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| Decompression Therapy 2006 |
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| Coding, Reimbursement and Risk Management |
| Based on 2 Months (300+ Hours) of Legal Research |
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Now Available for the First Time!!! |
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Researched and Presented by: |
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Keith Pendleton, JD, and David Klein, CPC, CHC |
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Designed for Providers and Manufacturers Alike! |
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Overview |
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"Decompression Therapy" is becoming a hugely popular form of treatment. When it comes to coding, reimbursement, and risk management, however, the care is surrounded by much confusion and controversy. Recently, the ProviderLAW Corporation and DK Coding & Compliance, Inc., completed a 2-month legal research project on the topic of Decompression Therapy. This research project was not financed or requested by any manufacturer, dealer, marketing agent or insurance company. "Decompression Therapy 2006" will enable you to cut through the confusion associated with the coding and reimbursement of such devices, as well as the risk management issues surrounding the care.
Questions addressed throughout this series include the following (Issues 1-9 are covered in Decompression Therapy 101):
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Should you code decompression therapy as CPT 97012? HCPCS S9090? Which code represents the standard for decompression therapy devices? What do health plans really say or require when it comes to coding? In general, what rates can you, or should you, be charging for your service? |
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How could the coding situation change dramatically in the very near future? What are the potential consequences for providers, manufacturers, and insurers, should this happen? What will be your strategy should this occur? |
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What are the risks, both now and in the future, associated with your coding decisions when it comes to decompression therapy? |
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Can you offer initial exams relating to decompression therapy for FREE to insurance patients? If you don't bill the free initial exam to an insurance company, what protection do you receive, if any? |
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What are the implications of charging cash for the service as opposed to billing the service using a code the carriers cover? Does the fact that carriers call certain kinds of decompression therapy "experimental" protect you from liability? |
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What is "vertebral axial decompression?" What are the fundamental medical differences (if any) between the various classes of tables? Do those differences support the use of an entirely different code, substantially different price, and entirely different reimbursement policy? |
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Under FDA regulations, as a provider, what can you – or can't you – represent to your patients and to carriers regarding the medical differences between your table and other mechanical traction devices? |
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What questions should you be asking the manufacturer regarding its device? What points should you consider including in your disclaimers to the patient? |
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Under FDA regulations, what are manufacturers allowed to – or not allowed to – represent to providers and carriers regarding their tables? What particular points should a manufacturer consider disclosing to the providers? |
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The Remaining Issues Will Be Covered in Subsequent Releases
and Are Not Covered in Decompression Therapy 101. |
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Can carriers really classify certain forms of decompression therapy as "experimental" and then totally deny payment for them? What do the most recent court cases have to say? |
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What should you do if a carrier classifies your table as a "vertebral axial decompression" device under the AMA definition, claims that the care is experimental, and then starts denying claims – or worse, starts recouping for services already rendered? |
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At least 13 states mandate coverage for vertebral axial decompression in the workers' comp context – how can decompression therapy be experimental? How can insurers pay for the service in one system (e.g., workers' comp) and then turn around and say that it is experimental in another (e.g., health insurance)? Do courts permit this kind of inconsistency? |
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Do carriers have a duty to evaluate whether a decompression table is "substantially equivalent" to a mechanical traction device before denying the table as experimental? How can you easily discover whether the carrier conducted such a review? |
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What can you be doing now to better protect yourself down the road? |
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Purchase Options |
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Phone: 610-756-3795 Fax: 610-756-3796 | |
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* "List" is our general price. "  " Indicates the price for our full subscribers. Sales tax (PA residents) and shipping not included in the price. |
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Description
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List *
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To Order
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Audio Interactive CD-ROM – Decompression Therapy 101 – "Core Coding & Compliance Issues"
Session 101 covers basic coding, reimbursement, and risk management issues associated with decompression therapy, with particular emphasis on risk management. At its core, this session focuses on helping providers determine appropriate fees and how to properly bill and support those fees. The session explores related issues including the marketing and promotion of decompression therapy care, representations regarding the nature of the care, and other related issues. This session is designed for both current and prospective owners of decompression therapy devices.
Session 101 covers Issues 1-9 above. Additional sessions will be announced. Please note: The issue of whether your particular table actually constitutes a vertebral axial decompression device requires a table-specific review and is therefore beyond the scope of this presentation.
Other Limitations and Requirements. The CD / DVD requires MS Windows® (98 or any later version), an Internet connection, 150MB disk space, and 256MB memory. The disk is copy-protected by SecureWrapTM. Registration and activation with SecureWrap is required. License: You may install / view this program through one designated (1) desktop / laptop / notebook computer. The presentation includes both an audio and visual component and is readable exclusively through a computer monitor. No printed materials are included with the product. Limited technical support is available at no additional cost, Tuesday through Friday, during regular business hours Eastern Time (US) for two (2) weeks following the date of your purchase.
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$299 |
$125 |
610-756-3795
Order Form |
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Live One-on-One Conference – Decompression Therapy 101 – "Core Coding & Compliance Issues"
For those who prefer live one-on-one conferences, we recommend this package as an upgrade to the Audio Interactive CD-ROM. As part of this package, you will receive a copy of the Audio Interactive CD-ROM (subject to the same limitations and requirements referenced above). In addition, you will also receive a live web conference, one-on-one with a presenter, on the same material covered in the recorded program. The conference includes ample time for Q&A.
Additional sessions will be announced soon. Instead of printed materials, this package includes a copy of the Audio Interactive CD-ROM.
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$499 |
$199 |
610-756-3795
Order Form |
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Full ProviderPRO Subscription Package
Our full subscription package includes our Decompression Therapy products at subscriber rates, plus a lot more. Additional benefits include as-needed telephone conferences (one-on-one), participation at our live web seminars, access to our online forms and letters, access to our newsletter, and access to the subscribers-only section of our website.
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N/A |
610-756-3795
Application Form |
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Comprehensive Review & Report
Conducted under confidential attorney-client relationship with a selected law firm, this package entails a thorough review of your table, relevant 501(k) pre-market notifications, advertising and marketing literature, intake forms, online payer publications. Following the review, a detailed report is drafted with specific suggestions tailored to your particular table and payer set, related to coding, documentation, strategic planning, and all material items reviewed. The report is combined with a 1-hour telephone consultation also conducted under attorney-relationship.
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TBA |
TBA |
610-756-3795 |
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| Phone: 610-756-3795Fax: 610-756-3796 | |
All Terms including prices and benefits are subject to change at any time. |
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