Health Economics Educational Webinars

Reporting Surgical Services Within the Framework of the CPT®, Medicare and AAOS Global Surgical Package Definitions

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc.

Agenda:

• Review of Surgical Coding Framework
• Surgical Package Definition
  * CPT
  * Medicare
  * AAOS Global Service Data Guides
• Unlisted Procedures: When to use?
• Category III Codes: What are they and when to use?
• Preauthorization process for Unlisted and Category III codes

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Your Name:
Recording ID:  Q5DGNG
Attendee Key:  Surgical Services

Handouts for webinar:

Webinar available for viewing from Saturday, July 24 through Friday July 30

Trauma and Fracture Coding

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc.

Agenda:

• 2010 CPT® Code Update
  * Consults: CPT® vs. Medicare
  * Cast Application
• Medicare PFS Update and RVU Review
• Surgical Package Definition
• AAOS Global Service Data Guides
• Fracture Coding Concepts:
  * Debridement Associated with Open Fractures
  * External Fixation and Hardware Removal
  * Antibiotic Bead
  * Fracture Coding Scenarios
• Key Modifiers for Trauma Services Coding and Reimbursement

Key Coding and Reimbursement Concepts in Spine Surgery – Part 1 of 2

Date:  Coming August, 2010.  Final dates to be posted, please continue to check this webpage                                                                                                          

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc. 

Agenda:

• CPT^® Code Update for 2010
• Medicare PFS Update
• AANS / AAOS / NASS Global Service Tools and Adjunctive Coding Resources
• Modifiers:
  * What are they?
  * Why are they important?
• Operative Note Dictation Tips
  * Co-Surgeon
  * Assistant Surgeon
• E&M Modifiers:
  * Modifier 24:  Unrelated E&M Service by the Same Physician During a Post-Op Period
  * Modifier 25:  Significant, Separately Identifiable E&M Service by the Same Physician on the Same Day or the Procedure or Other Service
  * Modifier 57:  Decision for Surgery

Introduction to Key Spine Modifiers and Coding Skills Application – Part 2 of 2

Date:  Coming August, 2010.  Final dates to be posted, please continue to check this webpage

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc.

Agenda:

• Introduction to Key Spine Surgical Modifiers
  *Surgical Modifiers:
  * Modifier 51:  Multiple Procedures
  * Modifier 59:  Distinct Procedural Service
  * Modifier 58:  Staged or Related Procedure or Service During the Post-Op Period
  * Modifier 78:  Unplanned Return to OR/Procedure Room for a Related Procedure During the Post-Op Period
  * Modifier 79:  Unrelated Procedure or Service During the Post-Op Period
• Key Coding Concepts Illustrations:
  * Instrumentation
  * Discectomy and Interbody Fusion
  * Bone Grafts
  * Laminectomy and Fusion Procedures
  * Anterior and Posterior Outerbody Fusion
  * 360 Degree Surgery

Key Coding Concepts for PRIMARY Hip and Knee Arthroplasty

Date:  Coming August, 2010.  Final dates to be posted, please continue to check this webpage

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc.

Agenda:

• Medicare PFS Update
  * Understanding RVUs and the Medicare Payment
• Surgical Modifier Examples for Primary Hip and Knee Arthroplasty Procedures
• Operative Note Dictation Tips
• Key Modifiers
• Coding for Primary Hip and Knee Arthroplasty Procedures – Case Scenarios
  * Hip Resurfacing
  * Uni-compartmental Knee Arthroplasty
  * Patellofemoral Joint Arthroplasty
• Other Coding
  * Cartilage Defects
  * Core Decompression
  * Computer Assisted Navigation

Key Coding Concepts for REVISION Hip and Knee Arthroplasty

Date:  Coming August/September, 2010.  Final dates to be posted, please continue to check this webpage 

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc.

Agenda:

• Terms Defined:
  * Revision
  * Conversion
• Key Modifiers For Revision/Conversion Procedures
  * Modifier 22:  Increased Procedural Service
  * Modifier 52:  Reduced Services
  * Modifier 58:  Staged or Related Procedure or Service During the Post-Op Period
  * Modifier 78:  Unplanned Return to OR/Procedure Room for a Related Procedure During the Post-Op Period
• Bone Grafts
• Treating Infections and Non-Biodegradable Drug Delivery Implants
• Case Scenarios
  * Revision Procedures
  - Hip
  - Knee
  * Conversion Procedures
  - Hip
  - Knee
  * Limb Salvage

Upper Extremity Coding Concepts

Date:  Coming August/September, 2010.  Final dates to be posted, please continue to check this webpage

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
Karen Zupko & Associates, Inc.

Agenda:

• New Codes As Applicable
• Medicare PFS Update
  * Understanding RVUs and the Medicare Payment
• Key CPT^® Modifiers and Understanding their Differences
  * Modifier 24 , Modifier 25, Modifier 57
  * Modifier 50, Modifier 51 and Modifier 59
  * Modifier 58, Modifier 78, Modifier 79
• Joint Debridement and/or Synovectomy
  * Shoulder
  * Elbow
• Rotator Cuff Repair vs. Reconstruction
• Shoulder and Elbow Arthroplasty
  * Primary and Revision Coding
• Injection Coding
  * Tendons
  * Joints

CY 2011 CPT^® Code Orthopaedic Code Update & Medicare Physician Fee Schedule Update 

Date:  Coming December, 2010.  Final dates to be posted, please continue to check this webpage

Presented by:
Mary LeGrand, RN, MA, CCS-P, CPC
KarenZupko & Associates, Inc.

Agenda:

• Understanding Categories of CPT^® Codes:
  * Category I
  * Category II
  * Category III
  * HCPCS Codes
• Understanding the Medicare RBRVS and the RVU Components:
  * RVUs
  * Medicare Conversion Factor
  * Medicare GPCI
• Calendar Year 2011 RVU Update for musculoskeletal procedures
• Calendar Year 2011 Medicare Physician Fee Schedule Update for musculoskeletal procedures
• Introduction to ICD-10 Coding