industry.
Upon completion of this session, participants should gain strategies to:
- Become familiar with Coding Updates for 2015 including new CPT codes, modifiers, NCCI edits, and OIG work plan changes;
- Correlate correct coding with practice reimbursement ensuring that every procedure is reimbursed at its highest allowable level;
- Recognize the relationship between proper diagnostic (ICD9/10) and procedural coding (CPT4) and how to link them to avoid denials;
- Learn the elements required for complete and accurate documentation for E&M coding, and medical and surgical procedure notes;
- Take advantage of government incentive programs and avoid penalties (EHR, Value based payment modifier);
- Know the accurate use of modifiers and their impact on reimbursement;
- Define coding issues which negatively impact reimbursement and trigger audits;
- Effectively and accurately code interventional injection procedures and neurologic testing;
- Utilize payer reimbursement policies and guidelines to avoid claim denials and obtain proper authorization;
- Effectively incorporate teachings of this course into their practice.
The North American Spine Society designates this live activity for a maximum of 12.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Agenda
Introduction
R. Dale Blasier, MD, FRCSC, MBA
Tips and Pearls - Codes and Bundling: The Inner Works
R. Dale Blasier, MD, FRCSC, MBA
22000 Series Codes and Integrated Anatomy
Paul Saiz, MD
63000 Series Codes and Integrated Anatomy
William Mitchell, MD
Surgical Modifiers
David B. Cohen, MD, MPH
Evaluation & Management Guidelines
E. Kano Mayer, MD
E&M Scenarios
E. Kano Mayer, MD
Coding 101
Donna M. Lahey, RNFA
Real Op Notes
William Mitchell, MD
Questions, Answers, Discussion: An Interactive Session with All Faculty>
Faculty Panel