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Managing Coding & Reimbursement Challenges in Neurosurgery


The goal of the AANS Managing Coding & Reimbursement Challenges in Neurosurgery course is to train clinical, professional and administrative staff to recognize the implications of quality reporting and deliver the most up-to-date ICD-10 and CPT coding specific to neurosurgical practice. Through hands-on training and experience, attendees learn to accurately apply and assign CPT codes for common neurosurgical procedures. Attendees are exposed to high quality, reliable and effective practice management content important for staying compliant with ever-changing regulations.

Course Co-directors

John Kevin Ratliff, MD, FAANS
Stanford University Medical Center

Luis Manuel Tumialan, MD, FAANS
Barrow Neurological Institute

CME Credit

The AANS is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

The AANS designates this live activity for a maximum of 18.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Education Unit (CEU) Credit

This program has prior approval from the American Academy of Professional Coders (AAPC) for up to 20.5 continuing education hours. Prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. The AAPC approval index number(s) for the 2021 AANS Managing Coding & Reimbursement Challenges in Neurosurgery course is valid thru Dec. 31, 2021.

This agenda is from the 2021 course. It is for informational purposes only.

All times in CT.

Day 1
Time Topic(s)
1-4 pm

• NEW Evaluation and Management Coding and Documentation Guidelines for Office Services
• Telehealth/Telemedicine 2021
• Non-Physician Practitioner Billing: CMS Guidelines

4-4:30 pm Break
Concurrent Breakout Sessions
4:30-6:30 pm

Physicians Only Breakout: A session to discuss new codes, practice management concerns and challenges faced by practicing neurosurgeons. Review CMS survey methodology and take the opportunity to discuss the code development and valuation process. There is ample time for questions and for attendee-led conversation.

Coders and Office Staff Breakout: Focus on review of neuroanatomy and terminology relative to coding, using a didactic presentation and models with ample time for questions. Attendees are expected to have a working knowledge of neuroanatomy and terminology. Faculty recommends that attendees have completed Introduction to Neurosurgical Coding with Anatomy & Terminology webinar or have a minimum of two years of experience in neurosurgical coding.

Day 2
Time Topic(s)
8-9:30 am

• Neurosurgery Coding and Billing Principles
• Surgical Code Modifiers
• Global Surgical Package for Neurosurgical Procedures

9:30-10 am Spine Procedure Coding
10-10:15 am Break
10:15 am-12 pm Spine Procedure Coding (cont.)
12-12:45 pm Lunch
12:45-2:15 pm Spine Procedure Coding (cont.)
2:15-2:30 pm Break
2:30-3:30 pm

• Spine Procedure Coding (cont.)
• Peripheral Nerve Procedure Coding

3:30-4 pm Spine and Peripheral Nerve Coding Question and Answer
Day 3
Time Topic(s)
8-8:30 am Practice Management Pearls
8:30-9 am Medicare Update 2021
9-10 am Cranial Tumor and Cerebrovascular Procedure Coding
10-10:15 am Break
10:15 am-12 pm Functional and Pediatric Procedure Coding
12-12:45 pm Lunch
12:45-1:30 pm Cranial Trauma and Other Non-Spine Procedure Coding
1:30-2 pm Question and Answer
2-3 pm Neuroendovascular Procedure Coding

John Kevin Ratliff, MD, FAANS, Co-director
Luis Manuel Tumialán, MD, FAANS, Co-director
Joseph S. Cheng, MD, MS, FAANS
Kristopher T. Kimmell, MD, FAANS
Mark Oppenlander, MD, FAANS
Clemens M. Schirmer, MD, PhD, FAANS, FACS, FAHA
Cheerag Upadhyaya, MD, FAANS
Anand Veeravagu, MD
Chester K. Yarbrough, MD, MPHS
Kim Pollock, RN, MBA, CPC, CMDP
Teri Romano, BSN, MBA, CPC, CMDP


Omni William Penn Hotel
530 William Penn Place
Pittsburgh, PA 15219
Hotel Phone: 412.553.5226
Reservations Phone: 800.843.6664
Room Rates: $179
Hotel Reservation Deadline: August 09, 2021

Cancellation and Refund Policies

Requests for cancellation, substitution or transfer of course registration must be received in writing prior to August 12, 2021, in order to receive a full refund less a $50 processing fee. Cancellations, substitutions or transfers to another course will only be granted between August 12, 2021, and August 26, 2021, less a $100 processing fee. No refunds will be made for cancellations, substitutions or transfers after August 26, 2021. Email or fax written cancellation, substitution or transfer requests to: or fax: 847.378.0608.

The AANS reserves the right to cancel a course. Registrants will be notified by telephone and a formal letter of cancellation will follow in the mail. In the event of course cancellation, registration fees are refundable; however, airline and hotel penalties are the responsibility of the registrant.