This program instructs on correct diagnosis and procedural coding for pain management services and the condition(s) causing the pain. Insurance company policies spell out the pain management requirements to meet medical necessity. The instructor covers some of the major commercial payers’ insurance carrier frequency and diagnoses policies for pain management. Pain management tends to attract scrutiny by payers and regulators.
Highlights:
- Understand various forms of treatment
- Know timing for new treatment options
- Medial branch blocks
- Radiofrequency procedures
- Epidural injections
- Neurostimulator trials and insertion
- Trigger point injections
- Medical necessity for pain management
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Lynn Anderanin
CPC, CPB, CPMA, CPPM, CPC-I, COSC
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Lynn 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, 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.
Gain knowledge of insurance carrier policies related to pain management and receive instruction on proper coding (ICD-10-CM and CPT®).
Content assumes general knowledge of coding and reimbursement. No additional outside resources are required for participation.
Pain management treatments are primarily performed by an interventional pain management specialist, physiatrist, anesthesiologist, orthopedic surgeon, or neurosurgeon. Pain management involves finding the best form of treatment for patients with pain due to injury or a condition. Very often a patient will try several forms of treatment to help with the pain, understanding the purpose is not necessarily to correct the problem but to manage the pain associated with it. Attempts to treat pain can include physical or occupational therapy, over the counter or prescription medication, neurostimulators, and injections.
Many insurance companies are now requiring conservative treatment options to be performed over a period of time before more invasive procedures, including surgery, are scheduled. Expand your knowledge base of coding for interventional procedures and injections. Learn to accurately assign condition codes for procedures and identify documentation gaps that leave you vulnerable to denials and over-payment demands.
Comments from past participants:
“The speaker provided great tips regarding coding pain management.”
“Good information was discussed which helped to update coders on current guidelines.”
“I have always found the PMI webinars to be educational and the presenters knowledgeable. This was no exception.”
Prod ID: 288