Advanced Specialty Coding Virtual Summit | Pain Management

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 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.

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.

Bring your most pressing and challenging questions and our expert speakers will answer them during this session. Submit your scenario and/or question ahead of time to Julia Kyles at JKyles@decisionhealth.com 

Bring your drink and your biggest issue with a carrier/payer, and let’s spill the tea!

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 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.

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.

Bring your most pressing and challenging questions and our expert speakers will answer them during this session. Submit your scenario and/or question ahead of time to Julia Kyles at JKyles@decisionhealth.com