Fracture Care - Are You Aware Of New CCI Bundling Issues?

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

Don’t Lose Your Money With Incorrect Coding, Get Those Claims Paid Appropriately

Fracture care:  a big part of Orthopedic clinics, PCP and family practice clinics along with emergency rooms are the places where you are losing the money because of incorrect coding, not reading, and appealing the denials on the EOBs. This audio session by expert speaker Margie Scalley Vaught will give you the supporting information from official sources (CMS/AAOS/CPT) to get those claims paid appropriately. As well as going over the new CCI guidelines related to closed treatment without manipulating fractures.

Session highlights:

  • The correct location of the fracture based on anatomic location is going to be important 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
  • 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 is percutaneous fixation and what should the documentation say 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.

Who should attend? The session is appropriate for medical coders, billers, office managers, practice managers and therapists.

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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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