CODING ACADEMY
Interventional Radiology Coding Course

Join RBMA this fall in Washington, DC, at the Interventional Radiology Coding Course. 

Reporting charges for interventional radiology cases is a daunting task. The annual changes to the guidelines and the code sets appear to increase while the availability of skilled coders decreases. This one-day training session is dedicated to helping the attendees bridge that gap. Each session will provide a solid foundation of the documentation requirements and coding guidelines for the most common procedures. The content will be presented using real-life examples and participants will be encouraged to ask questions throughout.

At the conclusion of the course, participants will have sharpened their skills to perform their jobs more efficiently with knowledge of the key resources for reporting IR procedures, while also improving their odds of success when obtaining specialty coding certifications.



The Wink Hotel
1143 New Hampshire Avenue NW
Washington, D.C. 20037

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Schedule and Session Overview

7:30 a.m.-5 p.m.
Registration Open

7:30-8 a.m.
Break

8-8:30 a.m.
Intro to Interventional Radiology

Karna W. Morrow, CPC, RCC, CCS-P

The day will start with an overview of the specialty and highlight the skills and 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.

At the conclusion of this session, attendees will be able to:

  • Cite the resources available to coders outside of the CPT manual for success in IR coding.
  • Discuss the value in a reconciliation between the facility and professional coding processes to reduce audit risk.
  • Assess the impact of changes in service lines (e.g.,, E&M) on the knowledge needed by IR coders.

8:30-9:30 a.m.
Vascular Access

Karna W. Morrow, CPC, RCC, CCS-P

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-selective or tunneled and non-tunneled procedures will be explained as codes for central venous access procedures are reviewed.

At the conclusion of this session, attendees will be able to:

  • Recognize key terms in vascular coding.
  • Apply key terms to common vascular procedures.
  • Recognize potential pitfalls within the physicians dictation and how to work with the providers for documentation improvement.

9:30-9:45 a.m
Break

9:45 a.m.-Noon
Interventions (Therapeutic)

Lori Shore, CPC, RCC

It is not uncommon for the new procedure code set to increasingly bundle more components of interventional therapy procedures into a single reimbursement. This makes it critical that coders understand what can and cannot be reported separately. The documentation needed to support bypassing CCI edits will be reviewed as common cases (e.g., stents, angioplasties, infusion therapy, sclerotherapy) and procedures on the rise (Y90, chemoembolization) with real life examples. The course will highlight these interventions: angioplasty, stents, mechanical thrombectomy, thrombolytic infusion therapy, lower extremity revascularizations, Y-90 chemoembolizations, and sclerotherapy.

At the conclusion of this session, attendees will be able to:

  • Recognize and properly code commonly reported interventions done by interventional radiologists.

Noon-1 p.m.
Lunch

1-1:30 p.m.
Biopsies / Drainages / Aspirations

Bethany Geiger, MBA

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.

At the conclusion of this session, attendees will be able to:

  • Determine the best use for general codes such as 10140 and more site-specific codes such as 19000.
  • Apply NCCI edits to the guidance codes.
  • Identify potential problems within the physicians’ dictation and work with the providers for documentation improvement.

1:30-2 p.m.
GI/GU

Walt Blackham, RCC

Placements, revisions, exchanges, internal/external drainages, and stents – each procedure comes with guidelines that require 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.

At the conclusion of this session, attendees will be able to:

  • Apply current coding conventions to common GI/GU procedures.
  • Determine the appropriate use of modifiers for services performed wtihin the global period.
  • Identify potential problems within the physicians’ dictation and work with the providers for documentation improvement.

2-2:15 p.m.
Break

2:15-3:30 p.m.
Dialysis Circuits

Walt Blackham, RCC

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 and outs of the central vs. peripheral segments.

At the conclusion of this session, attendees will be able to:

  • Choose the appropriate codes based on the anatomical location of services as documented.
  • Identify potential problems within the physicians’ dictation and work with the providers for documentation improvement.

3:30-4:30 p.m.
Compliance and IR

Joette Derricks, MPA, FACMPE, CHC, CPC, CLSSGB

A coding training session would not be complete without a review of 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.

At the conclusion of this session, attendees will be able to:

  • State what changed in the DOJ guidelines and why individuals are more at risk.
  • Cite recent cases involving administrators, billers, and coders from the new DOJ guidelines.
  • Apply methods to protect themselves by implementing an effective compliance program.

4:30-5 p.m.
ICD-10-CM 2019 Preview

Karna W. Morrow, CPC, RCC, CCS-P

As attendees wrap up their notes, the session will share the most recent updates to the ICD-10-CM codes for FY 2019, to ensure all are ready for the Oct. 1 ”go-live.”

At the conclusion of this session, attendees will be able to:

  • Identify the key changes to the 2019 ICD-10-CM updates.
  • Recognize ways in which this information may be needed beyond the coding department (e.g., referring practices).
  • Determine areas requiring closer scrutiny of LCDs to reduce potential denials.

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