Orthopaedic Coding Course
9:00 a.m. – 3:00 p.m.
Friday, April 13, 2018
Created for orthopaedic surgeons and billing/coding staff members, Margi Maley of Karen Zupko & Assoc. will teach this all-day course that will focus on the latest orthopaedic coding updates.
- Choose the correct E/M categories for office and hospital services.
- Define a “procedure to procedure edit”
- Differentiate CPT code definitions from NCCI procedure-to-procedure edits and narrative guidelines.
- Apply E/M and surgical modifiers so that reimbursement is optimized and accurate.
|Certification of TKA for inpatient surgery- are you getting denied?
Fact vs Fiction
|Medical Necessity-What is it? Why is it SO important?
The role of diagnosis coding in medical necessity
|Anatomy of a Payment Policy- are you getting denials for Arthroscopy?
Do you know why?
|E/M Categories of Service and when to use them.
New vs Established Patient
What is a consultation? What about Medicare
What do you use when you go to the ER?
|E/M Levels of Service and how to document them.
History, Physical Examination, Medical Decision Making
|Any Update on the simplification of these guidelines?|
|Global Surgical Package
Pre-operative H&P – can this be reported?
|E/M modifiers 24,25,57
Modifier-25 reductions and denials-What to do?
Are the payors going to reduce my E/M service by 50% when I do an injection?
|CPT Rules, Medicare Rules, AAOS Global Service Data Guide|
|Fracture Care and fracture package
ER, Office and Outpatient hospital.
Is there a difference in reporting fracture care?
Medicare rule for fractures treated with a single cast
|Modifier 59 VS 51: Finally explained so you can understand it.
Most common orthopaedic examples.
|Modifier 58: Staged procedures
Modifier 78: Return to the OR to treat a complication
Modifier 79: Unrelated procedure in the global period
Modifier 22: Unusual Service
Modifier 52: reduced Service