Category: Orthopaedics

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Physical Therapy and NPI Numbers

July 12, 2018 Question: We have multiple practice locations and have therapy departments at several of the locations.  Our question has to do with whether or not we should obtain NPI numbers and credential all of the therapists? Answer: KZA recommends that the practice obtain NPI numbers and credential the therapists for “direct billing”, especially...

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NPP Reporting and Claim Form Line 24J

June 28, 2018 Question: How do we know whether to put the NPP (PA or NP) or physician NPI number in box 24J on the claim form? Answer: When services are reported using the Direct billing method, the NPI of the provider performing the services places their NPI number in box 24J.  When services are...

Total Hip Arthroplasty Question
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Total Hip Arthroplasty Question

June 14, 2018 Question: We have a patient who underwent an open fixation of a femoral neck fracture five years ago and now presents for a total hip arthroplasty.   Someone mentioned that we should report a conversion to hip arthroplasty but we are not sure if this is a revision of one component plus a...

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Have You Heard the Latest Professional Liability Risk?

Have You Heard the Latest Professional Liability Risk? AAOS Now- June 2018 By: Michael R. Marks, MD, MBA HIPAA allows states to recognize cause of action for breach of confidentiality The list of liability risks for physicians continues to increase. On behalf of the Medical Liability Committee, this article presents new risks via highlights from...

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Tips for Utilizing ICD-10-CM

Tips for Utilizing ICD-10-CM – June 2018 AAOSNow by Sarah Wiskerchen, MBA, CPC  In May 2015, most orthopaedic surgeons and their staff were highly focused on learning the new diagnostic language of ICD-10-CM (International Statistical Classification of Diseases and Related Health Problems, 10th revision, Clinical Modification). That’s because the new diagnosis codes were scheduled to...

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