Catalog Number : cra1087
Title : Cardiovascular Interventional Radiology: Coding, Billing and the Chargemaster
Speaker : Duane Abbey

Webplay Recording Date : 8-27-2015
Webplay Price : $ 125 for two weeks viewing

Webinar Overview:

Cardiovascular Interventional Radiology (CVIR) is a significant growth area as demands continue to ramp up with the Baby Boom generation. CVIR also represents some major coding and billing challenges. Coding is often accomplished by coding through the Chargemaster using charge entry. Modifiers must be used for a number of services in this area. Please join us in this upcoming Webinar as we discuss this important issue.

Webinar Objectives:

• Review coding, billing and reimbursement for cardiovascular interventional radiology services in general
• Appreciate the extreme complexity of coding, billing and reimbursement in the cardiovascular interventional radiology area
• Review several case studies to illustrate the complexities of coding and billing and the need to carefully design the charge capture interface to the chargemaster
• Review CPT coding and coding directive changes in the cardiovascular areas
• Understand the multi-year changes for coding that are occurring in CPT and their impact on hospitals
• Discuss pricing strategies for expensive catheters and stents used for interventional radiology services for both inpatient and outpatient services
• Review chargemaster techniques and associated coding and billing flow
• Appreciate how charge structures must be adjusted relative to coding inclusions in the cardiovascular area
• Examine how APCs are being changed in the cardiovascular interventional radiology areas through increased packaging
• Understand compliance concerns that arise with correlating physician and facility component coding
• Appreciate that by using different documentation approaches there may be inconsistencies generated

Target Audience:

Coding Personnel, Billing and Claims Transaction Personnel, CVIR Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Auditors, Cardiovascular Service Area Staff, Physicians and Other Interested Personnel

A few of the Topics that will be covered:

• Cardiovascular Overview
  • Interventional Cardiovascular Services
  • Cardiovascular Monitoring and Devices
  • Electrophysiological Procedures
• Interventional Radiology Overview
  • Component Coding
  • Diagnostic versus Therapeutic Services
  • Stents and Stent Placement
  • Angioplasties and Atherectomies
  • APC and DRG Payment Processes
• Coding and Coding Directive Changes
  • Coronary and Vascular Catheterization Procedures
  • Monitoring and Cardiac Devices
  • Electrophysiological Procedures
  • CPT Coding and Coding Guidance Changes
  • Impact on Charges and Payments
• Chargemaster Issues
  • Basic Design Process for Cardiovascular and CVIR Services
  • Professional versus Technical Component Coding/Billing
  • Proper Charging for CVIR Services
  • Modifier Challenges
• Payment Issues for CVIR Services
  • Increased Packaging for APCs
  • Device Dependent Concept for APCs and DRGs
• Alternative Coding/Billing Flows
  • Static Coding in the Chargemaster
  • Dynamic coding Outside the Chargemaster
  • Hybrid Methodologies
  • Assessing Claim Accuracy
• Compliance Issues
• Sources for Further Information

Attendance Certificate:

Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.