CAP17: Presentations & Exhibition Information
Visit Cleveland Clinic Laboratories at Booth 216 to meet and talk with staff and representatives, or attend any of the staff presentations listed below.
Sessions & Topics
M1596 How is My Payment Determined for Pathology Services?
Sunday, October 8, 2017, 10:30 AM – 11:30 AM
In this highly interactive course, learn about the important concepts of payment of services on the Medicare Physician Fee Schedule (PFS) and current procedural terminology (CPT) coding. Faculty will provide an overview of how current coding and billing practices were developed and how the Centers for Medicare & Medicaid Services (CMS) determines the payment amount for codes on the PFS. Faculty also will discuss how CPT codes are modified and how code modification can lead to payment changes on the PFS. As a result of participating in this course, participants will understand the fundamentals of the current systems to better comprehend the changing payment environment and to predict future trends.
This course and the complementary CAP17 courses R1690 and R1691 provide a review of concepts in CPT coding, Medicare PFS valuation, and payment policy challenges that
pathologists currently face.
You will learn to:
- Explain CPT, AMA/Specialty Society Relative Value Scale Update Committee (RUC), resource-based relative value scale (RBRVS), PFS, and Relative Value Units (RVUs).
- Describe how a new code is initiated, developed, valued, and put into practice.
- Explain how existing codes are modified.
- Distinguish between Medicare PFS valuation and Medicare clinical laboratory fee schedule (CLFS) valuation.
- Identify the differences and similarities in coding between Medicare and private payers.
IWSL701: CAP17 Industry Lunch Workshop €“ An Approach to Common Issues Facing the Practicing Pathologist Who Encounters GI Specimens
Sunday, October 8, 2017, 11:45 AM – 1:15 PM
This session will focus on two of the issues most frequently encountered by pathologists evaluating GI pathology specimens, Barrett€™s esophagus and Barrett€™s-related dysplasia, and the pathologic evaluation of colorectal carcinoma, including an algorithmic approach to molecular testing of colorectal carcinoma specimens.
R1691: Round Table Discussion – Current Payment Policy Challenges in Pathology Practice
Monday, October 9, 2017, Noon – 1 PM | Tuesday, October 10 2017, Noon – 1 PM
Join the experts for lunch! Exchange information and share solutions in a relaxed setting with your peers. You will learn to improve your ability to identify solutions to common problems through interactive sessions with colleagues.
S1620: Medicare€™s New Quality Payment Program and the Physician Fee Schedule€”You Can Run But You Can€™t Hide
Monday, October 9, 2017, 2 PM – 4 PM
In March 2015, Congress passed H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 which repealed the sustainable growth rate (SGR) and replaced the current quality programs with a new quality payment program (QPP) that creates two payment pathways: 1) the Merit-based Incentive Payment System (MIPS) and 2) the Alternative Payment Model (APM). MIPS combines the current pay for performance programs, the Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Value-Based Payment Modifier (VBM) along with a new category, Clinical Practice Improvement Activities, to create a single quality score. Starting in 2019, physicians can earn bonuses or receive penalties through MIPS of up to 4% depending on their performance in 2017. It will increase to 9% in 2022. Faculty will explain the program and its implementation and provide current information on how to successfully participate.
You will learn to:
- Describe the history and purpose of pay for performance programs.
- Explain who is subject to the QPPs, MIPS, and APM.
- Identify ways to successfully participate in the MIPS program.
- Assess the potential ramifications for not successfully participating.
S1708: Problem Cases in Surgical Pathology – Slide Seminar
Tuesday, October 10, 2017, 9:30 AM – 11:30 AM
The course will address problem areas of diagnosis in surgical pathology using a slide seminar format. Faculty will present selected cases and use them as a platform for an in-depth discussion of the topic. Discussion will center on modern criteria for diagnosis, the pitfalls associated with the lesions discussed, and the role and limitations of special techniques for diagnosis. An interactive audience response system will engage the participation of the audience, and questions and answers will be encouraged.
You will learn to:
- Identify new entities in surgical pathology.
- Recognize common pitfalls involved in the diagnosis of uncommon tumors.
- Identify the role and limitations of special techniques for the diagnosis of uncommon tumors.
S1524: Critical Differential Diagnoses in Soft Tissue Pathology
Wednesday, October 11, 2017, 9:30 AM – 11:30 AM
In this course, the faculty will provide a structured approach to dissecting common and critically important differential diagnoses in soft tissue tumors of the dermis, subcutis, and deep soft tissues. The presenters will not only provide the conventional wisdom but will also dig deep down into their collective experience to give diagnostic pearls not found in most textbooks. Their approach, based on countless hours of teaching these differential diagnoses to residents and surgical pathologists, will allow participants to conclusively sort out difficult differential diagnoses using histologic features as well as immunohistochemical and molecular studies. Whether participants are residents or seasoned surgical pathologists who occasionally have to deal with the frustration of encountering a soft tissue neoplasm, this course holds value.
You will learn to:
- Formulate an accurate differential diagnosis of common soft tissue tumors based on histologic and clinical cues.
- Sort out the differential diagnoses using immunohistochemical markers.
- Determine the differential diagnosis using molecular markers.
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