Coffee Break Video Shorts
Preparing for Spine Surgery Claims Submission
In many offices, patients will submit forms and questionnaires that are incomplete. Accurately submitting medical claims is a very basic, but important issue that is critical to your bottom line.
In this presentation we will discuss what your front office staff can do to protect your practice by examining the process of submitting a claim and discussing how it works.
Run Time: 5 minutes
Price: $49.00 Purchase
Developing CPT Category Codes
This coffee break will discuss the history of CPT category codes, the maintenance of CPT and the process that occurs in order for category codes to be added to the CPT book.
This presentation will give you a better understanding of category codes and how they are important to the coding cycle in order to permit proper coding and a smoother reimbursement process.
Run Time: 8 minutes
Price: $49.00 Purchase
Mind Your P's & E's
Each CPT code is designated as a Primary or Exempt code for every surgical procedure performed. In this presentation we will discuss Primary and Exempt codes and the effect that they have on reimbursement for your spine cases.
Run Time: 5 minutes
Price: $49.00 Purchase
Introduction and Basics of CPT
In this presentation we will guide you through the history of the American Medical Association (AMA) and how a consistent organized method with developing computer technology for describing medical procedures was implemented. We will discuss the Maintenance of CPT, the execution of the Relative Value System, Opportunities to Evaluate and Comment on the Fee Schedule and much more.
Run Time: 14 minutes
Price: $49.00 Purchase
Modifier 59
Understanding the application of the 59 Modifier is critical to coding and surgical claims submission. This coffee break will discuss and clarify the proper use of the 59 modifier as it applies to spine in order to give you a better understanding and enhance your use of the modifier when coding out your spine cases. Diligence in code set reviews, documentations and proper application will improve code submissions and reduce errors.
Run Time: 11 minutes
Price: $49.00 Purchase
Understanding the 62 Modifier
In this presentation we will discuss how the decision for co-surgery involves a great deal of coordination amongst the surgeons as well as coordination of efforts involving patients, staff and the reimbursement specialist. We will review key components of co-surgery submission and how some carriers do not permit same specialty co-surgeons to participate in the same procedure.
Run Time: 8 minutes
Price: $49.00 Purchase
Life Cycle of an Insurance Claim
In this presentation we will demonstrate the detailed steps that are needed in the life cycle of an insurance claim. By following these steps correctly, you will be able to process an insurance claim and maximize reimbursement.
Run Time: 7 minutes
Price: $49.00 Purchase
Claim Submission Guidelines
When preparing a surgery claim for submission it is important to know the various factors required by each insurance carrier. In this presentation we will discuss the guidelines to follow in order to expedite payment and avoid delays or denials. By incorporating these guidelines in the claim submission process, your practice should see an improvement in the timeliness and amount of reimbursement for your surgery claims.
Run Time: 5 minutes
Price: $49.00 Purchase
Overpayments
How do you handle overpayments? In this coffee break presentation, we will discuss the steps that your practice will need to take including what to research before responding to and appealing refund requests. Knowing the proper protocol for overpayments will allow your practice to become more confident when proving that the retraction, refund or overpayment is incorrect.
Run Time: 5 minutes
Price: $49.00 Purchase
Global Surgery Facts
In this presentation you will learn about the coding opportunities that are available for the pre-op, post-op and intra-op services that are outside the Global Period as well as gain an understanding of the Global timeframes for the procedure performed as they will vary based on the category it may fall into; Zero Day, 10-day, 90 day, etc
Run Time: 10 minutes
Price: $49.00 Purchase
Medical Policy Guidelines
In this presentation you will gain a better understanding of medical policy guidelines and how they are a crucial factor in maximizing reimbursement. We will review national and carrier specific guidelines and discuss how they affect your bottom line for Medicare/Medicaid, Workers’ Compensation and HMO/PPO carriers.
Run Time: 16 minutes
Price: $49.00 Purchase
Restructuring Your Office for Success
Restructuring your office for success can be challenging. This presentation will ensure that all departments know their role in the reimbursement process and are able to successfully manage these tasks, allowing for an effective work flow that will ultimately lead to an increase in practice revenue.
Run Time: 6 minutes
Price: $49.00 Purchase
Practice Reporting for Increased Productivity and Revenue
Is your office generating excessive reports? Do the reports lack the appropriate information, or are the reports ignored altogether? How does your practice employ a more productive reporting program?
In this coffee break presentation, we will identify the various reporting formats and learn how to employ a more productive reporting program in order to increase productivity and boost your revenue.
Run Time: 7 minutes
Price: $49.00 Purchase
MI Spine Reimbursement Challenges
Obtaining authorization and reimbursement for minimally invasive spine procedures can be challenging. In this presentation we will go in-depth on minimally invasive spine procedures, discuss reimbursement challenges that you will face and learn how to develop strategies to complete these processes and secure the necessary information for the procedures, putting your spine practice on the right track for maximized reimbursement.
Run Time: 22 minutes
Price: $49.00 Purchase
ASC and Procedure Rooms
This course discusses the current transition to office-based and ambulatory procedures along with the monetary impact it has on the spine practice. It is important to understand the benefits and consequences with practices moving into this type of setting.
Run Time: 13 minutes 44 seconds
Price: $49.00 Purchase
Direct Pays
This presentation offers advice on how to manage direct payments that are sent to the patient. This situation requires timely communications. The office should be able to present the patient with the proper advice on how to transfer the funds to your practice while ensuring the patient that you will be able to assist them in the appeals process for any underpaid and unpaid balances.
Run Time: 7 minutes 45 seconds
Price: $49.00 Purchase
Refunds
Refunds can be quite frustrating, but can preserve your spine business. In this presentation we will be discussing refunds as well as how to prepare your response for the refund, what to do if you receive a refusal for your request for a refund, and will provide sample letters to send to insurance carriers in order to appeal your refund refusal requests.
Run Time: 6 minutes 8 seconds
Price: $49.00 Purchase
Spinal Implants: Reimbursement Training
Instrumentation plays a significant role in spine procedures as well as in the reimbursement process. Although, many reimbursement specialists do not have an appreciation for what the implants look like, how they are utilized or what we should expect as far as number count and coding opportunities.
The inability to identify these procedures and capture the code sets will ultimately lead to denials and lost revenue. So, in this presentation we will discuss the basic training needed for spine reimbursement specialists in the area of spinal implants.
Run Time: 44 minutes 36 seconds
Price: $49.00 Purchase
CCI Commentary for Spine Procedures
This course discusses the CCI Edits as it applies to spine procedures. This will allow you to educate your staff, change your coding policies and procedures or work through your appeals situations accordingly.
Run Time: 17 minutes 46 seconds
Price: $49.00 Purchase
CMS 59 Modifier
The Medicare National Correct Coding Initiative (NCCI) includes Procedure-to-Procedure edits that define when two HCPCS/CPT codes should not be reported together either in all situations or in most situations.
In this presentation we will discuss how the CMS 59 modifier is used and how it differs from the CPT 59 modifier. Insurance carriers may request to review the record to ensure that the 59 modifier is being used appropriately before reimbursing the full amount. So, be sure to apply the specific modifier for the payor type.
Run Time: 9 minutes 16 seconds
Price: $49.00 Purchase
The Path to Practice Prosperity
This presentation discusses the various ways to run your practice by making wiser decisions that will lead to more revenue generated. Our goal is to instill confidence when mapping out your short- and long-term goals for your practice.
Run Time: 13 minutes 11 seconds
Price: $49.00 Purchase
For more information contact us by phone at (866) 859-7759 or via email at contact@thebusinessofspine.com.