Title: Basics of Pain Management: Chronic Pain Medical Billing and Coding

Presenter: Kateryna (Kate) Patskovska, CPB, AAPC Approved Instructor (CPB-I)

Time: 55.46 minutes

Description: There are multiple types of pain and multiple types of pain management. This webinar delves into chronic pain management treatments and procedures and billing and coding policies. The speaker discusses several main payors ‘ policies, including bundling, to help you ensure proper coverage and reimbursement .

Education Objectives:

• Reduce denial rate s and increase compliance by utilizing the proper codes.
• Ensure proper reimbursement: bundled vs. not bundled payments – medical policies.
• Discuss anesthesia and pain management: reimbursements – medical policies.
• Understand how to reduce payor audits/recoupments.

Agenda:

I. Introduction to Chronic Pain Management

• 4 Major Types of Pain
• 3 Types of Chronic Pain Management Procedures

II. Pain Management Coverage/Reimbursement

• NGS/CMS-Pain Management Policy
• Bonus Section: CMS National Policy-Acupuncture/Dry Needling
• Aetna: Nerve Block Policy
• UHC: Epidural Steroid Injection for Spinal Pain
• Emblem Health Anesthesia and Pain Management Policy
• Cigna Anesthesia Services for Interventional Pain Management Procedures

III. Medicare New Chronic Pain Management Bundled Reimbursement Codes

• 2 New Chronic Pain Management Bundled Codes With Descriptions
• Who Can Bill the Codes
• Maximum Units

Downloads:

• Anesthesia for Pain Management Injections – Commercial
• NCD - Acupuncture for Chronic Lower Back Pain (cLBP) (30.3.3)
• UnitedHealthcare® Commercial and Individual Exchange Medical Policy
• Anesthesia Services for Interventional Pain Management Procedures in an Adult
• Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels (A52863)
• LCD - Pain Management - Injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels (L33622)
• Nerve Blocks

Speaker

Kateryna Patskovska, CPB, AAPC Approved Instructor (CPB-I)

I am a certified medical biller as well as an AAPC Approved Instructor for Medical Billing (CPB-I). I have over 15 years of experience in Healthcare field serving in various positions: medical receptionist, medical biller, supervisor, Practice Manager, etc.

My current and past public speaking engagements include AMBA, SFHIMA chapter and various AAPC Chapters. As for my recorded AAPC CEU approved webinars, you will be able to find them in an online library of BC Advantage Magazine. I am also a published author in the AAPC HBM magazine (November 2021 Issue). If you are interested in my upcoming speaking engagements, please see my home page!

Currently, I am available as a part-time medical billing and coding tutor on Varsity Tutors platform as well as a Health Care Program Planner/Analyst at MetroPlus Health.

https://kr2billing.com/