Fracture Care Coding and 2016 CCI Changes

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
60 minutes
Product Description

Correctly Code and Bill for Fractures to Improve the Reimbursements for your Orthopedic Practice

Fracture care is a big part of orthopedic clinics, primary care and family practice clinics along with Emergency rooms, but it’s also the place where you are losing the most money because of incorrect coding, and not reading and appealing the denials on the Explanation of Benefits (EOBs).

This session with expert speaker Margie 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. You will also go over the new CCI guidelines related to closed treatment without manipulation fractures.

Session Highlights:

  • Learn to avoid coding errors by correctly selecting CPT® and ICD-10 codes based on the anatomic location of the fracture.
  • Learn if there are times when Itemized vs. Global Fracture Care reporting are reported similar to a sprain/strain or, are they always reported using a major fracture care CPT® code which has a 90 day global?
  • Understand percutaneous fixation and the documentation requirements and specifications and what is considered open treatment of a fracture?
  • NCCI bundling issues regarding closed treatment without manipulation by itself and when reporting with other fracture treatment and the adding of dislocations to this policy.

Session Snapshot:

  • Specific information for coding the fractures – Location/ Classification, Presentation and Treatment
  • Types of fracture treatment:Presentation vs. Treatment
    • Open treatment with or without internal fixation
    • Percutaneous treatment
    • Closed treatment
  • Presentation vs. Treatment
  • Anatomic references under ICD-10 for portion of the bone involved
  • Guidelines for Initial Encounter with case study examples
  • ICD-10 issues for Fx Care
  • Detailed look at types of fracture treatment and examples
  • Global fracture care package and CPT® guidelines
  • Coding scenarios for fracture care
  • E/M coding and fracture care
  • ED Physicians and fracture care
  • 2016 Chapter 4 NCCI Updates

Who should attend?

  • Coders
  • Billers
  • Office Managers
  • Practice Manager
  • Therapist

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

Order Below or Call 1-866-458-2965 Today

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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
More Events By The Speaker

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