Coronary CTA Coding (Webcast)

Coronary CTA Coding

WEBCAST ON CD

Sponsored by JustCoding.com

presented on July 26, 2007

You will get so much more than CPT codes.

A coronary CTA, or computed tomography angiogram, is a new imaging technique that gives doctors incredible images of coronary arteries, noninvasively and allows them to better manage heart disease. Unfortunately, the reimbursement picture is not nearly as clear.

In order to appropriately code and bill for these services, hospital and physician practice coding/compliance staff have to be familiar with the following:

• new technology
• patient anatomy
• coding guidelines
• associated CCI edits
• widely differing coverage policies

They must be able to find coding cues in physician documentation, as well as know when documentation is lacking and clarification is needed. This can be especially challenging when dealing with a new procedure like cardiac CTA. Most payers don’t have coverage on the new procedure yet—some may even be marking it as investigational, forcing practices to have to explain its merit. Furthermore, this procedure does not have relative value units (RVUs) so payors have nothing on which to base reimbursement.

This is your source for state coverage.

Don’t waste precious hours researching! Listen to HCPro and industry experts as we help you sort through all the information and help you get the correct reimbursement. This 90-minute webcast offers reimbursement guidance on the state and national level. We will also help you determine what is separately billable and what is not. You will walk away with a solid basis for successfully coding and collecting the proper reimbursement for coronary CTA.

PROGRAM AGENDA

1. Coronary CTA:  A “hot,” new technology in medical imaging
2. Correct coding for cardiac CTA
1. Category III codes and how they differ from other types of codes
2. Case studies to illustrate the application of coding guidelines
3. Who pays and who doesn’t
1. No relative value units (RVUs)
2. What’s separately billable—and what’s not
3. Different requirements from different local coverage determinations (LCDs)
4. MAC (Medicare administrative contractor) integration: Comparing part A and part B claims
4. Medicare vs. commercial coverage
1. No national coverage decision
2. State coverages:  All 50 states are different
   1. Medicare
   2. Private payers, e.g., Blue Cross Blue Shield
5. Strategies to making this work financially for you
1. Implementation and operational ideas—throughput and performance building
2. Joint venture—the blending of cardiac and peripheral vascular studies
3. Tips on working with your local payers on coverage
6. Q&A

LEARNING OBJECTIVES

1. Explain what CTA is and why it is such a “hot” area
2. Demonstrate correct coding for cardiac CTA procedures and apply them within your facility
3. Indicate the differences between payer coverages, e.g., Medicare vs. commercial
4. Identify techniques for successful payer negotiations
5. Implement strategies for financial success such as tips for working with your LCDs and joint ventures

FEATURED SPEAKERS

Linda Gates-Striby, CCS-P, ACS-CA, is the principal of Gates Physician Services, which provides various educational and auditing services, and technical editor for the Cardiology Coder's Pink Sheet. She is also the cardiology chair on the national advisory board of Advanced Medical Coding and led the development of the ACS-CA exam. In addition, she is co-editor of the Interventional Radiology Pink Sheet and she is a contracted consultant to the Medaxiom Cardiology network, The Cardiology Leadership Alliance, and numerous state chapters of the American College of Cardiology. 

Cathleen Biga is president and CEO of Cardiovascular Management of Woodridge, IL, a cardiology physician practice management company with 47 FTE cardiologists. She has over 30 years experience in healthcare including administrative roles and entered medical practice management 10 years ago. In her current practice, she is responsible for strategic planning, growth and development of the practices, operational efficiencies, billing and collections, and development/implementation of new technologies. She is a national speaker on cardiac and peripheral CTA.

WHO SHOULD LISTEN?

HIM managers and staff, especially physician coders and hospital outpatient coders; compliance officers and staff; reimbursement specialists and consultants; cardiologists; radiologists and radiology technicians; vice presidents of strategic growth and development and joint venture alliance managers; administrators, including CFOs, COOs, CEOs.

PROGRAM MATERIALS

You will presentation slides, and other materials that you can print and distribute to all of your peers.

Purchase a CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

Publisher :  HCPro, Inc
 
Product Types :

• Webcasts

Departments :

• Other Health Information Management Products

ORDER CLASS: H_07-26-2007
SOURCE CODE: EHCM