Fracture Care – Are You Staying Up with All the NCCI 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
60 minutes
Product Description

Avoiding Incorrect Coding and Appealing for EOB Denials in Fracture Care

Fracture care is a big part of orthopedic, PCP and family practice clinics along with emergency rooms. It is also the place where you are losing the most money because of incorrect coding and 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 and paid appropriately. Margie will also help you go over the new CCI guidelines related to closed treatment without manipulation fractures.

Session Highlights

  • How correct location of the fracture based on anatomic location is going to be key in the correct selection of the CPT® and ICD-10 codes
  • 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, and the adding of dislocations to this policy

Session Agenda

  • ICD-10 Issues
  • What is ‘initial encounter’
  • ICD-10 issues for Fx Care
  • Types of fracture treatment
    • Open treatment definition
    • Percutaneous treatment definition
    • Closed treatment definition
  • Presentation vs. treatment
  • Global fracture care
  • CPT guidelines
  • Itemized billing method
  • Coding scenarios
  • EM and fracture care

Who should attend

  • Coders
  • Billers
  • Office Managers
  • Practice Managers
  • Therapists

At the Q&A session following the live event, ask a question 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
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