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CPT: The Complete Package - South Carolina
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2/6/2018 to 2/7/2018
When: February 6 - 7, 2018
9:00 am - 3:30 pm
Where: Embassy Suites by Hilton Columbia Greystone
200 Stoneridge Drive
Columbia, South Carolina  29210
United States
Contact: Julia Scott

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REGISTER HERE: https://www.eventbrite.com/e/cpt-the-complete-package-tickets-41574739164

Course Goal

The goal for this class will be to provide attendees with the requisite skills necessary to understand CPT from cover to cover.  We will each chapter of the 2018 Professional Edition CPT including the introduction, Evaluation and Management (E/M), surgery, applicable pathology/laboratory service, radiology and the Medicine chapters of CPT. We will cover the proper use of all CPT modifiers and there will be limited coverage of 2018 HCPCS II modifiers.

Who is the class for?

This class is designed for anyone wanting overview of all CPT chapters, applicable documentation requirements to support the services listed therein. There would be benefit to all folks involved in the revenue cycle to include clinical personnel (MD, DO, NP, PA, RN), coders, billers, EHR professionals, or anyone involved in the coding process and revenue cycle.

Specific objectives include:

1.     The history of CPT and overview of the Introduction to include:

a.     Difference between level I and level II codes

b.     Place of service codes

c.     Symbols the AMA uses in it CPT manual

d.     Add-on codes

e.     Coding guidelines

f.      E&M tables with descriptions for proper use

g.     Unlisted procedure codes

h.     Category II and category III CPT codes

i.      CPT appendix A-P

j.      Using the CPT index

2.     Evaluation and Management services (E&M)

a.     Demonstrating the difference between “key” components and contributory factors

b.     Identifying the similarities and differences between the CPT E/M guidelines, CMS E/M Guidelines and regional MAC (e.g., NGS, Palmetto, Cahaba, etc) guidance

c.     Understand the importance of comparing one’s own E/M levels to national averages

d.     Explaining the differences between the 1995 vs. 1997 examination guidelines

e.     Determining Medical Decision Making levels and how it drives levels of service

f.      Using time to drive levels of service (counseling/coordination of care)

                                               i.     New versus established patients

                                             ii.     Inpatient versus outpatient services

                                            iii.     Preventive versus problem oriented services and the documenting chief complaints/presenting problems

3.     Anesthesia

a.     Time units versus base units

b.     Personally performed cases versus medically directed

c.     Reporting anesthesia for multiple procedures

d.     Physical status modifier and qualifying circumstances

4.     Surgery

a.     Defining the “global surgical package” (e.g., CMS versus AMA)

                                               i.     Integumentary system

1.     Incision and drainage

2.     Debridement

3.     Excisions

a.     Benign versus malignant

4.     Wound repair (e.g., closure)

5.     Simple, intermediate, complex

6.     Destruction

7.     Moh’s micrographic surgery

8.     Breast biopsy

                                             ii.     Musculoskeletal system

1.     Joint injections and trigger points

2.     Spinal instrumentation

3.     Fracture care versus Application of casts/strapping

4.     Arthroscopy

                                            iii.     Respiratory / Cardiovascular systems

1.     Sinus endoscopy

2.     Pacemakers and defibrillators

3.     Grafting highlights (CABG)

4.     The central venous access procedure table

                                            iv.     Digestive system

1.     Endoscopic coding guidelines

2.     Upper versus lower GI endoscopic procedures

3.     Appendectomy

4.     Hernia repair

                                              v.     Urinary and Reproductive systems

1.     Urodynamics and PVR

2.     Endoscopy

3.     Prostate biopsy

4.     Maternity care and delivery

                                            vi.     Nervous system

1.     Craniotomy versus craniectomy

2.     Stereotactic radiosurgery

3.     Removal of eye foreign body

4.     Removal impacted cerumen

                                           vii.     Radiology services

1.     Professional and technical component reporting

2.     X-ray, computed tomography, magnetic resonance imaging, etc.

3.     Diagnostic ultrasound

4.     Fluoroscopic guidance

5.     Mammography

6.     Nuclear medicine

                                         viii.     Pathology and Laboratory services

1.     Reporting panels versus individual tests

2.     Drug testing, qualitative versus quantitative

3.     Urinalysis

4.     Surgical pathology

                                            ix.     Medicine services

1.     Immunizations and administration

2.     Vaccines and toxoids

3.     Psychiatry and mental health

4.     Ophthalmology services

5.     Cardiac catheterization

6.     Allergy testing and immunotherapy

7.     EMG and Nerve conduction studies

8.     Hydration

9.     Hierarchy of diagnostic, therapeutic, prophylactic infusions and chemotherapy administration

10.  Physical medicine and rehabilitation

11.  Non-face-to-face nonphysician services

 

Agenda:

DAY 1

9:00 am – 4:00 pm (6 CEU contact hours)

 

9:00 a.m. 10:15 a.m.     

·       Introduction

·       Orientation to 2018 CPT Professional Edition

·       Difference between level I and level II codes

·       Place of service codes

·       Symbols the AMA uses in it CPT manual

·       Add-on codes

·       Coding guidelines

·       E&M tables with descriptions for proper use

·       Unlisted procedure codes

·       Category II and category III CPT codes

·       CPT appendix A-P

·       Using the CPT index

10:15 a.m. -10:30 a.m.

·       BREAK

10:30 a.m. – 12:00 p.m

·       Orientation to CPT and CMS E/M Guidelines

·       Capturing valid chief complaints/presenting problems

·       What can ancillary staff document and what must the “provider” author in the medical record                                

·       History of Present Illness and Review of Systems. Past, Family, Social History

12:00 p.m.– 1:00 p.m.

·       LUNCH

1:00 p.m.-2:15 p.m.

·       Physical examination

·       1995 vs 1997 CMS Examination Rules

·       Medical Decision Making

·       Using time to drive levels of E/M services

·       Differences between “referrals” and “consultations”

·       Pre-operative “clearances”

·       Preventive Medicine vs. Problem-oriented (e.g., Sick) Visits

 2:15 p.m.-2:30 p.m.

·       BREAK

2:30 p.m. – 4:00 p.m.

·       Reporting anesthesia services

·       Introduction to surgical services, surgical package and the NCCI

·       CPT modifiers (Appendix A)

Day 2

9:00 a.m. – 2:00 p.m. (4 CEU contact hours)

 

9:00 a.m. 10:15 a.m.     

·       Integumentary system coding

·       Musculoskeletal system coding

·       Respiratory and Cardiovascular system coding

 

10:15 a.m. -10:30 a.m.

·       BREAK

 

10:30 a.m. – 12:00 p.m

·       Digestive system coding

·       Urinary and reproductive system coding

·       Nervous system coding

·       Radiology and Pathology and laboratory system coding

 

12:00 p.m.– 1:00 p.m.

·       LUNCH

1:00 p.m.-2:00 p.m.

·       Medicine chapter coding

o   Immunizations

o   Psychiatry and mental health

o   Injections and infusions

·       Q&A and closing comments

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