IOECTR website resources
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The document outlines the mission and resources of the website ioectr.com, which aims to educate surgeons and administrators on reimbursement for in-office carpal tunnel release (IOECTR) and other office-based surgical procedures. It provides tools like reimbursement checklists, spreadsheets for cost calculation, and a comprehensive guidebook on negotiation tactics and setting up office-based surgical suites. Key focus areas include basic reimbursement education, administrative processes, and a database of providers interested in these procedures.
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Class Examples Mechanism
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H2-Receptor Antagonists Ranitidine, Famotidine Block histamine-mediated gastric acid secretion
2. Mucosal Protective Agents
Class Examples Mechanism
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Mucosal Coating Agents Sucralfate Forms protective barrier over ulcer site
Bismuth Compounds Bismuth subsalicylate Antimicrobial, mucosal protective, and anti-inflammatory
3. Eradication Therapy (for H. pylori)
Combination of:
PPI + Two Antibiotics (e.g., amoxicillin + clarithromycin OR metronidazole + tetracycline)
Duration: 714 days depending on local guidelines
See BNF regimens above for detailed protocols
4. Cytoprotective/Adjunctive Agents
Class Examples Role in PUD
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Antacids Magnesium hydroxide, Aluminium hydroxide Neutralize gastric acid; provide symptomatic relief
Non-Pharmacologic Measures
Avoid NSAIDs, smoking, alcohol, and spicy foods
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IOECTR website resources
- 1. www.IOECTR.com Resources June 4 2021 Jeffrey Restuccio, CPC, COC, MBA Certified medical coder, auditor, and reimbursement consultant http://www.IOECTR.com ritecode@gmail.com (901) 517-1705
- 2. What is my Mission? The website is: In-Office Carpal Tunnel Release (IOECTR). The primary goal is to promote and educate surgeons and administrators on WALANT, OBS, and IOECTR and help them negotiate fair overhead reimbursement for OBSS procedures where the SOSD = zero. While the focus is on ECTR the concepts and strategies will apply to other SOSD=zero procedures. Acronyms: OBSS: Office-Based Surgical Suite OBS: Office-Based Surgery WALANT: Wide Awake Local Anesthesia with No Tourniquet IOECTR: In-Office Carpal Tunnel Release SOSD: Site-of-Service Differential www.IOECTR.com 2
- 3. Areas of Focus Basic Reimbursement Education: Explanation of key terms and concepts. Administration, reimbursement and coding: My focus is the business sidenot clinical information. Education Targets: Providers, administrators, insurance companies, and patients. Research studies database: (WALANT, OBS, ECTR, safety, benefits) Database of Providers: Currently performing IOECTR or are interested in setting up an OBSS. Set Up: How to set up an OBSS in your state. www.IOECTR.com 3
- 4. www.IOECTR.com Tabs Home About Us Contact Us State by State OBS Guidelines Recently Added (Posts) Research Links The website offers three main documents. www.IOECTR.com 4
- 5. (1) One-Page Reimbursement Checklist I urge everyone to start with the one-page, reimbursement and documentation checklist on our website. That will get you started and its easy to discuss in a kick-off meeting. It is an Excel Spreadsheet. From our initial feedback the negotiation process is not that complicated if youre prepared. Simply focus on the cost savings to the insurance carrier and negotiate a fair rate. www.IOECTR.com 5
- 6. (2) Step-By-Step Spreadsheet I have created a spreadsheet with multiple tabs to provide information on how to calculate your direct and indirect costs and negotiate with insurance companies. TABS include: Instructions Step-by-Step (41 steps) ECTR Totals by Place of Service (ASC, HOPD, hospital) 2021 facility reimbursement comparison Six Physician Expense Components OBSS/WALANT Benefits Glossary www.IOECTR.com 6
- 7. (3) Reimbursement Guidebook The Reimbursement Guidebook is set up in two Sections: Section One: Explains the issue and negotiation tactics and strategies. It includes a lot of descriptions of terms for those new to reimbursement. Section Two: For those new to WALANT, OBS, and setting up an OBSS. Information changes constantly so always check with local building codes, state medical boards, your accountant and healthcare attorney any regulations that impact setting up an office-based surgical suite. The Guidebook is over 75 pages. www.IOECTR.com 7
- 8. Hold Harmless Statement This coding and reimbursement information is provided for educational purposes only. It is not intended to represent the only, or necessarily the best, coding advice for the situations discussed, but rather represents an approach, view, statement, or opinion that may be helpful to persons responsible for coding and billing in a medical clinic. The statements made in this presentation should not be construed as policy or procedure, nor as standards of care. State requirements and policies change all the time; while every effort was made to ensure accuracy, the author makes no representations and/or warranties, express or implied, regarding the accuracy of the information contained in this presentation and disclaims any liability or responsibility for any consequences resulting from or otherwise related to any use of, or reliance on this information. www.IOECTR.com 8
- 9. www.IOECTR.com Resources June 4 2021 Jeffrey Restuccio, CPC, COC, MBA Certified medical coder, auditor, and reimbursement consultant http://www.IOECTR.com ritecode@gmail.com (901) 517-1705