With payments trending down and audit risks going up, it’s never been more important to make certain you’re billing fully and appropriately for respiratory therapy, pulmonary function testing, polysomnography, and other services under the RT/PFT umbrella. That starts with consistently compliant coding, supported by complete documentation — precisely what you’ll learn, and much more, from this webcast.
IN-DEPTH DISCUSSION OF 2020 CHANGES:
- 2020 OPPS payment update, including the continuing trend toward payment packaging into the primary service, plus must-know insights into APC status indicators J1 and J2
- HCPCS/CPT® payment rates for 2020 and the impact of changes on RT providers
A special focus on areas of concern, confusion, and noncompliance:
- Coding and documentation tips, with a special emphasis on the gray areas of “medical indications” versus “medical necessity” in the physician order, plus knowing when medical necessity extends to durable medical equipment
- How to correctly interpret and apply CPT/HCPCS codes for the billing of a full spectrum of RT/ pulmonary function services, including pulmonary rehab, RT rehab, and polysomnography/sleep studies
- Step by step through challenging scenarios for coders, such as determining which CPT codes should be used during a problem-oriented office visit
- Guidance with ambiguous billing opportunities, such as nitrous oxide administration for a minor procedure in the emergency department and how many times you may report CPT code 94640 for multiple inhalation treatments during a single episode of care
- Coding and billing requirements for polysomnography, including device pass-through payment status for 2020
- AND MORE!
Note: Pending agenda updates when the CMS releases the 2020 Final Rule in November.
CPT® is a registered trademark of the American Medical Association.