Orthopedic Coder's Pink Sheet and DecisionHealth® present...
Master your payers’ LCDs to avoid
ICD-10-related denials
Learn the best actions to take when your payer policies don’t include the most appropriate ICD-10-CM codes
Orthopedic practices report mounting denials from Medicare and private payers because of coverage policies with ICD-10 codes. You may be billing for the correct codes, but your payer policies only include non-specific or even inappropriate codes for a given condition. Don’t let inconsistent, incomplete LCDs trigger denials and delays for your most typical and profitable procedures.
Join coding expert Margie Scalley Vaught to learn how to reduce these denials by understanding what the payer policies state compared with what you should be coding. You’ll also find out how to approach payers to get problem policies changed.
In just 60 minutes, you’ll:
- Learn the most typical orthopedic procedures where you can expect ICD-10-related denials, such as total joint revision, kyphoplasty, rotator cuff repair and femoral acetabular impingement
- Find out strategies to address incomplete or nonspecific codes in payer ICD-10 lists
- Get tips for writing a letter to the payer medical director to make the case for changing the ICD-10 code list
- Gain authoritative coding guidance to relay to payers to support the most appropriate coding for procedures likely to cause you the most billing headaches
Your Expert Presenter
Margie Scalley Vaught, CPC, CPC-H, CCS-P, ACS-EM, ACS-OR
Margie Scalley Vaught has more than 30 years of experience in the health care arena, including more than 20 years in orthopedic coding, billing and reimbursement. Margie frequently performs internal audits, provides education and training to physicians and office staff, and she helps clinics establish billing and compliance manuals. She is an advisor on orthopedic coding to the Board of Medical Specialty Coding, and she helped to develop the Advanced Orthopedic Coding credentialing exam. Margie has contributed many articles to the AAOS Bulletin, and she serves as consulting editor to Medical Practice Coding Pro and the Orthopedic Coder’s Pink Sheet.
BMSC Approved CEUs
The Board of Medical Specialty Coding & Compliance has approved 1 continuing education unit for this webinar. (ACS or SCP)
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