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|a Principles of coding and reimbursement for surgeons /
|c Mark Savarise, Christopher Senkowski, editors.
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|a Cham, Switzerland :
|b Springer,
|c 2017.
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|a 1 online resource
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|a 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.
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|a 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.
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|a 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.
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|a 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.
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|a 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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|a Print version record.
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|a 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.
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|a Includes bibliographical references at the end of each chapters and index.
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|a ProQuest Ebook Central
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|a Operations, Surgical
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|a Surgeons
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|a General Surgery
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|a Savarise, Mark,
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|a Senkowski, Christopher,
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|i has work:
|a Principles of coding and reimbursement for surgeons (Text)
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