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AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Briefings on APCs

presented on January 28, 2008

Clear the confusion from injection and infusion coding and billing in 2008

If you look on the surface, it appears that CMS made few changes to injection and infusion coding and billing. But with a strong handle on the new regulations, you will realize plenty of confusion is still forecasted for 2008. Meeting strict documentation requirements and coding guidelines continue to be a must for appropriate reimbursement, and unless you regularly audit claims, you could compromise your compliance and lose revenue you deserve.

This 90-minute audioconference, Injection and Infusion Coding and Billing: Train your staff for continued success in 2008, features two experts in injection and infusion coding. Jugna Shah, MPH and Valerie A. Rinkle, MPA explain the key 2008 CPT coding changes and OPPS related changes and how you can think through them as you begin reporting services in 2008.  They walk you through a few clinical scenarios and discuss the financial impact and compliance risks related to the changes. They also provide you with tips to avoid coding and billing errors.

In addition to discussing changes coming for 2008, our speakers review issues for which there isn’t yet guidance, such as what is considered a best practice for documenting infusion time, which drug administration services are considered integral to a procedure, and charging for services in the inpatient and outpatient setting, among others.

TAKE A LOOK AT THE AGENDA

• Summary of all the major changes for reporting injections and infusions for 2008
• OPPS changes
• New CPT codes, including new parenthetical language in the CPT Manual
• Clarified hierarchy by CPT for facility reporting of injection and infusion services
• A quick review of what hasn’t changed for injections and infusions this year
• Review of 2-3 clinical examples illustrating new CPT codes
• Compliant reporting: Tips for how to monitor your claims and what you may want to audit internally
• Outstanding significant issues for 2008:
• The issues for which we are still awaiting guidance
• Documentation:  Stop times, start times, missing times, etc.
• Discussion of the possibility that CMS will take ASCs to UB-04s and the impact on outpatient procedures:  A whole new claims data set
• RAC audits and drug administration
• Commenting to CMS

A question and answer session follows the presentation.

NOTE: This is an intermediate-level program. Participants should have a general familiarity with coding and billing guidance for injections and infusions.

LEARNING OBJECTIVES

At the end of the audioconference, you will be able to:

• Describe the major changes for injections and infusions for 2008, as well as current advice and guidelines
• Indicate how to operationalize the 2008 changes to injections and infusions at your facility
• Report codes accurately for a number of clinical examples
• Illustrate how to monitor your claims and list what you may want to audit internally
• Identify the significant issues still outstanding for 2008

FEATURED SPEAKERS

Jugna Shah, MPH, is president of Nimitt Consulting in Washington, DC. She is a frequent audioconference speaker and a contributing writer to both HCPro's newsletter, Briefings on APCs, and the book, Compliance Troubleshooter. She has extensive experience helping providers understand and address the clinical and financial implications of APCs, facilitating APC task force meetings, strategic planning sessions, financial impact analyses discussions, and managing APC implementation and assessment projects.

Valerie A. Rinkle, MPA, is revenue integrity department director for Asante Health System in Medford, OR. She has over 20 years of healthcare reimbursement experience including 11 years in nationwide consulting to hospitals and physicians regarding Medicare and Medicaid payment systems and compliance. She is a the author of numerous articles on OPPS and hospital-based clinics, and a member of the editorial advisory board for the APC Answer Letter and the APC Weekly Monitor, both from HCPro.

YOUR MATERIALS PACKET

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials. These materials are provided with PDF links.

WHO SHOULD LISTEN?

HIM managers and coding and billing staff, medical records; chemotherapy and infusion nurses and managers in hospitals and outpatient units; chargemaster coordinators; revenue cycle managers staff; patient financial services managers and staff; compliance managers and staff

Purchase a CD or audio archive 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.

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