2012 Symposium Guest Speakers
Brenda Wieber, RN, BSN, CPC
Regional Reimbursement Manager for Merz Pharmaceuticals
Brenda Wieber, RN, BSN, CPC, is a Regional Reimbursement Manager for Merz Pharmaceuticals. She earned her BS degree in Nursing at the University of Minnesota. With over 16 years of experience in the healthcare industry, Ms Wieber was a critical care nurse for several years and worked in the medical policy and utilization management departments at Blue Cross Blue Shield of Minnesota prior to her employment with Merz. A certified professional coder, she assists providers and their office staff by answering their questions related to the reimbursement landscape and processes (coding, billing, claims etc.) for Xeomin (incobotulinumtoxinA).
Brief Summary of Presentation
Brenda will review the basics of botulinum toxin coding and the billing processes required for proper reimbursement for the spasmodic torticollis patient. By the end of this discussion, you will have a good understand of the following issues related to botulinum toxin Injections:
- Insurance Verification
- Prior Authorization
- Medical Policy Coverage Criteria
- Coding and Billing
- EOB’s and Reconciling Your Claims
- Patient Reimbursement Resources
By demystifying this information, you, the patient, will be able to be your strongest advocate and ally in the challenging healthcare marketplace you experience on a daily basis. If time permits, the process of appeals / reconsiderations can be discussed if the audience has an interest in this topic.