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Practice Management Webinars

These resources are available to members via the links below.  Fees may apply.

Check back to find information about upcoming webinars on transitioning to ICD-10 here.

ICD-10 Webinar Series - Part II: Fracture Coding

Webinar Recorded March 2014

Watch it now. (Sign-in and purchase may be required.)

Physicians have been inundated with information about the number of new diagnosis codes, the need to explain in detail the mechanism of injury and where it occurred, and horror stories about 7th character extensions. Now is the time for hand surgeons to delve into the nuances of ICD-10 and how the specialty will be impacted by the changes. Fracture coding requires significant documentation changes with attention to specificity of anatomic location. This webinar addresses what you need to know related to coding conventions for acute (not pathologic) fractures.

  • Discuss key documentation changes to support ICD-10 terminology and code selection.
  • Incorporate coding guideline changes related to fracture coding.
  • Articulate how to report fractures documented as displaced versus non-displaced, closed and open.
  • Demonstrate understanding of 7th character extensions and encounter definition.


  • Introduction to Fracture Coding Guidelines (Chapter 19)
  • ICD-9 to ICD-10 format changes; change in 800 code section in ICD-9 to S codes in ICD-10
  • Chapter 19 Dissection of Fracture codes related to 7th character format requirements
  • Discussion of Gustillo and Salter Harris Classification Systems and documentation requirements

Mary LeGrand, a nationally recognized coding and reimbursement expert works with physician practices in all aspects of the care continuum (e.g. solo physician, specialty group practices, multidisciplinary groups, academic divisions/departments, and hospital employed physicians). Mary's expertise and strong clinical background as a Registered Nurse and Certified Coder (CCS-P and CPC) places her in high demand to present coding and documentation seminars addressing physician, coding and billing staff, management education needs. Mary's fast paced, high energy presentation style leave physicians, staff and managers always wanting more.

Practice Management ICD-10 Webinar Series - Part I: Transitioning Successfully to ICD-10

Webinar Recorded February 2014

Watch it now. (Sign-in and purchase may be required.)

As the first in the ASSH webinar series dedicated to easing implementation of ICD-10, Part I: Transitioning Successfully to ICD-10 walks you through a sensible plan for this conversion. Karen Zupko, a coding expert and physician healthcare consultant since 1974, led this strategic planning session to help you:

  • Initiate a proactive ICD-10 action agenda.
  • Assign and monitor accountability for changes.
  • Initiate documentation improvement so it is codable

Understanding Causation and Return to Work Issues in Workers' Compensation

Webinar Recorded November 2013

Watch it now. (Sign-in and purchase may be required.)

Understanding the Workers' Compensation system and its impact on the care of your patients can improve your treatment outcomes. This course will focus on how to determine causation for workplace injuries and how to develop effective return-to-work approaches.


  • Understand the 5 primary issues in occupational health / workers' compensation cases.
  • Understand how panel members determine causation with reproducible methods.
  • Develop methodology for return to work and transitional programs.
  • Improvement in communication skills between all stakeholders in the workers' compensation arena: employer, employee, physician, insurance adjustor, attorney.


J. Mark Melhorn, MD and Jay F. Pomerance, MD

Modifier Update for Hand Surgeons

Webinar Recorded May 2012

Watch it now. (Sign-in and purchase may be required.)

Modifiers are critical to successful reimbursement and present many challenges to the Hand Surgeon in ensuring accurate coding and reimbursement. This webinar is presented at the request of the ASSH Business of Hand Surgery Committee to address common modifiers to facilitate appropriate application in the hand surgeon's practice.
Are you having difficulty being paid for both procedures when modifier 50 is appended? Are you unsure when to report an E&M with a minor procedure? Do you know the difference between modifiers 58 and 78? If you answered yes to any of these questions, this webinar is for you! Common hand related scenarios will be used to illustrate general modifier principles.


  • Discuss proper use of modifiers according to AMA CPT rules.
  • Understand the need to potentially differentiate usage dependent on payor rules.
  • Demonstrate accurate claims format submission.


Mary LeGrand and Margi Maley, KarenZupko & Associates

Current Coding Challenges 

Webinar Recorded June 2012

Watch it now. (Sign-in and purchase may be required.)

Whether the procedure is done endoscopically or open - or requires accurate use of unlisted code - there is no doubt that hand surgery cases are challenging. In this session, surgeons will gain insight into how to improve their documentation. Staff will find specific coding advice and result in improving appeal techniques.


  • Accurately report open, endoscopic or unlisted CPT codes.
  • Determine proper use of modifiers and differentiate usage depending on the payor.
  • Understand how to incorporate ASSH or AAOS Global Services Guide into their practice.

Topics on the agenda include:
  • Hypothenar flaps
  • E & M services with fracture care
  • Injection coding
  • Suspension interposition arthroplasty
  • Hardware removal
  • Modifiers 51, 59 and finger modifiers

Question and answer time is built in to this 60 minute webinar.


Mary LeGrand, RN, MA, CCS-P, CPC of KarenZupko & Associates has conducted the Coding & Reimbursement course at the ASSH Annual Meeting for over 10 years. She is a popular instructor for AAOS, AAO and ACS and has a strong clinical background as a Registered Nurse and Certified Coder.

Maximizing Reimbursement: What to consider when negotiating with a large healthcare entity 

Webinar Recorded October 2011

Watch it now. (Sign-in and purchase may be required.)

Physicians will learn:

  • What contractual components enable the highest reimbursement for the healthcare entity and physicians?
  • How the Relative Value Units (RVUs) calculation is used to measure and maximize value, and why it’s important to understand Explanation of Benefits (EOBs) related to claim denials and quantify their overall value.
  • How ancillary services and referrals contribute to overall value, and applying this value in the negotiation process between physician and healthcare entity.
  • What to look for when partnering with a healthcare entity. For example, are there systems in place to correctly and easily track RVUs? Are EOBs accessible for physician review? Are the reimbursements transparent and available for the physician to review and provide feedback?
  • Is the healthcare entity doing their best to provide the appropriate insurance for physicians to practice, the latest technology and sound protocols, innovation for growth, etc…?
  • Indicators of a beneficial partnership for both the physicians and the healthcare entity.
    What are some of the important points to consider and include with regard to an “exit” strategy for the physician and healthcare entity?

About the presenters:
Karen Branick, Orion Advisory has worked with teams of healthcare professionals, coaching them in applying process improvement tools throughout their organizations. Karen's experience comes from working with Cardinal Health, Florida Power & Light Company and TECO Energy.
Mary LeGrand, RN, MA, CCS-P, CPC, of KarenZupko & Associates has conducted the Coding & Reimbursement course at the ASSH Annual Meeting for over 10 years. She is a popular instructor for AAOS, AAO and ACS and has a strong clinical background as a Registered Nurse and Certified Coder.

© 2014 American Society for Surgery of the Hand