Schedule and Session Overview
Note: Faculty details will be posted soon.
7:30 a.m.-5 p.m.
Intro to Interventional Radiology
The day will start with an overview of the specialty and highlight the skills/knowledge that will be necessary for success. Attendees will receive a user friendly list of resources to include in their ‘office library’ for ongoing support and information. Interventional cases require a reconciliation between the facility and the professional charges to reduce compliance risk. Ways to complete this key task will be reviewed as well as ways in which the skills of IR coders can be developed within a practice. Evaluation and Management services are a growing component of an IR practice, and those guidelines will be highlighted in this session.
Interventional radiology, sometimes known as vascular and interventional radiology, provides minimally invasive image-guided diagnosis and treatment of disease. It is important for coders to understand the terminology used within the report and the coding guidelines to ensure accurate reporting. The differences between selective and non -elective or tunneled and non-tunneled procedures will be explained as codes for central venous access procedures are reviewed.
It is not uncommon for the new procedure code set to bundle more/more components of interventional therapy procedures into a single reimbursement. This makes it critical that the coders understand what can and what cannot be reported separately. The documentation needs to support bypassing CCI edits will be reviewed as common cases (i.e., stents, angioplasties, infusion therapy, sclerotherapy) and growing procedures (Y90, chemoembolization) are reviewed with real life examples.
Biopsies / Drainages / Aspirations
It is not uncommon for a provider to describe a procedure as both an aspiration and a drainage in the same paragraph. It is important for coders to both understand the guidelines and know how to help physicians efficiently dictate what was done without that efficiency morphing into a cloned report. Biopsies are one way to explore NCCI edits and recognize the difference in coding guidelines by payor.
Placements, revisions, exchanges, internal/external drainages, and stents – each procedure comes with guidelines that require an applying current guidelines to the final report. This is one service line that also requires knowledge of the global surgical package and how it may require the use of modifiers to avoid denials and rework.
One of the more recently revised sections of the codes, dialysis access and imaging with the subsequent interventions is a growing service line for many departments. This session will be the perfect time to raise the questions and walk through sample reports to learn the ins/outs of the central vs. peripheral segments.
Compliance and IR
A coding training session would not be complete with a review of the relevant compliance considerations. Supervision, specific requirements for sites with residents or non-physician practitioners, 60 day repayment requirements and other hot topics will wrap up the key portions of this full day of interventional radiology coding.
ICD-10-CM 2019 Preview
As the attendees wrap up their notes, the session will share the most recent updates to the ICD10-CM code set to ensure all are ready for the Oct. 1 ‘go-live.’