Current Trends in Coding and Reimbursement for Arthroscopy in Shoulder-Wrist-Hip-Knee-Ankles

Event Information
Product Format
Prerecorded Event
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
60 minutes
Product Description

A Look at Commercial Carrier and Medicare Policies Affecting Arthroscopy Procedures.

Do you know what the current guidelines are for arthroscopic procedures in the shoulder, wrist, hip, or ankles? Because these are common procedures performed by orthopedic surgeons that cost the insurance companies a lot of money, they are under constant scrutiny and the policies are changing frequently. Having an understanding of the current rules will reduce denials and help with denials you may already have.

There have not been a lot of  arthroscopic CPT® code changes in the last few years, however, there are new policies and rules related to coding arthroscopic procedures happening frequently, and if you are not on top of them you could be costing your physicians valuable reimbursement.

Join this conference by expert speaker Lynn Anderanin, CPC, CPPM, CPC-I, COSC, to get an understanding of several commercial carrier and Medicare policies that affect arthroscopies—helping you in the right direction for clean claims. Also, get references to updated policies for coders, which they can share with their physicians so that everyone in the office have a clear understanding of what can and cannot be reported.

Additionally, get the latest information on some important code changes in order to code for these services while meeting the policies and rules, create clean claims and avoid reimbursement delays.

Session Highlights:

  • NCCI Policy manual rules for knee arthroscopy
  • Reporting unlisted arthroscopic procedures when there is a CPT® code for the same procedure
  • New CCI edits related to shoulder arthroscopy: But why they may not be recognized?
  • Common errors made in hip arthroscopy and what you can and cannot bill
  • What are the options available for wrist arthroscopy?
  • Coding for open procedures and arthroscopic procedures in the same operative session
  • Assigning the appropriate hip arthroscopy codes and what can and cannot be reported together

Session Agenda:

  • Chapter IV Surgery: Musculoskeletal system
  • Arthroscopy guidelines
    • NCCI Arthroscopy
    • Arthroscopic knee codes
    • Conversion Z code
    • HCPCS G0289
  • AAOS and CPT® on synovectomy
  • Aetna policy
  • NCCI Edits, July 1, 2016
  • Reverse procedures
  • Wrist arthroscopy
  • Hip arthroscopy
  • Non-Payable code combinations
  • Unlisted arthroscopic hip procedures

Who Should Attend

  • Coders
  • Surgery schedulers
  • Billers
  • Orthopedic surgeons
  • Managers
  • Administrators
  • Medical assistants
  • Physician assistants
  • Nurse practitioners

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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