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" The Voice Of Interventional Pain Management "

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Upcoming Webinars
Collapse PQRS Overview

2016 Medicare Acronyms to Decipher: PQRS, VBPM and QRUR 


CMS issued the 2016 Physician Fee Schedule Final Rule on October 30, 2015. The rule changes several of the quality reporting initiatives associated with PFS payments, including the Physician Quality Reporting System (PQRS).


Important 2016 PQRS Highlights:

  • The 2018 payment adjustment penalty for not successfully reporting 2016 PQRS is 
  • 4% for solo providers and groups with 2-9 providers: 2% value modifier penalty + 2% PQRS penalty 
  • 6% for groups with ten or more providers: 4% value modifier penalty + 2% PQRS penalty.
  • There is no incentive payment for 2016 PQRS reporting.
  • New cross-cutting measures: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling; Falls: Risk Assessment and Falls: Plan of Care.
  • New 2016 Individual Quality Measures applicable to interventional pain management providers
  • Potential Interventional Pain Management PQRS measures groups new for 2016: Multiple Chronic Conditions
  • Group practices have until June 30, 2016 to notify CMS of their intent to report PQRS as a group practice rather than individual providers in 2016

In addition, learn the answers to these PQRS FAQ's:
  • Do I have to participate in PQRS? What makes me an eligible provider? 
  • How should I report PQRS to Medicare in 2016?  I reported by claims last year but am I required to stay with that method?
  • Where can I go to check my reporting progress?
  • How does ICD-10 affect PQRS?
  • What if I don't find 9 individual measures to report via claims?  Will I have the 2018 penalty applied?
  • What does performance rate mean? And how does CMS calculate it?
  • Do I have to re-enroll in GPRO every year through CMS?
  • What is the QRUR report?  Where do I find mine?  What does it mean?

*This program has the approval of the American Academy of Professional Coders (AAPC) for 1.5 continuing education hours.Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor.
Formats Available: Webinar
Original Webinar Date: February 16, 2016
On-Demand Release Date: Available Now
MORE INFOMORE INFO PQRS Overview
Select a category to see the available seminars
Collapse 2016 Coding & Billing Updates for Pain Management
View this live webinar ‘2016 Coding & Billing Updates for Pain Management’. Get up to speed with the coding changes that are coming in 2016 for Interventional Pain Management practices. You are responsible for reporting the services correctly so you don't risk delays, denials, or incorrect payments. Use this guide for coding, billing, and compliance changes in 2016 in this 90-minute webinar with coding expert Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO.
 
Topics will include:
 
CPT coding changes for 2016:
  • 64461-64463: When is a paravertebral injection not coded as a paravertebral facet joint injection?
  • How will providers report spinal accessory nerve injections in 2016?
  • What NEW 2016 CPT Section Guidelines will effect facet joint nerve radio frequency ablation coding?
  • Get the published clarification, once and for all, on compliant CPT coding for neurolytic destruction of paravertebral facet joint nerves
  • What is the status of reporting fluoroscopy used with the 62310-62319 code set for 2016?  Were there changes in CPT?
  • In 2016, what changes in spinal cord neurostimulator programming requirements?
  • What are the CPT changes for Prolonged E/M services in 2016?  What is CPT's definition of qualified health care professional versus clinical staff?
  • Find out if there are any changes in 2016 for reporting presumptive or definitive drug testing
ICD-10:
  • Where are we at in terms of surviving the Oct 1st implementation?
  • HCPCS code changes for 2016:
  • What is CMS proposing for coding changes for 2016 for presumptive and definitive drug testing?
  • Review 2015 mid-year and 2016 HCPCS drug code changes
Other topics:
  • Find out pain management coding questions that has been addressed in the past year by CPT Assistant
  • What will be the "hot topics" on the OIG Work Plan for 2016?
Formats Available: Streaming
Original Webinar Date: December 10, 2015
On-Demand Release Date: Available Now
MORE INFOMORE INFO 2016 Coding & Billing Updates for Pain Management
Collapse <font color="red"><b>ICD-10-CM Comprehensive 2 Part Series</font></b>

Focus of this two-part webinar
will be on ICD-9 to ICD-10 coding crosswalks and necessary documentation! 


The webinar will be in two parts: Part 1 will cover chapters 1-10 and Part 2 will cover chapters 11-21.

Part 1: Thursday, September 3 at 11am CDT - 12:30pm CDT 

Part 2: Thursday, September 10 at 11am CDT - 12:30pm CDT

 

There will be time for Q&A with the presenter.    

 

The webinar will cover:  

  • The differences and similarities between ICD-9 and ICD-10
  • Learn how to translate ICD-9-CM codes into ICD-10-CM codes
  • Common pain management clinical conditions will be addressed with specific emphasis on their associated documentation and coding requirements
  • When should Interventional Pain Management providers report the Acute or Chronic Pain ICD-10 codes (G89.-) as the primary diagnosis code
  • How to locate the "gaps" in your Interventional Pain Management documentation - Clinical documentation improvement helps prevent high ICD-10 related denial rates and supports improved compliance with new requirements.
  • Is Your Documentation Up to Snuff?  Find Out What Needs to Change In Your Pain Management Notes to Continue Correct Coding in ICD-10
  • When pain management providers should report an acute or chronic pain ICD-10 code as the primary diagnosis
  • How to report bilateral conditions when ICD-10 only include specific unilateral codes
  • The importance of including "cause and effect" etiology in their notes by using  words such as "due to," "secondary to," "caused by," or "resulting from" to connect conditions to their underlying cause
  • What is the difference in reporting initial versus subsequent encounters in ICD-10...Hint: It doesn't necessarily match new patient versus established patient in CPT!
  • When a cervical spinal condition should be reported as "high cervical" versus "mid-cervical" versus "cervicothoracic"?
Formats Available: Streaming
Original Webinar Date: September 03, 2015
On-Demand Release Date: Available Now

Approved Credit:
  • ASIPP: 1.50 hours AAPC Continuing Education

  • MORE INFOMORE INFO <font color="red"><b>ICD-10-CM Comprehensive 2 Part Series</font></b>
    Collapse 2015 Rules for PQRS
     
     
     
     
    Think EHR Meaningful Use Will Prevent the PQRS 2017 Penalty? Think Again!
     
     
     
    CMS issued the 2015 Physician Fee Schedule Final Rule on October 31, 2014. The rule changes several of the quality reporting initiatives associated with PFS payments, including the Physician Quality Reporting System (PQRS).
     
       
    Important 2015 PQRS Changes:
     
     
    • The penalty for not reporting 2015 PQRS is 4% for solo providers and groups with 2-9 providers(2% value modifier penalty + 2% PQRS penalty).
    • The penalty for not reporting 2015 PQRS is 6% for groups with ten or more providers(4% value modifier penalty + 2% PQRS penalty).
    • There is no incentive payment for 2015 PQRS reporting.
    • A total of 255 PQRS measures are available in 2015, including:
    • 63 outcome-based measures
    • Removal of 4 measures groups, including the frequently reported Back Pain Measures Group
    • Avoiding penalties – Significant increases to reporting requirements: Report at least 9 measures, covering at least 3 of the National Quality Strategy (NQS) domains and report each measure for at least 50 percent of the EP’s Medicare Part B FFS patients seen during the reporting period to which the measure applies.
    • Of the 9 measures reported, if the EP sees at least 1 Medicare patient in a face-to-face encounter, the EP must report on at least 1 measure contained in the cross-cutting measure set specified by CMS.
    • What is a “Cross-Cutting Measure Set”? 19 cross-cutting measures<http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2015_PQRS_CrosscuttingMeasures_12172014.pdf> - new reporting requirement for 2015;
    • CMS is requiring that eligible professionals who see at least one Medicare patient in a face-to-face encounter report measures from a newly proposed cross-cutting measures<http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2015_PQRS_CrosscuttingMeasures_12172014.pdf> set in addition to any other measures that the eligible professional is required to report. This includes general office visits, outpatient visits, and surgical procedure codes
    • GPRO election – the time frame just got shorter.
    • Medicare's shift from Volume to Value: The value-based payment modifier applies to all physicians. The value modifier uses PQRS quality data and Medicare cost data to determine a provider's overall value score. It rewards high-performing providers with increased payments and reduces payments to low-performing providers. This will affect approximately 900,000 physicians.
    • Quality-tiering is mandatory for all providers. However, solo providers and groups with 2-9 providers will receive only a bonus or no adjustment. Groups with 10 or more providers will receive a bonus, no adjustment or a penalty. Should physicians not satisfactorily participate in PQRS in 2015, they face an automatic penalty under the VBPM that is in addition to the penalty applied under PQRS.
    • Under the VBPM's mandatory quality tiering methodology, physicians may be subject to payment adjustments based on how their performance on quality and cost metrics compares to national averages.
    • What is a Quality and Resource Use Report (QRUR)?  How does it relate to the Value-Based Payment Modifier
     

     

    Formats Available: Streaming
    Original Webinar Date: March 10, 2015
    On-Demand Release Date: Available Now
    MORE INFOMORE INFO 2015 Rules for PQRS
    Collapse ASIPP’s Physician Quality Reporting System (PQRS) Webinar
    This webinar explains what PQRS is and why you should care?

    The Physician Quality Reporting System (PQRS) is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals. The program provides an incentive payment to practices with eligible professionals (identified on claims by their individual National Provider Identifier [NPI] and Tax Identification Number [TIN]) who satisfactorily report data on quality measures for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad Retirement Board and Medicare Secondary Payer). PQRS is mandated by federal legislation.

    2012 should be considered the practice year if you aren't already successfully reporting PQRS measures to Medicare.

    The CMS 2012 Medicare Physician Fee Schedule notes that 2015 program penalties will be based on 2013 performance. Consequently, those physicians who elect not to participate or are found unsuccessful during the 2013 program year, will receive a 1.5% payment penalty, and 2% thereafter.

    These PQRS penalties will be above and beyond the e-Rx penalties. Unlike e-Rx, currently there are no established hardship exemptions for PQRS. Unlike e-Rx, practices are still eligible for the 2012 PQRS Incentive if they are participating with the Medicare EMR Meaningful Use program.

    The webinar will cover:
    What Medicare changes have been enacted for 2012?
    What measures are available and best for my Interventional Pain Management practice?
    What are the 2012 options for reporting PQRS?
    Is it too late to start reporting PQRS for 2012?
    What is an outcome measurement tool?
    Know if you can earn Physician Quality Reporting incentive payments.
    Show you how to participate in the Physician Quality Reporting System

    Formats Available: CD-ROM (Win), Streaming
    Original Webinar Date: July 19, 2012
    On-Demand Release Date: Available Now
    MORE INFOMORE INFO ASIPP’s Physician Quality Reporting System (PQRS) Webinar
    Collapse Coding: Navigating 2015 Changes
     
    Get up to speed with the coding changes that are coming in 2015 for Interventional Pain Management practices. You are responsible for reporting the services correctly so you don't risk delays, denials, or incorrect payments for your coding and billing. Learn to navigate coding, billing and compliance changes for 2015 in this 90-minute webinar with coding expert Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO. 
      
    This webinar will address:

    • CPT code updates including all of the new injection procedure codes that include image guidance such as joint injection and vertebroplasty / kyphoplasty procedures.
    • It will also include all the CPT code changes and new guidelines for drug screen testing both presumptive (aka qualitative) and definitive (aka confirmation or quantitative).
    • Review the OIG Workplan for 2015 and what it includes for interventional pain management providers.
    • Changes to the Medicare Physician Fee schedule, i.e. bundling of fluoroscopy with the interlaminar and caudal epidural injection procedures.
    • What interventional pain management practices should know about the changes for Medicare's PQRS reporting requirements for 2015.
    • Review the Interventional Pain Management applicable CPT Assistant publications over the past year.

    Your practice depends on your coding know-how, and there's no better way to make sure you're the "go-to" coder than to be ready for the New Year. Make sure you're on top of the latest changes by attending this must-have event.

    Note: Extra time will be devoted to a question and answer session at the end of the webinar presentation.
     
    Once registration is complete, you will receive a follow-up email with instructions on how to log-in to the webinar.


    Formats Available: Streaming, Webinar
    Original Webinar Date: December 18, 2014
    On-Demand Release Date: Available Now
    MORE INFOMORE INFO Coding: Navigating 2015 Changes
    Collapse Documentation Requirements Based on Carrier Policies
    Documentation requirements based on Carrier Policies. This will show providers step-by-step, how to break down a policy and include it in your documentation.

    Carriers are using policies or coverage determination to review provider's records.  Provider, coding and billing staff need to compare the documentation for procedures against carrier policies to see if the documentation supports the service provided.  Medical necessity isn't just about an approved diagnosis.  Attendees will learn how to pick the policies apart to understand what the carriers expect to see in the documentation.  They will also learn what documentation will be needed if the record is called in for review.  Audits by carriers are expanding and the documentation is critical in having a favorable review.  Join us to learn more.
    Formats Available: CD-ROM (Win), Streaming, Webinar
    Original Webinar Date: May 05, 2011
    On-Demand Release Date: Available Now

    Approved Credit:
  • ASIPP: 1.50 hours , 1.50 hours AAPC Continuing Education

  • MORE INFOMORE INFO Documentation Requirements Based on Carrier Policies
    Collapse Documentation, Billing, and Coding for Interventional Pain Management
    The incorporation of documentation measures into a physician practice should not be at the expense of patient care, but instead should augment the ability of the physician practice to provide quality patient care.  
     
    A well-designed documentation program can:

    • Speed and optimize proper payment of claims.
    • Minimize billing mistakes.
    • Reduce the chances that an audit will be conducted by HCFA or the OIG.
    • Avoid conflicts with the self-referral and anti-kickback statutes.
    • Avoid submitting claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.

    Recently documentation in IPM has been under attack from all carriers as well as recovery contractors, OIG, and others. OIG may seek civil monetary penalties and sometimes exclusion for a wide variety of conduct and is authorized to seek different amounts of penalties and assessments based on the type of violation at issue. Penalties range from $10,000 to $50,000 per violation.

    In this innovative and interactive webinar, we will evaluate the rules and regulations of documentation, billing, and coding, along with practical examples and case presentations.

    This webinar is intended for interventional pain management specialist, nurses, staff, and other healthcare providers.
    Formats Available: Streaming, Webinar
    Original Webinar Date: March 13, 2014
    On-Demand Release Date: Available Now
    MORE INFOMORE INFO Documentation, Billing, and Coding for Interventional Pain Management
    Collapse HIPAA Compliance Webinar
     
    Medical Records are fetching 10 times the  
    amount of credit card data on the black market.  
    Are you HIPAA Compliant?
     
    When HIPAA was first enacted, the maximum penalty for a HIPAA violation was $250,000. Now, the maximum penalty is $1.5 million. Fines as well as criminal penalties can be imposed on the violating institution and the individuals involved. 
     
    Threat organizations are the individuals or groups that target your health information. These organizations could include: criminal groups, business competitors, hackers, activists, or the biggest one, insiders, among others.
     
    For organizations that regularly handle health information consider enlisting in a third party to protect and ensure that strong layered defenses are in place to protect your data against known cyber threats.


    This webinar will include information on: HIPAA Security for your practice, doing a risk analysis so you don't lose Meaningful Use dollars and how to avoid patient electronic records from being stolen. Considerations that will be considered are:

    • What is HIPAA and Who Oversees it
    • Who must comply
    • What information needs to be protected
    • What happens if you don't comply and how much can you pay
    • Do you have Business Associate Agreements in place?
    • Where to get started

    The FBI has Medical Record theft on the radar and this webinar will show you how to start prevention of this in your practice.

    *This program has been approved by the American Academy of Professional Coders (AAPC) for 1 continuing education hour. Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor.



    Formats Available: Streaming, Webinar
    Original Webinar Date: January 29, 2015
    On-Demand Release Date: Available Now
    MORE INFOMORE INFO HIPAA Compliance Webinar
    Collapse Interventional Pain Management Legislative Session: Current Issues And The Impact To You
    This complimentary webinar is intended to present ASIPP members, interventional pain management healthcare providers, and attendees of ASIPP's 12th Annual meeting an in-depth review of current issues that are facing the specialty of interventional pain and those issues that will be presented to Congressional Representatives during the Annual Meeting Capitol Hill visits.

    Outcome:

    Interventional Pain Management Providers will learn the major political issues facing the IPM specialty. For those attending the Annual Meeting Capitol Hill visits they will be well informed of the issues to discuss with the Congressional representatives and what the talking points are.

    Speaker:
    Laxmaiah Manchikanti, MD: ASIPP Founder, Chief Executive Officer and Chairman of the Board, is the Medical Director of the Pain Management Center of Paducah and Ambulatory Surgery Center in Paducah, Kentucky. He is also Associate Clinical Professor of Anesthesiology and Perioperative Medicine of the University of Louisville in Kentucky.

    The ASIPP Annual Meeting Legislative Session and Capitol Hill Visits is sponsored by The American Society of Interventional Pain Physicians and The North American Neuromodulation Society.
    Formats Available: CD-ROM (Win), Streaming, Webinar, Download
    Original Webinar Date: June 17, 2010
    On-Demand Release Date: Available Now
    MORE INFOMORE INFO Interventional Pain Management Legislative Session: Current Issues And The Impact To You