Podiatry and DME Updates for 2024

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This webinar will allow review the major changes made to CPT® in Podiatry for 2024. We will look at the current Medicare guidelines for Podiatry, so attendees will receive information relevant to their daily code assignment. We will also discuss the rationale of the new codes from the AMA’s perspective, so that attendees will understand how to use the codes and be compliant. The session will also give attendees the latest information on the Medicare policies related to foot care.

Medicare and other insurance carriers have specific guidelines for documenting, dispensing, and billing for Durable Medical Equipment. Many offices struggle with profit losses because they do not have a good process for DME. There are new guidelines for documentation needed for DME as well as other Local Coverage Determinations for governmental payors including Medicare that explain the medical necessity requirement for these items to be reimbursed. Once the required elements are known, and an office process is created, office can see a profit in dispensing DME.

Must Attend For

✓ Billers
✓ Coders
✓ Physicians
✓ Podiatrist
✓ Nurses
✓ Nurse practitioners
✓ Surgery schedulers
✓ Collectors
✓ Insurance claims representatives
✓ Insurance claims processors
✓ Medical assistants
✓ Prior authorization specialists

• Revisions to the bunion code description for clarification.

• When do the Q modifiers need to be added to procedures related to foot care.

• Obtaining the appropriate treating physician information and reporting it on Podiatry claims.

• Looking at the payable diagnosis(es) codes for podiatry services.

• Review of the 2021/2023 E/M Guidelines as well as 2024 revisions

• Know what is needed to meet the Medicare Standard Documentation guidelines that recently changed

• Understand how to assign the appropriate codes for billing purposed

• Gain knowledge in the medical necessity requirements for DME

• Apply the Reasonable Useful Life of DME

• Use PDAC for items dispensed to Medicare patients

• No understanding of the rationale behind the CPT® code changes for 2024

• Claim denial for using codes that have been deleted and replaced with new codes

• Using revised codes that now have a different description due to changes

• Medicare guidelines that affect the Podiatry Practice

• Know what is needed to meet the Medicare Standard Documentation guidelines that recently changed

• Understand how to assign the appropriate codes for billing purposed

• Gain knowledge in the medical necessity requirements for DME

• Apply the Reasonable Useful Life of DME

• Use PDAC for items dispensed to Medicare patients

• Medicare as well as other insurance carriers have specific policies related to nail debridement, treatment of corns and calluses, flat foot, and bunions, just to name a few conditions. The webinar will offer CPT and ICD-10 codes to know when the patient will be responsible for services or what the medical necessity and Documentation requirements are in order to effectively pass an audit by CMS or a commercial carrier. If the patient does not meet the medical necessity requirements, working with the patient on payment of these services can be an important part of having a successful profitable practice. These requirements can change at any time so knowing the current requirements is critical.

• So many offices are not aware of all of the rules and guidelines that must be followed for therapy and to dispense DME to patients. This session will take attendees on the step-by-step process of enrolling in the Medicare program for DME, assigning codes to the items for billing purposes as well as what should be charged. We will also review the documentation requirements and ideas for keeping inventory.

Presenter

Lynn M. Anderanin

(CPC, CPMA, CPC-I, CPPM, COSC)