February 28 - March 1 workshop in....

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GENERAL SURGERY

workshops

reimbursement

coding and

2019

course info

thursday

Spotlight On Office Procedure and E/M Coding

Surgeons love the operating room, but in reality spend a lot of time seeing patients and performing procedures in the office. Accurate coding ensures proper revenue for these services. And while the documentation requirements for office E/M services may be changing, surgeons must still follow billing guidelines for critical care services, inpatient, observation, and emergency department visits. These are complicated by the fact that some E/M services can be billed separately and some are part of the payment for the global package. 

This lightning speed course reviews common office procedure coding, including wound care coding. You’ll learn about the new CPT codes for fine needle aspiration biopsy, excisional biopsy, and inter-professional consult codes, and get an update on CMS coding policies for 2019. We’ll clarify coding for screening colonoscopy as well as how and when to use modifiers 33 and PT. You’ll learn how diagnosis coding establishes medical necessity for services. Plus, we’ll analyze medical policies and explain the importance of risk-adjusted diagnosis coding for surgical practices.

  • Select and document E/M codes accurately, including consults.
  • Decide if a service is separately reportable or is included in the global surgical payment.
  • Document and select the correct level of service with attention to medical decision making.
  • Document and bill for critical care services that are not part of the global package.
  • Determine which pre-op and post-op services can be billed during the global period for a major or minor procedure.
  • Assign E/M modifiers.
  • Code office E/M services and procedures accurately.
  • Select the correct diagnosis codes for screening and surveillance services.
  • Payment for Surgical Services
  • Medicare Physician Fee Schedule
  • Category of E/M Services
  • Level of E/M Services
  • Critical Care
  • Screening Colonoscopy
  • Surgical Procedures Commonly Done in the Office
  • Diagnosis Coding NEW
  • Practice Management

*See brochure for full agenda.

FRIDAY

Successful Surgical Coding

New codes, new guidelines! The 2019 ACS coding course sifts through all that is new and important in general surgery coding and packs it into an intensive, fast paced day. This year’s agenda covers all you need to know to code and document accurately and efficiently in 2019 and beyond.

Real-life cases and discussions that link clinical procedures to the selection of CPT codes make this course ideal for surgeons and coding staff. Forget boring slides and a mind-numbing list of CPT codes. This course is rich with clinical descriptions and a comprehensive workbook that will become your first response coding resource.

The course provides in depth and interesting instruction on coding for colorectal, endoscopy, bariatric, hernia, appendix, gall bladder, skin, and endocrine coding. It also addresses why documentation is as essential as the code selected, and how to capture all potential revenue by improving your notes. We’ll show you the correct way to use modifiers so that you optimize payment. You’ll leave armed with ideas and techniques for setting up systems that reduce denials and increase appeal success.

  • Assess whether you’re using surgical modifiers correctly – and what to do if you’re not.
  • Distinguish between a 58 modifier and a 78 modifier (and why it matters).
  • Identify areas for immediate documentation improvement, and make sure a payor can’t take back money for insufficient documentation.
  • Avoid the dreaded under-coding (and reduced revenue and reduced RVUs) as well as the equally dreaded over-payment and unbundling.
  • Identify what’s different in PICC and G-tube coding in 2019 NEW.
  • Integrate tips and techniques into the reimbursement process.
  • Correctly code and document general surgery procedures including gall bladder, liver, hernia, breast, endoscopy, colorectal, bariatric, and intra-abdominal tumors.
  • Understand the use of the new and revised 2019 codes: G-tube and PICC lines.
  • Identify areas for improvement in surgical documentation.
  • Accurately apply modifiers when they are required and understand their impact on reimbursement.
  • Understand how to report and get paid for unlisted procedures.
  • Definition Kick-off
  • The Global Surgical Package
  • Surgeon Role Modifiers
  • Same-Day Procedure Modifiers
  • Modifiers for Additional Procedures Performed During the Global Surgical Period
  • Revenue Optimization: Charge Entry Tips of the Trade
  • Documentation for Unlisted Procedures
  • Surgical Coding and Documentation
  • Surgical Approaches and Code Selection: Percutaneous vs. Open vs. Laparoscopic – Does it Matter?
  • Radiology Coding and Documentation for Surgeons
  • Hernia Surgery
  • Gallbladder and Liver Surgery
  • Endoscopy Overview
  • Colorectal Surgery
  • Appendix Surgery
  • Intra-abdominal Tumor Resection
  • Endocrine Surgery
  • Breast Procedures
  • Bariatric Surgery’

*See brochure for full agenda.

Saturday

Intensive Trauma and Critical Care Coding

A full day devoted to trauma surgery and critical care coding! You asked for it – we’re delivering it. This information packed course goes narrow and deep into the distinct coding issues faced by trauma and critical care surgeons. Learn the granularities of the relevant global surgical packages. Gain the know-how for choosing the correct modifier to report surgeon role, same day surgical procedure, and surgical procedures performed within the global period. And get all the details needed to code and document an array of procedures common in a trauma and critical care environment, including: emergent procedures, abdominal trauma, damage control surgery, wound care, imaging, and vessel repair.

This year we’ve expanded the critical care section to almost an entire afternoon so that you leave confident about your critical care documentation and coding for trauma. Case scenarios will help you identify which critical care circumstances support critical care, and how to create documentation that will hold up under scrutiny. Every encounter with a trauma patient in the ICU is not billed as critical care. Find out which ones are, and which ones are not, based on critical care guidelines and payor review. 

We’ll also describe when resident or NP/PA documentation and time count in your critical care calculation. Doing this incorrectly puts you at risk, as critical care billing is fast becoming a major hot spot for payor audits.

This course connects clinical procedures to the selection of CPT codes, making it ideal for surgeons and coding staff.

  • Discuss how the pre, intra and post-operative component of trauma procedures are reported and valued.
  • Describe how surgical modifiers are used in trauma coding, including co-surgery and assistant surgery, and how they impact payment.
  • Describe accurate coding for common trauma surgical scenarios.
  • Apply coding concepts to complex trauma surgeries, including multiple injuries and damage control surgery.
  • Identify scenarios when critical care coding is appropriate and when it is not.
  • The Global Surgical Package
  • Surgeon Role Modifiers
  • Same Day Surgical Procedure Modifiers
  • Surgical Services Performed During the Global Surgical Period
  • Highlights of Trauma Diagnosis Coding
  • Trauma Procedure Coding
  • Wound Repair Coding: Do’s and Don’ts
  • E/M and Critical Care Coding: Introduction
  • Defining Critical Care
  • Critical Care and Place of Service: Where can Critical Care be Reported
  • Calculating Time in Critical Care
  • Concurrent Critical Care Coding
  • Critical Care Services and Other E/M Services Provided on Same Day
  • Coding Critical Care Services During Preoperative and Postoperative Portion of Global Period of Procedure with 90 Day Global Period
  • Teaching Physicians and Critical Care: Billing Imperatives
  • Billing Critical Care for Nurse Practitioners and Physician Assistants
  • Documenting Critical Care

*See brochure for full agenda.

Pricing

Single course

Thursday

Spotlight on Office Procedure and E/M Coding

$675/ACS member

$825/Non-Member

Spotlight on Office Procedure and E/M Coding

Friday

Successful Surgical Coding

$675/ACS member

$825/Non-Member

Successful Surgical Coding

Saturday

Intensive Trauma and Critical Care Coding

$795/ACS member

$945/Non-Member

Intensive Trauma and Critical Care Coding

combined courses

Combo 1

Thursday + Friday

$1080/ACS member

$1,230/Non-Member

Thursday – Spotlight on Office Procedure and E/M Coding
Friday – Successful Surgical Coding
Saturday – Intensive Trauma and Critical Care Coding

Combo 2

Thursday or Friday + Saturday

$1100/ACS member

$1,250/Non-Member

Thursday – Spotlight on Office Procedure and E/M Coding
Friday – Successful Surgical Coding
Saturday – Intensive Trauma and Critical Care Coding

Combo 3

All Three Courses

$1675/ACS member

$1,825/Non-Member

Thursday – Spotlight on Office Procedure and E/M Coding
Friday – Successful Surgical Coding
Saturday – Intensive Trauma and Critical Care Coding

register

February 28 - March 2

Las Vegas, NV

Hotel Cut Off Date

February 6

March 28 - 30

New York, NY

Attendees find & book own hotel rooms

May 9 - 11

Chicago, IL

Hyatt Centric Chicago Mag Mile - Hotel Cut Off Date

April 17

August 8 - 10

Nashville, TN

Hotel Cut Off Date

July 15

February 28 - March 2

Las Vegas, NV

Hotel Cut Off Date

February 6

March 28 - 30

New York, NY

Attendees find & book own hotel rooms

May 9 - 11

Chicago, IL

Hyatt Centric Chicago Mag Mile - Hotel Cut Off Date

April 17

August 8 - 10

Nashville, TN

Hotel Cut Off Date

July 15

instructors

Deborah Grider

CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP

Consultant, Author and Speaker

Betsy Nicoletti

MS, CCP

Consultant and Speaker

Teri Romano

RN, MBA, CPC, CMDP

Consultant and Speaker