Learning Objectives At the conclusion of this workshop participants should be able to: • Explain key healthcare reimbursement issues, the Correct Coding Initiative (CCI), the Health Insurance Portability and Accountability Act (HIPAA), an overview of health reform and fraud and abuse; • Achieve compliance through appropriate documentation for services provided (eg, use of E/M guidelines); • Follow guidelines for coding anesthesia, applying associated modifiers and other coding trends; • Analyze clinical case studies to code OMS-specific procedures such as fractures and biopsies; • Describe the relationship of coding to third-party reimbursement; • Understand managed care contracting and how to conduct/respond to a health plan audit; • Gain an understanding of state insurance laws such as prompt payment and degree of provider; • Understand insurance exchange products, embedded dental plans, and quality improvement programs. Current ICD-10-CM, CPT, and CDT coding manuals are required for all coding courses, except ICD-10-CM workshops where only the ICD-10-CM coding manual is required. AAOMS does not provide them. CONTINUING EDUCATION PROVIDER APPROVAL The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. The American Association of Oral and Maxillofacial Surgeons designates this activity for 13 continuing education credits. AGD - Accepted Program Provider FAGD/MAGD Credit 5/1/14 – 6/30/18 Provider ID# 214680 The American Association of Oral and Maxillofacial Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Association of Oral and Maxillofacial Surgeons designates this live activity for a maximum of 13 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For AAPC credit, please contact AAOMS Coding and Reimbursement Staff at 800/822-6637. Beyond the Basics Schedule (Day One and Day Two) 7:30 am - 8:00 am Registration/Continental Breakfast 8:00 am - 4:00 pm Beyond the Basics Coding Workshop 10:00 am Break NOON - 1:00 pm Lunch (provided by AAOMS) 2:00 pm Question and Answer Session 2:15 pm Break Course Overview New content has been added to this two-day AAOMS Beyond the Basics coding workshop which concentrates on different topics each day. Both days are necessary to achieve the maximum benefits this course has to offer. AAOMS encourages oral and maxillofacial surgeons to attend with their allied staff team. Participants must have a basic understanding of CDT, CPT, and ICD-10-CM. Basic coding knowledge or completion of the AAOMS Basic Coding course and AAOMS ICD-10-CM course is suggested before participating in this intermediate level, two-day coding workshop. Information regarding the Basic course and ICD-10-CM course is available online at AAOMS.org/codingbilling. Bring your CPT, CDT, and ICD-10-CM coding books. This is a hands-on workshop and books are not sold on site. Charlotte, NC Las Vegas, NV Kansas City, MO in-person Practice with real life coding challenges in the Beyond the Basics course. Beyond the Basics New content covers healthcare reform initiatives stemming from the Affordable Care Act, state insurance laws, reimbursement issues, audit tips, medical records documentation, managed care contracts tips, fraud and abuse, and much more.
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Learning Objectives
At the conclusion of this workshop participants should be able to:
• Explain key healthcare reimbursement issues, the Correct Coding Initiative (CCI), the Health Insurance Portability and Accountability Act (HIPAA), an overview of health reform and fraud and abuse;
• Achieve compliance through appropriate documentation for services provided (eg, use of E/M guidelines);
• Follow guidelines for coding anesthesia, applying associated modifiers and other coding trends;
• Analyze clinical case studies to code OMS-specific procedures such as fractures and biopsies;
• Describe the relationship of coding to third-party reimbursement;
• Understand managed care contracting and how to conduct/respond to a health plan audit;
• Gain an understanding of state insurance laws such as prompt payment and degree of provider;
• Understand insurance exchange products, embedded dental plans, and quality improvement programs.
Current ICD-10-CM, CPT, and CDT coding manuals are required for all coding courses, except ICD-10-CM workshops where only the ICD-10-CM coding manual is required. AAOMS does not provide them.
CONTINUING EDUCATION PROVIDER APPROVAL
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 13 continuing education credits.
AGD - Accepted Program ProviderFAGD/MAGD Credit5/1/14 – 6/30/18Provider ID# 214680
The American Association of Oral and Maxillofacial Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Association of Oral and Maxillofacial Surgeons designates this live activity for a maximum of 13 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For AAPC credit, please contact AAOMS Coding and Reimbursement Staff at 800/822-6637.
Beyond the Basics Schedule (Day One and Day Two)
7:30 am - 8:00 am Registration/Continental Breakfast
8:00 am - 4:00 pm Beyond the Basics Coding Workshop
10:00 am Break
NOON - 1:00 pm Lunch (provided by AAOMS)
2:00 pm Question and Answer Session
2:15 pm Break
Course Overview
New content has been added to this two-day AAOMS Beyond the Basics coding workshop which concentrates on different topics each day. Both days are necessary to achieve the maximum benefits this course has to offer. AAOMS encourages oral and maxillofacial surgeons to attend with their allied staff team.
Participants must have a basic understanding of CDT, CPT, and ICD-10-CM. Basic coding knowledge or completion of the AAOMS Basic Coding course and AAOMS ICD-10-CM course is suggested before participating in this intermediate level, two-day coding workshop. Information regarding the Basic course and ICD-10-CM course is available online at AAOMS.org/codingbilling.
Bring your CPT, CDT, and ICD-10-CM coding books. This is a hands-on workshop and books are not sold on site.
Charlotte, NC
Las Vegas, NV
Kansas City, MOin-person
Practice with real life coding challenges in the Beyond the Basics course.
Beyond the Basics
New content covers healthcare reform initiatives stemming from the Affordable Care Act, state insurance laws, reimbursement issues, audit tips, medical records documentation, managed care contracts tips, fraud and abuse, and much more.
Beyond the Basics Topics
Introduction: CPT and CDT code DevelopmentCPT Editorial Panel How are Suggestions for Change Reviewed? What’s Required for a New Code? What is the RUC? What is the CMC?
Medical Record Documentation Medical Record Documentation Standards ICD-10-CM: The Need for Better Documentation
ICD-10-CM Coding PrincipalsSequelae Neoplasm Injuries Open Wounds Traumatic Fractures Pathological Fractures Medication-Related Osteonecrosis of the Jaws (MRONJ) Embedded and Impacted TeethZ-Codes Locating Z Codes Status Post Z Codes Sequencing of Codes Canceled Surgery Follow-Up Examinations Preoperative Evaluations Observation and Evaluations General Equivalence Mappings (GEMs)
Radiology ServicesTechnical and Professional Components Supervision and Interpretation Cone Beam CT Scans
Anesthesia ServicesState Law and Regulations Moderate Conscious Sedation General Anesthesia/Deep Sedation Anesthesia by Surgeon Modifier CPT Anesthesia Codes Dental Anesthesia Codes Medicare Anesthesia Policy
Surgical ServicesSurgical Package Operative Supplies Separate Procedures Surgical Modifiers
Coding OMS ProceduresDental Extractions Coding for Aborted Extractions Coronectomy/Partial Odontectomy Orthodontic Anchorage Lesions Wound Repairs Dental Implants Fracture/Dislocation Repairs Surgical Splints Bone Grafting Orthognathic Surgery Rapid Palatal Expansion Distraction Osteogenesis TMJ Alveoloplasties
Coding Vignettes
Evaluation and Management ServicesSelection of E/M Codes Office or Other Outpatient Services Hospital Inpatient Services Consultations Emergency Department Services E/M Modifiers
Health ReformThe Affordable Care Act Health Insurance Marketplaces Affordable Care Act (ACA) Checklist Physician Quality Reporting System (PQRS) Private Payer Initiative Program Episodes of Care Accountable Care Organizations (ACOs)
Fraud and AbuseImpact of HIPAA Qui Tam Cases PenaltiesAffordable Care Act Provisions Relative to Fraud and AbuseAffordable Care Act Mandatory Compliance Programs
Healthcare Reimbursement IssuesADA Claim Form Diagnosis Coding Place of Service Codes ADA’s Tooth Numbering System CMS 1500 Form Administrative Simplification Compliance Act (ASCA) Tooth Numbers on the CMS-1500 Claim FormCorrect Coding InitiativeMedically Unlikely Edits (MUEs)Coordination of BenefitsAAOMS’s Definition of Medical NecessityState Insurance LawsNon-Covered Service Laws
AuditingTypes of Audits Impact of the Affordable Care Act Steps in Conducting Internal Audits
Managed Care ContractsCommon Considerations Administrative ConcernsSilent PPOs
Appendix
Answers
in-personIn-Person Workshop Locations
ICD-10-CM Coding
March 5, 2016
The Westin Buckhead3391 Peachtree Road NEAtlanta GA 30326Reservations: 800-937-8461
Room Rate: $165 single/double$25 additional person
AAOMS special room rate ends on February 12, 2016
Hotel Parking Cost: Valet Park $34 per night; Self Park $24 per night (less 25% off for meeting attendees)
Subject to change
Airport Transportation Cost: Taxi fare approximately $45 one-way
Subject to change
April 30, 2016
The Westin Charlotte601 S. College Street Charlotte, NC 28202 Reservations: 866-837-4148
Room Rate:$159 single/double$20 additional person
AAOMS special room rate ends onApril 15, 2016
Hotel Parking Cost:Self-parking $20 per day;Valet parking $25 per day
Subject to change
Airport Transportation Cost:Taxi fare approximately $25 one-way
Subject to change
November 5, 2016
InterContinental Kansas City at the Plaza 401 Ward Parkway Kansas City, MO 64112 Phone Number: 866-856-9717
Room Rate: $179.00 Single/Double
AAOMS special room rate ends on October 14, 2016
Hotel Parking Cost:Self-parking discounted as complimentary; Valet Parking discounted $7 per night
Subject to change
Airport Transportation Cost:TBD
The Beyond the Basics Coding Workshop November 6-7, 2016, is also held at this location.
May 1-2, 2016
The Westin Charlotte601 S. College Street Charlotte, NC 28202 Reservations: 866-837-4148
Room Rate:$159 single/double$20 additional person
AAOMS special room rate ends on April 15, 2016
Hotel Parking Cost:Self-parking $20 per day;Valet parking $25 per day
Subject to change
Airport Transportation Cost:Taxi fare approximately $25 one-way
Subject to change
Note: The ICD-10-CM Coding Workshop April 30, 2016, is also held at this location.
September 21-22, 2016
Mandalay Bay Convention CenterMandalay Bay Resort and Casino Las Vegas, NV3950 S Las Vegas Blvd Las Vegas, NV 89119
(See AAOMS Annual Meeting AdvanceProgram for housing details, or visitAAOMS.org/LasVegas)
Note: The ICD-10-CM Coding Workshop September 20, 2016, is also held at this location.
November 6-7, 2016
InterContinental Kansas City at the Plaza 401 Ward Parkway Kansas City, Missouri 64112 Phone Number: 866-856-9717
Room Rate: $179.00 Single/Double
AAOMS special room rate ends on October 14, 2016
Hotel Parking Cost:Self-parking discounted as complimentary; Valet Parking discounted $7 per night
Subject to change
Airport Transportation Cost:TBD
Note: The ICD-10-CM Coding Workshop November 5, 2016, is also held at this location.
Beyond the Basics Coding
Atlanta, GA
Charlotte, NC
Las Vegas, NV
Kansas City, MO
September 20, 2016
Mandalay Bay Convention CenterMandalay Bay Resort and Casino Las Vegas, NV3950 S Las Vegas Blvd Las Vegas, NV 89119
(See AAOMS Annual Meeting AdvanceProgram for housing details, or visitAAOMS.org/LasVegas)
Note: The Beyond the Basics Coding Workshop September 22-23, 2016, is also held at this location.
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