Webinar Archive

How to Deal with Updated and Changing Spinal Procedure Guidelines
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Our speaker: Margie Scalley Vaught, CPC, COC, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-ORAuditing, Coding, Documentation and Compliance Consulting Healthcare Consultant. 

NCCI has been updated and is changing many of the guidelines related to spinal procedures, some agree with CPT guidelines and others don't. 
  • Bundling issues from a CPT, CCI and spinal societies position as well as some payer/carrier policies
  • Tips will be provided on documentation issues that can help avoid denials and/or help with appeals if need be

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Appropriate Use Criteria for Advanced Imaging

Before ordering any advanced imaging for a Medicare patient, the provider must consult a clinical support mechanism (DCSM) and report if the test meets "appropriate use criteria", or not. This webinar is intended to provide you with the information you need to be able to order MRIs, CTs, PET and Nuclear Medical Studies for Medicare patients.
  • Beginning in 2020, an ordering provider of Part B advanced diagnostic imaging must consult AUC through a qualified Clinical Decision Support Mechanism (CDSM).
  • The information must be provided to the furnishing professionals and facilities, because they must report AUC consultation information on their Medicare claims.
After January 1, 2020, participation in the AUC program is mandatory however payments will not be impacted until January 1, 2021. Join Christopher Acevedo, Chief Operating Officer for Acevedo Consulting, as he reviews the AUC regulations and the potential impact on orthopaedic practices.

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How to deal with Same & Similar DME Denials and Audits

You are invited to participate in our next distance learning opportunity as we address the increasing impact of Same & Similar DME Denials and Audits. Over the past several months our organization has learned of more practices being negatively impacted by this issue. We are pleased to partner with DJO to present an update on this issue and steps you can take to address these challenging policies from Medicare.

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Webinar Replay: Overview of the VA Mission Act.
 
The VA Mission Act makes a number of changes to the treatment options and reimbursement process for Veterans seeking care outside of the VA system. Many of our members render care to Veterans through the VA Choice Program and will be interested in the reforms enacted in the new law.
 
Our speaker was Jordan Vivian, Manager of Government Relations from the American Association of Orthopaedic Surgeons, who provided an overview of the legislation and what it may mean for orthopaedic practices treating Veterans.
 
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February 13, 2018

BPCI Advanced: The Framework and Opportunities for Physicians

Bundled Payments for Care Improvement (BPCI) Advanced is a new Medicare program that aims to improve quality outcomes while reducing cost. Physician group practices are eligible to participate with several orthopedic clinical episode options, including major joint replacement of the lower extremity, major joint replacement of the upper extremity, and spinal episodes. 

Webinar Agenda:
• Bundled payment overview 
• Eligible participants 
• Target Price 
• Risk sharing and cost savings 
• CMS program precedence issues 
• Clinical episodes 
• Quality Metrics ​
Webinar Documents
April 15, 2015
Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I with the FORBES LAW GROUP, LLC. presents 

​Workers' Compensation Successfully Recovering Payor UnderpaymentsA very special thank you to Cretcher Heartland for providing our speaker.



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