
2025-10-22 The Solo+ Device: Navigating Coverage for Pediatric In-Office Tympanostomy - Sponsored by KARL STORZ
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This webinar aims to educate healthcare providers and administrative staff about the 2025 coding and reimbursement landscape for the Solo+™ Tympanostomy Tube Device. The session will provide essential information on procedure codes, payer coverage criteria, and reimbursement processes to ensure accurate and compliant billing practices for tympanostomy tube placement procedures performed under local anesthesia.
Content Highlights:
- Overview of the 2025 National Medical Physician Fee Schedule and Medicare OPPS guidelines.
- Key CPT codes and modifiers applicable to Solo+™ Device procedures.
- Insights into payer-specific policies, including Medicare, Medicaid, and private insurance coverage.
- Guidelines for handling claims, appeals, and out-of-pocket payment scenarios.
- Assistance resources provided by The Pinnacle Health Group for coding, claims, and reimbursement support.
The webinar will be hosted by The Pinnacle Health Group, an external vendor with extensive expertise in reimbursement and coding support. They will guide participants through the complex landscape of coding, coverage, and payment for tympanostomy procedures.
Disclaimer: The webinar is educational and does not guarantee coverage or reimbursement. Providers are responsible for accurate coding and compliance with all applicable payer requirements.
Kathy Francisco, CPC, MBA
President
The Pinnacle Health Group
Kathy founded Pinnacle twenty-six years ago, bringing managerial experience focused on reimbursement, payer relations and state and federal governmental affairs. Her areas of expertise include strategic and tactical reimbursement coverage and coding, policy development and implementation, sales and marketing support and legislative policy development. She has developed strategic reimbursement solutions to pharmaceutical, medical device and biotechnology firms as well as health care providers and managed care organizations nationally and internationally. She has successfully implemented Medicare policy change at a national level in less than ninety days and has built solid relationships with Medicare Medical Directors, Managed Care Organizations, medical societies and the Centers for Medicare and Medicaid Systems. Kathy has taken a very active health policy role with numerous medical societies, industry trade associations and health care coalitions and been an invited speaker at state society meetings, state conferences and national society and professional health care meetings across the country as well as several international symposiums. She is considered an expert in the area of health care reimbursement and offers a vast amount of knowledge within the federal regulations and governmental policy arena.
Amy E. Goldberg, RPh., MBA
Strategic and Tactical Team Manager
The Pinnacle Health Group
Amy has worked with Pinnacle for 20 years and brings strong background in the pharmaceutical and consulting industry. She started her professional career as a Pharmacist for Thayer Pharmacies. Amy has held positions in Sales with Eli Lilly and was a Specialty Sales Representative for Lilly representing Prozac. Following her tenure at Lilly, Amy joined Boston Healthcare Associates as a consulting project manager involved in managing a wide range of consulting projects focused on reimbursement, strategic product and market planning within both the pharmaceutical and medical device industries. Amy has a strong understanding of the public and payer markets and their impact on integrated delivery systems and group purchasing organizations. She has extensive experience developing discussion guides and conducting interviews with providers, patients and decision makers within the payer market. Amy has excellent analytical, organizational and communication skills and takes a lead role in analyzing project information to create clear, action orientated programs. Amy has a Bachelor of Science degree from University of Connecticut and a M.B.A. from Boston College.
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