IC 204-2022: The Business of Medicine: Hospital-Based, Academic, Private Practice – Learning How To Succeed-The Business of Medicine: Hospital-Based, Academic, Private Practice

The Business of Medicine: Hospital-Based, Academic, Private Practice – Learning How To Succeed (5/5)

Video Transcription

Video Summary

In the video titled "ICD-10 and Beyond: Coding for Success to Maximize Reimbursement," the speaker addresses the concept of reimbursement in orthopedics. They discuss the different ways orthopedic surgeons generate revenue and the increasing costs involved in maintaining a practice. The speaker mentions the importance of proper coding using ICD-10 and CPT codes to ensure efficient reimbursement. They explain how reimbursement is determined in orthopedics, the role of various governing bodies, and the impact on orthopedic surgeons. The speaker discusses factors contributing to decreased reimbursement, such as reduced reimbursement for common codes and the use of restrictive rules by insurance companies. They provide tips on correct ICD-10 coding, appropriate use of modifiers, and documentation for optimal reimbursement. The speaker concludes by emphasizing the need for orthopedic surgeons to work together and provide evidence of their value to retain reimbursement.

Asset Caption

Hussein Elkousy, MD

Keywords

ICD-10 coding

reimbursement in orthopedics

CPT codes

revenue generation

insurance reimbursement