2024 Chronic Pain and Anesthesia Reimbursement and Compliance Updates
Course Description:
Understanding how 2024 updated compliance and reimbursement guidelines is crucial to ensure all appropriate revenue is captured. Expert David Vaughn, Esq., CPC, will present this webinar detailing the new reimbursement and compliance updates for anesthesia and chronic pain for 2024. Medicare’s Physician Fee Schedule Final Rule contains over 2,000 pages of new information for 2024, including anesthesia and chronic pain changes. Issues such as which telehealth visit codes will remain in 2024, which telehealth codes will become permanent, and which codes are provisional and will lapse at the end of 2024.
Reimbursement conversion factors will be addressed along with PAYGO cuts, sequestration deductions, and any new legislation adopted by Congress at the affecting reimbursement designed to reduce the cuts that Medicare has implemented. Additional topics include incident to billing and the nuances of virtual supervision vs actual in-the-office supervision; changes to Medicare’s telehealth modifier and place of service codes; telephone visits for 2024; new Medicare reimbursement conversion factors; whether you should have a different fee schedule for Medicare vs other payers; whether urine drug testing can be billed incident to; using MAC or moderate sedation for chronic pain injections; whether prescribing medications is sufficient to warrant 99214; and several examples of False Claims Act cases brought by the Government against anesthesia and chronic pain practices, including but not limited to excessive billing for mobile anesthesia, anesthesia kickbacks to ASCs, improper chronic pain billing for UDTs, E&M codes, incident to, modifier 25, kickbacks disguised as MSO payments or speaker fees, and examples of long prison sentences for overprescribing opioids.
Learning Objectives:
- Ascertain new reimbursement for anesthesia and chronic pain
- Learn new 2024 telehealth billing rules
- Determine what telehealth services expire at the end of 2024
- Review new False Claims Act cases involving anesthesia
- Review government actions against chronic pain practices for overbilling
- Learn how kickbacks are being disguised by providers
- Determine under what circumstances you can bill incident to when you are not in the office
Areas Covered in the Session:
- Status of CPT and ASA code changes for 2024
- New medicare reimbursement conversion factors
- Telehealth services continuing and expiring
- False Claims Act cases against chronic pain and anesthesia groups
- When you can be out of the office and still bill incident to
- Kickbacks in the anesthesia and chronic pain arenas
- Medicare’s telehealth modifier and place of service codes
- Urine drug testing billing
- Modifier 25
- Evaluation and Management codes
- Overprescribing opioids
- Reimbursement changes for 2024
- Live Q&A session
Suggested Attendees:
- Hospital CEOs, CFOs and COOs
- Hospital’s executives
- Medical coders
- Medical billers
- Coding supervisors
- Physicians and nurses
- HIM director
- HIM staff
- Interventional pain practices
- Anesthesia groups
- Anesthesia providers
- Auditors
- Compliance personnel
- Revenue management specialists
- C-level executives
- Office staff and billing managers
- Medical billing companies
- Hospital revenue cycle staff
- Physician assistants
- Nurse practitioners
- Medical assistants
- Practice manager
- Office managers
- CDI specialists
- Collection staff
- Compliance officers
- Patient accounts personnel
- Medical record supervisors
- Health information management administrators and technicians
- Other personnel interested in medicare program and payment system
About the Presenter:
David Vaughn, JD, CPC is one of the top healthcare attorneys in the United States who is the founding member of Vaughn & Associates, LLC. He graduated from Mississippi College with Special Distinction (Magna Cum Laude) in 1974, graduated from LSU Law School in 1977, and has been a certified coder since 1999. David has served on the Legal Advisory Board of the AAPC and has written several coding and compliance books and manuals. He is also a national speaker on the legal implications of billing and coding. He also has a national healthcare law practice, and has represented over 2,000 physicians in approximately 40 states in over 10 physician disciplines. His practice consists of representing providers in federal and state prosecutions, qui tam cases, and Medicare and third-party payer audits. He also conducts audits and provides education to providers.
Additional Information:
After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.
System Requirement:
- Internet Speed: Preferably above 1 MBPS
- Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?
No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
Snippet From Our Previous Session:
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Testimonials:
"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"
Melissa Preston, Health Information Management Staff
"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"
Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great"
Tina Duffy, Compliance Officer