2012 Fracture Care Coding

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
Conference Date
Wed, Feb 29, 2012
60 Minutes
Product Description

Losing money because of incorrect coding? Appeal the denials on the EOBs

Fracture treatment and coding isn't a one-size-fits-all process. With so many different fracture types, selecting the perfect code requires anatomy knowledge, an understanding of the proper treatment, and accurate documentation.

During this one-hour session, our expert speaker Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR will give you the supporting information from official sources (CMS/AAOS/CPT) to get those claims paid and paid appropriately.

Highlights of the session:

  • Fracture Care – It is more than just a broken bone: The correct location of the fracture based on anatomic location is going to be key in the correct selection of the CPT code as well as the ICD-9 code. If the exact location is not supplied errors will occur in correct coding. 
  • Closed treatment without Manipulation: Itemized vs. Global Fracture Care reporting – Are there times when you would report similar to a sprain/strain or are they always reported using a major fracture care CPT code which has a 90 day global? What should the documentation look like; what about private payers/Medicare? What about application of cast/splints and supplies – how are these reported in a global fracture care reporting situation?
  • Percutaneous Fixation: What is percutaneous fixation and what should the documentation say? What do you do when the provider does a percutaneous fixation but there is no percutaneous fixation code, does it default always to an unlisted CPT code?  See what the AMA recently stated
  • Open treatment: What is considered open treatment of a fracture?  Does internal fixation always have to be placed in order to report these codes? What happens when you don’t provide the postoperative services just the surgical components?
  • Fracture debridement: Which set of debridement codes should be used for open fractures vs. open wounds not resulting in open fractures? What should the documentation look like?

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend? Caregivers in the emergency department, coding professionals and billing specialists.

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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
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