Principles of Coding and Reimbursement for Surgeons

Principles of Coding and Reimbursement for Surgeons
Author: Mark Savarise
Publisher: Springer
Total Pages: 342
Release: 2016-12-30
Genre: Medical
ISBN: 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.

Coding and Reimbursement for Hospital Inpatient Services

Coding and Reimbursement for Hospital Inpatient Services
Author: Karen S. Scott
Publisher: Ahima
Total Pages: 244
Release: 2006
Genre: Medical
ISBN: 9781584260646

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The most comprehensive resource for hospital inpatient coding and reimbursement! Provides educators, students, and healthcare practitioners with the most authoritative guidance available for managing inpatient coding and reimbursement issues. This must-have resource was developed to give you easier access to the most up-to-date information you need for inpatient coding and reimbursement. You'll save time and make more effective decisions with this one-of-a-kind resource.Covers reimbursement methodologies for hospital inpatient services, the structure and organization of hte Medicare Inpatient Acute Care Prospective Payment System, the relationship between coding and DRG assignment, and data quality and coding compliance processes related to coding and reimbursement for inpatient services.

CPT Professional 2022

CPT Professional 2022
Author: American Medical Association
Publisher:
Total Pages: 1200
Release: 2021-09-17
Genre:
ISBN: 9781640160873

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CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.

Guide to Coding and Reimbursement

Guide to Coding and Reimbursement
Author: Wanda L. Adams
Publisher:
Total Pages: 0
Release: 1998
Genre: Medical fees
ISBN: 9780323004299

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An excellent introduction for beginning coders, this updated guide reinforces information through a series of review questions, case histories, and simple coding problems. The reimbursement section emphasizes the benefits of correct accounting of patient ledgers.

Medical Insurance

Medical Insurance
Author: Joanne Valerius
Publisher: McGraw-Hill Science, Engineering & Mathematics
Total Pages: 0
Release: 2005
Genre: Health insurance
ISBN: 9780072950236

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Designed for the one-semester medical insurance course, Medical Insurance provides clear, focused, and authoritative instruction on medical insurance and reimbursement, with an emphasis on electronic processing. All types of medical insurance are covered, and examples in the text represent a realistic mix of managed care and fee-based plans. The program teaches basic medical coding and coding compliance, because this knowledge is essential for ensuring maximum appropriate reimbursement for reported healthcare services. A new chapter on HIPAA features the rules on transactions and code with detailed coverage of claim transmission and remittance advice.

CodeBusters

CodeBusters
Author: Patricia T. Aalseth
Publisher: Jones & Bartlett Learning
Total Pages: 60
Release: 1998-12
Genre: Health insurance claims
ISBN: 9780834213173

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Medicine

Emergency Department Coding and Billing

Emergency Department Coding and Billing
Author: Duane C. Abbey
Publisher: HC Pro, Inc.
Total Pages: 238
Release: 2005
Genre: Emergency medical services
ISBN: 9781578395750

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Adams' Coding and Reimbursement

Adams' Coding and Reimbursement
Author: Wanda Adams
Publisher: Mosby
Total Pages: 0
Release: 2009
Genre: Medical
ISBN: 9780323046190

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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.

Guide to Advanced Medical Billing

Guide to Advanced Medical Billing
Author: Sharon Brown
Publisher: Prentice Hall
Total Pages: 0
Release: 2013-03
Genre: Medical fees
ISBN: 9780135043059

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For courses in Medical Insurance, Medical Billing and Coding and Health Claims Reimbursement. Advanced Medical Billing and Coding: A Reimbursement Approach offers an innovative look at the complete billing, coding and medical claims reimbursement process. Its unique dual perspective considers the roles of the medical billing and coding professional and the health claims examiner. An extensive revision, this edition includes the new ICD-10 code set, the most current billing forms, and coverage of the most recent healthcare legislations. Four new chapters focus on processing medical claims for Non-Medicare, Medicare and Workers' Compensation. With its balanced perspective, students learn the perspectives of both the medical office and insurance company which prepares them for the complete billing, coding, and reimbursement cycle.