Facet Joint Interventions: Prepare for Prior Authorizations and More Medicare Audits
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Presented on: Tuesday, June 6, 2023 | 1:00–2:00 p.m. Eastern
Presented by: Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP, Director, advisory solutions Ventra Health
Effective July 1, 2023, you’ll need a prior authorization for facet joint interventions (64490–64495 and 64633–64636) performed in the outpatient setting.
And that’s not the only risk to your facet claims. The HHS Office of Inspector General (OIG) checked on compliance with the new uniform local coverage determination (LCD) and found significant problems. In March the OIG estimated that physicians had received $30 million in overpayments in a three-month period and instructed Medicare to beef up its safeguards against improper payments.
Pain management practices also need to prepare for more uniform LCDs. At least four MACs have proposed a uniform urine drug testing LCD (80305–80307, G0659, and G0480–G0483), and five MACs issued a new uniform LCD for sacroiliac (SI) joint procedures (20796, 64451, and 64625) on March 18.
Don’t get caught off guard. This webinar will prepare your practice for Medicare’s next round of high-impact changes in less than an hour.
At the conclusion of this program, participants will be able to:
- Follow Medicare’s rules for prior authorization of facet joint interventions
- Train staff to avoid the top documentation and coding errors that will put their practice’s facet joint intervention claims at risk
- Determine whether their practice must follow the uniform LCDs for urine drug testing, SI joint injections, and procedures
Agenda
- Prior authorizations for facet joint interventions: Prepare for Medicare’s new requirement
- Facet flashpoints: Avoid the documentation flaws the OIG found in its latest audit
- Bonus: Review the uniform LCDs for urine drug screens and SI joint injections and procedures
- Live Q&A: Get additional clarity on the topics covered during the presentation
Who Should Listen?
- Coders
- Billers
- Compliance staff
- Consultants
Meet the Speaker
Amy Turner, RN, BSN, MMHC, CPC, CHC, CHIAP, is the director of advisory solutions for Ventra Health. She is responsible for proposing, budgeting, staffing, leading, and conducting various consulting engagements covering a wide spectrum of healthcare-related needs. Turner has a widespread background in clinical operations, revenue cycle, internal audits, risk management, and healthcare administration. She has more than 20 years of pain management experience and uses her unique blend of clinical training, coding education, and revenue cycle knowledge with an overlay of regulatory compliance expertise to offer insights that speak to both clinicians and executives. Turner’s experience includes working in large and small private practices, at academic facilities, and with hospital-based physicians.
Continuing Education
AAPC
This program has the prior approval of AAPC for 1 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
Ability to claim credits for this webinar expires on: 6/30/2024
BMSC
This program is approved by the Board of Medical Specialty Coding & Compliance (BMSC) for 1 CEU(s).
Ability to claim credits for this webinar expires on: 6/5/2024
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 or Edge, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: Internet connection (high-speed connection recommended)
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device
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 is also 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 $199 value!
PLEASE NOTE
Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet.
Call your customer service representative toll-free 855-225-5341 or email customer@decisionhealth.com if you have questions.
