Coding, Measuring, Claims Processing, and More ... - Wounds

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7/12/2011Objectives of Today’s Program To briefly review the 2011 coding, payment, and coveragechanges affecting Medicare reimbursement for surgical andmedical debridement To understand why some surgical and medical debridementclaims were denied during the first quarter even though the newand revised codes were properly used To discuss how ―size‖ should be calculated for coding purposes3© 2011 Healthpoint Biotherapeutics HS1092-0511DisclaimerInformation on reimbursement in the U.S. is provided as a courtesy. Due to therapidly changing nature of the law and Medicare payment policy,and reliance on information provided by outside sources, the informationprovided herein does not constitute a guarantee or warranty thatreimbursement will be received or that the codes identified herein are or willremain applicable.This information is provided “AS IS” and without any other warranty orguarantee, expressed or implied, as to completeness or accuracy, or otherwise.This information has been compiled based on data gathered from manyprimary and secondary sources, including the American Medical Association,and certain Medicare contractors.4© 2011 Healthpoint Biotherapeutics HS1092-05112
7/12/2011Disclaimer (continued)Physicians and other providers must confirm or clarify coding and coveragefrom their respective payers, as each payer may have differing formal orinformal coding and coverage policies or decisions. Physicians and providersare responsible for accurate documentation of patient conditions and forreporting of procedures and products in accordance with particularpayer requirements.5© 2011 Healthpoint Biotherapeutics HS1092-0511Debridement 2011:An Update on Reimbursement forDebridement: Coding, Measuring,Claims Processing, and More6© 2011 Healthpoint Biotherapeutics HS1092-05113
Page 1: 7/12/2011Debridement 2011: An Updat
Page 5 and 6: 7/12/20112011 New Surgical Debridem
Page 7 and 8: 7/12/20112011 CPT ® Codes for Medi
Page 9 and 10: 7/12/2011Size and Code Selection Cl
Page 11 and 12: 7/12/2011Use Appropriate Codes When
Page 13 and 14: 7/12/20112010 vs. 2011 National Ave
Page 15 and 16: 7/12/2011Medicare Coverage29© 2011
Page 17 and 18: 7/12/2011Summary: Debridement 2011:

Coding, Measuring, Claims Processing, and More ... - Wounds

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