Description

Two of the most common surgeries for the hip and knee are arthroscopy and joint replacement.  In arthroscopy procedures are performed into the joint through a scope. Arthroscopy usually involves multiple procedures to treat a number of chronic conditions or acute injuries that cause pain and the inability to walk. Joint replacement too is performed to correct joints that are damaged beyond the repairs performed in arthroscopy. This webinar will discuss the procedures currently being performed regularly and the trends in reimbursement. We will show attendees references to assist incorrect coding and timely reimbursement, trying to avoid denials that are time-consuming and difficult to resolve. Prior authorization and place of service have also become important steps in receiving proper reimbursement and most major insurance carriers have policies that need to be followed prior to these procedures being performed. We will share tricks of the trade that will allow attendees to know what is needed and understand what documentation is necessary to meet the compliance requirements.

Learning Objectives:-

• Assign the proper codes for arthroscopic procedures
• Know current CMS NCCI Policy Manual guidelines related to hip and knee procedures
• Learn the proper assignment of modifiers for added information to the claim
• Understand coding for joint replacement
• Quickly code surgery for complications in joint replacement
• Identify common codes used in arthroscopic surgery for prior-authorization
• Write effective appeals when inappropriate denials are received.

Areas Covered:-

• CPT coding for hip and knee arthroscopy
• Hip and joint replacement coding
• Laterality modifiers
• ICD-10-CM coding to the highest level of specificity
• Coding for surgery being performed because of complications
• Meeting prior authorization requirements
• Appeals and references to support coding procedures

Who Should Attend:-

• Billers
• Coders
• Administrators
• Managers
• Physicians
• Claims adjusters
• Surgery schedulers
• Caseworkers
• Nurses
• Reimbursement staff