The American Academy of Professional Coders

Session : AAPC1004
Conference Welcome - STATE OF THE AAPC & Keynote Presentation - Farris Jordon, PhD
Conference : 2010 National Conference
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Reed Pew, President and CEO, American Academy of Professional Coders; Farris Jordon, PhD

Reed Pew, President and CEO of AAPC, will present his annual 'State of the AAPC' address at our opening general session. Come find out what's working, what's being worked on, and what the future holds for AAPC members.

Dr. Jordan is a licensed psychologist, and an expert at dealing with stress. He has authored four books and numerous articles on the prevention of mental and physical illness. He has received national recognition for his research on the effects of stress by personally participating in highly stressful events such as Brahma Bull riding, NASCAR race driving, sky diving, alligator wrestling, and more. He has given over 2,000 keynote presentations to clients such as WalMart, Bristol-Myers, HGTV, Fox News, and other corporations and U.S. governmental agencies. Come prepared to laugh and to learn how to control your own stress levels!

Session : AAPC1005
1A - Urodynamics Primer: Indications, Procedure And Coding
Conference : 2010 National Conference
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Cynthia A Trapp, CPC, CPC-I; Abraham Morse, MD

In this session, we will review the clinical situations in which urodynamic evaluations are typically used. Dr. Morse will provide cases and descriptions/illustrations of the various parts of the procedure. We will review the basic structure and application of urodynamics codes. There will be plenty of time for questions.

Course Objectives Examine the need and techniques for urodynamics testing Review what makes up these tests to assure proper understanding Identify correct coding depending on each situation

Session : AAPC1006
1B - Coding For Hand Procedures
Conference : 2010 National Conference
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Cynthia A Everlith, CPC

This course will focus on trauma injuries to the hand. We will present a 180-degree picture using actual case studies from injury to repair, to coding the case. You will all be hand coding experts by the time we are done.

Course Objectives Identify codes normally reported for serious hand injuries Understand the evaluation, treatment, and documentation of complex hand wounds Review case presentations to identify the most accurate and compliant coding

Session : AAPC1007
1C - Neurovascular/Interventional Coding
Conference : 2010 National Conference
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David Zielske, MD, CPC-H, CIRCC, CCC

This advanced session will review CPT coding as it pertains to neurovascular interventional procedures. A basic review of catheter placement guidelines, imaging documentation, and bundling issues with some interventions will be discussed, along with the many of catheter-based neurointerventional procedures performed in labs around the country. We will include numerous anatomical discussions, review angiographic images, and practice coding several complex neurointerventional cases. The session will invite questions throughout these reviews. Audience participation is encouraged.

Course Objectives Understand catheter placement and diagnostic imaging codes pertaining to the neurovascular system Review the myriad complex interventional procedures performed in the CNS vascular system and their correct coding Understand bundling issues faced when coding complex neurointerventions Review the documentation necessary for accurate coding for neurointerventional procedures

Session : AAPC1008
1D - Red Flag Rules
Conference : 2010 National Conference
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Rose Moore, CPC, CPMA, CPC-I, CEMC

As part of the Fair Credit Reporting Act of 2003, the Federal Trade Commission (FTC) and other regulatory agencies have issued joint regulations - commonly referred to as the Red Flag Rules - regarding the detection, prevention, and mitigation of identity theft, which went into effect November 1, 2009. Although banks, financial institutions and debit/credit card companies are most affected by the Red Flag Rules, some of the obligations apply to other entities considered creditors, including health care providers. By establishing an account that permits a patient to make multiple payments, a health care provider is considered a creditor maintaining covered accounts, and is subject to certain provisions of the Red Flag Rules. Such health care providers are required to implement a written medical identity theft program.

Course Objectives Learn to identify a Red Flag Learn how the Red Flag Rules affect your practice Learn the difference between HIPAA and Red Flag security rules Adopt practical tools such as action plans, policies, and procedures Learn implementation techniques to assist your office Assure compliance with these new federal regulations

Session : AAPC1009
1E - RAC
Conference : 2010 National Conference
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Anna M. Grizzle, Esq.; Lynn Keaton-Cockrell, CPC, CPC-H, CPC-I, CEMC

Health care providers face unprecedented regulatory and enforcement challenges today. These challenges are never more apparent than when considering several recent enforcement initiatives. With the high stakes associated with medical claims and contract audits, which recent enforcement initiatives should keep you up at night? This session will focus on approaches and options for health care providers seeking to address Zone Program Integrity Contractor (ZPIC), formerly known as Program Safeguard Contractor (PSC), Recovery Audit Contractor (RAC), and Medicaid Integrity Contractor (MIC). Learn about objectives and differences of these audit initiatives; key target areas; examples of common mistakes that trigger these audits; how to avoid common mistakes; use of NCDs and LCDs to ensure appropriate documentation; and managing the appeals process to minimize financial risks.

Course Objectives Examine and overview, seeing objectives and differences of these audit initiatives Identify key target areas for each initiative See examples of common mistakes that trigger these audits Learn recommendations on avoiding the common mistakes Practice the use of NCDs and LCDs to ensure appropriate documentation Manage the appeals process to minimize financial risks

Session : AAPC1010
1F - Care For The Patient With A Chronic Condition
Conference : 2010 National Conference
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Shelton Hager, MD, CPC, CPMA

This session will show you how to document, or help your physicians document, the clinical information they manage in a chronic visit. When a physician examines a patient with a chronic condition, he/she may not document all the medical decision components. Dr. Hager will demonstrate what happens in the exam room, and through this session, help attendees learn what often has not been documented.

Session : AAPC1011
1G - Teaching Physician Guidelines
Conference : 2010 National Conference
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Barbara A Love, CPC, CPC-H

This presentation will review the Teaching Physician Guidelines for evaluation and management services, primary care exception areas, and surgery. We will also give the background of the guidelines.

Course Objectives Review the guidelines to guarantee understanding Discuss appropriate attestations when working with residents/fellows in providing E/M service, in primary care exception sites and when performing surgery Review endoscopy procedures; minor, high risk and complex procedure requirements for single surgeries; and two overlapping surgeries

Session : AAPC1012
2A - Challenges In Reimbursement For Spinal Coding
Conference : 2010 National Conference
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Kimberley Jean Pollock, CPC

Are you breaking your back trying to understand laminectomy and fusion codes like these? 1) 22851 vs 20931 The doctor dictated placement of a device but does the device really constitute use of 22851 or is the correct code 20931? CMS has identified 22851 as a high volume/fast rising utilized code. Explore the controversies, understand the products, and learn the correct coding. 2) Interspace vs. Segment confused about whether to bill the procedure using the number of interspaces or vertebral segments? Well, you arent alone.

Course Objectives Describe the difference between CPT 22851 and 20931 Identify at least two vendor products for 22851 and 20931 Apply correct coding principles to laminectomy and fusion codes Discuss the coding dilemmas surrounding the posterior lumbar interbody fusion code (22630)

Session : AAPC1013
2B - Minimally Invasive Office Procedures
Conference : 2010 National Conference
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Brian Dobbins, MD; Kerin Draak, CPC, CEMC, COBGC

Female patients increasingly are seeking out less invasive methods of treating gynecologic issues. Combined with technological advances, a rapid adoption of minimally invasive procedures is occurring. This allows physicians to treat more women in an office or outpatient setting that in the past would have required more extensive use of the operating suite. This lecture will review these procedures, their indications, and the coding implications.

Course Objectives Review new trends in office and outpatient gynecology Review procedures expanding minimally invasive treatment options for women Discuss the coding and billing challenges minimally invasive procedures present