Pain management is a complex field, and providers face intense scrutiny from many payors.

Whether performed in-office or in the ASC, most pain procedures are subject to detailed and restrictive coverage policies. Physicians who remain unaware of these policies risk denials, revenue loss, and potential audits and paybacks.

This intensive and fast-paced one-day course covers the most critical issues for this unique specialty. It’s packed with the knowledge and tools providers and their staff need to understand payor policies, get paid accurately, and improve the bottom line.

Using actual payor coverage policy samples for pain treatment, we’ll show you how to incorporate payor policy guidance into your daily practice. You’ll learn how to dissect the clinical criteria and diagnosis codes used in payor policies to create the must-have documentation to justify coverage.

You’ll get an update on 2020 E/M services and review hands-on case studies to sharpen your documentation skills. Wondering about the significant 2021 changes to E/M documentation and coding? We’ll give you an overview of those, along with an implementation action plan.

If you’re looking for detailed instruction on procedure coding, this course has nearly three hours of it. You’ll learn interventional procedure coding for spine, joint, soft tissue, tendon, nerve block injections, PRP and more—using real case examples. 2020 changes to interventional procedure codes, including new genicular nerve codes, will also be covered.

We’ll address reimbursement essentials such as Medicare rules—including bundling and CCI edits. Finally, we’ll provide you with the tools to reduce risk and issue successful appeals.

• New codes for
  • Genicular nerve injections and RFA
  • Radiofrequency neurotomy sacroiliac joint
• Breaking down autonomic and somatic nerve injections
• Expanded coding direction for adductor canal, saphenous, and femoral nerve injections and infusions
• Expanded trigeminal nerve injection guidelines
• Coding TAP blocks
• Deciphering cryoneurolysis coding
• Billing for prolotherapy
• E/M Changes for 2020—how this impacts your documentation
• An action plan for implementing the E/M changes coming in 2021: Significant coding and documentation changes are in store for new and establish office visits. Find out what you need to do to be ready

• Anesthesiologists, neurosurgeons, orthopaedists, and PM&R physicians who deliver interventional pain services and procedures
• Other providers, managers, billers, and coders who work in pain management, PM&R, and orthopaedic or neurosurgical practices that treat pain

• Define documentation risk areas and understand how to avoid them.
• Choose appropriate codes and modifiers for interventional procedures for spine, joint, soft tissue, tendon, and nerve block injections.
• Comply with pain coding and payor rules.
• Apply coding rules and principles for reporting E/M and in-office procedures for services to avoid audits.
• Review ICD-10-CM coding related to pain management.
• Apply use of interventional pain coverage policies to the reimbursement workflow.
• Correctly bill for incident-to services.

• View full agenda

2020 AAPC Accreditation

This program has the prior approval of AAPC for 5.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

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2020 CME Credit for Physicians

CME applied for.