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2024 AUGS Coding Webinar Series Part II: Coding fo ...
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The document discusses various topics related to coding and reimbursement in urogynecology. It is a presentation by Dr. Charles D. Thompson, the Chairman of the AUGS Coding and Reimbursement Committee. The document covers updates regarding payments in 2024 and dives deeper into new CPT codes for urogynecologists, providing clinical correlations using case reports to demonstrate their proper use. The document also addresses questions related to coding from participants.<br /><br />It mentions the timing of Congressional action resulting in two conversion factors for 2024, and provides examples of Medicare national average payments for various procedures. It includes links to resources on the CMS website for searching the Physician Fee Schedule and provides information on a payment disruption program for providers and suppliers.<br /><br />The document introduces new codes for implanted percutaneous tibial nerve stimulators (PTNS) and provides guidance on negotiating physician payment for Category III codes. It emphasizes the importance of creating a packet for payers that includes information on medical necessity, failed therapies, clinical outcomes, and requested payment amounts.<br /><br />The document discusses the use of new add-on codes for pelvic examinations and complex longitudinal care in urogynecology. It provides several case examples to demonstrate the appropriate use of these codes. It also addresses questions related to coding scenarios such as billing for uroflow and straight catheterization, and billing for incomplete urodynamic testing.<br /><br />Overall, the document provides valuable information and guidance for urogynecologists regarding coding and reimbursement practices in 2024.
Keywords
coding
reimbursement
urogynecology
Dr. Charles D. Thompson
AUGS
CPT codes
Medicare payments
conversion factors
implanted percutaneous tibial nerve stimulators
physician payment
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