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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| Corporate Author | |
|---|---|
| Other Authors | , |
| Format | Electronic eBook |
| Language | English |
| Published |
Cham :
Springer International Publishing : Imprint: Springer,
2017.
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| Subjects | |
| Online Access | Full text |
| ISBN | 9783319435954 |
| DOI | 10.1007/978-3-319-43595-4 |
| Physical Description | XVII, 343 p. 9 illus., 4 illus. in color. online resource. |
Cover
Table of Contents:
- Section I: History
- Section II: ICD Coding
- ICD-9 Coding
- ICD-10 Coding
- Section III: CPT
- The CPT Process and Panel
- CPT Application
- Section IV: The RUC
- Harvard Study and the Evolution of the RVU
- History of the RUC
- RVU Valuation Process
- How RVU have been Used for Physician Benchmarking
- Section V: Reimbursement
- CMS and the SGR
- Copays, Deductibles, Out of Pocket
- Billing and Collections
- Section VI: APC, DRGs and Hospital Reimbursement
- Medicare Part A
- DRG-Based Payment, CCs and MCCs and APCs
- How ASCs are Reimbursed Differently
- Durable Medical Equipment
- Section VII: Alternative Payment Schemes
- Bundled Payment Models
- Accountable Care Organizations
- Pay for Performance
- Section VIII: Quality Measures
- PQRS, SCIP and Other Existing Measures
- Pay for Performance
- Section IX: Specific Coding Issues
- Evaluation and Management
- Skin and Soft Tissue Procedures
- Breast
- Vascular
- GI
- Laparoscopy
- Bariatric
- Colon and Rectal
- Abdominal Wall
- Oncology
- Transplant
- Trauma and Critical Care
- Endoscopy.