Expert speaker Gloria Miller, CPC, CPMA, CPPM, reviews the latest ICD-10-CM codes and coding guidelines applicable to wound care services, plus best practices for documentation, coding, and billing.
Presented on:Tuesday, May 12, 2020
Presented by:Gloria Miller, CPC, CPMA, CPPM
ICD-10-CM and CPT® coding and billing for wound care often carries unique challenges compared to other specialties, as wound size, depth, and severity must be properly documented to report the most accurate codes. With the addition of new ICD-10-CM codes for phlebitis, thrombophlebitis, and pressure ulcers, coders’ jobs have become even more difficult. Wound care clinics are also facing increased scrutiny from the Office of Inspector General regarding the reporting of medically necessary treatment for foot injuries and podiatric ancillary services.
During this 90-minute live and on-demand webinar, Gloria Miller, CPC, CPMA, CPPM, will review the latest ICD-10-CM codes for different types of wounds and associated complications, and CPT coding for wound care management. Miller will discuss best practices for wound care documentation, coding, and billing, and review substantial updates to the E/M reporting guidelines. She will also review 2020 OPPS updates to supervisory requirements impacting wound care providers and an MPFS proposal to revise pricing for cellular and tissue-based products. The presentation will be followed by a live Q&A.
Adhere to updated supervision requirements and E/M reporting guidelines as they apply to wound care encounters
Appropriately apply CPT codes for wound care assessments, including those performed via telemedicine
Prevent reimbursement issues by understanding medical necessity and billing requirements for wound care management and related services
New codes for phlebitis, thrombophlebitis, and pressure ulcers
Changes to supervision requirements in the 2020 OPPS final rule
Elimination of direct supervision requirements
Impact on billing for surgical debridement and hyperbaric oxygen therapy
Updates to the E/M reporting guidelines
Changes effective for fiscal year 2020 and 2021
Wound care assessments performed via telemedicine
Medical necessity requirements and CPT coding for virtual encounters
Billing considerations for wound care management and related services
Applicable place-of-service codes for physicians and off-campus provider-based departments
Office of Inspector General’s monitoring of Part B payments for podiatry and ancillary services
Proposed revisions to Medicare’s reimbursement guidelines for cellular and tissue-based products
Two handouts: One for services billed under the Medicare Physician Fee Schedule (physician reimbursement) and another for services billed under the OPPS (hospital reimbursement).
Gloria Miller, CPC, CPMA, CPPM, is a former vice president of reimbursement services at Comprehensive Healthcare Solutions, Inc. in Seattle. Miller assisted hospitals with correct documenting, coding, and billing for wound care and hyperbaric oxygen services. She has many years of varied experience in healthcare reimbursement, including durable medical equipment, hospital billing, skilled nursing facility billing, and infusion pharmacy billing.