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Practice management considerations . Better and safer practice strategies begin with knowledge

Intended Audience: Podiatric Physicians

Michael G. Warshaw, DPM, CSFAC, CPC, CPODCS, COCS, CMSCS is a practicing podiatrist and a Certified Professional Coder with over 25 years of successful coding, management, and training experience for podiatric practices.
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Practice management considerations . Better and safer practice strategies begin with knowledge

Saturday Morning August 29

Topics:

  1. Important ! Know the new changes in E and M codes which begins in January 2021. If you don’t know, you better.
  2. Coding and documentation for ulceration and debridement
  3. The top 10 reasons that podiatrist are audited and fail those audits ! What you can and should do to win not lose.
  4. “ At risk foot care “: what is it and how do we document this ?
  5. Coding and billing considerations for diabetic shoes, orthotics, and braces. How now brown cow ?

Objectives:

At the end of the educational program, the learner should attain a greater understanding of:

  1. Important! Know the new changes in E and M codes which begins in January, 2021. If you don’t know, you better.

    a. To understand the upcoming E/M changes that go into effect on January 1, 2021
    b. To understand that in 2021, new patient E/M codes will no longer be based upon the 3 Key Components or reference typical face to face time.
    c. To understand that in 2021 E/M code 99201 will be eliminated and that the other new patient E/M codes will need to include a “medically appropriate history and/or examination” and code selection will be based upon the Medical Decision Making Level or the total time that is spent with the patient on that date of service.
    d. To understand how to use time alone to select the correct E/M code in 2021.
    e. To understand how to use the new, updated levels of Medical Decision Making to select the correct E/M code in 2021.
    f. To understand that only Medicare is committed to making these E/M changes in 2021, not the commercial health insurance industry. The commercial health insurance industry at this time will continue to base the level of E/M service on the 1995 or 1997 guidelines.
    g. To understand that for Medicare, only the outpatient office visit codes are affected. All other E/M codes based upon the Place of Service even for Medicare will continue to be based upon the 1995 or 1997 guidelines.

  2. Coding and documentation for ulcerations and debridement.

    a. To learn the appropriate coding and documentation for ulcers and wounds.
    b. To learn the difference(s) between non-pressure ulcers, pressure ulcers, diabetic ulcers, arterial ulcers and venous stasis ulcers.
    c. To learn the difference(s) between ulcers and wounds.
    d. To learn specifically what are non-pressure ulcers with examples.
    e. To learn specifically what are pressure ulcers with examples.
    f. To learn what must be “coded first” or what is the primary diagnosis code for non-pressure ulcers if there is an underlying condition.
    g. To learn what must be “coded first” or what is the primary diagnosis code for pressure ulcers if there is an underlying condition.

  3. The top 10 reasons that podiatrists are audited and fail those audits! What you can and should do to win not lose.

    a. To learn what are the ten most audited codes in podiatry.
    b. To learn the appropriate documentation that must be maintained in the medical records to support the billing of these codes.
    c. To understand why these specific codes are targeted for audits by CMS.
    d. To understand that an audit should never be more than an be an inconvenience, not a life changing event.

  4. At Risk” Foot Care – What is it and how do we document it?

    a. To understand why and how a patient qualifies for “At Risk” Foot Care.
    b. To learn how frequently or how often “At Risk” Routine Foot Care is covered and reimbursed by Medicare.
    c. To understand the differences between “asterisk” and non-asterisk” systemic diseases.
    d. To learn the different Class Findings and how they correlate with the appropriate Q modifier

  5. Coding and billing considerations for diabetic shoes, orthotics and braces. How now brown cow?

    a. To learn and understand how a patient qualifies for diabetic shoes.
    b. To learn the proper documentation that must be maintained in the medical record for diabetic shoes
    c. To learn what specifically must be obtained from the MD or DO treating the patient in question for the diabetes and why it cannot be a NP or PA in order for the patient to be eligible for diabetic shoes.
    d. To understand that orthotics are statutorily not covered by Medicare.
    e. To learn the coverage criteria for Ankle Foot Orthoses (ie. AFOs).
    f. To understand what “Same or Similar” is and how it affects the billing of AFOs.

Cost: $249.00

Register for: The Three Day Meeting


About the speaker

Michael G. Warshaw, DPM, CSFAC, CPC, CPODCS, COCS, CMSCS is a practicing podiatrist and a Certified Professional Coder with over 25 years of successful coding, management, and training experience for podiatric practices.

His local and national views come from active participation as a practicing podiatrist, having the distinction of being a Certified Professional Coder, and years of serving as a national lecturer concerning coding issues.

Dr. Warshaw's experience is unique and comprehensive. He has had the additional advantage of participating in all facets of the Medicare Appeals Process, including Redeterminations, Reconsiderations, and Administrative Law Judge Hearings, as well as the appeals processes of most commercial insurance companies and state Medicaid programs. Dr. Warshaw has also served as an expert witness in the actual court system, at both the federal and state levels.

Dr. Warshaw is also the author of THE Podiatry Coding Manual, a comprehensive coding manual specific for podiatry that is updated on an annual basis.

This unique prospective provides Dr. Warshaw with the ability to provide solutions to insurance and coding problems from 'real world' experience.

Dr. Warshaw is committed to assist practices in learning to code appropriately, obtain the proper reimbursement, and to avoid the wrath of the carriers by coding and billing in an appropriate fashion.


CME Online is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine.CME Online is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. CME Online has approved this educational activity for a maximum of twenty four (24) continuing education contact hours.


Refund and Cancellation Policy:

All live webinars will be recorded and available for two years. Therefore, there will be no refunds or cancellations.

Disclosure Statement:


In accordance with the Council on Podiatric Medical Education's Standards and Requirements for Approval of Providers of Continuing Education in Podiatric Medicine, any relevant financial relationships with commercial interests of faculty, planning committee, or any others who have influence over the content of this educational activity must be disclosed to program participants.

Neither the planning committee members nor the speaker have any financial relationships to disclose.

Commercial Interests:
No commercial interest provided financial support for this continuing education activity.

Contact Information:
For more information you can contact the CME Online Medical Director, Dr. Michael Brody at:
6 Edscho Lane
Commack, NY 11725
http://www.cmeonline.com
mbrody@cmeonline.com
631-445-3147