Principles of Coding and Reimbursement for Surgeons

Principles of Coding and Reimbursement for Surgeons

Author: Mark Savarise

Publisher: Springer

Published: 2016-12-30

Total Pages: 342

ISBN-13: 3319435957

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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.


Model Rules of Professional Conduct

Model Rules of Professional Conduct

Author: American Bar Association. House of Delegates

Publisher: American Bar Association

Published: 2007

Total Pages: 216

ISBN-13: 9781590318737

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The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.


ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

Author: Department Of Health And Human Services

Publisher: Lulu.com

Published: 2020-09-06

Total Pages: 128

ISBN-13: 9781716599989

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These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.


Step-by-Step Medical Coding, 2017 Edition - E-Book

Step-by-Step Medical Coding, 2017 Edition - E-Book

Author: Carol J. Buck

Publisher: Elsevier Health Sciences

Published: 2016-11-08

Total Pages: 851

ISBN-13: 0323496393

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Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! From Carol J. Buck, the bestselling Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. Practice exercises follow each 'step' of information to reinforce your understanding of important concepts. In-depth coverage includes reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, with an Evolve website that includes 30-day access to TruCode® Encoder Essentials. No other text so thoroughly covers all coding sets in one source! - 30-day access to TruCode® Encoder Essentials (in addition to separate encoder practice exercises on the Evolve companion website) help you understand how to utilize an encoder. - A step-by-step approach makes it easier to build skills and remember the material. - UNIQUE! Real-world coding reports (cleared of any confidential information) simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. - Over 500 illustrations include medical conditions and procedures to help you understand the services being coded. - 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. - UNIQUE! Four coding-question variations develop your coding ability and critical thinking skills, including one-code or multiple-code answers. - Official Guidelines for Coding and Reporting boxes allow you to read the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - UNIQUE! Coders' Index makes it easy to quickly locate specific codes. - Sample Electronic Health Record screenshots in the appendix provide examples similar to the EHRs you will encounter in the workplace. - Online practice activities on Evolve include questions such as multiple choice, matching, fill-in-the-blank, and coding reports. - A workbook corresponds to the textbook and offers review and practice with more than 1,200 theory, practical, and report exercises (odd-numbered answers provided in appendix) to reinforce understanding of medical coding. Available separately. - Medical Coding Online uses animations, photographs, drawings, narrated slide shows, case-based exercises, pop-up definitions, and professional insights to reinforce coding concepts from the Step-by-Step text. Available separately.


Step-by-Step Medical Coding 2009

Step-by-Step Medical Coding 2009

Author: Carol J. Buck

Publisher: Saunders

Published: 2008-12

Total Pages: 0

ISBN-13: 9781437701845

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This money saving package includes Step-by-Step Medical Coding, 2009 Edition - Text and Virtual Medical Office.


Desk Reference in School Psychology

Desk Reference in School Psychology

Author: Lea A. Theodore

Publisher: Oxford University Press

Published: 2024-01-05

Total Pages: 881

ISBN-13: 0190092343

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The Desk Reference in School Psychology provides practitioners, academics, and students with a compendium of current, evidence-based, and state-of-the-art best practices in education and psychology. This comprehensive, detailed, and empirically supported resource renders the Desk Reference an ideal, practical go-to guide for all school-based professionals, including classroom teachers, counselors, social workers, and school psychologists.


Medical Office Administration - E-Book

Medical Office Administration - E-Book

Author: Brenda A. Potter

Publisher: Elsevier Health Sciences

Published: 2017-08-01

Total Pages: 414

ISBN-13: 0323509150

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Using a clear, hands-on approach to learning front office skills, Medical Office Administration, 4th Edition prepares you for a successful career as an administrative medical office assistant. Performing procedures with SimChart® for the Medical Office (SCMO), you'll practice day-to-day tasks as if you were in an actual office setting. This new edition adds updated content to support use of the electronic health record, new Affordable Care Act information, insurance/billing/coding content, and SCMO activities woven throughout the text. Covering administrative tasks from appointment scheduling to medical billing, this work text helps you develop the knowledge and skills you need to think critically and respond confidently to the challenges you'll encounter on the job. Access to SimChart for the Medical Office sold separately. - A conversational writing style makes it easier for you to read and understand the material. - Stopping points provide you with thought-provoking questions or activities to break up the narrative in manageable segments. - HIPAA Hints ensure that you comply with HIPAA mandates. - Real-world examples apply important concepts to the medical office setting. - Interactive electronic procedure checklists spell out the individual steps required to complete a full range of administrative procedures, and are based on CAAHEP competencies. - NEW! SimChart® for the Medical Office (SCMO) throughout text allows you to practice common administrative tasks with real-world office management software. - NEW! Coverage of the Affordable Care Act and ICD-10 prepares you for what you'll encounter on the job. - NEW! Medical Assisting mapping tables tie into CAAHEP and ABHES competencies. - NEW! High-quality illustrations and updated screenshots helps reinforce content.