1. PRINCIPLES OF BILLING, CODING, AND COMPLIANCE IN RADIATION ONCOLOGY
THE 17TH EDITION BMSi USERS GUIDE

2. Welcome to New York City
April 11, 2014

3. PRINCIPLES OF BILLING, CODING AND COMPLIANCE IN RADIATION ONCOLOGY
BMSi
Day Two, April 11, 2014
40 SLIDES
40314

4. INTRODUCTION TO THE BMSi SEMINAR SERIES
This set of slides will run automatically during the time you are settling in for the morning session
These slides are for information purposes only, and are not part of your CME

5. BMSi is a division of Bogardus Medical Systems, Inc.
BMSi SEMINARS
BMSi is a division of Bogardus Medical Systems, Inc.
This seminar is being sponsored and produced in part by Bogardus Medical Systems Inc.
THIS IS BMSi SEMINAR # 122
New York City, NY

6. NEW PROGRAM FORMAT
Dr. Bogardus will not be here in person, but he will be available and participating using a live video simulcast from the BMSi office in Oklahoma City.
This is a live two way communication, and the audience is encouraged to interact as we have always done in the past.

7. BMSi Seminars Basic Principles of Documentation, Billing, Coding, and Compliance in Radiation Oncology
Carl R. Bogardus, Jr., M.D., FACR, FASTRO
Professor, Dept. Radiation Oncology
Director of Clinical Services
University of Oklahoma HSC
Oklahoma City, OK
37 Slides
Modified For

8. Radiation Oncology Seminar Manual
Print full name
Billing Site/Center
Address
City, State, Zip Code
THIS IS YOUR BOOK
DID YOU REMEMBER TO FILL IN YOUR OWNERSHIP INFORMATION?

9. Please acknowledge their contributions to your educational experience.
Sponsors of the Documentation, Billing, Coding, and Compliance seminar series
This seminar series is very expensive to produce and maintain for many reasons.
All of our costs are more than your combined tuitions for the limited number of professionals attending this highly specialized seminar series. We are able to hold the tuition stable and continue to provide these seminars through the generous support of our sponsors, who help make all of this possible.
Please acknowledge their contributions to your educational experience.

10. Jeff Carlin of BMSi is available to meet with you and demonstrate the features of ONCOCHART
If you are interested in further information on ONCOCHART for your practice, a WEB demonstration can be arranged
Flyers, a summary booklet, and demonstration CD, are available in the lobby
ONCOCHART WAS THE FIRST ELECTRONIC HEALTH RECORD PROGRAM IN RADIATION ONCOLOGY TO BE FULLY CERTIFIED

11. Now certified for meaningful use TWO.
BMSi was number 9 in the country to achieve this milestone.

12. Scott Simmons is the owner of Eagle Consulting, and
is a regular lecturer at the BMSi seminars
Scott is available to help you and your practice with the many complex issues of today's world of billing and compliance as a consultant, onsite or in a limited online consulting arrangement

13. Susan Vannoni is a regular lecturer at the BMSi seminars.
1-D
Susan Vannoni is a regular lecturer at the BMSi seminars.
Susan owns her business of Radiation Oncology Consulting. She has many years of experience in the management of centers, and the knowledge this brings to her consulting business.
Susan is available to do on site consulting and also limited on line consulting work

14. Kevin Ewalt President and CEO of RADMAX, LTD.
Kevin has over twenty years of experience in the healthcare industry including UCLA Medical Center (Los Angeles, Calif.), Saint John’s Hospital and Health Center (Santa Monica, Calif.) and serving as Director of Operations for East Texas Medical Center (Tyler, Tex.).
During his years working in hospitals he has gained expertise in center supervision, project planning, report production, budget planning and medical billing.
Kevin is also an accomplished musician and still plays music when time permits. He formed his company, RADMAX in 2004.
Kevin’s ability to think creatively as well as analytically makes him a unique leader and instrumental in RADMAX’s success.

15. BMSi Publishing Production Design Carl R Bogardus, Jr MD
Book Editor in Chief Carol Gravlee
Director of Printing Colleen Mallory
Manager of Compliance Lynn Miller, BsRn, Onc
Seminar coordinator Carol Gravlee

16. Section 1 Introduction, Credits & Disclaimers
Covered by pages
Section 1 Introduction, Credits & Disclaimers
American Medical Association (AMA)
CPT, ICD-9
American College of Radiology (ACR)
American Joint Committee on Cancer
Oncochart (BMSi)

17. NOTICE OF PERMISSION
NIB
All patient related material, to include photographs of the patient, the patient’s tumor site, and all associated electronic representations of patient material is being used as a scientific presentation with the complete understanding of the patient and with their full written consent. A signed, dated, and witnessed consent form is on file in the department of radiation oncology.

18. BMSi SEMINARS Commercial Discloser
1-13
BMSi SEMINARS Commercial Discloser
BMSi Seminars is a production of Bogardus Medical Systems, Inc., BMSi is owned in part by C. R. Bogardus, JR , M.D. BMSi is responsible for the development of the Oncochart Program, which is used extensively throughout this Seminar for the sole purpose of illustration of proper documentation

19. COPYRIGHT LEGAL OPINION
This use of a limited number of CPT codes constitutes “FAIR USE” as defined under Chapter 1, Sect 107 US copyright law.

20. This Seminar Manual is intended to be a supplement rather than a replacement for the American Medical Association’s Physician’s Current Procedural Terminology (CPT).

21. It should be noted that the information contained in this manual does not constitute law or HCFA policy.

22. WARNING DISCLAIMER
Reimbursement policies vary widely between insurers, and even the same insurer in different parts of the country
Reimbursement policies are subject to change without notice.
The information in these books may be current at the time of the seminar, but can be out of date by the time of your use.
If in doubt check with your insurer.

23. Meeting Your Educational Needs
Section 1,Page13
Meeting Your Educational Needs
Radiation oncology billing is the most complex of all medical billing scenarios.
To be able to correctly bill radiation oncology procedures, you must first have a basic understanding of the science of radiation oncology.
The science leads to procedures.
All procedures must be medically compliant.
Compliant procedures may be billed.
This book and the accompanying course work form only a basic primer in the science of radiation oncology, but it is an advanced course covering the requirements for documentation.

24. THE GOAL OF THIS SEMINAR HAS BEEN :
1-13
THE GOAL OF THIS SEMINAR HAS BEEN :
TO TEACH:
Documentation
Compliance
Charge capture
Billing

25. CONTINUING EDUCATION CREDITS
12 CEU AMA Category II Credits
12 CEU ASRT Credits
12.5 CEU AAPC Credits
12 CEU ROCC Exam Credits
PARTICIPANTS ARE TO CLAIM ONLY THOSE CREDITS THAT APPLY TO THEIR SPECIALTY, AND COMMENSURATE WITH THE EXTENT OF THEIR PARTICIPATION IN THIS ACTIVITY. YOU MUST COMPLETE AND SIGN THE EVALUATION FORM TO RECEIVE YOUR EDUCATIONAL CREDITS

26. PROGRAM MODIFICATIONS
At the request of previous audiences, and in response to your critique forms, changes are often made to the program.
One of these to save your valuable time, is that we are covering the basic introductions as you get settled in the room.
The required disclaimers are in the book and do not need to be re-stated.

27. PROGRAM GUIDE NOTICE!! NOTICE!!
Follow the program guide.
The lecture series will not sequentially follow the book chapters.
This is necessary to allow the correct amount of time for each section to be fully presented.

28. The program guide allows you to follow the sequence of the lectures, the person doing the presentation, and the section of the User’s Guide where the lecture material is located.

29. SLIDES AND PAGE NUMBERS MAY NOT MATCH EXACTLY
This lecture is constantly changing and it is difficult to keep all the slides correlated with the page numbers. In any event they may be off only a page or two, let us know at the time if you cant find a section

30. There are multiple reasons why the number on the slide may not match the page in the book.
The primary reason is related to multiple modifications of the slides and book chapter to meet new rules and current thinking.
An equally important reason is related to paraphrasing and shortening the data on the slide to the point where it may be difficult to recognize where it came from in the book.
And some slides are just not in the book, NIB.

31. NAVIGATION AID TO THE FORMAT OF YOUR BMSi SEMINAR MANUAL32
NAVIGATION AID TO THE FORMAT OF YOUR BMSi SEMINAR MANUAL
Each section starts with new page numbers. Be sure you are in the correct section of the book
Most of the slides have reference page numbers on the slide.
Page Section 5 V

32. NIB
SLIDES NOT IN BOOK
SOME OF THE SLIDES IN THIS LECTURE ARE NOT IN THE BOOK
THEY HAVE BEEN ADDED TO MAKE THE LECTURE MATERIAL MORE UNDERSTANDABLE, AND FOR CLARIFICATION OF DOCUMENTATION AND ILLUSTRATIONS OF MEDICAL NECESSITY
NIB

33. VERSION NUMBER
Some sections of this book are unchanged from previous printings and may have different version numbers listed on the bottom of each page of the section.
This is not an error, sections that have been reworked will have a new number, while older sections may retain the original number.

34. WHAT DID WE LEARN?
This seminar will be followed in two weeks on April 24, 2014 with a live two way web based seminar follow up, exclusively for attendees of this seminar and their office staff, see Carol for details of participation
Please discuss this seminar with your office staff and come up with questions or suggestions about what you learned, or what you want to know more about. Send in your questions and I will discuss them at the WHAT DID WE LEARN session.

35. TODAY’S SCHEDULE DAY TWO
7:45 – 8:00 Introduction
7:30 - 8:00 Breakfast
8:00 - 9:30 Hospital billing………………..Section 13
9:30-10:00 Legal Issues…….…………....Section 4
10:00-10:15 Coffee Break
10:15-10:45 Treatment Management……Section 11
10:45-11:30 ICD-10…………………………Section 2
11: :00 Question and Answer

36. If you don’t want your Lanyards, Please Recycle Them on your way out at the end of the seminar, thank you.

37. PLEASE TURN OFF,
OR SET ON SILENT.

38. PRINCIPLES OF BILLING, CODING AND COMPLIANCE IN RADIATION ONCOLOGY
BMSi
2014
Day Two
END AUTO RUN

39. THE SEMINAR WILL START IN A FEW MOMENTS,
THANK YOU