Oncology Overview: Outpatient Coding for Neoplastic Diseases and Drug Administration - On-Demand

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Oncology Overview: Outpatient Coding for Neoplastic Diseases and Drug Administration - On-Demand

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Oncology Overview: Outpatient Coding for Neoplastic Diseases and Drug Administration - On-Demand

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Presented on: Thursday, September 26, 2019 

Presented by: Lynn M. Anderanin, CPC, CPC-I, CPMA, CPPM, COSC

To assign the most specific diagnosis codes for neoplasms, coders must carefully review documentation to determine the growth’s cell type, histologic behavior, and location. This can be challenging, as the ICD-10-CM Manual includes a specific Neoplasm Table and additional rules for sequencing and coding secondary metastatic sites. In addition, CPT® chemotherapy drug administration coding for the treatment of malignant neoplasms can be daunting for both beginner and experienced coders, who may not understand the hierarchy rules or the gray areas in the CPT guidelines and Medicare regulations.

During this 90-minute webinar, Lynn M. Anderanin, CPC, CPC-I, CPMA, CPPM, COSC, will provide step-by-step instructions for navigating the Alphabetic Index and Neoplasm Table in the ICD-10-CM Manual to select the most specific codes for primary and secondary neoplasm diagnoses. She will review ICD-10-CM coding for complications and history of neoplastic disease, appropriate sequencing, and medical necessity requirements for oncology services billed to Medicare and third-party payers.

The second half of the program will focus on CPT reporting for chemotherapy drug administration. Anderanin will review the drug administration hierarchy and coding for chemotherapy IV injections, IV and intra-arterial infusions, and chemotherapy medication administered via an implanted or portable pump. CPT coding for other services frequently reported with chemotherapy administration, such as hydration and therapeutic and prophylactic injections and infusions, will also be discussed. Lastly, Anderanin will answer questions from audience members during a live Q&A session to follow the presentation.

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

  • Select and appropriately sequence ICD-10-CM codes for benign and malignant neoplasms
  • Choose the appropriate primary and secondary CPT codes for chemotherapy injections and infusions, and related services
  • Accurately report HCPCS codes for chemotherapy drugs
  • Know where to look for tools that aid in accurate coding and billing for oncology services

Agenda

  • ICD-10-CM coding for primary and secondary benign and malignant neoplasms
    • Code selection based on cell type, histological behavior, and site
    • Medical necessity requirements for payment by Medicare and commercial payers
  • Appropriate reporting and sequencing of multiple ICD-10-CM codes
    • Codes for reporting status and history
    • Adverse effects and complications
  • CPT coding for injection and infusion chemotherapy treatments using the drug administration hierarchy
  • Chemotherapy IV injections, IV and intra-arterial infusions
    • Chemotherapy administered via an implanted or portable pump
    • Other services frequently reported with chemotherapy administration: hydration, therapeutic and prophylactic injections and infusions
  • HCPCS coding for injection and infusion treatments
    • Assigning the appropriate HCPCS codes for chemotherapy drugs

Tools

  • Injection and infusion CPT coding tree

Who Should Listen?

  • HIM directors and managers
  • Coding managers
  • Outpatient coders
  • Outpatient billers
  • Auditors
  • Revenue cycle directors
  • Compliance officers
  • Chargemaster coordinators
  • Office managers
  • Clerical staff
  • Physicians
  • Physician assistants  
  • Finance managers
  • Clinical staff
  • Nursing staff

Meet the Speaker

Lynn AnderaninLynn M. Anderanin, CPC, CPC-I, CPMA, CPPM, COSC, is the senior coding educator for Healthcare Information Services, a physician billing and consulting service in the Chicago area. She has over 38 years of experience in coding and billing for orthopedic, rheumatology, and hematology/oncology services. Anderanin is the founder of the first local chapter of the AAPC in Chicago, which is now 23 years old. She is also a former member of the AAPC National Advisory Board as well as other AAPC committees.

 

 

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.

Association of Clinical Documentation Improvement Specialists (ACDIS)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).

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 webinar expires on: 9/25/20

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

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.