Coding and Reimbursement: Current Issues and Updates - San Francisco, CA
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When: July 19, 2017
1:00-6:30 p.m.
Where: San Francisco, California 
United States

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This five-hour session consists of lectures on MACRA, documentation requirements, coding and billing for interventional spine procedures, modifiers, billing for incident-to services, and guidelines for E/M coding. MACRA is here and it is critical to understand how it will affect your practice, payment, and documentation requirements.

Modifiers have a significant impact on reimbursement and carry inherent risks if the user is not familiar with their associated requirements. Medicare and NCCI published instructions will be presented, along with specific, common case scenarios. An overview will be provided of how to appropriately document for payers the additional work performed to support use of modifier -25. If physicians are considering employing the services of non-physician practitioners and wish to bill services incident-to, this session will be critical in that decision-making process.

A check-off system will be distributed to attendees in order to clearly delineate payer supervisory and documentation obligations. E/M key components are demonstrated in table formats in order to better illustrate the 1995 and 1997 documentation guidelines. In-depth documentation requirements and E/M coding guidelines are discussed to assist attendees in correct code assignment. Presenters review simple and complex case scenarios to bring together concepts of E/M, modifiers, and procedures which occur in a typical interventionalist clinic. Other compliance hot topics such as cloning notes, electronic signatures, and internal monitoring are also discussed.

This is an outstanding chance to hear from an experienced, certified coder as well as physician experts and members of our Society who provide advice on coding issues to the American Medical Association – the publisher of the CPT® Coding Manual.


Linda Duckworth, CPC, CHC
Luis Guerrero, MD
Scott Horn, DO


Wednesday, July 19
Lectures Are Held at San Francisco Marriott Marquis

12:30 p.m.

     Registration Opens


     Basic Coding: How We Got Here


     MACRA Me CrazySpinal Imaging


     In-depth Interventional Spine Coding and UpdatesFluoroscopy Technical Considerations and Radiation Safety


     BreakMedial Branch Block


    E/M: A Common-Sense Approach


     Modifiers: Who, What, and WhenTransforaminal & Interlaminar


     Rules for Billing Incident-to ServicesSacroiliac Joint


     BreakRisk Mitigation


     E/M Audits - An Auditor's Perspective and Hot Topics


     FAQ, Audience Scenarios, and DiscussionCoding


     Course Adjourns

Registration Details
You do not need to be a Member to attend this session.
All Attendees: $325
Health Policy Division Members: Free, contact prior to completing your registration.

Educational Objectives
Upon completion of this course, participants should be able to:

  • Discuss how MACRA will affect your practice, payment, and documentation requirements;

  • Demonstrate understanding of coding and billing rules for interventional spine procedures;

  • Apply modifiers in a compliant manner;

  • Identify which patient encounters qualify for incident-to billing under the Medicare program; and

  • Differentiate the documentation and coding requirements between new and established patient visits.

Continuing Medical Education (CME)
The Spine Intervention Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Spine Intervention Society designates this live activity for a maximum of 5.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Attendee Preparation
Prior to attendance, participants are encouraged to familiarize themselves with the Spine Intervention Society-sanctioned materials that will be emailed at least one week prior to the course and SIS’s, Attendees will receive copies of the presented lectures upon completion of the course.

Special Accommodations

We only contract with facilities that are in compliance with the Americans with Disabilities Act.

Dietary Restrictions
Participants will be provided food during the course. We strive to meet the needs of all attendees but if you have any questions or specific dietary restrictions, please contact the SIS office.

All ADA accommodations and/or dietary requests should be submitted by Monday, June 19, 2017 to

Registration Information
Registration is required and accepted on a first come, first served basis. Registrants will be confirmed via email. If you do not receive a confirmation, please contact the office. Do not book hotel accommodations or airfare until you are confirmed for the course. 

Cancellation Policy
The Spine Intervention Society requires cancellation at least 14-days prior to the course to receive a refund less a $100 administrative fee. Cancellation less than 14-days prior will result in forfeiture of all fees. SIS reserves the right to cancel this course due to circumstances beyond its control. The Society assumes no financial obligation to registrants for possible costs occurred.

Disclosure Policy

SIS plans and implements educational activities in accordance with the Accreditation Council for Continuing Medical Education (ACCME) Criteria and Standards for Commercial Support to ensure balance, independence, objectivity, and scientific rigor. As an ACCME-accredited provider, the Society’s policy requires program speakers, moderators, committee chairs, committee members, planners, and staff to disclose all financial relationships they may have or have had within the last twelve (12) months with commercial interests whose products or services may impact their presentation.

The Annual Meeting Committee Chair reviews all disclosures prior to presentation and has a process of resolution that, if not satisfied, results in the removal of the speaker. The intent of this policy is not to prevent expert speakers with relevant relationship(s), with commercial interest(s), or other interests from involvement in CME but rather to ensure that the Society’s CME activities promote quality and safety, are effective in improving medical practice, are based on valid content, and are independent from commercial interests and free of commercial bias. Disclosure information will be made available to all participants at this meeting. Speakers are also required to disclose this information to the participants verbally and on the introductory slide at the beginning of each presentation.

To ensure the integrity of members, volunteers, and leaders, and to maintain public confidence, SIS has adopted a policy of uniform disclosure of financial relationships and any individual participating in a sponsored activity must disclose to the audience any financial relationship in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g. stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected.

Commercial Support Disclosure
The society fully complies with all ACCME requirements for commercial support and maintains a separation of promotion from education. We promote improvements in health care and NOT proprietary interests of a commercial interest. The Spine Intervention Society is a non-profit medical society. Revenues from this and all courses are used for future research and educational endeavors.

Course Materials
Materials presented at this course have been made available by the Spine Intervention Society for educational purposes only. No distribution or reproductions of any kind, including audio and video recordings, may be made of the presentations. We reserve all rights to such material.



Registration Open to All $325
SIS Health Policy Division Members: Free (please contact the SIS office for registration)

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