Simplifying MPFS Database, LCDs, NCDs and Other Carrier Changes for Oncology

Event Information
Product Format
Prerecorded Event
Brenda Chidester-Palmer, CPC, CPC-I, CEMC, CASC
60 minutes
Product Description

Reviewing the Changes that Really Matters in Oncology Coding!


As oncology practices and cancer programs still scramble to update their respective charge masters, fee schedules, and other reimbursement documents to ensure compliance with coding and billing guidelines in 2016, we have designed a session for oncology practices for a quarterly update of the changes that really matters.

Join us for this session with expert speaker Brenda Chidester-Palmer - CPC, CPC-I, CEMC, CASC for an expert review of changes to the Medicare Physician Fee Schedule Database (MPFSD), Local Coverage Determinations (LCD) and National Coverage Determines (NCD) for oncology procedures and drugs. She will also provide a review of third party payer changes and if they follow Medicare’s policies. Brenda will also cover all recent updates and apply them to actual chart notes for correct reimbursement of your procedures and drugs. Additionally, you’ll understand the key documentation needed to support your coding and discuss the changes to the policies with real coding scenarios.

Plus, Brenda will review changes to Medicare’s national and local coverage policies and how this will affect coding and documentation.

Session Highlights:

  • Changes to Medicare Physician Fee Schedule Database
  • Changes to LCD and NCD
  • All recent updates and applying them to actual chart notes
  • Getting correct reimbursement of your procedures and drugs
  • Key documentation needed
  • Other carriers published changes
  • Coding scenario examples  
  • Links to websites for MPFSDB, NCD and LCD
  • Examples of other insurance carriers changes
  • List of the top drugs with limited coverage policies

This session will cover all the areas that the update has impacted, including:

  • The Medicare Physician Fee Schedule Database
    • Colorectal cancer screening
    • Guidance for placement of radiation therapy fields
    • New HCPCS “G” codes
  • The Federal Register
    • Updates to overpayment/refund policy
    • Regulations effective date
    • Additions, deletions and revisions
    • Implementation of biosimilar claim modifiers
    • Review new/updated policies
    • Implantable pumps NCD 280.14
    • Compounded drugs used in an implantable infusion pump LCD
    • Approved drugs and biological
    • NCD coding article for PET scans in oncologic conditions
    • Biomarkers for oncology
    • Factor VIII
  • NCCI
    • Bundling basic dosimetry calculations into 3D computer planning
    • Quarterly update to the CCI edits, effective April 1, 2016
  • Commercial carriers
    • UHC policy updates
    • AETNA updated and new policy
    • BCBS policy updates
    • Cigna policy updates
  • Coding Scenarios
    • Portrazza billing and coding
    • Trabectedin (Yondelis) coding
    • Laherparepvec (Imylgic)

Who should attend?

  • Coders
  • Billers
  • Office managers
  • Physicians

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Brenda Chidester - Coding Compliance Expert

Brenda Chidester-Palmer, CPC, CPC-I, CEMC, CASC, has 19 years of coding and billing experience. Brenda is the principal of Palmer Coding Consultants. She provides auditing and education services to physician offices. She is the former Coding Compliance Manager for a Kelsey-Seybold Clinic, a large multi-specialty group practice in Houston, Texas. She is an Approved PMCC Instructor, former AAPC Workshop Presenter, past president of her local AAPC chapter, and...   More Info
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