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Coding and Coverage of Bariatric Procedures

$99

Getting paid for open and laparoscopic bariatric procedures requires that surgeons code correctly and follow the right guidelines. For example, what can be billed in addition to the bariatric procedure? Is hernia repair separately reported? And if so, with which codes, and will a modifier be necessary?

Equally as important is understanding coverage policies. Medicare has a national coverage policy that is implemented at the discretion of local Medicare carriers. Private payors have their own coverage criteria that must be met before reimbursement will be authorized. Bariatric surgeons must be familiar with payor-specific policies and ensure that all patients comply with requirements.

This fast-paced, 20-minute program addresses both topics and covers:

  • Coding for bariatric procedures: open and laparoscopic.
  • Coding for hiatal hernia repair with a bariatric procedure: When is it appropriate? Which codes should be used? Will it get paid?
  • Coding for gastric band adjustment during and after the global period.
  • Medicare coverage for bariatric procedures. What does Medicare consider medically necessary (and reimbursable) for bariatric procedures?
  • Private payor coverage for bariatric procedures. How and where do you find coverage policies for your top private payors? What are they likely to include?

Teri Romano, BSN, MBA, CPC, CMDP

Speaker and Consultant

KZA

Teri Romano has over twenty-five years of consulting and teaching experience in the health care field. Ms. Romano works with physician groups and hospitals combining a background in clinical systems with solid approaches to operational and organizational problem solving.

Teri is co-developer and instructor for the national coding and reimbursement workshops sponsored by the American College of Surgeons, the Society for Vascular Surgery and the American Association of Neurological Surgeons.  She also provides on-site customized coding and reimbursement courses to physician and hospital groups, specializing in neurosurgery, general surgery, vascular surgery, and vein well as E/M and surgical case audits to assist physician groups in their compliance activities. In addition, she consults with vein, vascular, general surgical, and neurosurgical practices on practice management issues including service line development, revenue enhancement, staffing models, appeals management and expense reduction.

Read more about Teri HERE

All cancellation and transfer requests must be submitted via email to education@kzanow.com. Refunds will be made based on the following:

  • Cancelation request is received via email within 24 hours of purchase.
  • The course has not been started.
  • If there is a pdf handout or workbook available, $50 will be deducted from the refund.
  • If a hard copy book has been printed/shipped, $60 plus shipping and handling will be deducted.

Cancellations received after 24 hours of purchase will result in a transfer of funds to another on-demand course within the same year, less $50 for pdf of handout or workbook and/or $60 plus shipping and handling for hard copy books.

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