2022 Advanced Specialty Coding, Compliance & Reimbursement Symposium

December 5-7, 2022 | Sheraton Dallas Hotel, Dallas, TX

Anesthesia Pre-Conference

December 5, 2022
7:00 a.m. - 8:00 a.m.
Get Ahead of 2023 Coding, Billing, and Compliance Changes REGISTRATION & CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Rock This Joint: Code Anesthesia for Joint Procedures

Was the joint procedure open, closed, or arthroscopic? Diagnostic or surgical? And does it matter? Did the surgeon replace a joint or revise a joint replacement? These are a few of the questions coders must answer if they want to report anesthesia for joint procedures accurately and secure the correct payment. Learn how to make quick work of coding anesthesia for procedures of the shoulders, hips, and knees.

9:10 a.m. - 10:10 a.m.
Follow the Clues in the Anesthesia Record to the Correct Code

When there’s not enough information in the procedure note to code the anesthesia service, contacting the surgeon’s office is rarely the solution. Don’t waste hours chasing after answers from another practice and don’t give up. This session will show you ways to use clues in the anesthesia record to find the correct code.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Spine Service Update: Anesthesia for Percutaneous Image-Guided Procedures

Codes 01935 and 01936, for percutaneous image-guided procedures of the spine or spinal cord, were created in 2008 and represented millions of dollars a year for anesthesia groups. Now those codes have been deleted and replaced with six new codes that are based on the procedure performed and the section of the spine treated. Your team must understand these new codes to prevent snarls in your revenue cycle and an avalanche of denials for these high-dollar, high-utilization services.

11:30 a.m. - 12:30 p.m.
LUNCH-Provided
12:30 p.m. - 1:30 p.m.
2023 Kickoff: CPT and Physician Fee Schedule Update

The new year will bring a new round of coding and regulatory updates, followed by a surge of denials for practices that don’t know about the changes. Get an overview of the new codes and Medicare policies that will impact your practice.

1:40 p.m. - 2:40 p.m.
Postoperative Pain Management: Take the Mystery out of Postop Blocks

Postoperative pain blocks are an essential part of patient care, but when a chart contains terms or techniques that don’t match up with an existing code, they can cause confusion, delayed claims, and lost revenue. This session will take the mystery out of blocks such as PECS, IPACK, adductor canal, and plane blocks, and explain how the updates to brachial plexus, sciatic, and femoral nerve blocks and catheters will impact your claims in 2023.

2:40 p.m. - 2:55 p.m.
NETWORKING & REFRESHMENT BREAK
2:55 p.m. - 4:00 p.m.
Overcome the Challenges of Coding Anesthesia for Interventional Radiology

As the complexity of services performed in the interventional radiology suite has increased, so has the need for an anesthesia provider. This session will guide you through the challenges of reporting anesthesia services for common interventional radiology procedures and show you how to select the correct code.

Orthopedics Pre-Conference

December 5, 2022
7:00 a.m. - 8:00 a.m.
Get Ahead of 2023 Coding, Billing, and Compliance Changes REGISTRATION & CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
2023 Coding & Billing Update

Find out the key changes in the 2023 CPT Manual and Medicare physician fee schedule that will impact orthopedic practices, including adjustments to your procedure codes, fees, and billing policies. Take a first look at the 2023 E/M guidelines and how Medicare will address them.

9:10 a.m. - 10:10 a.m.
E/M Outlook for Orthopedic Practices

Clear up lingering concerns about the 2021 office E/M guidelines and prepare for the 2023 changes for facility-based visits in this practical session specific to orthopedic practices. Learn practical steps to ensure your providers’ notes are grounded in medical necessity, review appropriate use of E/M modifiers, and find out how to use bell curve data to gauge compliance risk.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Clear Up Fracture and Restorative Care Coding Concerns

Cement your understanding of the new fracture and restorative coding guidelines, including when casting, strapping, splinting, and imaging may be separately reported. Learn how to overcome common fracture coding errors and to appropriately use global service modifiers.

11:30 a.m. - 12:30 p.m.
LUNCH—Provided
12:30 p.m. - 1:30 p.m.
Spine Surgery Coding Solutions (Part 1)

Explore spine anatomy as you learn practical solutions to coding spinal surgeries. Spend the first hour learning the coding process for key musculoskeletal section procedures, including arthrodesis, grafting, and instrumentation.

1:40 p.m. - 2:40 p.m.
Spine Surgery Coding Solutions (Part 2)

In the second hour, examine spinal procedures in the nervous system section of the CPT manual, including laminectomy, laminotomy, facetectomy, and corpectomy and how they are to be reported for spinal and nerve decompression.

2:40 p.m. - 2:55 p.m.
NETWORKING & REFRESHMENT BREAK
2:55 p.m. - 4:00 p.m.
Practical Strategies to Bolster the Financial Health of Your Orthopedic Practice

Learn how to reduce denials and compliance risk, address quality reporting gaps, and improve your practice’s revenue stream using practical workflow strategies and data analytics.

Pain Management Pre-Conference

December 5, 2022
7:00 a.m. - 8:00 a.m.
Get Ahead of 2023 Coding, Billing, and Compliance Changes REGISTRATION & CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Facet Interventions and Epidural Blocks: Get the Latest on Medicare’s Uniform Policies

Medicare Administrative Contractors (MAC) created uniform local coverage determinations for paravertebral facet interventions and epidurals for chronic pain management. The final policies contain tough new requirements, and MACs made additional changes after the final versions took effect. Learn how to protect your claims from the risks created by these new policies. Bonus: Discover how the March 1 update to CPT guidelines for facet blocks impacts coding.

9:10 a.m. - 10:10 a.m.
2023 Kickoff: CPT and Physician Fee Schedule Update

The new year will bring a new round of coding and regulatory updates, followed by a surge of denials for practices that don’t know about the changes. Get an overview of the new codes and Medicare policies that will impact your practice.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Urine Drug Testing: Shut Off the Risk for In-House and Ordered Services

Last year practices that ordered urine drug tests from outside labs or performed the tests in-house had to pay millions of dollars to resolve allegations that the tests violated anti-fraud laws. Take a deep dive into and understand the documentation and coding principles that will keep your revenue flowing and minimize the risk of a negative encounter with an auditor or investigator.

11:30 a.m. - 12:30 p.m.
LUNCH—Provided
12:30 p.m. - 1:30 p.m.
E/M 2023: Get Ready for the Next Big Update

The next E/M update is scheduled for January 2023 and will impact a wide range of E/M codes, including inpatient hospital visits and consults. At the same time, practices still need clarity on coding visits in the office and other outpatient settings. Get the latest guidance for E/M coding and learn how to apply lessons learned from the E/M update of 2021.

1:40 p.m. - 2:40 p.m.
Understand Your Fraud Risk: Lessons Learned From Recent Enforcement Actions

In the past year, anesthesia and pain management practices and providers entered resolution agreements for HIPAA violations, paid multimillion-dollar fraud settlements, or even went to prison for healthcare fraud. Learn how to boost your practice’s compliance efforts by understanding what went wrong and the lessons you should take from these cases.

2:40 p.m. - 2:55 p.m.
NETWORKING & REFRESHMENT BREAK
2:55 p.m. - 4:00 p.m.
Sedation for Pain Management Procedures: Catch Up With the Current Guidelines

Medicare and private payers haven’t placed a complete ban on moderate sedation, monitored anesthesia care, and general anesthesia for pain management procedures—but a practice must do its homework and lay the groundwork, or it won’t be able to appeal the inevitable denials. This session will explain the current sedation guidelines, cover how to determine whether a patient is a candidate for sedation, and provide tips on making sure the service’s documentation paints a clear picture of medical necessity.

Anesthesia Track Day 1

December 6, 2022
7:00 a.m. - 8:00 a.m.
REGISTRATION & CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Keynote Session: Compliance in Context: Top Trends and Targets for Medical Practices

A former Assistant U.S. Attorney and Trial Attorney with the Department of Justice (DOJ), Scott Grubman leads attendees through a wide-lens view of federal compliance trends, recapping the big stories from 2022 and highlighting the areas that regulators will be focused on in 2023. From trends in contractor investigations to the latest focuses of the DOJ, Office of Inspector General (OIG), and Office for Civil Rights (OCR), this macro-level session delivers key cautionary advice to help attendees avoid falling afoul of the law or regulators.

9:10 a.m. - 10:10 a.m.
Know Your Rights and Responsibilities Under the No Surprises Act

Your practice treated an out-of-network patient and there’s a dispute over the bill. A patient wants to pay for a service out of pocket. A health plan terminates your practice’s contract while some of your patients are in the middle of treatment. These are just three scenarios that create rights or responsibilities for medical practices under the No Surprises Act. This session will cut through the mountain of confusing information and explain the portions of this law that you need to understand.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Who’s The Boss? Take Control of Private Payers That Don’t Meet Their Obligations

Practices struggle to meet all the obligations in their contracts with private payers, and getting a private payer to hold up its end of the contract can seem like an impossible task. But practices aren’t doomed to slow claims processing, ignored deadlines, and missed payments. Discover why you shouldn’t just accept what a payer hands out and get real-world examples and best practices to get paid.

11:30 a.m. - 12:30 p.m.
NETWORKING LUNCH—Provided
12:30 p.m. - 1:30 p.m.
Understand Your Fraud Risk: Lessons Learned From Recent Enforcement Actions

In the past year, anesthesia and pain management practices and providers entered resolution agreements for HIPAA violations, paid multimillion-dollar fraud settlements, or even went to prison for healthcare fraud. Learn how to boost your practice’s compliance efforts by understanding what went wrong and the lessons you should take from these cases.

1:40 p.m. - 2:40 p.m.
Go Team! Take the Complexity Out of Coding for Anesthesia Care Teams

Did a complicated case require the work of more than one anesthesia provider? Do your doctors or CRNAs oversee student nurses? Can you spot when medical direction becomes supervision? And what about relief? At the end of this session, you’ll be able to answer these and other complicated questions about anesthesia reporting rules, bill the services of everyone on your anesthesia care team, and make sure everyone gets their fair share.

2:40 p.m. - 2:55 p.m.
NETWORKING & REFRESHMENT BREAK
2:55 p.m. - 4:00 p.m.
Alternate ASA Codes: Take the Road Less Traveled When You Use the CROSSWALK

The ASA CROSSWALK® is designed to help anesthesia coders connect more than 6,000 procedure and radiology codes to approximately 270 anesthesia codes, but the CROSSWALK’s codes are suggestions, not requirements. Learn how to code an anesthesia service when there’s no ASA code for a procedure or when you disagree with the procedure’s ASA CROSSWALK code.

Orthopedics Track Day 1

December 6, 2022
7:00 a.m. - 8:00 a.m.
REGISTRATION & CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Keynote session: Compliance in Context: Top Trends and Targets for Medical Practices

A former Assistant U.S. Attorney and Trial Attorney with the Department of Justice (DOJ), Scott Grubman leads attendees through a wide-lens view of federal compliance trends, recapping the big stories from 2022 and highlighting the areas that regulators will be focused on in 2023. From trends in contractor investigations to the latest focuses of the DOJ, Office of Inspector General (OIG), and Office for Civil Rights (OCR), this macro-level session delivers key cautionary advice to help attendees avoid falling afoul of the law or regulators.

9:10 a.m. - 10:10 a.m.
Strengthen Shoulder Procedure Coding

Gain understanding of arthroscopic and open shoulder procedures, including rotator cuff repair, debridement, acromioplasty, tenodesis, and total joint arthroplasty, as well as the latest AMA and Medicare bundling rules.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Firm Up Elbow and Forearm Surgical Coding

Learn appropriate coding for repair of collateral ligaments, cubital tunnel, and epicondylitis, as well as elbow fractures, arthroscopy, and arthroplasty procedures.

11:30 a.m. - 12:30 p.m.
NETWORKING LUNCH—Provided
12:30 p.m. - 1:30 p.m.
Grasp Wrist, Hand, and Finger Coding

Get a feel for proper coding for repair of carpal tunnel syndrome, wrist, hand, and finger fractures and tendon injuries, both acute and chronic. Learn step-by-step solutions to simplify coding of complex hand surgeries.

1:40 p.m. - 2:40 p.m.
Proper Pelvis and Hip Procedure Coding

Make sure you are coding pelvis and hip surgeries correctly, including fracture repair, arthroscopic procedures (e.g., for femoral acetabular impingement), joint replacement, and staged-revision arthroplasty, lest you risk claim denials.

2:40 p.m. - 2:55 p.m.
NETWORKING & REFRESHMENT BREAK
2:55 p.m. - 4:00 p.m.
Compliant DME Documentation and Coding for Orthopedic Practices

Gain best practices for durable medical equipment (DME) documentation, coding, and billing to reduce risk exposure for your practice. Make sure documentation accurately conveys medical necessity, append modifiers appropriately, and stay abreast of the local coverage determinations for these items, as well as “life usage” issues.

Pain Management Track Day 1

December 6, 2022
7:00 a.m. - 8:00 a.m.
REGISTRATION & CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Keynote session: Compliance in Context: Top Trends and Targets for Medical Practices

A former Assistant U.S. Attorney and Trial Attorney with the Department of Justice (DOJ), Scott Grubman leads attendees through a wide-lens view of federal compliance trends, recapping the big stories from 2022 and highlighting the areas that regulators will be focused on in 2023. From trends in contractor investigations to the latest focuses of the DOJ, Office of Inspector General (OIG), and Office for Civil Rights (OCR), this macro-level session delivers key cautionary advice to help attendees avoid falling afoul of the law or regulators.

9:10 a.m. - 10:10 a.m.
Know Your Rights and Responsibilities Under the No Surprises Act

Your practice treated an out-of-network patient and there’s a dispute over the bill. A patient wants to pay for a service out of pocket. A health plan terminates your practice’s contract while some of your patients are in the middle of treatment. These are just three scenarios that create rights or responsibilities for medical practices under the No Surprises Act. This session will cut through the mountain of confusing information and explain the portions of this law that you need to understand.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Who’s The Boss? Take Control of Private Payers That Don’t Meet Their Obligations

Practices struggle to meet all the obligations in their contracts with private payers, and getting a private payer to hold up its end of the contract can seem like an impossible task. But practices aren’t doomed to slow claims processing, ignored deadlines, and missed payments. Discover why you shouldn’t just accept what a payer hands out and get real-world examples and best practices to get paid.

11:30 a.m. - 12:30 p.m.
NETWORKING LUNCH—Provided
12:30 p.m. - 1:30 p.m.
Before You Bill: Make Sure You’re Prepared When You Think the Plan Won’t Pay

A Medicare patient is scheduled for a therapeutic facet block even though the local coverage determination calls for radiofrequency ablation. A private-pay patient insists on a service that is listed as investigational for his condition. Another patient will pay out of pocket for a treatment and wants to know if you offer payment plans. Don’t waste time chasing denials and debt. Learn how to create a plan that will solve these payment problems before the day of the service.

1:40 p.m. - 2:40 p.m.
Neurostimulators: Take Charge of Your Practice’s Documentation and Coding

The latest HHS Office of Inspector General report on neurostimulator services revealed that pain management doctors frequently failed to document essential portions of the service, such as conservative treatments the patient tried and whether the screening process was complete. Make sure your practice’s documentation and coding for implants, revisions, replacements, and removals will protect your payments for neurostimulator implants.

2:40 p.m. - 2:55 p.m.
NETWORKING & REFRESHMENT BREAK
2:55 p.m. - 4:00 p.m.
Diagnosis Coding for Pain Management: Navigate the Musculoskeletal Maze

Many of the covered diagnosis codes in local coverage determinations and private payer policies for pain management services are covered in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (M00–M99). Get specialty-specific guidance on how to quickly make your way through the more than 8,000 musculoskeletal codes and select the most specific code for each visit.

Anesthesia Track Day 2

December 7, 2022
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Before You Bill: What to Do When You Think Insurance Won’t Cover Anesthesia Care

When you believe a patient’s plan won’t cover an anesthesia service, you can bill it and hope for the best, or you can use a proactive plan that is designed to reduce denials and A/R days. This session will demonstrate the steps that your staff should take when a scheduled treatment is for an out-of-network or self-pay patient, when you know insurance doesn’t cover the procedure, or when you suspect a patient’s anesthesia service will be denied.

9:10 a.m. - 10:10 a.m.
Mind Your Modifiers: From the Usual to the Unusual

Everything about anesthesia coding is different, even the modifiers you append to each service. The wrong modifiers or the right modifiers in the wrong order can snarl claims and prompt improper payments. Receive top tips on training new coders to apply the modifiers for anesthesia services and training anesthesia providers to create the documentation that coders need to select the correct modifiers.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Q&A With the Speakers

Now it’s your turn to ask the expert speakers your questions.

11:25 a.m.
Conference Concludes

Orthopedics Track Day 2

December 7, 2022
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Catch Up on Correct Knee Coding

Extend your knee coding knowledge to include bundling rules for arthroscopic surgeries, ligament repair, TKA, hemi-to-total knee conversion, revision arthroplasty, subchondroplasty, and regenerative therapies.

9:10 a.m. - 10:10 a.m.
Tune Up Tibia, Fibula, and Ankle Procedure Coding

Clear up uncertainty about malleolar and pilon fracture reduction, ankle arthroscopy fusion, Haglund’s osteotomy, and tendon repairs.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Ensure Compliant Foot and Toe Coding

Comprehend the elements of essential toe and foot surgeries—as well as Medicare billing rules—for hammertoes, bunionectomy, midfoot arthrodesis, Lisfranc fractures, and neuromas.

11:25 a.m.
Conference Concludes

Pain Management Track Day 2

December 7, 2022
7:00 a.m. - 8:00 a.m.
CONTINENTAL BREAKFAST
8:00 a.m. - 9:00 a.m.
Pain Management Care Teams: Maximize Efficiency, Minimize Risk

Incident-to rules and split/shared guidelines allow your care team to combine their work in the office and potentially boost revenue. But they also open the door to overpayment demands, investigations, and massive settlements. Get best practices on how to train your team, make sure documentation for incident-to and split/shared encounters will stand up to an audit, and maximize your team’s efficiency.

9:10 a.m. - 10:10 a.m.
Improve Your ADR Response System to Protect Against Recoupments

A request for documentation, also known as an additional development request (ADR), can spell recoupment, more audits, and referrals to investigators when a practice doesn’t send all the required information on time. Get real-world examples on how to build an effective ADR system that prevents missed documentation and deadlines.

10:10 a.m. - 10:25 a.m.
NETWORKING & REFRESHMENT BREAK
10:25 a.m. - 11:25 a.m.
Q&A With the Speakers

Now it’s your turn to ask the expert speakers your questions.

11:25 a.m.
Conference Concludes
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