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Managing an orthopaedic practice/department’s bottom line has never been more complex. Come learn how to prioritize the business issues that matter most. This workshop zeros in on hot-button regulations, new payment models, and the data, tools, and processes required to keep your revenue cycle on track.

We’ll show you how to:

  • Handle MIPS, CJR, and bundled payments
  • Generate vital reports and track key metrics
  • Stop denials in their tracks and implement effective new systems
  • Tame patient A/R by collecting up front and prior to surgery
  • Plug revenue leaks and bill for all appropriate charges
  • Billing Managers
  • Coding/Billing Staff
  • Revenue Cycle Directors
  • Administrators
  • Physicians

 

  • Generate and review high priority management reports and metrics
  • Understand how to use payor policies and edits to reduce claim denials
  • Implement surgical deposits and point of service collections
  • Use techniques and tools that ensure all services are captured and billed for
  • Recognize the impact of MIPS, CJR, and bundled payments in an orthopaedic practice

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If you think diagnosis coding is just for claims submission, you need to attend this course. Diagnosis coding is inextricably linked to medical necessity, payor policies, DRGs, bundled payments, capitation, and more. As diagnosis-driven reimbursement models continue to proliferate, it’s never been more important to make sure your documentation and diagnosis coding is clean, accurate, and granular.

We’ll address payor policies and their relationship to documentation, handling acute vs. chronic musculoskeletal problems, and Medicare’s inpatient complications and comorbid conditions. Plus we’ll demystify a host of coding conundrums that confound orthopaedists. You’ll leave with a can-do attitude and digital flashcards that will speed your diagnosis code selection all year long.

We’ll show you how to:

  • Document according to payor policies and support medical necessity in the note.
  • Follow documentation guidelines for Medicare’s inpatient complication and comorbid conditions.
  • Understand the new “default” diagnosis code for osteoarthritis of the knee.
  • Recognize the impact that diagnosis coding has on DRGs, bundled payments, and capitation.
  • Accurately document for comorbid conditions, medical necessity, and more.
  • Physicians
  • Billing Managers
  • Coding/Billing Staff
  • Administrators
  • Non-Physician Providers

 

  • Illustrate how e-flashcards assist in documentation and coding.
  • Define the “default” code in ICD-10-CM.
  • Explain how diagnosis codes are used by payors to develop payment policies.
  • Choose three comorbid conditions that have an impact on orthopaedic outcomes and describe the correct documentation of each.

Describe the difference between the 7th character and aftercare codes.

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Whether you’re new to orthopaedic coding, just starting practice, or looking for confirmation that your office and procedure coding is accurate according to current rules, you will get a ton of learning in this course.

We go deep on office-based coding, showing you how to correctly document and choose the correct level of E/M service as well as bill office services for non-physician providers. You’ll get all the 2018 code and rule updates for orthopaedics. And, this year fresh new content covers DME, fracture care delivered by non-physician providers, and foot and ankle coding. Plus, you’ll learn coding basics for telehealth, a rapidly growing and cost effective way to deliver care and engage patients that many orthopaedic practices are considering or implementing.

We’ll show you how to:

  • Choose the right E/M service level and follow Global Surgical Package rules.
  • Code and bill for fracture care and DME
  • Master the use of modifiers – once and for all!
  • Bill and document telehealth services so they get paid
  • Document and code for foot and ankle procedures
  • Physicians
  • Billing Managers
  • Coding/Billing Staff
  • Administrators
  • Non-Physician Providers

 

  • Choose the correct E/M categories for office and hospital services.
  • Identify key requirements for incident-to and direct billing for PAs and NPs.
  • Differentiate CPT code definitions from NCCI procedure-to-procedure edits and narrative guidelines.
  • Apply E/M and surgical modifiers so that reimbursement is optimized and accurate.
  • Understand telehealth coding essentials.

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Are you sure your coding and billing optimizes payment and reduces risk?

Get answers to those burning coding questions that are confounding you right now!

Learn the latest coding and regulatory changes so you do things correctly and get paid accurately.

City
Location
Date
Hotel Cut
Off Dates
Member
Registration
Non-Member
Registration
Southlake, TXHilton Dallas Southlake Town Square
Jan 26-27
Jan 3
Register
Register
Las Vegas, NVThe Encore Wynn
Feb 9-10
Jan 8
Register
Register
Orlando, FLWyndham Grand at Bonnet Creek
Feb 23-24
Feb 8
Register
Register
Chicago, ILHyatt Centric Chicago Magnificent Mile
Apr 13-14
March 28
Register
Register
New York, NYYale Club
May 18-19
Attendees find and book own hotel
Register
Register
Nashville, TNLoews Vanderbilt Hotel
Aug 10-11
July 20
Register
Register
Chicago, ILHyatt Centric Chicago Magnificent Mile
Nov 2-3
Oct 13
Register
Register

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Decades of Real World Experience from Clinicians and Former Practice Leaders Your Instructors Have Worked with 100+ Practices and Reviewed 1000+ Notes!

Deb­o­rah Grider

Deb­o­rah Grider

CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP

Deborah is a nationally sought after leader in the industry and is passionate about assisting physicians and hospitals in improving...

Betsy Nicoletti

Betsy Nicoletti

MS, CCP

Betsy Nicoletti simplifies complex coding for physicians and their staff, allowing medical practices to get paid for the services performed....

Teri Romano

Teri Romano

RN, MBA, CPC, CMDP

Teri Romano has over twenty-five years of consulting and teaching experience in the health care field. Ms. Romano works with...

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