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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Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Savarise, Mark (Editor ), Senkowski, Christopher (Editor )
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Cham, Switzerland : Springer, 2017.
Temas:
Operations, Surgical > Classification.
Surgeons > Fees.
Surgery > Practice > Accounting.
Clinical Coding > standards
Reimbursement Mechanisms
Relative Value Scales
Surgeons
General Surgery
Chirurgiens > Honoraires.
Chirurgie > Pratique > ComptabilitĐe.
surgery (health care function)
MEDICAL > Surgery > General.
Operations, Surgical
Surgeons > Fees
Fulltext.
Internet Resources.
Classification
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Foreword; Introduction; Contents; Contributors; Part I: Coding and Valuation; Chapter 1: Medical Coding inẗheÜnited States: Introduction andḦistorical 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 theÈCoding System; Coding Diseases andÈTheir Manifestations; Level ofÈDetail andÈCoding; The Seventh Character; External Causes ofÈMorbidity; Factors Influencing Health Status; Office or Ambulatory Coding; Future Directions; Procedure Codes ICD-10-PCS.
  • Organization of ICD-10-PCS First Character Section ofẗheÈCoding System; Second Character: Body System; Third Character: Root Operation; Root Operations That Take Out Some or All ofäÈBody Part; Root Operations That Take Out Solids/Fluids/Gases fromäÈBody Part; Root Operations That Involve Cutting or Separation Only; Root Operations That Put In/Put Back or Move Some/All ofäÈBody Part; Root Operations That Alter theÈDiameter/Route ofäÈTubular Body Part; Root Operations That Always Involve aÈDevice; Root Operations Involving Examination Only.
  • Root Operations That Define Other Repairs Root Operations That Define Other Objectives; PCS Charts; So Why Does This Matter toÈMe?; Suggested Reading; Chapter 3: The CPT Code; History ofẗheÈCPT Code; Current Status ofÈCPT Code; Category 1 Codes; Category 2 Codes; Category 3 Codes; CPT Modifiers; CPT Panel; CPT Process/Application; Category 1 andÈ3 Application; Category 1 Literature Requirements; Category 2 Code Application andÈProcess; Reconsideration ofÈRejected Proposal; Clinical Examples ofÈCPT Coding; Example 1; Example 2; References.
  • Chapter 4: A Resource-Based Relative Value Scale (RBRVS) System Legislation Mandating anÈRBRVS System; Developing anÈRBRVS System; Implementing theÈMedicare RBRVS; Revising andÈMaintaining theÈMedicare RBRVS: Formation ofẗheÄMA RUC; Advising theÈRUC: Role ofẗheÄdvisory Committee; Assigning New RVUs or Updating RVUs inänÈRBRVS System; References; Part II: Reimbursement; Chapter 5: CMS, theÈSGR, andÈMACRA; Introduction; OBRA; MVPS; SGR; MACRA; References; Chapter 6: Global Period; Overview; History; Classification; Services inẗheÈGlobal Period; Current Practice.
  • Future ofẗheÈGlobal PeriodReferences; Chapter 7: Medicare Part AändÈDRG's; Hospital andÖutpatient Facility Reimbursement forÈMedicare Patients; Medicare; The Development ofÈDiagnosis-Related Groups (DRGs) andẗheÈPolitics ofḦealthcare; Diagnosis-Related Groups: Connecticut andÈNew Jersey Studies; DRGs Become anÏssue ofÈPolitical andÈFinancial Urgency; DRGs Today; Outpatient Prospective Payment System (OPPS) andẗheÄmbulatory Payment Classification (APC) [17,18]; Facility andÈNon-facility CPT Reimbursement; CPT Code Detail-38500: Biopsy ofÈLymph Node; Facility Fees.

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