Outpatient Surgery Magazine - Subscribers

The Future of Knee Repair - February 2016 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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I f your facility is thinking about offering the innovative new approaches to treat gastroesaphogeal reflux disease (GERD), be warned that getting reimbursed might be a challenge. "Everybody gets all excited when there's a new code out, but unfor- tunately, just because you get a code doesn't mean you're going to get paid on it," says Kathleen Mueller, RN, CPC, CCS-P, CMSCS, CGCS, CCC, a coding and reimbursement expert from Lenzburg, Ill., and the president of Ask Mueller Consulting. She's referring to the new CPT Category 1 code (43210) covering esophagogastric fundoplasty trans-orifice procedures. It went into effect Jan. 1, and is being welcomed by the companies touting the TIF 1 3 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R Y 2 0 1 6 GERD Treatments Move Forward, But Will You Get Paid? • LESS INVASIVE GERD procedures that let practitioners access the stomach via the mouth now have a special CPT code, but payers still have to accept the new approach. The new CPT code is here, but you may have to battle with payers. Jim Burger Associate Editor

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