Injections and Infusions: Resolve Frequent Coding and Billing Challenges

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Injections and Infusions: Resolve Frequent Coding and Billing Challenges

Product Code: YHHA021119

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Injections and Infusions: Resolve Frequent Coding and Billing Challenges

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Presented on:
Monday, February 11, 2019
1:00-2:30 p.m. Eastern

Presented by:
Jugna Shah, MPH
Valerie Rinkle, MPA

Drug administration continues to generate confusion for coders and billers—as well as get the attention of CMS and third-party auditors. Reporting hospital intravenous injection and infusion services accurately and completely according to the CPTÒ hierarchy can be a challenge, along with navigating the rules around documentation, reporting hydration, knowing how to code multiple (and often simultaneous) infusions, and knowing what to do when infusion time is missing. Lack of understanding can lead to increased time in getting a bill out or other types of errors.

During this 90-minute webinar, expert speakers Jugna Shah, MPH, and Valerie Rinkle, MPA, will provide an overview refresher of drug administration coding and billing. Shah and Rinkle will cover commonly encountered challenges and discuss how to select the correct codes for reporting these services. They will also review the payment impact of 2019 OPPS reimbursement changes and go over the latest details on legal challenges to 340B drug discount reimbursement cuts and reporting requirements.

Coders will have a chance to apply their knowledge as Shah and Rinkle review frequently asked questions and work through some clinical scenarios to provide step-by-step advice on which codes to report. 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 the payment impact of 2019 OPPS reimbursement updates
  • Define CMS coverage and documentation requirements
  • Explain the CPT drug administration hierarchy and how to overcome common coding challenges
  • Apply the latest guidance to their own clinical scenarios


Agenda

  • Background of drug administration coding changes
  • Coverage and documentation requirements
    • OPPS rules and regulations
    • Examples of MAC guidance
  • 2019 OPPS payment for drug administration services
    • Review of financial impact
    • The latest on 340B payment changes and lawsuits
  • Review of the CPT coding hierarchy for intravenous injections and infusions, and two relatively new codes
  • Clinical scenarios and FAQs
    • Commonly encountered coding and billing challenges
    • Review of questions regarding hydration, modifiers, home infusions, and more
  • Live Q&A

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

Meet the Speakers

Jugna Shah, MPHJugna 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. She has educated and audited numerous hospitals on their drug administration coding and billing practices. She has contributed to several books and numerous OPPS/APC articles over the past 18 years. She is also a contributing editor of HCPro's Briefings on APCs.

 

Valerie A. Rinkle, MPAValerie A. Rinkle, MPA, is a lead regulatory specialist and an instructor for HCPro's Medicare Boot Camp®—Revenue Integrity and Chargemaster Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—Hospital 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.


Continuing Education

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).

Ability to claim credits for this webcast expires on: 2/10/2020

Instructions

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. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be 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.