Category: Art-Orthopaedics

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Coding Errors Can Cost You Money and Potentially a Sale

Coding Errors Can Cost You Money and Potentially a Sale Healio Orthopedics – October 2019  by Karen Zupko As more orthopedic practices are approached for potential acquisition, our firm is engaged by buyers and sellers to evaluate the accuracy of coding and documentation, and the efficiency of the revenue cycle. What we’re seeing in many...

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How to Bill and Get Paid for Unlisted Procedures

How to Bill and Get Paid for Unlisted Procedures AAOSNow – September 2019  by Cheryl Toth Orthopaedic surgeons often perform procedures for which no specific Current Procedural Terminology (CPT) exists. For example, hip surgeons often are frustrated that there are no codes for periacetabular osteotomy (PAO) or labral reconstruction. “Now that orthopaedic surgeons are experienced...

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Does Your Practice Treat Pain?

Does Your Practice Treat Pain? AAOSNow – August 2019  by Cheryl Toth Interventional pain management is a growing specialty, and many orthopaedic groups have added an interventionalist to the physician team. If this is the case for your practice, make sure the interventionalist understands the reimbursement and documentation nuances essential to optimizing payment and mitigating...

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Practice Acquisition: How to be Easy to Do Business With

Practice Acquisition: How to be Easy to Do Business With Healio Orthopedics – August 2019  by Karen Zupko When was the last time you ran your referral report? If you are contemplating a merger or acquisition, your referral report is a valuable asset. If you’d prefer to stay independent, it may be one of the...

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Seven Common Questions in Foot and Ankle Coding

AAOS Now – July 2019  by Sarah Wiskerchen A previous article published in AAOS Now (“How to Avoid Common Mistakes When Coding Hand Procedures,” March 2019) identified common coding issues for hand procedures. This article presents seven coding conundrums and frequently asked questions pertaining to foot and ankle procedures. Download Full Article

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Tips and Best Practices for Using Code-X

Tips and Best Practices for Using Code-X AAOS Now – June 2019  by Cheryl Toth After speaking with Michael Marks, MD, MBA, and Margaret Maley, BSN, senior consultants from KarenZupko & Associates, Inc., (KZA) about the most valuable features of Code-X in part one, Cheryl Toth, MBA, spoke with Madelaine Reese, senior product manager of online learning...

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Coding Experts Weigh in on the Value of Code-X

Coding Experts Weigh in on the Value of Code-X AAOS Now – May 2019  by Cheryl Toth If you are looking for an electronic tool that makes code selection easier and gives your practice powerful data for reducing denials, strengthening appeals, and validating plan payments, the Academy’s Code-X software tool is a good choice. Code-X is a...

Are Physicians Required to Return Overpayments?
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Are Physicians Required to Return Overpayments?

Articles Are Physicians Required to Return Overpayments? Michael R. Marks, MD, MBA Michael Sacopulos, JD AAOS Now – May 2018 When overpaid, many providers wonder if they need to return the funds. The short answer is yes. An overpayment is money that does not belong to providers and keeping it exposes them to collection and...

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Arthroscopy Coding for Major Joint – Shoulder

Articles Arthroscopy Coding for Major Joints – Shoulder Michael R. Marks, MD, MBA AAOS Now – March 2018 An accurate understanding of coding rules increases likelihood of receiving appropriate paymentCorrectly reporting and billing for arthroscopy services is often confusing. Last month, AAOS Now reviewed the knee arthroscopy codes and outlined the appropriate use of modifiers. This...

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Arthroscopy Coding for Major Joints – Knee

Arthroscopy Coding for Major Joints – Knee AAOS Now – February 2018 By: Michael R. Marks, MD, MBA When the American Medical Association (AMA) published the first edition of Current Procedural Terminology (CPT) to standardize surgical procedure terminology and reporting, modern arthroscopy was in its infancy and no CPT code described it. As the number...

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