2016 Shoulder Procedure Coding – Review of Changes, CCI Guidelines, Bundling Issues and More!

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

Changes in Shoulder Procedure Coding – Take a Look at CCI Guidelines, Bundling & Shoulder Arthroscopy Issues, and More!

Are you aware of the many changes in 2016 Shoulder Procedure Coding? There are ongoing issues with shoulder arthroscopy procedures and CCI guidelines are starting to limit the number of codes you will be able to report. And if that was not enough it appears some of the fracture treatment without manipulation might be limited per NCCI guidelines.

Attend this audio conference by expert speaker Margie S. Vaught as she goes through the many changes regarding shoulder procedure coding and addresses its bundling issues. She will review the current concerns on shoulder arthroscopy, CCI guidelines and more. Margie will refer to CPT®, CMS, CCI and AAOS to provide you with proper guidance for shoulder procedure coding in 2016. This session is a must-attend if you do upper extremity procedures.

Session Highlights:

  • Clarifications on issues surrounding shoulder
    • 23415 vs. 23130
    • Surgical repair of Pectoralis muscle/tendon
    • Nonunion repair of clavicle coding
  • Overview of Arthroscopic Section Chapter 4
  • Issues with 29826 - Acromioplasty
  • A look at payers denial, documentation issues, and more!
  • Understand when modifier 59 is appropriate from both a CPT® and CCI stand point
  • What are your carrier/payer reimbursement policies?
  • Identify the codes that are frequently used in trauma cases of the shoulder
    • Rotator Cuff Injury
    • Hill-Sachs Remplissage
    • Crimson Duvet Issues
  • Make your surgeons recognize the importance of documentation
  • NCCI issues with shoulder
  • Why payers are going crazy over the wording
  • Be better prepared for coding shoulder procedures with confidence

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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