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Pain
Management, Anesthesia, and Neurology 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 |
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7 Rules Of Medical Direction: Become A Modifier Master And Prevent Denials In 2008
Presented by: Joanne Mehmert, CPC
You’ll definitely want to catch Joanne Mehmert’s tips for successful anesthesia coding and how to interpret ‘grey-area’ guidelines for your practice. You’ll also become a MODIFIER MASTER as you learn the most important tools for preventing denials for anesthesia claims.
|
1:00pm
- 5:00pm |
|
"Doc
.About Your Documentation"
Presented by: Debbie Farmer, CPC, ACS-AN
Are the doctors in your office not exactly 'McDreamy'
when it comes to documentation? If their documentation
is more like a 'McNightmare,' this session gives
you all the tools you need to help them fix it.
First, you'll learn how to audit existing medical
records for documentation red flags, and how to
communicate with doctors to get the results you
need. You'll also learn when, how, and IF to use
templates and other tools to train the physicians
in your practice to produce the documentation
of your dreams. |
1:00pm
- 5:00pm |
|
Bullet-Proof Your Consult Coding
Presented by: Betty Johnson
The good news about consults is that they bring
in approximately 40 percent more than run-of-the-mill
E/M. The bad news is that you could have spotless
documentation for 99241 - 99255 and still lose
every penny of consult reimbursement in an audit,
thanks to CMS rules. In this session, we'll outline
consult documentation rules and help you implement
processes that get you the documentation you need
from both the referring doctor and your own doctor.
We'll also cover additional details like when
you can - and can't - ask for a consult from a
physician in the same group, how to spot 'churning'
patterns that will sink your practice in an audit,
and why it's so important to 'return to sender.'
You'll come out of this pre-conference session
with clever strategies to earn consult cash -
and still have spotless compliance. |
2:45pm
- 3:15pm |
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Refreshment Break - Exhibits |
|
Day
1: Conference
Monday, December 10: Main Sessions |
8:00am
- 9:00am |
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Registration and Breakfast/Exhibits
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9:00am
- 10:00am |
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BREAKOUTS
ANESTHESIA:
OB Coding Strategies That Deliver Bundles For 2008
Presented by: Debbie Farmer, CPC, ACS-AN
Make sure your pratice collects bundles in 2008 for relieving a new mom’s pain. In this session, our expert will teach you how to select among the different ways to calculate an anesthesia provider’s time, what to do when a labor turns into a C-section, how to get maximum ethical reimbursement for labor plus sterilization, the ins and outs of Duromorph coding. Plus, you’ll finally know for sure how to code for stand-by, CRNAs, physician handoff during L&D, and much more. Don’t be a “babe in the woods” when it comes to OB coding and billing. Plan to attend this session!
PAIN MANAGEMENT:
Take The UNKNOWN Out Of 'UNLISTED'
Presented by: Trish Bukauskas-Vollmer,
CMM, CPC
Arrrrgh. What do you know about that hardware
block? If you've been coding lots of anesthesia
procedures, chances are you haven't had to grapple
much with the great UNKNOWN that is UNLISTED.
And even seasoned pain management coders can become
UNCOMFORTABLE with the UNLISTEDS. We'll show you
scenarios where 'unlisted' is the best, most compliant
choice for pain management procedures - even if
there's an established code that seems pretty
close. You'll also walk away with 8 strategies
for watertight documentation that will get even
the toughest unlisteds paid, and you'll learn
what to do in an appeal if you need to try again.
NEUROLOGY:
Intraoperative Monitoring Crash Course
- Presented by: Marvel J Hammer RN CPC CCS-P ACS-PM
CHCO
This one's a must for neurology coders whose
practices care for ICU and stroke patients. You'll
emerge from this session knowing what you should
do when the IOM diagnosis code differs from the
ICD-9 code for electrodiagnostic testing. Unravel
when you can bill for IOM for two simultaneous
surgical patients, and when remote monitoring
is OK. Ace when to 'start the clock' and how to
get the physicians to document time appropriately
and what modifiers you need to get your claims
paid. |
10:00am
- 11:00am |
|
BREAKOUTS
ANESTHESIA:
Stay Alert For This Moderate Sedation Coding
Session
Presented by: Joanne Mehmert, CPC
Think you can't get paid for the moderate sedation
codes CPT introduced in 2006? In this session,
Joanne Mehmert, CPC, explains why at least one
major payer has changed its tune and what you
need to do to collect later this year. (Hint:
UHC.) You'll also discover why smart practices
are already reporting the codes on all their
moderate sedation claims, even though all payers
aren't yet coughing up. You'll stay wide awake
as Mehmert teaches you to choose the correct
combo, and reveals when you NEVER should bill
for moderate sedation.
PAIN MANAGEMENT:
Mid-Level Mambo
Presented by: Joan Gilhooly, CPC, CHCC
Arrrrgh. What do you know about that hardware
block? If you've been coding lots of anesthesia
procedures, chances are you haven't had to grapple
much with the great UNKNOWN that is UNLISTED.
And even seasoned pain management coders can
become UNCOMFORTABLE with the UNLISTEDS. We'll
show you scenarios where 'unlisted' is the best,
most compliant choice for pain management procedures
- even if there's an established code that 'seems
pretty close.' You'll also walk away with 8
strategies for watertight documentation that
will get even the toughest unlisteds paid, and
you'll learn what to do in an appeal if you
need to try again.
NEUROLOGY:
Pass The Functional Brain Mapping Coding Test With Flying Colors
Presented By: Merrilee Severino, CPC, CMM
Feeling a little dysfunctional when you use 96020 — CPT’s 2007 code for functional mapping? It’s time to get smart. Among other things, you’ll master 1) what it is so you can sleuth it out from a doctor’s note; 2) diagnoses that likely will support 96020 medical necessity, and where to look for more guidance in the future, and 3) what codes you should NEVER report with 96020 and why.
|
11:00am
- 11:15am |
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11:15pm
-12:15pm |
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BREAKOUTS
ANESTHESIA:
Qualifying Circumstances Coding, Physical
Status, And Billing For Other Medical Services
Presented by: Debbie Farmer, CPC, ACS-AN
There's no denying that anesthesia
coding is different from other specialties. But
dealing with the quirks doesn't have to put you
in a quandary! Come learn the ins and outs of
qualifying circumstances codes, physical status
indicators and "extra" services such
as line placements. By the time you leave you'll
know when to bill what, and how to do it correctly.
PAIN MANAGEMENT:
Double-Check Your Bilateral Coding Expertise
Presented by: Myriam Nieves
If you're like many pain-management
coders, even a few bilateral coding mistakes can
slash some of your reimbursements. After this
session, you'll understand what procedures you
can code bilaterally and what procedures you can't,
when to bill multiple units instead, and what
formats the major payers require. Don't lose out
on the cash your practice deserves for TPI, facet
injection, and other common procedures.
NEUROLOGY:
Take The Ouch Out Of Chemodenervation Coding, Including Botox Coding Boot-Camp
Presented by: Nancy Reading RN, BS, CPC
Don’t let chemodenervation coding mistakes paralyze your collection efforts. Let Nancy Reading RN, BS, CPC, show you how to deal with multiple injection visits, how to persuade payers to reimburse for migraine diagnoses, and more.
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12:15pm
-1:30pm |
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Lunch
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1:30pm
- 2:30pm |
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BREAKOUTS
ANESTHESIA:
'TIME OUT'
Presented by: Debbie Farmer, CPC, ACS-AN
All you need to know about coding for the time
the patient is 'out.' Our expert will cover
topics such as start/stop and discontinuous
time, relief time while medically directing,
anesthesia time during cardiac surgery, and
time when a nurse isn't available in PACU.
PAIN MANAGEMENT:
Secrets To Earning Diskogram Dollars
Presented By: Marvel J Hammer RN CPC CCS-P
ACS-PM CHCO
Dollars depend on documentation - especially
when you're coding diskograms. Don't fall victim
to letting viable dollars slip through the cracks!
Learn how to match your physician's interpretations
with injections to catch every reimbursement
opportunity you're entitled to.
NEUROLOGY:
Need-To-Know Coding Moves For Needle Electromyography
& Nerve Conduction Studies
Presented by: Nancy Reading RN, BS, CPC
Nancy Reading RN, BS, CPC tells you all you need to
know about 95860-95904. Discover how to correctly
code mixed NCS, the clever-and compliant-move
that will get you paid for an injection with
an electromyography, and how to get paid when
the physician goes beyond CPT guidelines in
Appendix J.
|
2:30pm
- 3:30pm |
|
BREAKOUTS
ANESTHESIA:
Master Self-Auditing Techniques For 2008 And Reduce Compliance Risks
Presented by: Debbie Farmer, CPC, ACS-AN
If you’re like most anesthesia practices, there is hidden cash—and hidden compliance bombs—lurking in your claims. In this session, our expert will teach you self-auditing techniques you can use to recoup lost cash and reduce compliance risks the minute you return to the office.
PAIN MANAGEMENT:
Is IDET DOA?
Presented By: Marvel J Hammer RN CPC
CCS-P ACS-PM CHCO
Admit it. We were all feeling a little giddy
last year when CPT introduced the new codes
intradiscal electrothermal annuloplasty (IDET)
procedures. But now that heady excitement is
gone as some payers refuse to reimburse for
22526, +22527, 0062T and +0063T. Don't despair.
We'll show you how to do everything you can
to get paid for IDET. You'll master the physician
'slang' terms for IDET so you can recognize
it in the medical record. Plus, you'll learn
why reporting fluoroscopic guidance triggers
denials, when to obtain an ABN, and what to
look for in your carrier's policies.
NEUROLOGY:
Migraine Coding — Without The Headaches!
Presented by: Margaret Mac, CMM, CPC, CCP
There’s no reason to pop an Aspirin and a Diet Coke every time you have a migraine medical record on your desk. In this session, our expert will show you how to navigate the maze of ICD-9 options for migraines so you can select the correct code. Our expert presenter will also teach you what you need to document medical necessity for a Botox injection. And you’ll discover how to choose the correct E/M level, and how to spot encounters that should be level-five. (Yeah. For migraines … really.)
|
3:30pm
- 3:45pm |
|
Refreshment Break |
3:45pm
- 4:45pm |
|
BREAKOUTS
ANESTHESIA:
Heart-Stopping Cardiac Anesthesia Coding Tips
Presented by: Debbie Farmer, CPC, ACS-AN
Yes. It's true. Your heart will skip a beat when
you embrace these strategies for coding anesthesia
for coronary artery bypass grafts [CABG] and transesophageal
echocardiography [TEE]. You'll learn what diagnosis
codes typically support medical necessity for
TEE, and where some carriers differ. You'll also
take home a slew of tools to help your anesthesiologists
correctly document TEE. Finally, our expert will
walk you through some tough cardiac anesthesia
coding scenarios so that all those claims on your
desk will be a breeze.
PAIN MANAGEMENT:
Don't Lose Money On In-Office Drugs & Supplies
Presented By: Trish Bukauskas-Vollmer, CMM,
CPC
If your physician follows the trend of providing
more pain management services in his office, that
means extra reimbursement for his practice - if
your coding's up to par. Get the scoop on which
drugs and supplies you can report, how to correctly
calculate medication amounts and other ways you
can help your physician achieve optimal - but
appropriate - reimbursement.
NEUROLOGY:
Wake Up! Become An EEG Coding Pro
Presented by: Neil A. Busis, MD
Our expert will make sure you have a handle on long-term monitoring, digital analysis, what is mandatory and what isn’t. If you’re not sure what to do about hyperventilation and photic stimulation, this is the session for you. You’ll also learn how to decipher from documentation if—and when—an EEG crosses from routine to long-term. |
5:30pm
- 6:30pm |
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Cocktail Party |
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Day
2: Conference
Tuesday, December 11: Main Sessions |
8:00am
- 9:00am |
|
Breakfast/Exhibits
|
9:00am
- 10:00am |
|
BREAKOUTS
ANESTHESIA:
2008 New Code Updates & Hot Topics
Presented by: Kelly Dennis, MBA, CPC, ACS-AP
Worried about which CPT code changes and additions will affect you starting Jan. 1? You don’t have to. Get the expert skinny from a coding veteran during this information-packed session.
PAIN MANAGEMENT:
The ABCs of ASCs
Presented by : Trish Bukauskas, CMM,
CPC
Revenue-impacting ASC code changes are almost here. Guarantee payment and compliance success by joining us for this intense session. Kick-start your year with important information and helpful hints on pain management coding for ASC’s: Know how the proposed CMS changes for ASC will affect you? We’ll show you; The surprising right way to code pain management...it’s easier than you think; The biggest ASC coding mistakes you can make and how to avoid them; Killer tools for ASC coding - what you need in your reference arsenal and why.
NEUROLOGY:
Never-Fail Neurostim Coding: It’s Easier Than You Think
Presented By: Merrilee Severino
Find out how to code correctly for neurostimulator placement, maintenance and monitoring. Build your diagnosis coding skills so you can avoid denials when your neurologist uses neurostim to treat chronic pain. You’ll also understand what’s involved in other neurostim treatments besides SCS so that you can code like a pro. |
10:00am
- 11:00am |
|
BREAKOUTS
ANESTHESIA:
Spinal Coding Secrets
Presented by: Joanne Mehmert, CPC
CPT 2007 added two new spinal anesthesia codes
to your mix - 00625 and 00626. But have you
been reporting them correctly in light of older
codes 00620 and 00622? Whether your anesthesiologist
uses one lung ventilation during the procedure
is one clue to follow, but that's not all you
need. Learn the whole story behind all four
choices and strengthen your spinal coding.
PAIN MANAGEMENT:
Pain Management Radiologic Services: Fluoroscopy,
Epidurography, CT, Ultrasound
Presented by: Myriam Nieves
Radiology tools aren't just for radiologists
anymore - pain management specialists increasingly
rely on them to help during their own procedures.
If fluoroscopy coding has you floundering, let
our expert shed some light on the subject. You'll
see how your specialist's uses differ from standard
radiology, which codes you can submit and more.
NEUROLOGY:
Coding Diabetic Neuropathy & Other Pain
Syndromes
Presented by: Marianne Wink-Sturgeon, RHIT, CPC, ACS-EM
Did you know that approximately $100 billion
US health care dollars per year involve diabetes
and that half of diabetes patients have diabetic
neuropathy. This session will teach you 3 steps
you can follow to achieve a successful claim.
And you'll master ICD-9 coding techniques that
will keep your diabetic neuropathy claims free
from denials.
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11:00am
- 11:15am |
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Refreshment Break
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11:15am
- 12:15pm |
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BREAKOUTS
ANESTHESIA:
Monitored Anesthesia Care
Presented by: Kelly Dennis, MBA, CPC, ACS-AP
Conscious sedation, monitored anesthesia
care, general anesthesia - what's the difference,
and how do they fit together? Do you report MAC
with QS or other modifiers? And when does a case
cross the line from MAC to general anesthesia?
Get answers to all these questions and more, and
rest assured you're handling the nuances with
ease.
PAIN MANAGEMENT:
Ganglions! Bursas! And More!
Presented by: Marvel Hammer
If nerve anatomy makes you feel like you're not
in Kansas anymore, this is the session for you.
You'll become a wizard at discerning from the
medical record where the provider has injected
and you'll be on the yellow brick road to flawless
coding.
NEUROLOGY:
Build Up Your Nerve: Anatomy For The Neurology Coder
Learning about nerves can be an intimidating prospect, but will improve your coding tremendously. Get real-world knowledge to help you decipher different categories of nerves and put you on your way to grasping what happens when your neurologist treats trigeminal neuralgia, performs an occipital nerve block or completes other common procedures.
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Post
Conference Workshop
Tuesday,
December 11 |
12:30pm
- 4:30pm |
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Zzzzzzzz Sleep Study Coding Course
Presented by: Cheryl C. House RMC, CHI
If sleep study coding questions are keeping you
up at night, you can rest easy if you take advantage
of this sleep study coding workshop. You'll get
the details about what actually happens in different
kinds of sleep studies so you can choose correctly
among 95805-95807 versus the 95808-95811 code
sets. You'll also learn things like when you need
a referral and when you simply need an E/M encounter
from the physician who orders the study, how to
properly report POS to prevent denials, and what
modifiers to use when the study is discontinued.
You'll leave this session with your eyes wide-open
to correct sleep study coding that gets your practice
the reimbursement of your dreams. |
12:30pm
- 4:30pm |
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All About 2008 Op Notes
Presented by: Leslie Johnson, CCS-P
The old mantra holds true for any
specialty: if it's not documented, it didn't happen
(at least from a coding perspective). But how
do you make sense of those operative notes, especially
when they need to dovetail with your anesthesiologist's
notes? And how do you get access to the surgeon's
information to be sure yours coincides? This session
will teach you how to overcome obstacles, what
to look for, what the details mean and when to
rely on the surgical report versus the anesthesia
report for your most accurate coding. |
12:30pm
- 4:30pm |
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Expanded Services-Without the
Pain
Presented By: Marvel J Hammer RN CPC CCS-P
ACS-PM CHCO
Are the doctors in your pain management
practice looking to expand their services? This
session will show you how to analyze whether the
expansion will be worth the time and effort, how
to garner reimbursement or cutting-edge procedures,
how to market your new services and other practice
management tips, and steps you can take to reduce
your liability risk. |
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