Principles of coding and reimbursement for surgeons /
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....
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| Other Authors: | , |
|---|---|
| Format: | Electronic eBook |
| Language: | English |
| Published: |
Cham, Switzerland :
Springer,
2017.
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| Subjects: | |
| Online Access: |
Full text (MFA users only) |
| ISBN: | 9783319435954 3319435957 |
| Local Note: | ProQuest Ebook Central |
Table of Contents:
- Foreword; Introduction; Contents; Contributors; Part I: Coding and Valuation; Chapter 1: Medical Coding in€the€United States: Introduction and€Historical Overview; References; Suggested Reading; Chapter 2: ICD-10; ICD-10-CM; History; ICD-10-CM Code System; ICD-10-CM Chapters; Using ICD-10; Conventions Used Throughout the€Coding System; Coding Diseases and€Their Manifestations; Level of€Detail and€Coding; The Seventh Character; External Causes of€Morbidity; Factors Influencing Health Status; Office or Ambulatory Coding; Future Directions; Procedure Codes ICD-10-PCS.
- Organization of ICD-10-PCS First Character Section of€the€Coding System; Second Character: Body System; Third Character: Root Operation; Root Operations That Take Out Some or All of€a€Body Part; Root Operations That Take Out Solids/Fluids/Gases from€a€Body Part; Root Operations That Involve Cutting or Separation Only; Root Operations That Put In/Put Back or Move Some/All of€a€Body Part; Root Operations That Alter the€Diameter/Route of€a€Tubular Body Part; Root Operations That Always Involve a€Device; Root Operations Involving Examination Only.
- Root Operations That Define Other Repairs Root Operations That Define Other Objectives; PCS Charts; So Why Does This Matter to€Me?; Suggested Reading; Chapter 3: The CPT Code; History of€the€CPT Code; Current Status of€CPT Code; Category 1 Codes; Category 2 Codes; Category 3 Codes; CPT Modifiers; CPT Panel; CPT Process/Application; Category 1 and€3 Application; Category 1 Literature Requirements; Category 2 Code Application and€Process; Reconsideration of€Rejected Proposal; Clinical Examples of€CPT Coding; Example 1; Example 2; References.
- Chapter 4: A Resource-Based Relative Value Scale (RBRVS) System Legislation Mandating an€RBRVS System; Developing an€RBRVS System; Implementing the€Medicare RBRVS; Revising and€Maintaining the€Medicare RBRVS: Formation of€the€AMA RUC; Advising the€RUC: Role of€the€Advisory Committee; Assigning New RVUs or Updating RVUs in€an€RBRVS System; References; Part II: Reimbursement; Chapter 5: CMS, the€SGR, and€MACRA; Introduction; OBRA; MVPS; SGR; MACRA; References; Chapter 6: Global Period; Overview; History; Classification; Services in€the€Global Period; Current Practice.
- Future of€the€Global PeriodReferences; Chapter 7: Medicare Part A€and€DRG's; Hospital and€Outpatient Facility Reimbursement for€Medicare Patients; Medicare; The Development of€Diagnosis-Related Groups (DRGs) and€the€Politics of€Healthcare; Diagnosis-Related Groups: Connecticut and€New Jersey Studies; DRGs Become an€Issue of€Political and€Financial Urgency; DRGs Today; Outpatient Prospective Payment System (OPPS) and€the€Ambulatory Payment Classification (APC) [17,18]; Facility and€Non-facility CPT Reimbursement; CPT Code Detail-38500: Biopsy of€Lymph Node; Facility Fees.