Wednesday, September 5
7:30 – 11:30 AM
Location: Regency Ballroom B, Hyatt Regency Convention Center
Chair: Daniel J. Nagle, MD
Consultant: Mary LeGrand, RN, MA, CCS-P, CPS
Fees
Members – $195
Nonmembers – $225
Senior Members - $145
Residents & Fellows – $75
Allied Health – $125
CME: The ASSH designates this live educational activity for a maximum of 4.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Audience Level: Intermediate
Description
Coding and Reimbursement Update for Hand Surgeons is back by popular demand! This course addresses CPT™ code updates for 2012 related to procedures performed by hand surgeons and is focused on the coding rules related to the use of modifiers and application of the rules to hand-specific coding scenarios. Real life cases are used to demonstrate the accuracy of modifier application and the challenges in accurately reporting services and minimizing/avoiding payor denials. This course, presented by the only nationally recognized hand surgery coding specialist in collaboration with a hand surgeon, is intended for hand surgeons, billing managers and coding and billing staff.
Learning Objectives
- Understand the surgical package definition and apply to hand specific situations.
- Review the 2012 CPT™ code changes applicable to Hand Surgeons.
- Understand the role of surgical and E&M modifiers when reporting office procedures and surgical procedures including fracture management.
- Understand key documentation requirements for selecting and reporting E&M services.
- Identify risk areas under the watchful eye of multiple regulatory agencies.
CPT™ is a registered trademark of the American Medical Association.
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Faculty
Daniel J. Nagle, MD
Mary LeGrand, RN, MA, CCS-P, CPC
View faculty disclosure information here.
Program
Introduction
Daniel J. Nagle, MD
Surgical Package Definition Review: Whose Rules do your Payors Follow?
Mary LeGrand, RN, MA, CCS-P, CPC
- CPT™ or Medicare
- Global Service Data Guide for Hand Surgeons/ AAOS Global Service Date Guide
- Reporting Unlisted Procedures
- Operating Microscope
2012 CPT™ Code Update
- Dupuytren’s Coding 2012
- Wound Repair Update
- Skin Replacement Changes
- New Skin Substitute Codes
- Add-on Code for Biologic Implants
- New Codes for EMG/NCS Performed on Same Day
Modifier Overview: What You Need to Know and Why
Mary LeGrand, RN, MA, CCS-P, CPC
- Modifiers 24, 25, and 57
- Modifier 26
- X-rays
- EMG/NCS:
- Modifiers 50, 51 and 59, and Finger Modifiers
- Modifiers 58,78, and 79
- Modifiers 80,81, 82 and AS
2012 Fracture Coding Update
Mary LeGrand, RN, MA, CCS-P, CPC
- E&M Services with Fractures—Learn What Changed for 2012
- Excisional Debridement with Open Fractures—What Must be Documented?
- Hand Trauma Case Coding
Hand Specific Case Coding
E&M Documentation Overview: What You Need to Know
Mary LeGrand, RN, MA, CCS-P, CPC
- Documentation for Levels of Service
- Choosing the Correct Category of Code
- E&M Profiling
Closing Remarks