Orthopedic CPT® Updates 2016

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

Know the latest CPT® Code, NCCI and Other changes to Orthopedics in 2016


You might have heard of the changes in the CPT® for 2016, and wondered how much this will affect your practice. Orthopedic codes have also changed and it is time for you to make sure that you don’t miss out on this opportunity to get ahead. The costs of improper coding is high. Be ahead of the curve and reap the benefits of optimized reimbursements, while avoiding crippling delays and denials in payments. Are you up-to-date with all the changes that took place in the 2016 CPT® manual?

Join this informative session with expert speaker Margie Scalley Vaught to go over all the coding changes that affects Orthopedic offices in 2016. Margie will highlight the subsection guidelines along with all the comments that CPT® has regarding the appropriate way to use the new and revised CPT® codes this year. Plus, get handouts to help you get all of the key people in your office up to speed with the changes.

With a comprehensive review of the more complicated areas of concern that fall under orthopedics, you and your staff would get access to a high level of engagement with these new codes to improve your reimbursement and avoid delays and denials in payments.

Session Highlights

  • Sneak Preview: CPT® 2016 Issues
  • New codes for imaging of the spine, hip and pelvis
  • How to properly document imaging interpretation and order requirements per CPT® and CMS
  • NCCI changes for 2016 as they apply to Ortho with a review of existing bundling issues
  • New prolonged service codes for staff issues
  • Correct reporting of repair vs. reconstruction of the posterolateral corner per 2016 CPT® Manual
  • HCPCS 2016 – New, revised and deleted codes
  • Highlights of 2016 OIG Work Plan
  • Highlights from the 2016 Medicare Physician Fee Schedule
  • Advance care planning
  • CMS joint replacement model
  • Why coordination of care?
  • What will hospitals and providers get?
  • What does AAOS say?
  • ICD-10 issues and guidelines
  • Examples from first quarter 2015 ICD-10 coding clinc

Session Agenda:

  • New injection, lower extremity and spinal codes
  • Deleted radiology codes
  • OIG work plan
  • 2016 NCCI guideline updates
  • Chapter 1, 3, 4 and 9 issues
  • Fracture CPT®  coding
  • Debridement and surgical procedures
  • Imaging Guidance
  • Physical Therapy and Modifier 59
  • Incident-to issues
  • Therapy caps 2016
  • Global period
  • Value Modifiers

Who should attend?

  • Coders,
  • Billers,
  • Office Managers,
  • Practice Manager,
  • Orthopedic Surgeons

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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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