Principles Of Coding And Reimbursement For Surgeons

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Principles of Coding and Reimbursement for Surgeons

Author : Mark Savarise
Publisher : Springer
ISBN 13 : 3319435957
Total Pages : 343 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Principles of Coding and Reimbursement for Surgeons by : Mark Savarise

Download or read book Principles of Coding and Reimbursement for Surgeons written by Mark Savarise and published by Springer. This book was released on 2016-12-30 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement. The text is meant to be useful to surgeons in practice, both in general surgery and in surgical subspecialties; practice management teams of surgical practices and to resident physicians in surgery. Part 1 of the text addresses the CPT coding process, the relative valuation system (RVU), the ICD-9 and ICD-10 systems of classification, Medicare Part B payment rules for physicians, the DRG system and Medicare Part A payment for hospitals, alternative payment models, and the myriad of quality measures of importance to surgeons. Part 2 of the text addresses specific coding in areas where surgeons historically have had the most difficulty. This is not meant to substitute for the available texts, software or courses on coding, but to provide the historical background and rationale for the specific coding rules. Principles of Coding and Reimbursement for Surgeons will be of great value to general surgeons and surgical subspecialists in private practice, academic institutions, and employed positions. It will provide direction to management teams from practice and institutional levels. It is also of use to surgical trainees and to researchers in health policy issues.

CPT Coding Handbook

Author : Rita A. Scichilone
Publisher : American Hospital Association
ISBN 13 : 9781556482748
Total Pages : 0 pages
Book Rating : 4.4/5 (827 download)

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Book Synopsis CPT Coding Handbook by : Rita A. Scichilone

Download or read book CPT Coding Handbook written by Rita A. Scichilone and published by American Hospital Association. This book was released on 1999-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT Coding Handbook, 1999 Edition provides a useful reference for physicians, hospitals, billing personnel, and coding professionals concerning the structure, use, and application of the CPT coding system for health services. It also serves as a textbook for CPT instruction in health information management programs and other allied health disciplines. Readers will gain an understanding of reimbursement guidelines and coding principles in order to properly assign CPT codes to health care services in both hospital and physician service facilities or in other health care facilities such as home health, rehabilitation, long term care, hospice, or freestanding ambulatory surgical centers.

Principles of CPT Coding

Author : American Medical Association
Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 640 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Principles of CPT Coding by : American Medical Association

Download or read book Principles of CPT Coding written by American Medical Association and published by American Medical Association Press. This book was released on 2010 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated and revised by the AMA, this best-selling resource is a comprehensive training and education textbook that provides the most in-depth review available of the entire CPTr codebook. Expanded images, chapters and content provide a broader explanation of the CPT code set and include: New! Appendix describes how to code from an operative report New! Ancillary educator material includes individual chapter slide presentations, whole book review slide presentations, chapter presentation notes, and three levels of question-andanswer banks for tests and quizzes found throughout the book. New! Two new subsections of medicine that pertain to cardiovascular device monitoring and end-stage renal disease services Expanded and revised chapter sections provide enhanced coding guidelines and instructions for spinal and cranial sterotactic radiosurgery codes in the nervous system subsection, in addition to E/M revisions on newborn care services, delivery/ birth room attendance, resuscitation services and more Numerous revisions to medicine section offers in-depth discussion regarding hydration therapeutics, prophylactic injections and infusions, and chemotherapy administration

The Essential Guide to Coding in Otolaryngology

Author : Seth M. Brown
Publisher : Plural Publishing
ISBN 13 : 1635503825
Total Pages : 473 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis The Essential Guide to Coding in Otolaryngology by : Seth M. Brown

Download or read book The Essential Guide to Coding in Otolaryngology written by Seth M. Brown and published by Plural Publishing. This book was released on 2021-09-07 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference

Documentation Guidelines for Evaluation and Management Services

Author : American Medical Association
Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 26 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Documentation Guidelines for Evaluation and Management Services by : American Medical Association

Download or read book Documentation Guidelines for Evaluation and Management Services written by American Medical Association and published by American Medical Association Press. This book was released on 1995 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Coding

Author : Patricia Aalseth
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284054586
Total Pages : 336 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis Medical Coding by : Patricia Aalseth

Download or read book Medical Coding written by Patricia Aalseth and published by Jones & Bartlett Publishers. This book was released on 2014-08-06 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: In clear and straightforward language, Medical Coding: What It Is and How It Works, Second Edition provides an overview of the evolution of medical coding and all the various coding systems, how they relate, and how they function. Reasoning and consequences of the delayed ICD-10 implementation are explained along with a sound overview of the ICD-10-CM and PCS classification systems. For those contemplating a career in the coding field, this book is ideal as a basic orientation. Other individuals in healthcare management and administration will also benefit from a basic understanding of how coding works. Unlike other publications that focus only on coding, this book integrates coding guidelines and principles into the billing and reimbursement process, giving the student a more practical foundation in the rationale for correct coding. Healthcare fraud and abuse is addressed as well, to assure that readers understand ethical concerns inherent in coding for reimbursement. Instructor Resources: Instructor's Manual, PowerPoint slides, Test Bank

Coding Solutions General Surgery

Author : Piyush Sheth
Publisher :
ISBN 13 : 9780996967266
Total Pages : 0 pages
Book Rating : 4.9/5 (672 download)

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Book Synopsis Coding Solutions General Surgery by : Piyush Sheth

Download or read book Coding Solutions General Surgery written by Piyush Sheth and published by . This book was released on 2023-01-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improve Documentation. Code Intelligently. Minimize Audit Risk. This book is intended for General Surgery Healthcare Providers (physicians, APP's, etc.) and Professional Medical Coders. It provides a streamlined process for General Surgery ICD and CPT code selection and documentation to achieve efficiency and accuracy in medical billing. Basic knowledge in medical and surgical terminology is recommended. The book is affordable, concise, portable, and easy to use reference structured by Organ Systems, the fundamental blueprint by which healthcare providers cognitively classify disorders. The 2023 Edition includes the updated E/M Hospital Inpatient Guidelines, revised Anterior Abdominal Wall Hernia CPT codes, and updated Medicare PFS workRVU values. Organ systems include Abscess, Appendix, Breast, Burns, GI (including endoscopy), Hernia, Liver, Lymphatic, Kidney, Pancreas, Spleen, Skin and Soft Tissue, and Trauma to name a few. The author is a General Surgeon of 27 years' experience who recognized that coding and billing is too complex with numerous regulations and sought to simplify the process. The result is a book that will save you hundreds of hours and raise the accuracy of your coding and billing which in turn will lead to a higher proportion of clean claims and improve revenue cycling.

Coders' Specialty Guide 2024: General Surgery (Volume I & II)

Author : AAPC
Publisher : AAPC
ISBN 13 : 1646319265
Total Pages : 18 pages
Book Rating : 4.6/5 (463 download)

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Book Synopsis Coders' Specialty Guide 2024: General Surgery (Volume I & II) by : AAPC

Download or read book Coders' Specialty Guide 2024: General Surgery (Volume I & II) written by AAPC and published by AAPC. This book was released on 2024-01-31 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is your general surgery practice on top of 2024 CPT® code changes? Are you struggling to beat a high denial rate? Now you can keep your claims on track, finding the reporting details you need in a snap. Your coding will never be faster or more solid than it is when using the Coders’ Specialty Guide 2024: General Surgery Volumes I & II. Easily find the key indicators needed for each service or procedure in one go-to resource — ICD-10 cross references, NCCI edits, RVUs, and anatomical illustrations, along with guidance on coding, billing, and reimbursement. Plus, a description of the procedure in easy-to-understand terms, so you can confidently translate your providers’ notes into the correct codes. Get the coding edge for expedient reporting and optimal revenue with these features: General surgery CPT® and HCPCS Level II procedure and service codes, including 2024 new and revised codes Official descriptors for Category I-III CPT® codes Expert billing tips to boost revenue Easy-to-follow lay term explanations of how surgeons perform each procedure Medicare fee schedule information including facility and non-facility RVUs NCCI alerts for each general surgery procedure Modifier crosswalks for procedures Pre-, post-, and intra-operative indicators Appendix of medical terms HCPCS Level II codes for general surgery with lay terms and revenue-enhancing tips ICD-10-CM-to- CPT® crosswalks to reduce audit risks Detailed anatomical illustrations Dictionary-style headers and color-coded tabs for quick code lookup Index of general surgery codes for quick searches And much more! Beat 2024 coding and reimbursement challenges with this all-inclusive guide for general surgery. *CPT® is a registered trademark of the American Medical Association.

Understanding Hospital Billing and Coding

Author : Debra P. Ferenc
Publisher : Elsevier Health Sciences
ISBN 13 : 1455723630
Total Pages : 626 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Understanding Hospital Billing and Coding by : Debra P. Ferenc

Download or read book Understanding Hospital Billing and Coding written by Debra P. Ferenc and published by Elsevier Health Sciences. This book was released on 2013-02-26 with total page 626 pages. Available in PDF, EPUB and Kindle. Book excerpt: A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.

Mastering Medical Coding

Author : Marsha Diamond
Publisher : Saunders
ISBN 13 : 9780721603148
Total Pages : 612 pages
Book Rating : 4.6/5 (31 download)

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Book Synopsis Mastering Medical Coding by : Marsha Diamond

Download or read book Mastering Medical Coding written by Marsha Diamond and published by Saunders. This book was released on 2003 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical approach to coding provides a solid foundation in basic coding principles with an emphasis on learning through realistic physician documentation. It prepares students to tackle any coding scenario, from routine to complex. Chapters begin with an emphasis on basic coding documentation and rules to ensure correct coding for ICD-9-CM, CPT-4, and HCPCS. Progressively difficult coding exercises incorporate newly learned skills as readers advance through the material. the worktext portion of the book and the companion student workbook provide progressively difficult real-world exercises that build the necessary skills of identifying the right codes from real-world medical charts. Learning objectives, numerous examples, chapter reviews, and coding reference tools throughout provide the necessary learning tools to fully master basic and advanced coding concepts.

Principles of ICD-10-CM Coding

Author : Deborah J. Grider
Publisher : American Medical Association Press
ISBN 13 : 9781603599481
Total Pages : 0 pages
Book Rating : 4.5/5 (994 download)

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Book Synopsis Principles of ICD-10-CM Coding by : Deborah J. Grider

Download or read book Principles of ICD-10-CM Coding written by Deborah J. Grider and published by American Medical Association Press. This book was released on 2014-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of Principles of ICD-10-CM Coding helps health care professionals learn how to make correct decisions when selecting diagnosis codes using the new system. It is written for all skill levels-from basic to advanced-and appropriate for self- learners and the classroom. This educational tool helps professionals: * Understand the purpose of ICD-10-CM and its relationship to the reimbursement process * Understand and apply coding conventions when assigning codes * Interpret basic coding guidelines for outpatient care * Assign ICD-10-CM codes to the highest level of specificity * Properly sequence ICD-10-CM codes

Coders' Specialty Guide 2023: General Surgery (Volume I & II)

Author : AAPC
Publisher : AAPC
ISBN 13 : 1646317106
Total Pages : 18 pages
Book Rating : 4.6/5 (463 download)

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Book Synopsis Coders' Specialty Guide 2023: General Surgery (Volume I & II) by : AAPC

Download or read book Coders' Specialty Guide 2023: General Surgery (Volume I & II) written by AAPC and published by AAPC. This book was released on 2023-01-31 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is your general surgery practice on top of 2023 CPT® code changes? Are you struggling to beat a high denial rate? Now you can keep your claims on track, finding the reporting details you need in a snap. Coding was never faster, and accuracy was never as solid, than with the Coders’ Specialty Guide 2023: General Surgery (Volume I & II). You get the key indicators needed for each service or procedure on a single page—ICD-10 CrossRefs, CCI edits, RVUs, lay terms, anatomical illustrations, and coding, billing, and reimbursement guidance. Get the coding edge for expedient reporting and optimal revenue: 2023 CPT® general surgery codes with official code descriptors for Categories I-III Expert billing tips to boost revenue Easy-to-follow lay term explanations of how surgeons perform each procedure Medicare fee schedule information including facility and non-facility RVUs CCI alerts for each general surgery procedure Modifier crosswalks for procedures Pre-, post-, and intra-operative indicators Appendix of medical terms HCPCS codes for general surgery with lay terms and revenue-enhancing tips ICD-10-CM-to- CPT® crosswalks to reduce audit risks Procedure illustrations labeled with corresponding codes Dictionary-style headers and color-coded tabs for quick code look-up Index of general surgery codes for quick searches And much more! Beat 2023 coding and reimbursement challenges with this all-inclusive guide for general surgery. *CPT® is a registered trademark of the American Medical Association

Compliance for Coding, Billing & Reimbursement, 2nd Edition

Author : Duane C. Abbey
Publisher : CRC Press
ISBN 13 : 1563273683
Total Pages : 232 pages
Book Rating : 4.5/5 (632 download)

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Book Synopsis Compliance for Coding, Billing & Reimbursement, 2nd Edition by : Duane C. Abbey

Download or read book Compliance for Coding, Billing & Reimbursement, 2nd Edition written by Duane C. Abbey and published by CRC Press. This book was released on 2008-04-02 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.

Healthcare Delivery in Surgery

Author : Justin B Dimick
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975196384
Total Pages : 410 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Healthcare Delivery in Surgery by : Justin B Dimick

Download or read book Healthcare Delivery in Surgery written by Justin B Dimick and published by Lippincott Williams & Wilkins. This book was released on 2023-08-02 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: An invaluable resource for surgeons, surgical leaders, and health system administrators at all levels, Healthcare Delivery in Surgery: Scientific Principles and Practice provides unique, expert coverage of common challenges in the delivery of surgical care. Editor Justin B. Dimick, MD, MPH, Chair of the University of Michigan’s Department of Surgery, leads an outstanding editorial team from the UM Center for Healthcare Outcomes and Policy who provide clear guidance on the strategy and operations of delivering optimal surgical care. Using a case-based approach, authors consider the underlying principles and existing evidence followed by real-world practical solutions.

CodeBusters

Author : Patricia T. Aalseth
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834213173
Total Pages : 60 pages
Book Rating : 4.2/5 (131 download)

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Book Synopsis CodeBusters by : Patricia T. Aalseth

Download or read book CodeBusters written by Patricia T. Aalseth and published by Jones & Bartlett Learning. This book was released on 1998-12 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicine

Coding for Ambulatory Surgery Procedures

Author : Medical Learning Incorporated
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (416 download)

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Book Synopsis Coding for Ambulatory Surgery Procedures by : Medical Learning Incorporated

Download or read book Coding for Ambulatory Surgery Procedures written by Medical Learning Incorporated and published by . This book was released on 1993 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Abdominal Wall Surgery

Author : Dalila Patrizia Greco
Publisher : Springer
ISBN 13 : 3030024261
Total Pages : 234 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Abdominal Wall Surgery by : Dalila Patrizia Greco

Download or read book Abdominal Wall Surgery written by Dalila Patrizia Greco and published by Springer. This book was released on 2019-03-28 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents different patient-oriented perspectives from surgeons, economic evaluation and management researchers, and business companies active in the healthcare sector, striking a balance between the appropriateness/effectiveness of treatment and efficiency/cost. It does not include technical surgical details, but instead provides the necessary knowledge regarding different groups of patients to help economic and management researchers make accurate evaluations. Although partially based on the specific case of abdominal wall surgery in the Italian health system, the book defines a model that can, with the necessary adaptations, be applied in other national contexts. It also analyzes different reimbursement systems and methods of data collection. This approach supports the evolution from evidence-based medicine (EBM) to the future of real-world data (big data analysis). Further, it highlights the critical issue of “silos” reimbursement, which is the pillar of DRG, and proposes methodology to evaluate the direct and indirect benefit and costs of surgery (for example quality of care, costs incurred in cases of surgical complications due to the use of inappropriate, low-cost material or due to surgical procedure. It is a valuable resource for clinicians, surgeons, policymakers and managers in the field.