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Ambulatory Surgery Center Coding and
Reimbursement Conference
December 9-11, 2007 - Orlando, Florida
DoubleTree at the Entrance to Universal Studios

To download a conference brochure, please click here.

The following agenda will provide you with a listing of all sessions that will be included in your CD-ROM and Document Book purchase.

Agenda
Pre-Conference Workshops
Sunday, December 9
11:00pm - 1:00pm

Registration

1:00pm - 5:00pm

ASC Boot Camp: Coding & Billing Basics You Must Know For 2008
Presented By: Joyce Jones, CPC, CPC-H, CCS-P, CNT and Annette Grady, CPC, CPC-H, CPC-P, OS

2008 brings the most sweeping changes—and challenges—to ASC coding and billing in 20 years. In the face of such changes, even veteran ASC coders and billers are feeling like babes in the woods. And, if you’ve been wanting to become an ASC expert, now’s the perfect time to make your move. And this is the perfect session to help you do it.

• Get an overview of the 790 new ASC procedures—along with payment rate information that CMS will release just weeks before the conference.

• Learn how to calculate which procedure combo will help your ASC profit—and which additions could cost you big under the new rules.

• Master APCs in an easy-to-understand crash course—with handouts to take home.

• Obtain sample policies and procedures worksheets that you can customize for your ASC as soon as you return from the conference.

2:45pm - 3:15pm
 
Refreshment Break - Exhibits


Day 1: Conference
Monday, December 10: Main Sessions
8:00am - 9:00am

Registration and Breakfast/Exhibits

9:00am - 11:00am

Get the Latest on Medicare's ASC Rule and Payment Rates-And What They Mean For You
Presented By: Stephanie Ellis, RN, CPC                        

CMS won’t release final payment rates for procedures until November, which means you’ll have a scant few weeks to prepare to code and bill effectively in 2008. Stick with us and you won’t have to scramble. Our experts will give you an easy-to-understand overview of the rule and the changes it brings, as well as the tools you need to assess the rule’s impact on your ASC and plan for its financial future.

• Learn which specialty-ASCs will profit, and which should convert to multi-specialty to survive CMS’s overall 33 percent reimbursement cut over 4 years.

• Discover how savvy ASCs will make money during next year’s 50/50 blend.

• Understand the reimbursement opportunities for implants, drugs & biologicals.

• 790 new ASC procedures? Here are the ones that should stay in the office if physicians want to hold their own.

• Expect a CMS cap for nearly 360 office-based procedures. How smart ASCs will profit by cutting some services—and adding others.

11:00am - 11:15am
 

Refreshment Break

11:15pm -12:15pm

A Whole New Ballgame: ASC Fraud & Abuse Rules In 2008
Presented By: Stephanie Ellis, RN, CPC

2008 rewrites the rulebook for ASCs. Discover the new pitfalls—as well as new ways to profit and still comply with the new rules. Get a refresher course on compliance mistakes most ASCs make, and how facility managers, physicians, coders and billers can work together to reduce risk.

• Good news for physician investors: Anti-kickback and Stark rules no longer apply for 3 services.

• Bad news: Physicians who want to bail out of an ASC can still run afoul of Stark and anti-kickback.

• Discover 3 physician-ASC coordination billing blunders that will trigger an audit—and get the procedures to prevent them. 

12:15pm -1:15pm

Lunch

1:15pm - 2:15pm
 

BREAKOUTS

Option A:
Eye Opening Tactics: Get the Most Money For Your Ophthalmology Surgeries
Presented By: Joyce Jones, CPC, CPC-H, CCS-P, CNT

Ophthalmology is one of the few specialties that will benefit from CMS’s 2008 changes—if facility managers, coders and billers know the ropes. Open your eyes to new opportunities for ophthalmic ASC reimbursement. Learn why IOLs will hurt your profitability—and how NTIOLs can help. 

Option B:
2008 Reimbursement Cuts For Pain Management ASCs: How To Dull The Pain
Presented By: Amy Mowles

Experts estimate that ASCs will see a 30 percent cut for pain management procedures. Our experts will give you the strategies ASCs and physicians need to survive the squeeze.  Learn 6 steps you must take to profit from ASC pain management in 2008. Find out how to calculate the number of separately billable procedures you need to support one op room’s expenses—and how to raise volume if your docs don’t meet the mark.

2:15pm - 3:15pm

BREAKOUTS

Option A:
Modifier Mambo
Presented By: Joanne Schade-Boyce, RDH, MS, CPC

While coding for ASC procedures isn’t as exciting as “Dancing With the Stars,” you need to know which code-modifier partners tango well together, which modifiers should take the lead, and how to keep your claims from taking a fall.

Choose correctly between modifier 73 or 74 — the answer can make all the difference in correct coding and full reimbursement. Find out the SG rules that you can’t afford not to know. And discover the 4 documentation elements you must have to support the discontinued service modifiers—and the V codes that will help you out. 

Option B:
Contract Your Way To ASC Profitability                 
Presented By: Barbara Colburn

Have you sabotaged your ASC’s reimbursement before even signing on the dotted line? Hear contract negotiation success stories, from an expert with over 20 years of experience in physician practice strategic and operational management.

Find out how clever ASCs get private payers to cough up extra for drugs and supplies. Learn the 7 clauses you must demand to speed reimbursement times—and how to collect interest for late payments. 

3:15pm - 3:30pm

Refreshment Break

3:30pm - 4:30pm

BREAKOUTS

Option A:
Oooooommph! How GI ASCs Can Survive 2008's Sucker Punch
Presented By: Stephanie Ellis, RN, CPC

GI physicians, coders, and ASCs face huge changes in 2008. Experts say gastroenterology is one of the specialties that will take the biggest reimbursement hits. The old reliable screening colonscopy will become less profitable in an ASC setting, and ASCs must identify and add complex new procedures that will help them profit.

Stephanie will show you how to analyze payment levels and trends so that you can identify what GI services you should add to your ASC. Plus, she explains coding techniques for the complex GI procedures your facility is likely to add. 


Option B:
Ancillary Alert: Coding For Non-Surgeries
Presented By: Joanne Schade-Boyce, RDH, MS, CPC

Despite the name, surgeries aren’t the only services ASCs can provide. The new payment rule means new payment opportunities for hundreds of radiology and other ancillary services and supplies.   Make sure you’re not missing out. Find out which of the radiology services and supplies you provide are covered separately—and which ones have payments packaged. Is your ASC missing out on potential revenue? 


4:30pm - 5:30pm

BREAKOUTS

Option A:
Billing and Coding Tactics for General Surgery, Respiratory, Gyn, & Urology ASCs                                                 
Presented By: Joanne Schade-Boyce, RDH, MS, CPC

Experts are predicting a good prognosis for general surgery ASCs in 2008, but the outcome might be dire for some specialties.  What will happen if cystoscopy reimbursement gets cut by 4 percent next year, as CMS plans? Is the addition of several vaginal and cervix endoscopies and biopsies of the vulva and perineum to the ASC approved list good news or bad news for gynecology specialists? Join top surgery coder and ASC guru Joanne Schade-Boyce for the answers. 

Option B:
ASC Billing Strategies That Work                                                   Presented By: Joyce Jones, CPC, CPC-H, CCS-P, CNT

Even outstanding ASC billers have to deal with outstanding AR. In this session, you’ll learn 7 winning strategies to help you start collecting on your accounts receivable. We’ll also reveal Medicare’s top 9 reasons for denying claims to your ASC, and show you how to create a denials management system to solve those problems.

5:30pm - 6:30pm
 
Cocktail Party
 

 

Day 2: Conference
Tuesday, December 11: Main Sessions
8:00am - 9:00am

Continental Breakfast

9:00am - 10:00am

BREAKOUTS

Option A:
A Really Good Break: How Ortho ASCs Can Make the Most of the 2008 Changes
Presented By: Annette Grady, CPC, CPC-H, CPC-P, OS

In 2008, orthopedic surgeons will be able to treat hip dislocations, perform knee joint revisions and apply long leg casts in ambulatory surgery centers. This means a major opportunity—if you know how to capitalize on it.  Learn how to use the new codes, and what the potential pitfalls are. Get the dirt on whether payers will really pay for those new codes you’ve been waiting for—and discover billing techniques that will make the new codes work for you, not against you. 

Option B:
How Much Is It Costing You To Do Your Cases?: How Savvy ASCs Identify Procedures That Benefit Them Most
Presented By: Jerry W. Henderson, RN, MBA, CASC, CNOR

Smart ASCs understand that the full story of their reimbursement doesn’t begin and end with the fee schedule. You need to understand exactly how much it costs your facility to perform certain procedures, on a patient-by-patient basis.  Case costing is providing these answers for many of your colleagues. Learn how to bring clinical, financial and statistical data together to find out which procedures are moneymakers and which ones could be draining your resources. Get a clearer picture of your bottom line — and the best ways to improve it.

10:00am - 10:15am

Refreshment Break

10:15am - 11:15am

BREAKOUTS

Option A:
Nip, Tuck & Fix It Up: ASC Coding & Billing For Plastics and Dermatology
Presented By: Annette Grady, CPC, CPC-H, CPC-P, OS

Let’s face it. Back-end appeals for reconstructive and plastic surgery denials waste your ASC’s time and money. Protect yourself on the front end by educating yourself and your physicians on CPT coding guidelines and documentation requirements. Discover revenue opportunities that most practices miss and slash your A/R times.
You’ll learn how to bulletproof your pre-authorizations with a handy checklist—even if your physicians are planning to use unlisted or uncommon codes. Identify the red-flag codes payers reject before the claim ever sees a live body-and what you can do to protect your practice. Implement 9 proven solutions for breast procedure pay-up-and ICD-9 codes that support reduction with most carriers. And clear up your confusion about add-on codes. 

Option A:
Ready, Set, Collect! How Savvy ASCs Capture Every Penny!

Presented By: Jerry W. Henderson, RN, MBA, CASC, CNOR

Boost your bottom line with these 11 best practices for block scheduling—and 3 sample forms that work wonders. Get the latest on staffing level breakeven points—and how some ASCs have reduced that number by 10 percent to increase profits by 5 percent.  Get sample budgeting worksheets that you can customize for your ASC as soon as you return from the conference. And check out a checklist for detecting HMO underpayments.

11:15am - 12:15am

What To Do When You Get Back To Your Factility
Presented By: Laurie Castillo

Learning and obtaining all of the great information and advice offered at this conference is great but not if you don’t apply or share this valuable information to positively impact your ASC. Join us at this must-attend session and get expert advice to:
• Be comfortable and confident with the knowledge you receive at this conference to affect change in your ASC.

• Know where to go to get the OFFICIAL DOCUMENTATION that references why change needs to happen.

• Learn the important steps your ASC MUST DO NOW to see if you are ready for the year of 2008.

• Challenge yourself and your staff to find the diamond in the rough in both the new payment system and the ASC personnel that shine when change occurs, & more!


Post Conference Workshop
Tuesday, December 11
12:30pm - 4:30pm

Be Prepared: Advanced APCs session
Presented By: Susan E. Garrison, CPC, CHC, CCS P, CPAR, CPC H

Dig into the new guidelines for ASC reimbursement with claim examples. Bring your claims and let’s walk them through the new reimbursement vs. current reimbursement. What will it mean to your bottom-line? Using your own case examples, you’ll get a walkthrough of modifiers and bundling issues—and determine how the new reimbursement system will effect your actual claims. You’ll also discuss the best practices and biggest problems for ASCs in an expert roundtable forum.