Pain Management Coding: Avoid Massive Penalties
No, you’re not paranoid. Your pain management claims ARE being watched. Why? Well, in 2017 CMS projected paying $165,931,356 in error for pain management services, and they are looking to get their money back.
So, if you submit claims for your pain management services to either Medicare or private payers, the importance of accuracy just shot through the roof. Not only is this the only way you’ll be paid correctly for the pain management services you provide, but it could also keep you off Medicare’s audit target list and stop you from having to pay hundreds of thousands in penalties and fines.
Don’t assume that your pain management claims are coded as accurately as possible just because you’re being paid. If you do that you are just waiting to be targeted. Instead, let expert coder and educator, Catrena Smith CCS, CCS-P, CPC, CPCO, CPC, CIC, CPC-I, CRC, CHTS-PW, help. During her online training, she’ll walk you through how to more accurately code the pain management services you provide. She’ll also help you identify your highest risk areas so you can have a better chance of heading off a Medicare audit.
Here are just a couple of the plain-English, practical, how-to pain management coding tactics you’ll receive from this 60-minute online training:
Practices offering pain management services, are feeling the pain themselves. Audit findings are leading to massive penalties and fines, here are just 2 examples of pain management judgements posted on the OIG website:
It’s easy to think that getting chosen for an audit, and being requested to pay hundreds of thousands of dollars in penalties will never happen to you – but don’t make this mistake. Medicare is under an obligation to Congress to reclaim the funds that they’ve over paid, and with pain management overpayment numbers equaling $166 million, you can bet that audits are only going to increase.
Don’t wait. Get the help you need to improve the accuracy of your pain management claims, and to head off Medicare and private payer audits. Sign up for this online training today.
With over 16 years’ experience in the Health Information Management Industry, Catrena is a nationally recognized speaker and has published numerous articles in professional journals and magazines. She is a former AAPC Local Chapter President, serves as a HIM student/new graduate mentor for multiple organizations and has served as an Advisory Committee member of a local college for several years. Catrena prides herself in helping to grow the next generation of health information management professionals.
AAPC: This program meets AAPC guidelines for 1.0 CEUs. On Demand product requires successful completion of a Post-Test for Core A, CPCO, CPMA and CANPC for continuing education units.
“I enjoyed the speaker, informative.”
- Lauren Wilcox, Certified Coding Specialist CPC, Murfreesboro Medical Clinic Spine Joint and Pain Center, Murfreesboro, TN
“I enjoyed the targeted information, very useful.”
- Valere Velez, Billing, LAGS, Oxnard, CA
“Presenter did not just read everything.”
- Carrie Smith, Sr Acct Manager, Aprima, Richardson, TX