POWER YOUR PRACTIC

E

Power Up Yo

ur

Interventional

Pain C

oding

coding and revenue cycle workshops

2020

INTERVENTIO

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INTERVENTIO

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POWER YOUR PRACTIC

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Karen ZupkoPresident

ADVISING PHYSICIANS TO SUCCEED IN THE BUSINESS OF MEDICINE FOR 35 YEARS. We don’t just “teach it” we “do it.”

KarenZupko & Associates, Inc. (KZA) is a consulting and education firm that advises physicians and healthcare organizations to increase revenue, optimize efficiency, reduce risk, and improve the patient experience.

Our firm specializes in practice management, revenue cycle improvement, and coding and documentation review. Our education and training programs teach physicians and staff how to correctly code, and manage a successful and profitable practice.

CORE services• Practice Evaluation

• Revenue Cycle Assessment

• Practice Check-Up

• Coding and Documentation Review

• Coding and Documentation Education

• RVU Analysis for Fees, Contracts, and Compensation

MEET Your Instructors

Teri RomanoBSN, MBA, CPC CMDP

Consultant and Speaker

Kim PollockRN, MBA, CPC, CMDP

Consultant and Speaker

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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.

Power Up Your Interventional Pain Coding

"Love the information—the presenters are extremely knowledgeable. They took the time to answer every question from people attending the course. Highly recommended course; especially with all the changes going on in the medical field."—Rubin Diaz, MDConservative Spine & Joint CenterLawrenceville, GA

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.

WHO Should Attend?• 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

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LEARNING objectives:As a result of attending this course, attendees will be able to:

• 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.

Power Up Your Interventional Pain Coding

WHAT'S NEW• 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.

"Great workshop—I definitely recommend. I wish I could spend one more day here! " —Kaila Chack, CPCBone and Joint CenterWausau, WI

"Deborah is super knowledgeable and informative and keeps her audience engaged." —Susan Wilberding, Coding LeadAurora Health CareMilwaukee, WI

"Awesome! Great information to take back to the practice. I am excited to take more courses in the future." —Meredith Tibbs, CPCMerem Healthcare SolutionsBirmingham, AL

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AGENDA Check-in and Breakfast (provided) 7:15 am - 8:00 am

Overview of Pain Coding and Reimbursement 8:00 am - 8:45 pm• Risk areas for Coding

◦ Who is looking at your coding and documentation?

◦ Medical Necessity: the source of most denials

◦ Limit risks of using an Electronic Health Record (EHR)

• Coding vs. Reimbursement: How do they differ and how does this impact coding?

• Medicare Update: 2020 • Bundling and CCI Edits: What they

are, how they impact multiple procedures in pain coding, and how to correctly override a CCI Edit.

Coverage Policies and the Interventional Pain Physician

8:45 am - 10:00 am

• Medicare Policies: NCDs and LCDs in Pain Care: What you need to know, where to find the policies and how they impact reimbursement.

• Private payor coverage policies in pain care

The Global Period and Use of Modifiers• The Global Period

◦ Reporting post-op visits to Medicare

• Modifiers: ◦ Avoiding Overuse and

Misuse of Modifier 25: Can an E/M be billed on the same day as an injection or other procedure? What documentation is needed?

◦ Modifier 50 (bilateral procedure)

◦ Modifier 51 (multiple procedure)

◦ Modifier 59 (Distinct Procedural Service)

◦ Using the X modifiers.

Break 10:00 am - 10:15 am

Guidance and Diagnostic Imaging in Pain Procedures

10:15 am - 11:30 am

• Carpal tunnel injections• Tendon injections• Trigger point injections• Prolotherapy: is it billable? NEW!

• SI joint injections• 2020 UPDATE: Radiofrequency,

Neurotomy, Sacroiliac Joint• Case Scenarios

Lunch (provided) 11:30 am - 12:30 pm

2020 AAPC ACCREDITATION:

Power Up Your Interventional Pain Coding

This course was very informational. I will be returning for other classes."—Beth Hoagland, Credentialing Manager Commonwealth Pain and Spine

2020 CME CREDIT FOR PHYSICIANS:

PENDING

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Power Up Your Interventional Pain Coding

AGENDA Procedure Coding (continued) 12:30 pm - 2:00 pm

• Joint and bursa injections• Nerve injections: Somatic and

Autonomic NEW!• Coding for TAP blocks NEW!• 2020 UPDATE: Genicular nerve

injections and RFA• Interventional Spine Procedures

◦ Epidural injections: intralaminar and transforaminal

◦ Medial branch blocks ◦ Neurolysis, spine ◦ Hardware blocks

• Neurostimulators: Spinal and peripheral

◦ Trial placement ◦ Ongoing programming

• Spinal pumps: Placement, reprogramming, refilling

• Baclofen pain trials• Pump maintenance• Case Scenarios

Break 2:00 pm - 2:15 pm

Diagnosis ICD-10-CM Coding for Pain 2:15 pm - 2:45 pm• Coding Guidelines for Pain

◦ Acute versus chronic ◦ Codes for common pain conditions ◦ Case Scenarios

Evaluation and Management Changes 2021 and Beyond? NEW!

2:45 pm - 3:45 pm

Evaluation and Management Overview - 2020 UPDATE

• Levels of E/M Codes ◦ Documentation Dos and

Don’ts for History ◦ History ◦ Documentation Dos and

Don’ts for Exam ◦ Examination ◦ Documentation Dos and

Don’ts for Medical Decision Making

◦ Medical Decision Making

• E/M Modifiers ◦ Modifiers: 24, 25 and 57

• CMS Guidelines: Advanced Practitioner Billing

◦ Incident to ◦ Direct billing ◦ Split/Shared ◦ 2020 changes

• Case Studies

Be Audit Ready 3:45 pm - 4:00 pm• Steps To Reduce the Chance of Being Audited• An Action Agenda If You Are Audited

Adjourn 4:00 pm

"Speakers were very down to earth and easy to talk to. The workbook is a great tool to take back to the office and is very useful for coders." —Elizabeth Knaus, Coding SpecialistEnhanced Medical RevenueBurr Ridge, IL

2020 AAPC ACCREDITATION:

2020 CME CREDIT FOR PHYSICIANS:

PENDING

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Payment Method (Course fees are tax deductible):Check (made payable to Karen Zupko & Associates, Inc.)

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CANCELLATION/RESCHEDULING POLICY: All cancellations and transfer requests must be received in writing.Refunds are subject to a $50 administrative fee per registrant and will be made according to the following schedule: Cancellations received 10 days or more prior to the course receive a full refund less the administrative fee per registrant; cancellations received 0-9 days prior to the course do not receive a refund. If you must cancel your course registration with fewer than 10 days’ notice, KarenZupko & Associates, Inc. will transfer your registration fees to another workshop of your choice within the same calendar year, less the following: (1) the $50 administrative fee per registrant, (2) the cost of the workbook(s) per registrant, and (3) the meeting venue food and beverage charges per registrant, including all service charges and taxes. All monies are forfeit if you “no-show” to a course without prior written notice. KarenZupko & Associates, Inc. assumes no responsibility for costs associated with airline ticketing, price changes, or cancellations. As such, we recommend the purchase of travel insurance when making your plans.

2020 Course Fees

PACKAGE PRICE

Power Up Your Interventional Pain Coding $795

Workshop Dates and Hotels

August 6 Nashville, TN Hotel Loews Vanderbilt Hotel

Room $199 (room block ends 7/13/20)

Phone 615-320-1700

REGISTER TODAY!REGISTER TODAY! Space at workshops is l imited. Space at workshops is l imited.

To ensure a place for you and your staff, visit:

Online www.karenzupko.com (faster service)

Phone 312-642-8310

Fax 312-642-5571

Email Form information@karenzupko.com

Mail 625 N. Michigan Ave. Suite 525Chicago, IL 60611

2020 INTERVENTIONAL PAINcoding and revenue cycle workshops