ݺߣshows by User: JeffreyRestuccio / http://www.slideshare.net/images/logo.gif ݺߣshows by User: JeffreyRestuccio / Thu, 01 Jul 2021 22:35:45 GMT ݺߣShare feed for ݺߣshows by User: JeffreyRestuccio Negotiating Carve-Outs for Hand-and-Wrist Surgical Procedures with Zero SOSD� /slideshow/negotiating-carveouts-for-handandwrist-surgical-procedures-with-zero-sosd-249566886/249566886 03negotiatingcarveouts-210701223545
This presentation provides an introduction to the process of negotiating a carve-out, a special contract, for reimbursement with an insurance carrier for procedures that do not have a SOSD. Essentially you are negotiating for a portion of the facility payment the ASC, HOPD or hospital would bill--and you are not being reimbursed.]]>

This presentation provides an introduction to the process of negotiating a carve-out, a special contract, for reimbursement with an insurance carrier for procedures that do not have a SOSD. Essentially you are negotiating for a portion of the facility payment the ASC, HOPD or hospital would bill--and you are not being reimbursed.]]>
Thu, 01 Jul 2021 22:35:45 GMT /slideshow/negotiating-carveouts-for-handandwrist-surgical-procedures-with-zero-sosd-249566886/249566886 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Negotiating Carve-Outs for Hand-and-Wrist Surgical Procedures with Zero SOSD� JeffreyRestuccio This presentation provides an introduction to the process of negotiating a carve-out, a special contract, for reimbursement with an insurance carrier for procedures that do not have a SOSD. Essentially you are negotiating for a portion of the facility payment the ASC, HOPD or hospital would bill--and you are not being reimbursed. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/03negotiatingcarveouts-210701223545-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This presentation provides an introduction to the process of negotiating a carve-out, a special contract, for reimbursement with an insurance carrier for procedures that do not have a SOSD. Essentially you are negotiating for a portion of the facility payment the ASC, HOPD or hospital would bill--and you are not being reimbursed.
Negotiating Carve-Outs for Hand-and-Wrist Surgical Procedures with Zero SOSD from Jeffrey Restuccio
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Benefits of the OBSS, WALANT, and ECTR /slideshow/benefits-of-the-obss-walant-and-ectr/249533962 11benefitsofobssandwalantectr-210629193240
This is a general benefit list of implementing an OBSS, using WALANT for ECTR. Note that WALANT is currently most often performed in the ASC; and many WALANT procedures are Open Carpal Tunnel Release not Endoscopic. Either way, use the benefits you are most comfortable with. You can use them to sell the patient and the insurance carrier during negotiation.]]>

This is a general benefit list of implementing an OBSS, using WALANT for ECTR. Note that WALANT is currently most often performed in the ASC; and many WALANT procedures are Open Carpal Tunnel Release not Endoscopic. Either way, use the benefits you are most comfortable with. You can use them to sell the patient and the insurance carrier during negotiation.]]>
Tue, 29 Jun 2021 19:32:39 GMT /slideshow/benefits-of-the-obss-walant-and-ectr/249533962 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Benefits of the OBSS, WALANT, and ECTR JeffreyRestuccio This is a general benefit list of implementing an OBSS, using WALANT for ECTR. Note that WALANT is currently most often performed in the ASC; and many WALANT procedures are Open Carpal Tunnel Release not Endoscopic. Either way, use the benefits you are most comfortable with. You can use them to sell the patient and the insurance carrier during negotiation. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/11benefitsofobssandwalantectr-210629193240-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This is a general benefit list of implementing an OBSS, using WALANT for ECTR. Note that WALANT is currently most often performed in the ASC; and many WALANT procedures are Open Carpal Tunnel Release not Endoscopic. Either way, use the benefits you are most comfortable with. You can use them to sell the patient and the insurance carrier during negotiation.
Benefits of the OBSS, WALANT, and ECTR from Jeffrey Restuccio
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Research related to OBSS, WALANT and ECTR /slideshow/research-related-to-obss-walant-and-ectr/249533945 10obssandresearch-210629192714
This is a quick review of selected research papers related to ECTR, WALANT and OBSS. I have over 70 full abstracts. When negotiating with the carrier you may be asked about the safety and efficacy of your procedure in the OBSS.]]>

This is a quick review of selected research papers related to ECTR, WALANT and OBSS. I have over 70 full abstracts. When negotiating with the carrier you may be asked about the safety and efficacy of your procedure in the OBSS.]]>
Tue, 29 Jun 2021 19:27:13 GMT /slideshow/research-related-to-obss-walant-and-ectr/249533945 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Research related to OBSS, WALANT and ECTR JeffreyRestuccio This is a quick review of selected research papers related to ECTR, WALANT and OBSS. I have over 70 full abstracts. When negotiating with the carrier you may be asked about the safety and efficacy of your procedure in the OBSS. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/10obssandresearch-210629192714-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This is a quick review of selected research papers related to ECTR, WALANT and OBSS. I have over 70 full abstracts. When negotiating with the carrier you may be asked about the safety and efficacy of your procedure in the OBSS.
Research related to OBSS, WALANT and ECTR from Jeffrey Restuccio
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The Office-Based Surgical Suite (OBSS) Anesthesia, Surgery and Facility Levels /slideshow/the-officebased-surgical-suite-obss-anesthesia-surgery-and-facility-levels/249533933 09obssandanesthesialevels-210629192409
This presentation covers the issue of Anesthesia, Surgery and Facility Levels and their impact on Office-Based Surgical Suite (OBSS) regulation (by state). The level (most often anesthesia) is the primary determinant of whether the OBSS must be regulated or accredited in the state.]]>

This presentation covers the issue of Anesthesia, Surgery and Facility Levels and their impact on Office-Based Surgical Suite (OBSS) regulation (by state). The level (most often anesthesia) is the primary determinant of whether the OBSS must be regulated or accredited in the state.]]>
Tue, 29 Jun 2021 19:24:08 GMT /slideshow/the-officebased-surgical-suite-obss-anesthesia-surgery-and-facility-levels/249533933 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) The Office-Based Surgical Suite (OBSS) Anesthesia, Surgery and Facility Levels JeffreyRestuccio This presentation covers the issue of Anesthesia, Surgery and Facility Levels and their impact on Office-Based Surgical Suite (OBSS) regulation (by state). The level (most often anesthesia) is the primary determinant of whether the OBSS must be regulated or accredited in the state. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/09obssandanesthesialevels-210629192409-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This presentation covers the issue of Anesthesia, Surgery and Facility Levels and their impact on Office-Based Surgical Suite (OBSS) regulation (by state). The level (most often anesthesia) is the primary determinant of whether the OBSS must be regulated or accredited in the state.
The Office-Based Surgical Suite (OBSS) Anesthesia, Surgery and Facility Levels from Jeffrey Restuccio
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Facility Fee comparison - ASC, HOPD and Hospital /slideshow/facility-fee-comparison-asc-hopd-and-hospital/249533907 08facilityfeecomparision-210629191618
This presentation explains the difference between Professional Fees and Facility Fees and compares the three most common facilities: Ambulatory Surgical Center (ASC), Hospital Outpatient Department (HOPD), Hospital Inpatient, A facility means “not an office” and an office (POS=11) can never be a facility--even if you are performing surgeries in your office.]]>

This presentation explains the difference between Professional Fees and Facility Fees and compares the three most common facilities: Ambulatory Surgical Center (ASC), Hospital Outpatient Department (HOPD), Hospital Inpatient, A facility means “not an office” and an office (POS=11) can never be a facility--even if you are performing surgeries in your office.]]>
Tue, 29 Jun 2021 19:16:18 GMT /slideshow/facility-fee-comparison-asc-hopd-and-hospital/249533907 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Facility Fee comparison - ASC, HOPD and Hospital JeffreyRestuccio This presentation explains the difference between Professional Fees and Facility Fees and compares the three most common facilities: Ambulatory Surgical Center (ASC), Hospital Outpatient Department (HOPD), Hospital Inpatient, A facility means “not an office” and an office (POS=11) can never be a facility--even if you are performing surgeries in your office. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/08facilityfeecomparision-210629191618-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This presentation explains the difference between Professional Fees and Facility Fees and compares the three most common facilities: Ambulatory Surgical Center (ASC), Hospital Outpatient Department (HOPD), Hospital Inpatient, A facility means “not an office” and an office (POS=11) can never be a facility--even if you are performing surgeries in your office.
Facility Fee comparison - ASC, HOPD and Hospital from Jeffrey Restuccio
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Office-Based Surgery and WALANT /slideshow/officebased-surgery-and-walant/249533898 07obsandwalant-210629191144
This presentation is an introduction to WALANT and the reimbursement issues related to WALANT procedures and the Office-Based Surgical Suite (OBSS). I am not a clinician, I am a reimbursement expert so this focuses on the business issues.]]>

This presentation is an introduction to WALANT and the reimbursement issues related to WALANT procedures and the Office-Based Surgical Suite (OBSS). I am not a clinician, I am a reimbursement expert so this focuses on the business issues.]]>
Tue, 29 Jun 2021 19:11:44 GMT /slideshow/officebased-surgery-and-walant/249533898 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Office-Based Surgery and WALANT JeffreyRestuccio This presentation is an introduction to WALANT and the reimbursement issues related to WALANT procedures and the Office-Based Surgical Suite (OBSS). I am not a clinician, I am a reimbursement expert so this focuses on the business issues. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/07obsandwalant-210629191144-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This presentation is an introduction to WALANT and the reimbursement issues related to WALANT procedures and the Office-Based Surgical Suite (OBSS). I am not a clinician, I am a reimbursement expert so this focuses on the business issues.
Office-Based Surgery and WALANT from Jeffrey Restuccio
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Office-Based Surgical Suite (OBSS) Regulation, Registration and Accreditation /slideshow/officebased-surgical-suite-obss-regulation-registration-and-accreditation/249533865 06obssaccreditation-210629190637
This short presentation discusses how each state regulates the OBSS a little differently. Many don't require registration or accreditation for local anesthesia procedures--but some do! Be sure to check with the latest regulations and a healthcare attorney when setting up an OBSS.]]>

This short presentation discusses how each state regulates the OBSS a little differently. Many don't require registration or accreditation for local anesthesia procedures--but some do! Be sure to check with the latest regulations and a healthcare attorney when setting up an OBSS.]]>
Tue, 29 Jun 2021 19:06:37 GMT /slideshow/officebased-surgical-suite-obss-regulation-registration-and-accreditation/249533865 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Office-Based Surgical Suite (OBSS) Regulation, Registration and Accreditation JeffreyRestuccio This short presentation discusses how each state regulates the OBSS a little differently. Many don't require registration or accreditation for local anesthesia procedures--but some do! Be sure to check with the latest regulations and a healthcare attorney when setting up an OBSS. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/06obssaccreditation-210629190637-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This short presentation discusses how each state regulates the OBSS a little differently. Many don&#39;t require registration or accreditation for local anesthesia procedures--but some do! Be sure to check with the latest regulations and a healthcare attorney when setting up an OBSS.
Office-Based Surgical Suite (OBSS) Regulation, Registration and Accreditation from Jeffrey Restuccio
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Setting up an Office-Based Surgical Suite /slideshow/setting-up-an-officebased-surgical-suite/249533844 05settingupanobss-210629190153
This short presentation introduces the OBSS and steps necessary to successfully implement it. It applies to all specialties. It particularly addresses the issue of procedures with zero SOSD and the issue of not being reimbursed for the OBSS overhead. This is part of a series.]]>

This short presentation introduces the OBSS and steps necessary to successfully implement it. It applies to all specialties. It particularly addresses the issue of procedures with zero SOSD and the issue of not being reimbursed for the OBSS overhead. This is part of a series.]]>
Tue, 29 Jun 2021 19:01:53 GMT /slideshow/setting-up-an-officebased-surgical-suite/249533844 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Setting up an Office-Based Surgical Suite JeffreyRestuccio This short presentation introduces the OBSS and steps necessary to successfully implement it. It applies to all specialties. It particularly addresses the issue of procedures with zero SOSD and the issue of not being reimbursed for the OBSS overhead. This is part of a series. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/05settingupanobss-210629190153-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This short presentation introduces the OBSS and steps necessary to successfully implement it. It applies to all specialties. It particularly addresses the issue of procedures with zero SOSD and the issue of not being reimbursed for the OBSS overhead. This is part of a series.
Setting up an Office-Based Surgical Suite from Jeffrey Restuccio
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IOECTR website resources /slideshow/ioectr-website-resources/249533835 04ioectrwebsiteresources-210629185810
This presentation introduces the www.IOECTR.COM website and all the free resources available on it. All the information is free to copy and share. It includes a one-page checklist, a step-by-step plan and a detailed Reimbursement Guidebook for OBSS where the SOSD = zero. This is part of a series.]]>

This presentation introduces the www.IOECTR.COM website and all the free resources available on it. All the information is free to copy and share. It includes a one-page checklist, a step-by-step plan and a detailed Reimbursement Guidebook for OBSS where the SOSD = zero. This is part of a series.]]>
Tue, 29 Jun 2021 18:58:09 GMT /slideshow/ioectr-website-resources/249533835 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) IOECTR website resources JeffreyRestuccio This presentation introduces the www.IOECTR.COM website and all the free resources available on it. All the information is free to copy and share. It includes a one-page checklist, a step-by-step plan and a detailed Reimbursement Guidebook for OBSS where the SOSD = zero. This is part of a series. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/04ioectrwebsiteresources-210629185810-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This presentation introduces the www.IOECTR.COM website and all the free resources available on it. All the information is free to copy and share. It includes a one-page checklist, a step-by-step plan and a detailed Reimbursement Guidebook for OBSS where the SOSD = zero. This is part of a series.
IOECTR website resources from Jeffrey Restuccio
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Negotiating Carve-Outs for Hand-and-Wrist Surgical Procedures with Zero SOSD� /slideshow/negotiating-carveouts-for-handandwrist-surgical-procedures-with-zero-sosd/249533823 03negotiatingcarveouts-210629185356
This presentation explains the negotiation process for orthopedic hand-and-wrist surgical procedures where the Site-of-Service Differential equals zero. There are around 97. To be paid for the office surgical suite overhead you must negotiate with each carrier. This explains the process. This is part of a series.]]>

This presentation explains the negotiation process for orthopedic hand-and-wrist surgical procedures where the Site-of-Service Differential equals zero. There are around 97. To be paid for the office surgical suite overhead you must negotiate with each carrier. This explains the process. This is part of a series.]]>
Tue, 29 Jun 2021 18:53:55 GMT /slideshow/negotiating-carveouts-for-handandwrist-surgical-procedures-with-zero-sosd/249533823 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) Negotiating Carve-Outs for Hand-and-Wrist Surgical Procedures with Zero SOSD� JeffreyRestuccio This presentation explains the negotiation process for orthopedic hand-and-wrist surgical procedures where the Site-of-Service Differential equals zero. There are around 97. To be paid for the office surgical suite overhead you must negotiate with each carrier. This explains the process. This is part of a series. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/03negotiatingcarveouts-210629185356-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This presentation explains the negotiation process for orthopedic hand-and-wrist surgical procedures where the Site-of-Service Differential equals zero. There are around 97. To be paid for the office surgical suite overhead you must negotiate with each carrier. This explains the process. This is part of a series.
Negotiating Carve-Outs for Hand-and-Wrist Surgical Procedures with Zero SOSD from Jeffrey Restuccio
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What is NON-FAC PE (Non-Facility Practice Expense?) /JeffreyRestuccio/what-is-nonfac-pe-nonfacility-practice-expense 02whatisnon-facpe-210629182140
This short presentation explains what NON-FAC PE (Non-Facility Practice Expense?) is and how it pertains to the Office-Based Surgical Suite. This is the reason so many clinics, who decide to perform OBS end up losing money. This presentation is part of a series.]]>

This short presentation explains what NON-FAC PE (Non-Facility Practice Expense?) is and how it pertains to the Office-Based Surgical Suite. This is the reason so many clinics, who decide to perform OBS end up losing money. This presentation is part of a series.]]>
Tue, 29 Jun 2021 18:21:40 GMT /JeffreyRestuccio/what-is-nonfac-pe-nonfacility-practice-expense JeffreyRestuccio@slideshare.net(JeffreyRestuccio) What is NON-FAC PE (Non-Facility Practice Expense?) JeffreyRestuccio This short presentation explains what NON-FAC PE (Non-Facility Practice Expense?) is and how it pertains to the Office-Based Surgical Suite. This is the reason so many clinics, who decide to perform OBS end up losing money. This presentation is part of a series. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/02whatisnon-facpe-210629182140-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This short presentation explains what NON-FAC PE (Non-Facility Practice Expense?) is and how it pertains to the Office-Based Surgical Suite. This is the reason so many clinics, who decide to perform OBS end up losing money. This presentation is part of a series.
What is NON-FAC PE (Non-Facility Practice Expense?) from Jeffrey Restuccio
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IOECTR Introduction /slideshow/ioectr-introduction/249533711 01ioectroverviewintro-210629181309
This is the first of a series of series explaining the complex implementation and reimbursement for In-Office Endoscopic Carpal Tunnel Release as well as other surgical procedures that do not have a Site-of-Service Differential when performed in the Office-Based Surgical Suite. ]]>

This is the first of a series of series explaining the complex implementation and reimbursement for In-Office Endoscopic Carpal Tunnel Release as well as other surgical procedures that do not have a Site-of-Service Differential when performed in the Office-Based Surgical Suite. ]]>
Tue, 29 Jun 2021 18:13:09 GMT /slideshow/ioectr-introduction/249533711 JeffreyRestuccio@slideshare.net(JeffreyRestuccio) IOECTR Introduction JeffreyRestuccio This is the first of a series of series explaining the complex implementation and reimbursement for In-Office Endoscopic Carpal Tunnel Release as well as other surgical procedures that do not have a Site-of-Service Differential when performed in the Office-Based Surgical Suite. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/01ioectroverviewintro-210629181309-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> This is the first of a series of series explaining the complex implementation and reimbursement for In-Office Endoscopic Carpal Tunnel Release as well as other surgical procedures that do not have a Site-of-Service Differential when performed in the Office-Based Surgical Suite.
IOECTR Introduction from Jeffrey Restuccio
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https://public.slidesharecdn.com/v2/images/profile-picture.png https://cdn.slidesharecdn.com/ss_thumbnails/03negotiatingcarveouts-210701223545-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/negotiating-carveouts-for-handandwrist-surgical-procedures-with-zero-sosd-249566886/249566886 Negotiating Carve-Outs... https://cdn.slidesharecdn.com/ss_thumbnails/11benefitsofobssandwalantectr-210629193240-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/benefits-of-the-obss-walant-and-ectr/249533962 Benefits of the OBSS, ... https://cdn.slidesharecdn.com/ss_thumbnails/10obssandresearch-210629192714-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/research-related-to-obss-walant-and-ectr/249533945 Research related to OB...