AMA CPT Changes 2024 – Reimbursement Policies on the New Procedures and Services

Course Description:

Each and every year, the AMA CPT Editorial Panel spends countless hours reviewing requests for new CPT codes from medical societies, insurance companies, and medical device manufacturers. CMS Medicare also requests code changes and or RVU changes from the AMA RUC (Relative Unit Committee) as the complexity of procedures changes. The changes in the AMA CPT manual are implemented on January 1st of every year and 2024 is no different. With approximately 500 changes, anyone working with assigning CPT codes needs to be aware of the changes. In this session we will review the changes and discuss the reasoning behind some of them for a better understanding of how to apply them. Submitting invalid codes to any insurance company after January 1st can not only delay reimbursement but it can also be considered as errors creating denied claims in which have to be corrected and resubmitted in a timely filing period identified by each insurance company separately. To avoid expanding the chance of not receiving any reimbursement due to errors, submitting clean, correct, claims is critical in this field. The only way to do that is know the changes and apply them correctly.

Learning Objectives:

Understand code additions to CPT for procedures being performed by the providers in the practice
Learn what can be expected as reimbursement for the new procedures and services
Other changes in CPT to assist in coding appropriately
Category III codes that were not in CPT 2023 but were valid on July 1, 2024
Learn the new ways in which the COVID-19 vaccine is to be reported
Discuss any new modifiers that are being implemented
Review the 2024 CMS Proposed Physicians Fee Schedule to prepare for the final rule

Areas Covered in the Session:

Inpatient and Observation
Consultations
Emergency Services- 99282-99285
Nursing Facilities-99304-99316
Home or Residence Services Codes – 99341, 99342, 99344, 99345, 99347-99350
Time Assignments
Prolonged Services
Split or Shared Visits
Multiple E/M- Same Day
Description of Risk
Telehealth
Metatarsal Arthrodesis for Bunion Correction
New Codes Nasal/Sinus Endoscopy
Phrenic Nerve Stimulation
Cystourethroscopy
Ablation of Fibroids
Skull-mounted Cranial Stimulator
Spine Neurostimulator Revisions
Other Stimulator Code Revision
Peripheral Nerve Stimulators
Eye Orbit Procedure
Diagnostic Radiology- Heart
Intraoperative Ultrasound
Solid Organ Neoplasm
Chemistry, Immunology, and Microbiology
New PLA (Proprietary Laboratory Analyses) Codes
RSV
SARS-CoV-2 Vaccinations
Other Vaccines
Diagnostic ENT Analysis
Phrenic Nerve Stimulation
Venography for Congenital Heart Defects
Chemotherapy Procedure
Caregiver Training Services (97550-97552)

Suggested Attendees:

Healthcare Executives CEOs, COOs, CFOs
Healthcare providers
Hospital and facility administration
Healthcare Policy Analysts
Healthcare Business Researchers
Legislative or Regulatory Advisors
Billers
Coders
Administrators
Managers
Supervisors
Physician
Non-Physician providers
Qualified Healthcare Professionals
Compliance officers
Consultants
Claims adjusters
Case Managers

About the Presenter:

Lynn M. Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area. She has over 39 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars. Lynn became a CPC in 1993, a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other committees for the AAPC.

Additional Information:

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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