2016 Neurology Coding & Billing Updates

Event Information
Product Format
Prerecorded Event
Marvel J. Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO
90 minutes
Product Description


Insights on 2016 Neurology Coding


Are you looking for deeper insights and guidance on CPT® coding for Neurology in 2016? Are you seeing an increase in Medical Necessity denials coming through for your services due to new Medicare LCD ICD-10 coverage policies not exactly matching the retired ICD-9 LCD?

Whatever may be the reason, your practice won’t receive the reimbursement it deserves if you don't have a complete and thorough understanding of the coding changes. Don’t risk denìed payments or delays in reimbursement this year by being out of the loop.

Attend this session by Neurology reimbursement expert Marvel J. Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO, to get your whole staff up to speed with all of the new, revised and deleted codes for Neurology services. This 90-minute presentation will give you all you need to know to optimize reimbursement in 2016. She will open your eyes to new reimbursement opportunities and light up your way to avoid the pitfalls.

Session Highlights

  • Don’t be caught without the facts - Find out all the essentials on the CPT® coding changes for neurology services coming in 2016! If your neurologist does neurostimulator analysis and programming, you don’t want to miss this session!
  • Determine if the new 2016 prolonged E/M services will apply to your neurology practice. Review the CPT® differences between a “qualified health care professional” and “clinical staff.”
  • Check out potential HCPCS code changes that may affect your neurology office practice in 2016.
  • The proposed rules for 2016 Medicare changes are out, but what will finally be decided? Will neurology practices see increase in the RVUs for their common diagnostic testing?
  • Check out the 2016 PQRS changes – don't be the last neurology practice to jump on the reporting bandwagon and be subject to multiple Medicare penalties in 2018
  • Review the hot topics for neurology on the 2016 OIG Work plan.

Marvel will also discuss:

  • ICD-10-CM changes in 2016
  • CMS Q&A for clarifying ICD-10
  • Resources for State-specific Medicare coverage policies for ICD-10
  • Changes to CPT® codes in 2016
  • Changes to E/M Services in 2016

    o    Prolonged Service with Direct Patient Contact
    o    Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision

  • Medicare 2016 – Advance Care Planning
  • 2016 Instructions for Use of the CPT® Codebook
  • 2016 Surgery & Medicine Section Guidelines
  • 2016 Surgery: Nervous
  • Thoracic Paravertebral Block
  • 2016 Radiology Section Guidelines
  • 2016 Medicine
  • 2016 HCPCS

    o    CMS Transmittal 3292
    o    2016 HCPCS: Added
    o    CMS 2016 CLFS Final Determinations
    o    2016 Medicare Presumptive Drug Testing
    o    2016 Medicare Definitive Drug Testing

  • Medicare Physician Fee Schedule 2016

    o    Medicare 2016 Outpatient Therapy Caps
    o    MACRA of 2015 & Global Surgical Package Valuations

  • Medicare Transmittals & NCCI Manual

    o    CMS Transmittal 3315
    o    2015 2nd Quarter NCCI Edits – 21.1
    o    2016 NCCI Manual: Chapter 8 Nervous System
    o    2016 NCCI Manual: Chapter 9 Radiology

  • OIG Work Plan

    o    2015 Mid-Year Update: OIG Work Plan
    o    2016: OIG Work Plan

  • CPT® Assistant
  • 2016 Successfully Reporting: Individual Measures to Avoid 2018 Penalty Adjustment
  • 2016 PQRS for Neurology: New Individual Measures
  • 2016 PQRS for Neurology: Deleted Individual Measures
  • 2016 Successfully Reporting: Measures Group to Avoid 2018 Penalty Adjustment
  • 2016 PQRS: New Measures Group
  • 2016 PQRS for Neurology: Revised Measures Groups

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About Our Speaker

Marvel J. Hammer - Neurology Coding Expert

Marvel J Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO is an accomplished professional with considerable years of experience both in the business and medical fields. She is a coding, billing and compliance consultant and owner of MJH Consulting based in Denver, Colorado.

She provides medical coding and billing education, assistance with payer audits and performs compliance reviews for her clients. Marvel enjoys teaching providers and their...   More Info
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