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AMA CPT Changes 2024 – Reimbursement Policies on the New Procedures and Services

Event Materials (Key Required)
Each and every year, the AMA CPT Editorial Panel spends countless hours reviewing requests for new CPT codes from medical societies, insurance companies, and medical device manufacturers. CMS Medicare also requests code changes and or RVU changes from the AMA RUC (Relative Unit Committee) as the complexity of procedures changes. The changes in the AMA CPT manual are implemented on January 1st of every year and 2024 is no different. With approximately 500 changes, anyone working with assigning CPT codes needs to be aware of the changes. In this session we will review the changes and discuss the reasoning behind some of them for a better understanding of how to apply them. Submitting invalid codes to any insurance company after January 1st can not only delay reimbursement but it can also be considered as errors creating denied claims in which have to be corrected and resubmitted in a timely filing period identified by each insurance company separately. To avoid expanding the chance of not receiving any reimbursement due to errors, submitting clean, correct, claims is critical in this field. The only way to do that is know the changes and apply them correctly.

Learning Objectives:
  • Understand code additions to CPT for procedures being performed by the providers in the practice
  • Learn what can be expected as reimbursement for the new procedures and services
  • Other changes in CPT to assist in coding appropriately
  • Category III codes that were not in CPT 2023 but were valid on July 1, 2024
  • Learn the new ways in which the COVID-19 vaccine is to be reported
  • Discuss any new modifiers that are being implemented
  • Review the 2024 CMS Proposed Physicians Fee Schedule to prepare for the final rule
Areas Covered in the Session:
  • Inpatient and Observation
  • Consultations
  • Emergency Services- 99282-99285
  • Nursing Facilities-99304-99316
  • Home or Residence Services Codes – 99341, 99342, 99344, 99345, 99347-99350
  • Time Assignments
  • Prolonged Services
  • Split or Shared Visits
  • Multiple E/M- Same Day
  • Description of Risk
  • Telehealth
  • Metatarsal Arthrodesis for Bunion Correction
  • New Codes Nasal/Sinus Endoscopy
  • Phrenic Nerve Stimulation
  • Cystourethroscopy
  • Ablation of Fibroids
  • Skull-mounted Cranial Stimulator
  • Spine Neurostimulator Revisions
  • Other Stimulator Code Revision
  • Peripheral Nerve Stimulators
  • Eye Orbit Procedure
  • Diagnostic Radiology- Heart
  • Intraoperative Ultrasound
  • Solid Organ Neoplasm
  • Chemistry, Immunology, and Microbiology
  • New PLA (Proprietary Laboratory Analyses) Codes
  • RSV
  • SARS-CoV-2 Vaccinations
  • Other Vaccines
  • Diagnostic ENT Analysis
  • Phrenic Nerve Stimulation
  • Venography for Congenital Heart Defects
  • Chemotherapy Procedure
  • Caregiver Training Services (97550-97552)
Suggested Attendees:
  • Healthcare Executives CEOs, COOs, CFOs
  • Healthcare providers
  • Hospital and facility administration
  • Healthcare Policy Analysts
  • Healthcare Business Researchers
  • Legislative or Regulatory Advisors
  • Billers
  • Coders
  • Administrators
  • Managers
  • Supervisors
  • Physician
  • Non-Physician providers
  • Qualified Healthcare Professionals
  • Compliance officers
  • Consultants
  • Claims adjusters
  • Case Managers
Presenter Biography:

Lynn M. Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area. She has over 39 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars. Lynn became a CPC in 1993, a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other committees for the AAPC.


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TESTIMONIALS

“Jim Sheldon-Dean’s insights on privacy and security were very much helpful to our team, it was great to learn from an instructor like him. Appreciate!”CHRISTINE JACOB MD, CDI SPECIALIST

“This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course.” MELISSA PRESTON, HEALTH INFORMATION MANAGEMENT STAFF

“The workshop was very insightful and made absolute sense in terms of the regulations and their compliance. I am thankful for having the opportunity to attend.”BARBARA CAPRIOTTY, REHABILITATION DIRECTOR