Podiatry Coding and Billing

Why Should You Attend:

Each State is responsible to determine the scope of practice for Podiatrists, but insurance carriers also have specific policies on coverage for Podiatric services.

This presentation will look at the policies and guidelines of several insurance carriers as well as Medicare to try to sort through for a better understanding of what should be expected to be paid, and what the patient may be liable for. We will also look at the scope of practice limitations for Podiatrists. There will also be a review of the CPT codes of services and procedures rendered in the podiatrist’s office, as well as in the operating room, with a detailed bunion correction, that will include a coding chart tool for reference to when to use what CPT code for bunions.

Another procedure growing in frequency of use is Dermagraft. The CPT codes used to report these services will also be discussed. In addition, orthotics and shoe modifications will also be reviewed, and the guidelines for the use of the CMS ABN form and the reporting modifiers when the ABN form is utilized will be discussed. Diagnosis coding can affect reimbursement, and many of these codes will be reviewed for clean claims submission and quicker adjudication of claims.

Areas Covered In the Webinar:

This session will cover the following topics:

• CMS guidelines of medical necessity
• CPT codes used by Podiatrists
• HCPCS coding for Podiatry
• When to use the ABN
• Other Insurance Carrier policies for Podiatry

Who Will Benefit:

This webinar will provide valuable assistance to all hospitals and healthcare providers who treat patients for foot conditions. The individuals who will benefit include:

• Podiatrists, chiropractors, orthopedicians
• Non physician providers
• Clinical Staff
• Coders
• Auditors
• Compliance officers
• Medical insurance providers

Instructor Profile:

Lynn Anderanin, CPC,CPC-I, COSC is the Sr. Director Coding Compliance and Education for Healthcare Information Services, a physician billing and consulting service in the Chicagoland, area. She has over 30 years experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009. Lynn is the founder of the first local Chapter of the AAPC in Chicago, which is now 16 years old, and a former member of the AAPC National Advisory Board as well as other Committees for the AAPC.

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