2018 Injections and Infusions Coding: CMS’ New Packaging Policies and Reimbursement Implications - On-Demand

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2018 Injections and Infusions Coding: CMS’ New Packaging Policies and Reimbursement Implications - On-Demand

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2018 Injections and Infusions Coding: CMS’ New Packaging Policies and Reimbursement Implications - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, January 30, 2018

Presented by:
Jugna Shah, MPH
Valerie Rinkle, MPA 

Level of Program:
Intermediate 

Sponsored by:
JustCoding 

After years of consideration, CMS finally added packaging of drug administration services in 2018 with the addition of lower-cost services to its conditional packaging policies. The policy, which includes both chemotherapy and non-chemotherapy services related to certain CPT/HCPCS codes, could portend even more changes for 2019.

These changes make it more important than ever for providers to have clear and accurate drug administration service coding and documentation to ensure proper reimbursement and protect against audits.  Additionally, providers submitting multi-day or series bills for chemotherapy services should rethink their practice, as it could be costing them revenue.

During this 90-minute webinar, expert speakers Jugna Shah, MPH, and Valerie Rinkle, MPA, will review these latest changes and prepare providers for changes to come. They will also review the core concepts of drug administration coding, billing, and documentation to ensure providers are capturing the necessary details. The speakers will also cover the most frequently asked injection and infusion questions and review coding scenarios. At the end of the program, they will hold a live Q&A to answer audience questions about drug administration coding and billing.

At the conclusion of this program, participants will be able to:

  • Determine when to report specific injection and infusion codes depending on timing and route of administration
  • Explain how CMS’ 2018 packaging policies will affect reimbursement for drug administration services
  • Prepare for future CMS proposals by collecting data
  • Define high-risk audit areas and understand how to mitigate them


Who Should Listen?

  • HIM directors and managers
  • Coding managers and staff
  • Billing staff
  • Medical records staff
  • Revenue cycle managers and staff
  • Chargemaster coordinators
  • Auditors
  • Chemotherapy and infusion center staff
  • Revenue integrity professionals


Agenda

  • Review of core coding and documentation concepts for drug administration services
    • Capturing start and stop times
    • Reporting simultaneous and continuous services
  • Impact of CMS’ 2018 payment rates and packaging of lower-cost services
    • CPT/HCPCS codes affected by packaging
    • Preview of potential services to be packaged for 2019
  • Complex drug administration scenarios
    • Multiple administrations of the same/different drug
    • Services that cross the midnight hour
  • Auditing and monitoring of high-risk areas


Continuing Education

AAPC
(Live + On Demand) - This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (Ability to claim CEH’s for this webinar expires on: 1/29/19)

American Health Information Management Association (AHIMA)
(Live + On Demand) - This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webinar expires on: 1/29/19)

Meet the Speakers

Jugna Shah

Jugna Shah, MPH, is the president and founder of Nimitt Consulting, Inc., a firm specializing in case-mix payment system design, development, and implementation. She has extensive experience working with providers on the ongoing clinical, operational, and financial implications of Medicare’s OPPS based on APCs. Shah has educated and audited numerous hospitals on their drug administration coding and billing practices, and has contributed to several books and numerous OPPS/APC articles over the past 12 years. She is also a contributing editor of HCPro's Briefings on APCs.

Valerie Rinkle

Valerie A. Rinkle, MPA, is a lead regulatory specialist and instructor for HCPro's Revenue Integrity and Chargemaster Boot Camp®, as well as an instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. Rinkle is a former hospital revenue cycle director and has over 30 years in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations.


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

COULDN'T LISTEN LIVE? 
No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.