SVS Meetings and Courses

Provided by the
Society for Vascular Surgery

Coding & Reimbursement for Vascular Surgeons

Challenges in Vascular Surgery 2008

Coding & Reimbursement for Vascular Surgeons
September 12-13, 2008
Millennium Knickerbocker Hotel
Chicago, IL

 

Program Overview

Learning Objectives    Who Attended?

Continuing Medical Education (CME) Credit

AAPC Continuing Education Unit (CEU) Credit

Program Schedule

Faculty    Faculty Disclosure   


Program Overview   

This program is intended for those who seek to improve and expand their knowledge of accurate coding and reimbursement for vascular surgery. The program covered important topics such as 2008 coding and reimbursement rule updates, interventional procedures, the global surgical package definition, operative note dictations, component coding, bypass surgery, and evaluation and management (E&M) coding.

Learning Objectives   

Upon completion, participants should be able to:

1. Discuss the 2008 CPT and Medicare changes.
2. Demonstrate the application of modifiers for streamlined reimbursement.
3. Define the Global Surgical Package and how it impacts billing and reimbursement.
4. Explain the difference between incident-to and direct billing.
5. Understand the principals of component coding.
6. Discuss the correct coding for key vascular surgery procedures.
7. Discuss the correct coding for key endovascular procedures.
8. Understand the impact of Medicare reimbursement changes on vascular lab services.

Who Attended?   

This course was designed for vascular surgeons and their office staff to include practice managers, nurse practitioners, physician assistants, nurses, surgery schedulers, coders, billing and any other office staff member who seek to improve and expand their knowledge of accurate coding and reimbursement for vascular surgery. Team attendance was encouraged.


Continuing Medical Education (CME) Credit   

The Society for Vascular Surgery (SVS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The SVS designates this educational activity for a maximum of 10.5 AMA PRA Category 1 Credits™.   Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAPC Continuing Education Unit (CEU) Credit   

This program has the prior approval of the American Academy of Professional Coders (AAPC) for 4 continuing education hours for E&M Coding and 7 continuing education hours for Open Vascular Surgery & Intervention.  Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor.

Program Schedule   

 
Friday, September 12, 2008     1:00 pm – 5:00 pm
E&M Coding
12:00 pm Registration
1:00 – 1:45 pm

Coding and Reimbursement Essentials

Resources

2008 Updates  

  • Medicare Payment Update; 2008
  • CMS Audit Priorities; 2008 and Beyond

Question and Answer Session

1:45 – 3:00 pm

Evaluation and Management (E&M) Coding

  • Evaluating your E&M utilization…are you an audit target?
  • Coding Consultations
  • Coding Based on Time
  • Coding for Critical Care Services

E&M Modifiers: Using Modifiers to Optimize Revenues 

  • Modifier 24: Billing E&M visits during the Post-op Period
  • Modifier 25: Billing an E&M visit with a Procedure
  • Wound Care Coding and E&M: Are they Billable Together?
  • Modifier 57: Decision for Surgery

Documentation Requirements for Modifier 26
Question and Answer Session

3:00 – 3:15 pm Break
3:15 – 4:30 pm

Global Surgical Package: What’s included?

Applying Surgical Modifiers to Optimize Reimbursement

  • Dos and Don’ts of Modifier Use
  • Reimbursement and Global Period Impact

Spinal Exposure – What should the Vascular Surgeon Report?

Dissecting the Operative Note: Documentation Imperatives

Question and Answer Session

4:30 – 5:00 pm

Non-Physician Practitioner Billing

  • Incident to vs. Direct Billing 
  • Payment and Policy Essentials
  • Shared billing: Are you in Compliance?

Question and Answer Session

 

Saturday, September 13, 2008     8:00 am – 4:00 pm
Open Vascular Surgery & Intervention
8:00 – 8:15 am

Wound Care Coding for Physicians

Question and Answer Session

8:15- 10:00 am

Coding for Bypass Grafts and Associated Procedures

  • Lower Extremity Bypass  
  • Upper Extremity Bypass
  • New 2008 Codes and Potential Future Codes

Question and Answer Session

10:00 – 10:30 am

Endovascular Coding

  • Component Coding for Diagnostic Angiography, Catheterization, Angioplasty, Atherectomy and Stenting

Questions and Answer Session

10:30– 10:45 am Break
10:45 – 12:00 pm Endovascular AAA Repair Coding
Thoracic Endovascular Repair Coding
Question and Answer Session
12:00 – 12:45 pm Lunch Provided
12:45 – 2:30 pm
  • Carotid Stenting: Coding and Facility Requirements
  • Thrombolytic Therapy and Mechanical Thrombectomy
  • Vena Cava Filters
  • Accurate Coding for Hemodialysis Access

Question and Answer Session

2:30 – 2:45 pm Break
2:45 – 4:00 pm
  • Open and Endovascular Treatments for Venous Insufficiency  
  • Essentials of Vascular Lab Coding 
  • Update on PQRI, Quality Measures and Patient Centered Medical Home

Question and Answer Session

Faculty   

Sean P. Roddy, MD, Course Director, a vascular surgeon and associate professor of surgery at Albany Medical College is an active member of the Society for Vascular Surgery Health Policy Committee and Postgraduate Education Committee. He has lectured nationally on billing and coding issues. He is a practicing vascular and endovascular surgeon with The Vascular Group in Albany, New York.

Robert M. Zwolak, MD, PhD, a vascular surgeon and professor of surgery at Dartmouth Medical School with extensive surgical case coding expertise.  Dr. Zwolak is an active member of the American College of Surgeons Coding and Reimbursement Committee, Chair of the Society for Vascular Surgery Government Relations Committee and an active member of the American Medical Association/Specialty Society Relative Value Update Committee (RUC).  In addition to these commitments, he maintains a busy clinical practice in open and interventional vascular surgery at the Dartmouth Hitchcock Medical Center.

Teri Romano, RN, MBA, of Karen Zupko & Associates is an instructor for coding and reimbursement workshops sponsored by several national medical specialty societies. She also provides customized coding and reimbursement courses to physician and hospital groups as well as chart review and surgical operative note review to assist physician groups in their compliance activities. Ms. Romano has worked extensively with surgeons and hospitals in the development of neurovascular, stroke, and vascular centers. She recently completed two nationwide studies to develop baseline criteria for neurovascular and vascular center development. Ms. Romano received a bachelor of science degree in nursing from the University of Illinois and a master’s degree in business administration from the University of Chicago.

Faculty Disclosure   

Disclosure statements have been requested from the faculty and will be made available at the conference. All faculty presenters are also expected to disclose to participants any discussions of off-label and/or investigational uses of pharmaceutical products and/or medical devices during their presentations.

Hotel Accommodations   

The Millennium Knickerbocker Hotel
163 East Walton Place
@ North Michigan Avenue
Chicago, IL 60611
Reservations: 312-751-8100 (Request for in-house reservation)
Website: www.millenniumhotels.com/knickerbocker

Questions
Please call 800-258-7188 or email education@vascularsociety.org

Society for Vascular Surgery - 633 N. St. Clair, 24th Floor; Chicago, IL 60611; Phone: 312-334-2300 or 800-258-7188; Fax: 312-334-2320; Email: vascular@vascularsociety.org
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