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Radiation Oncology Coding Seminars & Billing Seminar Information

Presented by Churchill Consulting, a Division of CruxQS.


Please click on the red headers to jump to the section that you are interested in.



Standard Seminars


Course Objectives

Summary of Seminars at a Glance
Service F7-1: 2016 Professional and Technical Documentation
Service F7-2: Build a Case – Document a Case
Service F7-3: Professional Components of Billing in Radiation Oncology
Service F7-4: Simulation
Service F7-5: Isodose Planning & Devices (Advanced Technologies/3D IMRT)
Service F7-6A: In Tune with Stereo (Focused stereotactic)
Service F7-7A: Brachytherapy
Service F7-8: Therapists Billing and Coding Compliance-On the Front Lines
Service F7-10: 2016 Code Summary
Service F7-12: Did You Drink the Kool-Aid? Knowing Right from Wrong in Documentation and Coding


SUMMARY of SEMINARS at a GLANCE

The following is a summary of the various seminars currently offered, all of which have associated CEUs. Please note that custom seminars are available upon request.

  1. ARRT recognizes most ASRT certified courses. ASRT certificates are provided to attendees upon request.
COURSE NAME TEACHING TIME ASRT CEU MDCB CEU AAPC CEU
F7-1: Course P E&M Coding for Physicians 2 Hours 0 0 0
F7-2: Build A Case-Document A Case 2 Hours 2.0 0 0
F7-3: Course T: Coding the Diagnostic and Technical Only Codes 1 Hour 10 Min 0 0 0
F7-4: Simulation 1 Hour 1 0 0
F7-5: Isodose Planning/Devices 2.5 Hours 2.5 0 0
F7-6A: In Tune with Stereo 1 Hour 1 0 0
F7-7A: Focused Brachytherapy 1 Hour 1 0 0
F7-8: Therapists Billing and Coding Compliance-On the Front Lines 1 Hour 1 0 0
F7-10: 2016 Code Summary 1 Hour 0 0 0
F7-12: Did You Drink the Kool-Aid? 4 Hours 4 0 4


2016 Webinars

2016 Code Update Webinar Series


Hosting a Seminar


SEMINAR COURSE DESCRIPTIONS

Choose from the many clinically based seminars offered by Churchill Consulting.

‘Coding from the Inside Out!’

The philosophy behind our unique seminar format is that all seminars are presented by a clinical presenter who has been active in radiation oncology. All seminars are presented from a clinical standpoint, based program on the patterns of care guidelines. Seminar presentations include descriptions of the customary procedures that are performed (under normal circumstances), which are complimented by corresponding case studies that demonstrate coding and documentation for standard treatment regimens.

The Churchill seminars clarify the procedures that are normally performed, stress the required documentation that is required and must be available in the medical record, and summarize the subsequent code, code levels, and quantities that result based on the procedures performed.

  1. Perform the procedure
  2. Document the work
  3. Determine appropriate code
  4. Bill for the work performed and documented

OBJECTIVES FOR ALL CHURCHILL CONSULTING SEMINARS

All seminars are menu based. Choose the seminar that fit’s your organizations needs. As a result of attending any of these courses, participants will be able to perform the following:
  1. Understand required documentation for each billing code.
  2. Apply the proper CPT coding for the various procedures performed.
  3. Appreciate inherent risks if billing occurs without proper documentation.
  4. Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.

F7-1 - COURSE P: E&M BILLING & CODING for PHYSICIANS


Focusing on 99000 series codes and Physician Specific Radiation Oncology Codes.

Presented by the staff of Churchill Consulting.

Course Time: 2 hours

  • Non-CEU Course
  • ABSTRACT

    This course will discuss the proper use and documentation requirements for physician coding using the 99000 series CPT codes as well as the physician specific 77000 codes. E&M coding, documentation guidelines, physician clinical treatment planning and physician weekly management codes will all be discussed.

    The E&M training will focus on the three key components, history, examination and medical decision making, resulting in a complete understanding of how to document consultations properly and code based on the documentation available in the medical record.

    The documentation required for physician treatment planning and physician weekly management will be discussed in detail.

    CODES DISCUSSED IN COURSE
    99201-99205 (Office visits/consults for Medicare)
    99211-99215 (Follow-Up Visits)
    99221-99239 (Inpatient)
    99241-99245 (Outpatient Consults)
    99251-99255 (Inpatient Consults)
    77261-77263 (Clinical Treatment Planning)
    77427-77499 (Management Services)
    31505-31575 (Laryngoscopy)

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Understand required documentation for all Evaluation & Management codes as well as the physician only codes, including clinical treatment planning and the various physician management codes.
  • Apply the appropriate level of CPT code for the procedures performed, based on the documentation available in the medical record.
  • Appreciate inherent risks if billing occurs without proper documentation.
  • Recognize the changes in billing standards that must be applied to billing practices this CY.
  • Understand compliance requirement and related issues.
  • Comprehend Medicare audit processes.


  • F7-2 – Build A Case – Document A Case


    Presented Churchill Consulting.

    Course Time: 2 hours

    CEU CREDITS

  • ASRT: 2.0 CEU
  • ABSTRACT

    Material presentation is clinically focused. The goal of this seminar is to ensure that attendees can put information together and accurately code an entire course of external beam radiation therapy while understanding what supporting documentation is required.

    A double-sided algorithmic tree will be built for a case study that will be presented in the order of patient encounter. One side of the tree will include the appropriate code (or code group) that may be reported. The other side of the tree will include the documentation required.

    At the end of this course we will have built a code tree and documentation tree that will provide future guidance for coding and documentation compliance.

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Apply the proper CPT coding for the various procedures performed.
  • Understand how to accurately code a sample EBRT treatment course (i.e., IMRT with IGRT).
  • Be aware of the CCI edits that may affect reporting various codes and appreciate date of service issues.
  • Recognize the documentation requirements to support your claims.
  • Apply the proper CPT coding for the various procedures performed.
  • Appreciate inherent risks if billing occurs without proper documentation.
  • Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.


  • F7-3 - Course T: Coding the Diagnostic & Technical Only Codes in Radiation Oncology


    Presented by the staff of Churchill Consulting.

    Course Time: 1 hour 10 minutes; Non CEU Course

    CEU CREDITS

  • Non-CEU Course
  • ABSTRACT

    This course will discuss the wording stipulations by Medicare, coupling, and the proper use and documentation requirements for the various diagnostic codes that are reported in association to procedures performed in radiation oncology. Discussion will include codes that are NOT appropriate in radiation oncology.

    Category II and category III codes will be discussed as well as the radiation oncology codes that have only a technical component. Technical only codes include daily treatment, weekly physics, and special physics consults.

    There is a wide range of criteria in selecting the correct level for these codes and it is imperative that these codes are used correctly. CPT definitions, interpretations, guidelines and required documentation elements will be discussed.

    CODES DISCUSSED IN COURSE
    77401, 77402, 77407, 77412, 77385, 77386 (Daily Treatment)
    77417 (Port Films)
    77336-77370 (Physics Services)
    77520-77525 (Protons)
    77600-77620 (Hyperthermia)
    79005-79445 (Radiopharmaceutical Therapeutic Codes)
    31505-31575 (Larynogoscopy)
    Category III Codes (T-Codes)

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Apply the proper CPT coding for the various procedures performed.
  • Understand required documentation for each code reported.
  • Appreciate inherent risks if billing occurs without proper documentation.
  • Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.


  • F7-4 - Simulation


    Presented by the staff of Churchill Consulting.

    Course Time = 1 Hour

    CEU CREDITS

  • ASRT: 1 CEU
  • CODES DISCUSSED IN COURSE
    77280-77290 (Simulation)
    77332-77334 (Immobilization Devices)
    77014tc (CT Data Acquisition)

    ABSTRACT

    This presentation is clinically focused and will discuss the various simulation procedures performed during a course of radiation therapy. Utilization and documentation guidelines will be covered. Discussion will include conventional simulation procedures, pre-planning simulations, block verification simulation (BVS) and boost simulation procedures, stressing that effective 2014 the imaging 'type' is integral to the simulation procedure and the CT data acquisition is no longer reported in addition to the simulation procedure. The virtual simulation process, a non-billable event, will also be discussed in detail. Discussion will include the device codes reported for immobilization.

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Appreciate the differences in the types of simulation procedures, with focus on the ‘virtual’ simulation design process.
  • Differentiate between CT data acquisition and simulation procedures.
  • Understand required documentation for each CPT® code.
  • Apply the proper CPT coding for the various procedures performed.
  • Appreciate inherent risks if billing occurs without proper documentation
  • Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.


  • F7-5 - Isodose Planning & Devices (Advanced Technologies/3D IMRT)


    Presented by the staff of Churchill Consulting.

    Course Time: 2 hours and 30 minutes

    CEU CREDITS

  • ASRT: 2.5 CEU
  • CODES DISCUSSED IN COURSE
    Supervision
    77470 (Special Treatment Procedure)
    77332-77338 (Devices)
    77300 (Calculations)
    77300, 77306, 77307, 77321 (Isodose Planning)
    77331 (Special Dosimetry)
    77295 (3D Planning)
    77301 (IMRT Planning)
    Case Studies

    ABSTRACT

    Material presentation is clinically focused. Codes will be presented from a coding perspective, based on CPT definitions.

    Discussion will include the utilization and documentation guidelines associated for the various levels of isodose planning, including advanced technology, i.e., 3D planning and IMRT planning.

    Understand the difference between bundled services and packaged services, with focus on the basic dosimetry code 77300.

    This course includes discussion of physician supervision and the special treatment procedure (77470) code. Case studies are presented to assist the attendee in applying the information into the clinical setting.

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Understand required documentation for each CPT® code
  • Apply the proper CPT coding for the various procedures performed
  • Appreciate inherent risks if billing occurs without proper documentation
  • Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.


  • F7-6:A In Tune with Stereo


    Presented by the staff of Churchill Consulting.

    Course Time: 1 hour

    CEU CREDITS

  • ASRT: 1 CEU
  • ABSTRACT

    This condensed course will cover the standard technical and professional codes used for SRS, SRT, and SBRT. Focus will be on documentation requirements and discussion of code changes effective January 2016. Condensed sample case studies are presented to assist the attendee in applying the information into the clinical setting.

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Understand required documentation for each CPT® code associated with SRS, SRT, and SBRT regimens.
  • Apply the proper CPT coding for the various procedures performed
  • Understand how to report services in the hospital that have a CAP-APC.
  • Appreciate inherent risks if billing occurs without proper documentation
  • Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.


  • F7-7A – Focused Brachytherapy


    Presented by the staff of Churchill Consulting.

    Course Time = 1.0 hour

    CEU CREDITS

  • ASRT: 1 CEU
  • ABSTRACT

    This focused brachytherapy presentation will cover the surgical insertion codes, imaging codes, brachytherapy isodose planning codes, reportable brachytherapy devices, and confirmation simulations.

    Discussion will also include the various codes that are relative to brachytherapy and may be reported, such as clinical treatment planning and various physics services. Sample course summaries are presented, with focus on the hospital code changes that will be effective January 1, 2016.

    Case studies are presented for the following:

  • APBI (HDR)
  • Prostate seed implant (interstitial) procedure
  • High dose rate (HDR) cervix procedures
  • OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Understand required documentation for all CPT® codes associated with brachytherapy.
  • Apply the proper CPT coding for the various procedures performed.
  • Appreciate inherent risks if billing occurs without proper documentation.
  • Recognize the changes in billing standards that must be applied to billing practices in the current fiscal year.


  • F7-8: Therapists Billing and Coding Compliance-On the Front Lines


    Presented by the staff of Churchill Consulting.

    Course Time = 1.0 hour

    CEU CREDITS

  • ASRT: 1 CEU
  • ABSTRACT

    This presentation will identify the crucial roles of radiation therapists in ensuring accurate coding, timely code capture, and understanding regulated compliance guidelines.

    One of the greatest misunderstandings as a therapist is that the extent of their billing responsibility is to simply perform a code capture at each patient encounter. This presentation will summarize the rationale behind a codes utilization, documentation requirements, and the importance of accurate code capture. The authoritative source guidelines that define the documentation required in the EMR to support daily treatments and imaging will be discussed, ensuing that the therapists understand the requirements. There are many tasks that therapists deem routine, but if missed would expose the department, hospital and physicians to revenue cycle and billing issues.

    This presentation will educate the attendees on the documentation and supervision requirements and other medical necessity aspects that should be verified. Therapists are often the first and last individuals to identify issues or inconsistencies.

    The goal of this presentation is to demonstrate how applying this information to their daily practices will effectively reduce the compliance risks of their departments. As changes in CPT codes and/or utilization guidelines change, so must department policies and processes. Upon completion of this presentation, therapists will be aware of the current changes, understand the documentation requirements, become an integral part defining, implementing and complying with department policy, thereby ensuring compliance that is vital for the department.

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Examine the current knowledge of departmental coding.
  • Identify the authoritative and non-authoritative sources for regulations.
  • Identify authoritative reasoning behind current clinical decisions and protocols
  • Discuss the impact of decisions productivity and staffing.
  • Examine the various supervision levels for therapists clinical practice.
  • Demonstrate the financial impact a therapist’s billing has on a clinic.


  • F7-10 – 2016 Code Summary


    Presented by the staff of Churchill Consulting.

    Course Time = 1 Hour

    • Non-CEU Course

    CODES DISCUSSED IN COURSE

  • Daily Treatment code changes
  • Isodose Planning code changes
  • IGRT Changes
  • G-Codes
  • ABSTRACT

    This presentation is clinically focused and will discuss the various Code changes and updates in 2016 for Radiation Oncology.

    OBJECTIVE

    As a result of attending this seminar, participants will be able to:

  • Appreciate the differences in the reporting under OPPS and MPFS
  • Understand required documentation for each CPT® code
  • Apply the proper CPT coding for the various procedures performed.
  • Appreciate inherent risks if billing occurs without proper documentation or physician supervision.
  • Recognize the changes in billing standards that must be applied to billing practices in 2016


  • F7-11 - Coding for Success


    Presented by the staff of Churchill Consulting.

    Course Time = 4 Hours

    • Non-CEU Course

    ABSTRACT

    2016 is a year of change. Eight (8) new codes were introduced, twenty (20) codes were deleted and five (5) codes were modified. As if these weren't enough changes, Medicare Physician Fee Schedule (MPFS) reporting did not accept the new treatment codes, so CMS added seventeen (17) temporary G-Codes.

    The goal of this seminar is to educate all attendees on the code changes and to ensure a clear understanding of the utilization, documentation, and restrictions of the new and modified codes based on the place of service.

    The presentation will begin with a summary of the code changes, including the G-Codes that apply under MPFS followed by the proper reporting of IGRT services.

    Topics will also focus on simulation and isodose planning, with discussion clarifying what constitutes a 2D plan vs a 3D plan based on the new isodose planning codes. The isodose planning presentation will also define what services are bundled and what/when services are reportable events.

    Objective:

    As a result of attending this seminar, participants will be able to:

  • Apply the proper CPT coding for the simulation, isodose planning and imaging codes
  • Understand the differences between hospital coding and physician-based or freestanding coding
  • Differentiate between what constitutes a 2D plan compared to a 3D plan
  • Understand how to report IGRT services
  • Be aware of POS (place of service) restrictions that may apply to some services
  • Understand what services are packaged services compared to bundled services to assist in appealing denied claims
  • Recognize the documentation requirements to support your claims
  • Appreciate inherent risks if billing occurs without proper documentation

  • F7-12 - Did You Drink the Kool-Aid? Knowing Right from Wrong in Documentation and Coding


    Presented by the staff of Churchill Consulting.

    Course Time = 4 Hours

    CEU CREDITS

  • ASRT: 4 CEU
  • AAPC: 4 CEU
  • ABSTRACT

    This four hour session will discuss regulatory compliance and what you need to know in order to be prepared for an audit from any of the expanding list of government sponsored audit programs. We will outline the various types of audits that you can expect and include a description of each program.

    The best defense is a good offense. We will discuss the documentation required to support the various services performed in a course of radiation therapy that are under scrutiny so you will know how to support your claims or to respond to audit request.

    The methods of Medicare auditors vary but are typically grounded in the extensive data analytics of the Medicare Part B claims database. Access to the millions of claims in this database allows auditors to develop benchmarks for radiation therapy practice patterns and quickly isolate those physicians billing as outliers in comparison with their peers. Discussion will include the audit processes of the Office of Inspector General Medicare Compliance Review (OIG), Comprehensive Error Rate Testing (CERT), Medicare Administrative Contractors (MACs), the Supplemental Medical Review Contractor (SMRC), Zone Program Integrity Contractors (ZPICs) and Program Safeguard Contractors (PSCs).

    OBJECTIVES

  • Know the agencies involved in enforcement, i.e., OIG, RAC, CERT, SPIC, HEAT and the new SMRC
  • Review current issues related to the ABZs of agency review programs
  • Understand the difference between fraud and abuse.
  • Know the materials required when submissions are requested
  • Be aware of the 60-day reporting rule
  • Learn to do it right and document it so you never appear on the list of healthcare fraud cases!!!


  • 2016 Code Update Webinar Series



    Title: 2016 Code Update with Final Rules

    Presentation: Live Webinar

    Duration: 60 Minutes

    Dates Available: Pending

    Sessions Available: Pedning

    Registrants per Session: Pending

    Cost: TBD


    No open 2016 Seminars Currently Scheduled

    Watch our site for webinars and/or seminars that will be scheduled in November to discuss the 2016 code changes, after the Final Rules are available.


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