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
Approved for 1 AAPC or BMSC CEU
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