Navigating Coverage Policies in Varicose Vein Treatment

Teri Romano, BSN, MBA, CPC, CMDP
Consultant and Speaker

The treatment of varicose veins, in your office or in a hospital outpatient department, is subject to detailed and ever changing coverage policies. These policies, referred to by Medicare as a local carrier determination (LCD), and by private payors as a medical policy, establish medical necessity criteria that must be met before a patient’s surgical treatment will be reimbursed. Non-compliance to these published criteria can have disastrous results and can put your practice at significant financial risk.

One vein practice was audited and, as a result, received a recoupment demand for $900,000 for failure to meet coverage criteria. This is just one of many scenarios where vein practices were obligated to repay a payor for not following medical coverage policies. Establishing a best practice approach to guide compliance with these coverage policies is an essential part of any vein practice.


In this 32-minute program, you’ll learn:

  • What makes a vein practice an audit target?
  • The audit environment: who are the payor players and how do they impact you?
  • The definition of coverage policies/medical necessity policies and where to find them.
  • Components of varicose vein coverage policies.
  • How to document compliance in office visit, ultrasound, and varicose vein procedure notes.
  • How to prioritize your practice’s compliance efforts.
  • Best practice procedures for ongoing policy compliance.
  • Why internal and external auditing are essential to compliance efforts.
  • Tips for developing and executing a compliance plan.
  • Audits and Varicose Vein Treatment
  • Coverage Policies and Documentation Imperatives
  • Conservative Trial Highlights
  • Establishing and Applying a Coverage Policy Compliance Process
*You will have access to the content for 30 days from the time you receive the access information. Please email if you have questions.


Teri Romano, BSN, MBA, CPC CMDP
Consultant and Speaker

Teri Romano has over twenty-five years of consulting and teaching experience in the health care field. Ms. Romano works with physician groups and hospitals combining a background in clinical systems with solid approaches to operational and organizational problem solving.

Find out about more about Teri Romano, BSN, MBA, CPC, CMDP
Consultant and Speaker

Varicose Vein Treatment Webinar
32 minutes
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