2024 Coding & Billing Updates Bundle

Keep All Coding & Billing Updates of 2024 At One Place!

This tailored bundle is going to help you refer all the coding & billing updates for 2024 at one place. All the updates are curated by industry experts and you won't have to pay for each of them separately. We have designed this to be effective and useful for those who deal with complex coding and billing updates every year. This is going to cut down the time you spend on keeping all the updates together for daily Office needs or any training needs.

 

Session 1 - Billing for Nurse Practitioner (NP) and Physician Assistant (PA) Services - 2024 Updates

CMS/Medicare and CPT have been in different places with their definition of "substantive portion" for a split shared visit.  It was anticipated that in 2024 CMS/Medicare would again have a different way of looking at which provider can bill this type of joint service when done in a facility setting.  The PFS Final rule surprised many as CMS/Medicare said they would be following the new clarified policy set forth in CPT's 2024 code book.  What is this new definitions of "substantive portion" and what does it mean for your NPs and PAs working in the hospital and other facility based locations?  Listen in and learn.  Bring your questions with you

The rules of billing for Nurse Practitioners and Physician Assistants can be confusing and challenging.  Each payer can have their own definitions for direct and indirect billing of their services.  Comparing these rules reveals a diverse and oft times confusing list of what compliant billing of these provider’s indirect services entails. 

CMS has been transitioning their definition of split/shared visits for the past few years in calling for a substantive portion of the work to be done by the billing provider while allowing an alternative definition.  Although this has been extended until the end of 2024, CPT®’s new definition causes much discussion on where their rules would fall into place with CMS'.

Webinar Objectives

Compliant billing of Non-physician Practitioners (NPPs) is no easy task.  Dealing with differing sets of payer rules can give coders and billers fits.  This session is intended not only to present a simplified view of NPP billing, but also to show how the updated guidelines CPT® has defined will integrate into this landscape.

Webinar Agenda

2024 CPT® updates to split shared billing.  what we know today about this new definition from the AMA and how they see the day-to-day documentation changes needed to meet it.

Split shared billing’s definition from CMS’ perspective.  What challenges are presented in the differing words of each

Webinar Highlights

• The new guidelines for split shared visit found in CPT® 2024
• CMS’ guidelines for split shared in2024
• CMS’ guidelines for incident to
• Other payers’ rules and regulations for Non-Physician Practitioner billing

Session 2 - Coding & Billing For Physical Therapy - 2024 Updates

Each year there are updates to some of the most critical parts billing and coding by means of CPT® and the Medicare Physicians Fee Schedule.  In 2024 there is a new to way in which caregiver training is reported and there is still some confusion on when modifiers have to be assigned to procedures involving assistants.  Each year there are also possible updates to the Medicare policies for therapy with new threshold limits and the annual “always therapy” listing that also requires the use of modifiers.

This webinar will look at the issues for 2024.  2024 had some changes in therapy related to caregiver training. We need to assess the use of assistants now that we should have been reporting on their involvement with modifiers.  Our expert speaker will talk about the Physicians Fee Schedule Final Rule for 2024 along with the annual therapy update and any other CMS changes.

Webinar Agenda

• Appropriate coding for therapy.
• The correct use of modifiers GP, GO, KX, CQ, CP
• Review the coding by time for therapy
• 2024 CMS Fee Schedule Changes

Webinar Highlights

• Therapy Assistants
• Caregiver Training
• Annual Therapy List
• Threshold Limits for Medicare patients
• Modifier KX
• Necessary documentation for therapy
• Updates from the CMS 2024 Physicians Fee Schedule

Session 3 - Wound Care and Debridement 2024

This webinar is designed to empower healthcare professionals with the knowledge and skills necessary to navigate the complex world of medical coding for wound care and debridement services. In today's rapidly evolving healthcare landscape, accurate and efficient coding is paramount, not only for ensuring proper reimbursement but also for maintaining compliance and facilitating optimal patient care.

This webinar serves as a beacon of guidance for medical coders, billers, HIM professionals, CDI specialists, healthcare administrators, and providers alike, offering a deep dive into the intricacies of coding for wound care and debridement procedures. Whether you're a seasoned coding expert seeking to sharpen your skills or a healthcare administrator striving to optimize revenue cycle management, this program is tailored to meet your needs. Throughout the session, attendees will embark on a comprehensive journey through the nuances of medical coding specific to wound care and debridement services.

Our expert speaker will demystify the coding guidelines, regulations, and documentation requirements essential for accurately capturing the complexity of wound management and tissue removal procedures.

Webinar Objectives

• Clarification of Coding Guidelines: This session will provide clarity on the appropriate use of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes for wound care and debridement services. Attendees will gain a comprehensive understanding of coding rules, modifiers, and bundling edits to ensure accurate code selection.
• Documentation Best Practices: Participants will learn effective documentation strategies for capturing the essential elements of wound assessment, treatment, and progress notes. Practical tips and examples will be shared to enhance documentation accuracy, specificity, and compliance with coding requirements
• Risk Mitigation Strategies: The webinar will highlight proactive measures to mitigate compliance risks associated with wound care coding. Insights into regulatory updates, audit triggers, and compliance pitfalls will be provided, empowering attendees to implement robust coding and documentation practices within their organizations.

Webinar Agenda

Overview of the importance of accurate medical coding in wound care and debridement services.

• Explanation of the session objectives and agenda.

Understanding Wound Care Coding  

• Overview of the common types of wound care procedures and their associated CPT and HCPCS codes.
• Identification of pain areas related to coding complexity and differentiation between various wound care procedures.
• Discussion of coding guidelines, modifiers, and bundling edits affecting wound care coding accuracy.

Documentation Essentials for Wound Care  

• Explanation of the essential elements of documentation required to support wound care procedures.
• Identification of pain areas in documentation, including incomplete or insufficient information and lack of specificity.
• Practical tips and examples for improving documentation accuracy and completeness.

Coding Challenges and Solutions  

• Exploration of coding challenges commonly encountered in wound care and debridement services.
• Analysis of real-world coding scenarios to identify pain areas and potential solutions.
• Strategies for addressing coding discrepancies, including code selection, bundling issues, and modifier usage.

Compliance Considerations and Risk Mitigation  

• Overview of regulatory requirements and compliance risks associated with wound care coding.
• Discussion of audit triggers, common compliance pitfalls, and consequences of non-compliance.
• Implementation of risk mitigation strategies to ensure compliance with coding and documentation standards.

Q&A Session and Closing Remarks

Webinar Highlights

• The key differences between various types of wound care procedures, including debridement, wound assessment, and wound closure, and how to accurately code each procedure.
• Strategies for overcoming coding challenges related to wound size, depth, and complexity, ensuring appropriate code selection and reimbursement.
• Best practices for documenting wound assessment, treatment modalities, and patient progress to support accurate coding and billing.
• How to navigate coding guidelines, modifiers, and bundling edits specific to wound care and debridement services, minimizing coding errors and denials.
• Techniques for improving coding specificity and granularity to reflect the complexity of wound care procedures performed.
• Compliance considerations and regulatory requirements governing wound care coding, including updates on recent changes and implications for reimbursement.
• Practical tips for identifying and resolving coding discrepancies, including issues related to medical necessity, documentation deficiencies, and coding audits.
• The importance of interdisciplinary collaboration between clinicians, coders, and administrators in optimizing coding accuracy and revenue cycle management for wound care services.
• Resources and tools for continued learning and professional development in the field of wound care coding, including industry publications, training programs, and professional associations.

Session 4 - Navigating the 2024 Pathology Billing and Coding Updates

Pathology coding and billing rules can be confusing and tedious to understand.  Pathology services play a major role in the diagnosis and management of many common medical conditions.  It is imperative that proper coding and billing practices be followed to ensure your organization receives appropriate reimbursement and maintains compliance with healthcare regulatory requirements.  Pathology services from a billing and coding perspective fall into 4 main categories: Surgical Pathology, Cytopathology, Molecular Pathology, and Anatomic Pathology Consultations.  In today’s session, we take a deeper dive into the current pathology coding and billing updates, discuss the proper application of the 2024 code set for pathology services, clinical documentation requirements for pathology services, and common pathology clinical documentation scenarios to code and bill for to gain real-world insights and context for the pathology billing and coding rules.

Webinar Objectives

By understanding and correctly coding for pathology services, providers can accurately represent the services they rendered, facilitate data collection and research, and support quality improvement and research efforts. Ongoing education and adherence to the regulatory requirements are crucial for maintaining accurate and compliant pathology billing processes.

Webinar Agenda

• Recall the major pathology billing and coding updates in 2024
• Reference important clinical documentation requirements for pathology services in 2024
• Understand common challenges with pathology billing and coding in 2024
• Recognize solutions to common challenges with pathology billing and coding in 2024
• Recall best practice tips for pathology billing and coding in 2024

Webinar Highlights

• Discuss the key 2024 pathology billing and coding updates
• Identify the 2024 surgical pathology billing and coding updates
• Outline the 2024 cytopathology billing and coding updates
• Review the 2024 molecular pathology billing and coding updates
• Discuss the 2024 anatomic pathology billing and coding updates
• Outline the 2024 pathology specific clinical documentation requirements
• Discuss common challenges with pathology billing and coding in 2024
• Identify solutions to common challenges for pathology billing and coding
• Share best practice tips for pathology billing and coding in 2024

Session 5 - 2024 Coding for Foot and Ankle with Updates

This comprehensive webinar is designed to empower healthcare professionals with the latest knowledge and skills necessary to excel in medical coding for foot and ankle procedures. In an ever-evolving healthcare landscape, accurate and up-to-date coding is essential for ensuring proper reimbursement, compliance with regulations, and optimal patient care.  This webinar serves as a beacon of guidance for a wide range of healthcare professionals, including podiatrists, orthopedic surgeons, medical coders, billers, HIM professionals, insurance carrier professionals, and more. Whether you're a seasoned coding expert seeking to stay abreast of the latest updates or a healthcare administrator striving to optimize revenue cycle management, this program is tailored to meet your needs.

Throughout the session, attendees will embark on a comprehensive journey through the intricacies of medical coding for foot and ankle procedures, with a special focus on the updates introduced in 2024. Our expert speaker will demystify the coding guidelines, regulations, and documentation requirements specific to foot and ankle surgeries, ensuring attendees are equipped with the knowledge and tools needed to navigate this specialized area of coding with confidence.

Webinar Objectives

• Coding Complexity: Foot and ankle procedures encompass a wide range of surgeries and treatments, each with its own set of coding challenges. Healthcare professionals often struggle with accurately assigning codes due to the complexity of these procedures, leading to coding errors and potential revenue loss.
• Documentation Deficiencies: Inadequate documentation of foot and ankle procedures can result in coding inaccuracies and claim denials. Healthcare providers may fail to capture essential details, such as procedure specifics, surgical techniques, and post-operative care, hindering accurate code assignment and reimbursement.
• Clarification of Coding Guidelines: This session will provide clarity on the coding guidelines and updates specific to foot and ankle procedures, including new codes introduced in 2024. Attendees will gain a comprehensive understanding of coding rules, modifiers, and documentation requirements to ensure accurate code assignment.
• Documentation Improvement Strategies: Practical strategies for enhancing documentation accuracy and completeness will be shared, enabling healthcare providers to capture the essential elements of foot and ankle procedures effectively. Tips for documenting surgical techniques, post-operative care, and patient outcomes will be discussed to support accurate coding and billing.

Webinar Agenda

Overview of the importance of accurate medical coding in foot and ankle procedures. Explanation of the session objectives and agenda.

Understanding Coding Complexity:

• Overview of the coding challenges specific to foot and ankle procedures, including surgical techniques, anatomical variations, and procedure-specific codes.
• Identification of pain areas related to coding accuracy, including common errors and misconceptions.
• Discussion of coding guidelines, modifiers, and documentation requirements to address coding complexity.

Documentation Essentials

• Explanation of the essential elements of documentation required to support foot and ankle procedures.
• Identification of pain areas in documentation, such as incomplete or insufficient information, lack of specificity, and failure to capture post-operative care.
• Practical tips and examples for improving documentation accuracy and completeness to support accurate coding and billing.

Compliance Considerations

• Overview of regulatory requirements and compliance risks associated with foot and ankle coding.
• Discussion of audit triggers, common compliance pitfalls, and consequences of non-compliance.
• Implementation of risk mitigation strategies to ensure compliance with coding and documentation standards, including proactive measures for addressing compliance pain areas.

Updates for 2024

• Review of the latest CPT updates related to foot and ankle procedures introduced in 2024.
• Explanation of new codes, revisions, and deletions impacting coding practices.
• Discussion of coding implications and documentation requirements for newly introduced codes to address coding pain areas effectively.

Q&A Session and Closing Remarks

Webinar Highlights

• Latest CPT Updates: Attendees will learn about the new Current Procedural Terminology (CPT) codes introduced in 2024 related to foot and ankle procedures, including revisions and deletions, and understand how these updates impact coding practices.
• Coding Challenges: Discussion on common coding challenges specific to foot and ankle procedures, such as distinguishing between similar procedures, selecting the appropriate modifiers, and coding for complications or revisions.
• Documentation Requirements: Attendees will learn about the essential elements of documentation necessary to support accurate coding for foot and ankle procedures, including pre-operative evaluation, intra-operative details, and post-operative care documentation.
• Modifier Usage: Guidance on the correct usage of modifiers, such as modifiers -59, -LT, and -RT, in foot and ankle coding to indicate distinct procedural services, bilateral procedures, or anatomical site specificity.
• Documentation Improvement: Practical tips and strategies for improving documentation accuracy and completeness to support appropriate coding and billing for foot and ankle procedures, including templates, checklists, and physician education initiatives.
• Compliance Considerations: Understanding of regulatory requirements and compliance risks associated with foot and ankle coding, including documentation audits, payer scrutiny, and consequences of non-compliance with coding and documentation standards.

Session 6 - 2024 Coding & Billing Updates For Pain Management

Pain management coding is being scrutinized more than ever and denial rates continue to rise in 2024. What is your practice doing to protect yourself?

Our speaker brings years of experience with Pain Management hand on experience working all across the country, with government and commercial payers and has seen it all. This session will be sure to bring knowledge and guidance unlike any other offered to date.

From new and upcoming changes, funny business from payers to internal processes Stephanie will cover several areas to help you and your billing staff create a space of compliance, understanding, and best of all increased revenue.

Join us for this 60 minute webinar, which will include a Q&A session that you can bring your hard case questions, and “Ask the Expert”, the more detail and difficult the better. This will prove to be the most valuable information, because as we know if one of us is seeing a problem, a lot of us probably are too!

Webinar Objectives

• Pain Management new changes for 2024-ICD10 and ICD
• Common denials and areas of concern-solutions given
• Pre-authorization pitfalls-5 TOP Tips for SUCCESS
• Accounts Receivable-it works if you work it
• Teamwork makes the dreamwork
• Q&A session

Webinar Agenda

• New updates for 2024-Pain Management specific
• Real world examples of denials and common areas of concern in pain practices
• Pre-authorization covered-changes for 2024
• Accounts receivable tips for working effectively and efficiently
• Teamwork-Tips for effective teamwork and reports to run to track
• Q&A-Bring your tough questions and cases

Webinar Highlights

• Changes for CPT and ICD 10 for 2024
• Pain management Preauthorization changes 2024
• Common denials 2024 Pain Management
• A/R tips for decreasing over 90 days and increasing revenue
• Internal processes for success
• Q&A session

Session 7 - Podiatry and DME Updates for 2024

This webinar will allow review the major changes made to CPT® in Podiatry for 2024.  We will look at the current Medicare guidelines for Podiatry, so attendees will receive information relevant to their daily code assignment.  We will also discuss the rationale of the new codes from the AMA’s perspective, so that attendees will understand how to use the codes and be compliant.  The session will also give attendees the latest information on the Medicare policies related to foot care. 

Medicare and other insurance carriers have specific guidelines for documenting, dispensing, and billing for Durable Medical Equipment.  Many offices struggle with profit losses because they do not have a good process for DME.  There are new guidelines for documentation needed for DME as well as other Local Coverage Determinations for governmental payors including Medicare that explain the medical necessity requirement for these items to be reimbursed.  Once the required elements are known, and an office process is created, office can see a profit in dispensing DME.

Webinar Objectives

Medicare as well as other insurance carriers have specific policies related to nail debridement, treatment of corns and calluses, flat foot, and bunions, just to name a few conditions.  The webinar will offer CPT and ICD-10 codes to know when the patient will be responsible for services or what the medical necessity and Documentation requirements are in order to effectively pass an audit by CMS or a commercial carrier.  If the patient does not meet the medical necessity requirements, working with the patient on payment of these services can be an important part of having a successful profitable practice.  These requirements can change at any time so knowing the current requirements is critical.

So many offices are not aware of all of the rules and guidelines that must be followed for therapy and to  dispense DME to patients.  This session will take attendees on the step-by-step process of enrolling in the Medicare program for DME, assigning codes to the items for billing purposes as well as what should be charged. We will also review the documentation requirements and ideas for keeping inventory.

Webinar Agenda

• No understanding of the rationale behind the CPT® code changes for 2024
• Claim denial for using codes that have been deleted and replaced with new codes
• Using revised codes that now have a different description due to changes
• Medicare guidelines that affect the Podiatry Practice
• Know what is needed to meet the Medicare Standard Documentation guidelines that recently changed
• Understand how to assign the appropriate codes for billing purposed
• Gain knowledge in the medical necessity requirements for DME
• Apply the Reasonable Useful Life of DME
• Use PDAC for items dispensed to Medicare patients

Webinar Highlights

• Revisions to the bunion code description for clarification.
• When do the Q modifiers need to be added to procedures related to foot care.
• Obtaining the appropriate treating physician information and reporting it on Podiatry claims.
• Looking at the payable diagnosis(es) codes for podiatry services.
• Review of the 2021/2023 E/M Guidelines as well as 2024 revisions
• Know what is needed to meet the Medicare Standard Documentation guidelines that recently changed
• Understand how to assign the appropriate codes for billing purposed
• Gain knowledge in the medical necessity requirements for DME
• Apply the Reasonable Useful Life of DME
• Use PDAC for items dispensed to Medicare patients

Session 8 - 2024 Medicare Updates

The Final Rule for the Medicare Physician Fee Schedule for 2024 has been released giving us information needed for the upcoming year for services.  This final rule details what Medicare/CMS will be making in the way of changes to any HCPCS (and CPT) codes for the upcoming year.  This includes both policies and procedures as well as codes.  Understanding which are the appropriate codes for 2024 is an important piece of an office’s preparation for the new year.  Not only can new codes be added to the PFS, but code descriptors can change along with the policies and procedures CMS/Medicare defines for us to use.   For example, that are continuing Public Health (PHE) flexibilities under the Medicare Diabetes Prevention Program (MDPP) Expanded Model.  This means that although the PHE ended earlier in 2023, there will be “exceptions” or “allowances” to the MDPP program in 2024 that CMS/Medicare is defining. 

Also, this webinar will give tips on how to search and access information in the final rule document, which is over 2,000 pages.  Our expert speaker will also offer her personal comments on finding hidden gems of information within the rule. 

Webinar Objectives

The Physician Fee Schedule (PFS) final rule is a powerful document that is often overlooked in an office educating itself for the upcoming year.  Medicare has its own policies and procedures that may be defined or updated within this final rule.  If an office does not identify what changes, specific to their Medicare patients are happening, problems such as improper billing and coding of services, missing modifiers and ultimate lost revenue can occur.  Looking at the highlights below, one will see what will be covered in offering solutions to problems that may occur in 2024 with Medicare patients.  One of the most significant of which is use of the Visit Complexity Add on code.  This is not a code for all physicians to use.  In fact, CMS/Medicare is very specific in instructing who should use this code and how often.  A very important discussion to hear.

Webinar Highlights

The Physician Fee Schedule (PFS) Final Rule Highlights include the topics of

• Adoption of the Office and other Evaluation & Management Visit Complexity add on code
• Behavioral Health Services updates
• Updates to codes and policies for Telehealth Service
• New allowances and codes for Caregiver Training Services
• Social Determinants of Health (SDOH) Risk Assessment
• Community Health Integration (CHI) and Principal Illness Navigation (PIN) services
• Continuing Public Health (PHE) flexibilities under the Medicare Diabetes Prevention Program (MDPP) Expanded Model

Session 9 - 2024 Medicare Care Management Updates

Care Management services allow healthcare providers to monitor and manage their patients in real-time leveraging technology and communication tools at a distance.  The CMS (Center for Medicare & Medicaid Services) continues to invest and promote care management programs in healthcare.  The underlying objective for care management services is to improve quality of care, increase positive outcomes, and reduce hospital readmission rates.  The overall goal for these services is to improve quality of care, increase positive outcomes, reduce hospitalization and readmission rates.  Reimbursement and reporting rules for these services are enormously complex including significant updates in 2024.  Since many of the care coordination and care management services are time based, tracking service time is critical for compliant revenue cycle operations. 

This webinar will drill down into the 2024 Medicare Updates for care management services extensively, highlight the key differences between the various care coordination services available to providers, and provide you with tangible information that can be put into action immediately.

Webinar Objectives

Care Management billing and coding rules and clinical documentation requirements are complex and require ongoing education, monitoring, and oversight.  Robust clinical documentation and a solid operational infrastructure are paramount to the vitality of care management programs in healthcare organizations.

Webinar Agenda

• Recall the relevant Medicare Chronic Care Management (CCM) coding updates in 2024
• Understand the relevant Medicare Principal Care Management (PCM) coding updates in 2024
• Recall the relevant Medicare Remote Patient Monitoring (RPM) coding updates in 2024
• Understand the relevant Medicare Remote Therapeutic Monitoring (RTM) coding updates in 2024
• Recognize the clinical documentation requirements for care management services in 2024
• Know the pertinent billing modifiers for care management services in 2024

Webinar Highlights

• Review the 2024 Medicare Chronic Care Management (CCM) coding updates
• Discuss CCM clinical documentation service requirements
• Review the 2024 Medicare Principal Care Management (PCM) coding updates
• Discuss PCM clinical documentation service requirements
• Outline the key differences between CCM and PCM services
• Review the 2024 Medicare Remote Patient Monitoring (RPM) coding updates
• Discuss RPM clinical documentation service requirements
• Review the 2024 Medicare Remote Therapeutic Monitoring (RTM) coding updates
• Discuss RTM clinical documentation service requirements
• Outline the key differences between RPM and RTM services for 2024
• Discuss pertinent care management service modifiers for 2024

Session 10 - 2024 Coding & Billing Updates For Orthopedic

2024 brings some updates to the specialty of Orthopedics for coding and some new approved procedures for ASC (Ambulatory Surgery Centers). The AMA also further expands on the new guidelines for Evaluation and Management guidelines and updates the descriptions for these codes again for 2024. It’s important for providers and their staff to stay up to date with the changes and updates as they come so your documentation is accurate, and coding is on point.

Our speaker will bring you all the pertinent information of the changes and updates for 2024 for CPT and ICD10 as well as important information coming from specific payers on Orthopedic topics. This will prove to be one of the most informative webinars of the year, don’t miss it!

Webinar Objectives

• New and updates CPT codes for 2024-learn what changes have occurred and what new information you need to be successful
• ICD 10 updates-make sure your diagnosis codes are accurate
• Payer updates for Orthopedics-Policies and denial topics covered
• Evaluation and Management tips for Orthopedics-new updates and documentation tips galore
• Tips for self auditing
• Q&A session-bring your hard questions

Webinar Agenda

• CPT and ICD10 coding updates
• Payer updates
• Denial trends and tips for success
• E&M for Orthopedics
• Auditing
• Q&A-Bring your tough questions

Webinar Highlights

• Updates for 2024
• Denial trends for Orthopedics, how to avoid and handle
• Payer updates
• Auditing
• Q&A session-sure to bring a lot of great information

Who Should Attend

Coders, billers, office managers, office administrators, Nurse Practitioners, Physician Assistants, Providers, medical staff including but not limited to: front desk, scheduling, pre authorization, billers, Management, Administrators, third party billing company staff, medical assistants, Medical Coding Specialists, Podiatrists, Orthopedic Surgeons, medical coders and billers, orthopedic nurses and assistants, HIM professionals, administrators, managers, claims adjudicators, utilization review specialists, medical policy analysts, fraud and abuse investigators, provider relations representatives, Billers, coders, physicians, podiatrist, nurses, nurse practitioners, surgery schedulers, collectors, insurance claims representatives, insurance claims processors, medical assistants, prior authorization specialists