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Author: Mark Savarise
Publisher: Springer
ISBN: 3319435957
Category : Medical
Languages : en
Pages : 342
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Book Description
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.
Author: Mark Savarise
Publisher: Springer
ISBN: 3319435957
Category : Medical
Languages : en
Pages : 342
Get Book Here
Book Description
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.
Author: Elsevier
Publisher: Elsevier Health Sciences
ISBN: 0323811353
Category : Medical
Languages : en
Pages : 832
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Book Description
Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. A step-by-step approach makes it easier to build your coding skills and remember the material. Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms 30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). UNIQUE! "Real-life" coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. Online activities on Evolve provide extra practice with assignments, including coding reports. More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills. UNIQUE! Coders’ Index in the back of the book makes it easy to quickly locate specific codes. Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records you will encounter in the workplace.
Author: Wanda Adams
Publisher: Elsevier Health Sciences
ISBN: 032327739X
Category : Medical
Languages : en
Pages : 352
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Book Description
Combining the basics of coding, insurance, and reimbursement in one concise text, this reader-friendly resource is your key to understanding the fundamentals of medical billing and coding. Clearly organized, full-color chapters guide you through the entire coding and claims process, detailing coding rules and applications, insurance guidelines, and the reimbursement system, all accompanied by real-world practice to help you apply what you’ve learned in the field! Highlighted examples illustrate concepts in realistic medical office settings to enhance your understanding. Coding exercises teach you how to correctly code using the ICD-9-CM and CPT-4 manuals. Test Your Knowledge questions within each chapter help you assess your strengths and weaknesses and prepare for exams. Critical thinking problems challenge you to apply chapter concepts to common coding scenarios. Code It and Claim It! software familiarizes you with a professional coding claim interface similar to programs you’ll use on the job and provides real-world practice with actual patient cases. Key term lists and an extensive glossary reinforce your understanding of important coding and insurance terminology. NEW application exercises help you put your knowledge of coding and reimbursement into practice.
Author: Piyush Sheth
Publisher:
ISBN: 9780996967266
Category :
Languages : en
Pages : 0
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Book Description
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.
Author: AAPC
Publisher: AAPC
ISBN: 1646319265
Category : Medical
Languages : en
Pages : 18
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Book Description
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.
Author: Patricia Aalseth
Publisher: Jones & Bartlett Publishers
ISBN: 1284054586
Category : Business & Economics
Languages : en
Pages : 336
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Book Description
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
Author: Seth M. Brown
Publisher: Plural Publishing
ISBN: 1635503825
Category : Medical
Languages : en
Pages : 473
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Book Description
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
Author: Patricia T. Aalseth
Publisher: Jones & Bartlett Learning
ISBN: 9780834213173
Category : Health insurance claims
Languages : en
Pages : 60
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Book Description
Medicine
Author: Duane C. Abbey
Publisher: CRC Press
ISBN: 1563273683
Category : Medical
Languages : en
Pages : 232
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Book Description
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.
Author: AAPC
Publisher: AAPC
ISBN: 1626889813
Category : Medical
Languages : en
Pages : 18
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Book Description
Finding the coding and billing information you need just got easier. The Coders’ Dictionary & Reference Guide is the perfect companion for coding and billing students and busy professionals. This unique resource, designed for your everyday use, provides a complete reference library in one convenient and affordable volume. Now you can clear the pile of books from your desk and find all the supporting information you need for medical billing and coding. Boost your productivity with fingertip-access to medical terms and industry acronyms. Double-check your modifier usage. Find quick answers to your E/M, anesthesia, and surgery coding questions. Refer to educational illustrations and solidify your reporting know-how with essential lay terms. Speed up your workflow with these beneficial features: Exhaustive list of thousands of medical terms with definitions in an easy-to-understand language Billing, coding and reimbursement terms defined to familiarize you with current regulations, requirements, processes, and agencies How-to guidance for coding procedures from the Surgery section, with explanations of common terms Evaluation and Management (E/M) Survival Guideto help you identify the right choice for E/M service levels Anesthesia primer to distinguish between various types of anesthesia Modifiers and lay descriptions for CPT®and HCPCS modifiers in plain English to eliminate your confusion as to when and how to apply modifiers Lists of prefixes, suffixes, abbreviations, and eponyms frequently used in coding Anatomical illustrations to enhance your understanding of services and procedures Place of service(POS) and type of service (TOS) lists And much more!
