MedLearn Coding Guide Resources 2021

Three Proven Resources — Ideal for These High-Risk Times

Designed to address unprecedented threats to your revenues, these how-to resources are essential tools for the respiratory therapy, pulmonary function testing, sleep studies/polysomnography and cardiopulmonary departments. The books and webcast will provide complete guidance to coding, billing, documentation and reimbursement and offer clear insights, analysis and action steps.

On Demand Webcast: 2021 Respiratory Therapy Reimbursement & Compliance Update — 1.5 CRCE

Webcast: 2020 Respiratory Therapy Reimbursement

This webcast will help you secure 100% of the payment you deserve for a full range of RT services. The strategy is correct coding and billing, supported by rock-solid documentation, which is not as straightforward as it seems. Although you may think your process is complete, RT departments across the country face challenges with charge capture and missed revenue opportunities often due to incomplete or outdated information. Join the numerous professionals across the country that have embraced this trusted webcast for the solutions they’ve been seeking.

Webcast Takeaways:

  • Guidance through new, deleted and revised CPT codes, plus HCPCS and NCCI updates specific to RT services
  • In-depth information on the 2021 OPPS final rule and the impacts for RT providers
  • Discussion and examination of common problem areas and missed revenue opportunities, including what should not be coded and why coding for productivity count may be detrimental to RT departments
  • Coding and documentation tips, with a special emphasis on the gray areas of “medical indications” versus “medical necessity” in the physician order, plus knowing when medical necessity extends to durable medical equipment
  • How to correctly interpret and apply CPT®/HCPCS codes for the billing of a full spectrum of RT/ pulmonary function services, including pulmonary rehab, RT rehab, and polysomnography/sleep studies
  • Step by step instruction through challenging scenarios for coders, such as determining which CPT codes should be used during a problem-oriented office visit
  • Guidance with ambiguous billing opportunities, such as nitrous oxide administration for a minor procedure in the emergency department and how many times you may report CPT code 94640 for multiple inhalation treatments during a single episode of care
  • Coding and billing requirements for polysomnography, including device pass-through payment status for 2021

CPT® is a registered trademark of the American Medical Association.

Available at the AARC store

2021 Medicare Payment Guide for Respiratory Therapy/Cardiopulmonary Services

Medicare Payment Guide for RT/Cardiopulmonary Services

Quickly find the most up-to-date Medicare payment information and ambulatory payment classifications for a full range of respiratory therapy and cardiopulmonary services, including EKGs, stress tests and sleep studies.

Quick, practical, and convenient access to current and complete payment information

With the fast-paced world of healthcare and the struggles of everyday operations, we know your time is valuable. The busier your schedule, the more you’ll appreciate this convenient reference! It provides the easiest, fastest pathway to current Medicare payment information for a full range of respiratory therapy and cardiopulmonary services: EKGs, stress tests, sleep studies and many more. You don’t have time for the inconvenience and hassle of searching through multiple Medicare files to dissect APC and payment information. In one resource, you’ll find the detail you need — payment information and ambulatory payment classifications (APCs) — to determine whether you’re receiving the full appropriate reimbursement, while complying with regulatory requirements.

Features and Benefits:

  • Provides Medicare payment information for all services performed in your RT/pulmonary function, cardiopulmonary and sleep study departments
  • Fully updated with the latest codes, APC assignments, status indicators, and payment rates
  • Divided into two main sections: APCs for typical procedures & CPT/HCPCS codes included in the APCs, with current payment rates and status indicators
  • At-a-glance tables with crosswalks compare the prior year payment rate to the current rate giving you instant detail on the changes
  • Key to status indicators at the bottom of every other page, guiding you through Medicare payment policies

CPT® is a registered trademark of the American Medical Association.

2021 Coding Essentials for Respiratory Therapy/Pulmonary Function

Coding Essentials for RT/Pulmonary Function

This unique resource will guide you through charge capture and coding, while helping to avoid noncompliant practices, for a full range of respiratory therapy, pulmonary function testing and sleep study services.

Maximize revenue while avoiding risk areas with this unique resource

Facilities are looking to maximize revenue, but, with respiratory therapy services, it’s also about avoiding risky practices — because auditors, regulators and payers are paying attention! This unique resource will guide you through charge capture and coding while helping you avoid noncompliant practices for a full range of respiratory therapy, pulmonary function testing and sleep study services.

Count on our trusted experts to guide you step by step through the intricacies of coding, charging, billing and documentation for this very challenging area of healthcare. Along the way, you’ll discover a wealth of dos and don’ts, equipping you to protect your compliance and revenue. We address many potential pitfalls, including insufficient documentation, unbundled coding, modifier misuse and the inappropriate coding of services.

Features and Benefits:

  • Step-by-step through coding, documentation and billing for a full range of respiratory therapy services and pulmonary function testing, plus polysomnography and other sleep studies, home sleep testing and penile studies
  • Covers code assignments by both hospital (technical) and physician (professional) entities
  • FAQ section addressing some of the most commonly asked questions and challenges observed by our experts across the country
  • Easy to navigate; each section contains:
    • Descriptions and intended uses of services provided
    • Listings of the corresponding CPT/HCPCS and revenue codes, along with explanations of intended code usage
    • Modifier usage, where appropriate
    • Documentation and medical necessity requirements
    • Billing tips
    • Clinical examples
  • Complete and current payment information, including:
    • Current hospital OPPS rates
    • Procedures with APCs, status indicators and at-a-glance tables showing CPT/HCPCS codes included in APCs, plus prior year and current payment rates
    • National and local coverage determinations (LCDs/NCDs)
    • Advance beneficiary notices (ABNs)
    • National Correct Coding Initiative (NCCI) edits

CPT® is a registered trademark of the American Medical Association.

Available at the AARC store