The Business of Medicine: Hospital-Based, Academic, Private Practice – Learning How To Succeed (2021 Annual Meeting)-The Business of Medicine: Hospital-Based, Academic, Private Practice

The Business of Medicine: Hospital-Based, Academic, Private Practice - Learning How To Succeed-Elkousy

Video Transcription

Video Summary

In this video, speaker Hussein El-Koussi discusses ICD-10 coding and maximizing reimbursement in orthopedics and sports medicine. He starts by explaining the role of the AAOS CCRC committee, which defends codes, and his role as an alternate advisor at the RUC, which aims to prevent code value drops. He then moves on to discussing reimbursement in medicine, including the sources of payment and factors affecting revenue and expenses. El-Koussi provides an introduction to ICD-10 and clinic CPTs, as well as surgery CPTs, emphasizing the importance of correct coding and understanding bundling rules. He highlights the factors determining reimbursement, such as work, and the organizations involved in making coding and reimbursement rules, including CMS, the RUC, and insurance companies. He advises orthopedic surgeons on how to impact these rules, such as participating in the RUC and publishing supportive research. El-Koussi also explains the trend of decreasing orthopedic reimbursement and shares tips on managing factors within orthopedic surgeons' control, such as correct coding and documentation. He concludes by calling for collaboration and evidence-driven advocacy to defend the value of orthopedic work and improve reimbursement.

Asset Caption

Dr. Hussein Elkousy

Keywords

ICD-10 coding

maximizing reimbursement

orthopedics

sports medicine

reimbursement factors

correct coding