Catalog Number : cra1314
Title : Orthopedic Coding, Billing & Reimbursement
Speaker : Duane Abbey

Webplay Recording Date : 7-13-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Level:

• Intermediate to Advance

Target Audience:

• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Nursing Staff
• Clinical Staff
• Compliance Officers
• Physicians
• Other Interested Personnel

Webinar Objectives:

• To recall recent changes in coding and billing for orthopedic services
• To review the APC payment system and grouping process for orthopedic services
• To compare and contrast hospital outpatient payment with physician professional payment under MPFS
• To review special areas such as interventional procedures, casts, strapping and arthroscopies
• To identify the differences between coding for hospitals and coding for physicians
• To review the various types of CCI edits used in the orthopedic area
• To review the proper use of the modifiers
• To explain how the hospital chargemaster should be established
• To review the process for establishing physician fee schedules using RBRVS
• To discuss the need to properly develop documentation for services in orthopedics
• To review compliance issues surrounding orthopedic services

A few of the Topics that will be covered:

• Overview of Recent Changes for Orthopedics
  • CPT Codes
  • HCPCS Codes
  • New Technology
  • Physical Therapy Interface
• CPT Coding Guidelines
  • Orthopedic Codes
  • Families of Codes
  • CCI Edits
  • Use of Modifiers
  • Fracture Care
  • Casting and Strapping
  • Endoscopy Services
• APC Payment For Orthopedic Services
  • Typical APC Categories
  • Mapping of Codes to APCs
  • Sample Cases
• RBRVS Payment for Orthopedic Services
  • Establishing Pricing and Fees
  • ASC Considerations
• Compliance and Documentation Issues
  • Documentation Systems
  • Auditing Considerations
  • Special Compliance Issues
• Case Studies and Exercises

Attendance Certificate:
Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.