Insurance Reviews: Get the Inside Scoop for Proper Reimbursement
Practice Management

Insurance Reviews: Get the Inside Scoop for Proper Reimbursement

October 12, 2022

Virtual 7:00 - 8:00 pm CT
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Don’t miss the behind the scenes look at the dos and don’ts of surgical billing from both the insurance reviewer and the biller’s sides. Learn some documenting pearls to help your surgeries get paid and what to do in an insurance audit. 

Moderator
Maryellen Brucato, DPM, FACFAS
Dr. Brucato is the owner and CEO of Brucato Foot & Ankle Surgery in Clifton, NJ. She has been in private practice for 10 years and opened up her own practices three years ago. She now oversees two offices with a total of three doctors and 20 employees. Dr. Brucato is a member of the ACFAS Practice Management Committee. 

Speakers
David Wander, DPM, FACFAS
Dr. Wander is currently a medical director of foot and ankle surgery for the nation’s largest orthopaedic specialty benefits management company. He reviews surgical cases for pre-authorization, surgical cases already performed for utilization review and completes between 750-1000 peer-to-peer calls annually. 

Kyle Berger, CPB
Kyle is the Chief Financial Officer for Brucato Foot & Ankle Surgery in Clifton, NJ, where he has been in this role for five years. He brings both coding and billing and practice finance expertise to the practice. 

Wednesday, October 12
7:00 - 8:00 pm CT

  • Introduction of Speakers & Topic
    Maryellen Brucato, DPM, FACFAS 
  • Dos and Don’ts of Surgical Billing from an Insurance Reviewer’s Perspective
    David Wander, DPM, FACFAS
  • Documenting pearls to get surgeries paid
    NCCI policy > CCI edits
    Unbundling examples: lapidus
    How to bill an unlisted code (what documentation is required)
  • Dos and Don’ts of Surgical Billing from a Biller’s Perspective
    Kyle Berger
    •  CCI edits
    • Abuse of modifiers: -59
    • Use of -51 modifier
    •  ICD10s with unspecified sites
    •  Billing & claim follow-up strategies to get surgeries paid 
    • Modifier -58
    •  Global periods
    •  What to do in an insurance audit
  • Q&A


This webinar is approved for 1 CME credit.

$55   Individual Webinar
$149  Entire Series