ASPS^® Plastic Surgery
Coding Workshops 2008

Agenda

Friday | Saturday | Accreditation/CME

Friday

• 11:00 am – 12:00 pm
  Registration
• 12:30 – 6:00 pm
  Program

Revenue Cycle: Implementing Key Steps in the Reimbursement Process

Even if you code perfectly, if your staff and systems are not well organized and orchestrated, you won’t be paid optimally.

In this section, review the critical steps in the revenue cycle from the first phone call through financial counseling and learn the tools that can increase staff efficiency and improve cash flow.

Topics include:

1. Using the right tools to launch a modern reimbursement process
2. Pre-registration, eligibility, and insurance verification
3. Charge capture for office, hospital and ASC services
4. Claim submission: What you need to know about your clearinghouse
5. Use of technology that ensures accuracy, saves time and improves cash flow
6. Payment posting for reconstructive and aesthetic services
7. ALL NEW! How to handle reimbursement if you are out of network
8. Accounts receivable management
9. Financial reporting and tracking: How to monitor and assess the efficacy of the performance of your practice

E & M Coding and Documentation Rules & EOB Review

1. Category of service definitions
2. Providing documentation to support levels of service for your E & M codes
3. Auditing notes: Hands-on experience with the 1995 and 1997 guidelines
4. Reducing your risk of downcoding and take backs
5. Profiling your E & M code use against plastic surgery norms in your state

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Saturday

• 7:30 – 8:00 am
  Continental Breakfast
• 8:00 am – 4:00 pm
  Program (Lunch Included)

Saturday’s content is focused on surgical case coding. You’ll gain the experience and insight you need to code common cases handled by plastic surgeons.

This session will provide you with a solid grounding in the use of modifiers, coding for frequently done surgeries, how to read EOBs, and generate result-oriented appeal letters.

Review of Global Surgical Package Definition

Anatomy of an Operative Note: Key Components

Modifier Compare and Contrast: Rules and Application

All concepts of modifier usage are illustrated by plastic surgery cases.

1. Modifier 24 and Modifier 79
2. Modifier 25 and Modifier 57
3. Modifier 26 Professional Component
4. Modifier 22 and Modifier 52
5. Modifier 51 and Modifier 59
6. Modifier 58 and Modifier 78
7. Modifier 76 and Modifier 77
8. Modifier 80, 81, 82 and Modifier 62

Lesions

Concepts and application of rules

Benign and Malignant lesion documentation and ICD-9 codes

Adjacent tissue transfers for closing large defects

Wound Repairs

Cases illustrating the correct coding for simple, intermediate and complex repairs are used

Flaps and grafts: Coding and dictation that documents your work

Skills application:

• Breast reconstruction coding and appeals
• Staged procedures
• Facial fractures
• Hand surgery
• Burn cases
• Nasal reconstructive surgery versus cosmetic surgery
• Surgery for massive body weight loss patients

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Accreditation/CME

12 CME Credits • 12 CEU Credits

The American Society of Plastic Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

ASPS designates this educational activity for a maximum 12 AMA PRA Category I Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This program has prior approval of the American Academy of Professional Coders for 12.0 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.

Credits are subject to program changes.

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