State guidelines and 3rd party payors identify procedures that are deemed “experimental, investigational and unproven”. This lengthy list of procedures includes laser therapy, kinesio-taping, dry needling and many, many more. This session will cover in detail: -The definition and meaning of “unproven, investigational and experimental” procedures -Best Practices and even state rules for some! for communicating this type of procedure properly to your patients -Where and how to learn which procedures are labeled as “unproven” We’ll even review some payor policies in this session -How to code and bill for unproven procedures for insurance and self-pay patients -Documentation rules and best-practices for clearly recording the rendering of these procedures in your patient notes.
Learning Objectives:
-Identify unproven procedures that you may be rendering in your own practice
-Assess the rules and/or ‘best practices’ for communicating this “unproven” label to patients
-Recognize code selection matters for self-pay and insurance patients!
-Review proper coding for many commonly performed unproven procedures
