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Medicare and Medicaid Knowledge Series - Part Two: From Procedure Creation to Payment in Your Pocket

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Medicare and Medicaid Knowledge Part Two: From Procedure Creation to Payment in Your Pocket

Thursday, December 1, 2022
7:00 P.M. - 8:00 P.M. ET
.10 ASHA CEUs


Participants will hear how a new clinical procedure make its way into the Current Procedural Terminology (CPT) code set and onto the Medicare Physician Payment Schedule (MPPS) ready for coding and payment. The three components that comprise the total value for each CPT procedure (i.e., physician work, practice expense, professional liability insurance) will be explained and the importance of each component for SLP scheduling and billing will be illustrated.

Participants will be introduced to relevant government payment policies applicable to speech-language pathology services including Therapy Threshold & Targeted Medical Review, Multiple Procedure Payment Reduction, and Advanced Beneficiary Notice of Non-Coverage. Clinical scenarios will be presented to enhance understanding and application of information.

Learning Objectives
  • Name the mandated code set used to identify medical services and procedures for health care billing and payment.
  • Name the mandated code set used to identify medical services and procedures for health care billing and payment.
  • Explain how the Multiple Procedure Payment Reduction policy may apply to speech-language pathology services.

Webinar Cost
CAPCSD Member
$25.00
CAPCSD Affiliate Member $35.00
CAPCSD Non-Member $35.00

Time Ordered Agenda
7:00 P.M. - 7:10 P.M. - Intro and History of the Healthcare Common Procedure Coding System (HCPCS)
7:11 P.M. - 7:16 P.M. - The creation and valuation of a new cpt code
7:17 P.M. - 7:35 P.M. - Factors Affecting Medicare Payment policies
7:36 P.M. - 7:50 P.M. - Advance Beneficiary Notice (ABN) of Non-Coverage
7:51 P.M. - 8:00 P.M. - Questions and Answers


Speaker
Dee Adams Nikjeh, PhD, CCC-SLP, ASHA Fellow
Dee Adams Nikjeh, PhD, CCC-SLP, ASHA Fellow, is an expert in health care code sets, compliance requirements, and billing practices for the field of speech-language pathology (SLP). She co-chairs ASHA's Health Care Economics Committee and is the SLP advisor on the American Medical Association's Relative Value Update Committee/Health Care Professionals Advisory Committee. Dr. Nikjeh's professional career in the field of communication sciences and disorders spans four decades as a clinician, researcher, educator, expert witness for the US Department of Justice Civil Division, coding and claims consultant, and an advocate for the profession. She has served on ASHA's Legislative Council and the Executive Board of the Council of State Association Presidents and is a past-president of the Florida Association of Speech Language Pathologists and Audiologists.

Disclosures:
Financial: Dee is receiving an honorarium from CAPCSD for presenting this webinar
Non-Financial: SLP Advisor and member of American Medical Association’s Relative Value Update Committee Healthcare Professional Advisory Committee Review Board