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Title Principles of coding and reimbursement for surgeons / Mark Savarise, Christopher Senkowski, editors.
Imprint Cham, Switzerland : Springer, 2017.

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Subject Operations, Surgical -- Classification.
Surgeons -- Fees.
Surgery -- Practice -- Accounting.
Alt Name Savarise, Mark,
Senkowski, Christopher,
Description 1 online resource
Contents Foreword; Introduction; Contents; Contributors; Part I: Coding and Valuation; Chapter 1: Medical Coding intheUnited States: Introduction andHistorical 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 theCoding System; Coding Diseases andTheir Manifestations; Level ofDetail andCoding; The Seventh Character; External Causes ofMorbidity; Factors Influencing Health Status; Office or Ambulatory Coding; Future Directions; Procedure Codes ICD-10-PCS.
Organization of ICD-10-PCS First Character Section oftheCoding System; Second Character: Body System; Third Character: Root Operation; Root Operations That Take Out Some or All ofaBody Part; Root Operations That Take Out Solids/Fluids/Gases fromaBody Part; Root Operations That Involve Cutting or Separation Only; Root Operations That Put In/Put Back or Move Some/All ofaBody Part; Root Operations That Alter theDiameter/Route ofaTubular Body Part; Root Operations That Always Involve aDevice; Root Operations Involving Examination Only.
Root Operations That Define Other Repairs Root Operations That Define Other Objectives; PCS Charts; So Why Does This Matter toMe?; Suggested Reading; Chapter 3: The CPT Code; History oftheCPT Code; Current Status ofCPT Code; Category 1 Codes; Category 2 Codes; Category 3 Codes; CPT Modifiers; CPT Panel; CPT Process/Application; Category 1 and3 Application; Category 1 Literature Requirements; Category 2 Code Application andProcess; Reconsideration ofRejected Proposal; Clinical Examples ofCPT Coding; Example 1; Example 2; References.
Chapter 4: A Resource-Based Relative Value Scale (RBRVS) System Legislation Mandating anRBRVS System; Developing anRBRVS System; Implementing theMedicare RBRVS; Revising andMaintaining theMedicare RBRVS: Formation oftheAMA RUC; Advising theRUC: Role oftheAdvisory Committee; Assigning New RVUs or Updating RVUs inanRBRVS System; References; Part II: Reimbursement; Chapter 5: CMS, theSGR, andMACRA; Introduction; OBRA; MVPS; SGR; MACRA; References; Chapter 6: Global Period; Overview; History; Classification; Services intheGlobal Period; Current Practice.
Future oftheGlobal PeriodReferences; Chapter 7: Medicare Part AandDRG's; Hospital andOutpatient Facility Reimbursement forMedicare Patients; Medicare; The Development ofDiagnosis-Related Groups (DRGs) andthePolitics ofHealthcare; Diagnosis-Related Groups: Connecticut andNew Jersey Studies; DRGs Become anIssue ofPolitical andFinancial Urgency; DRGs Today; Outpatient Prospective Payment System (OPPS) andtheAmbulatory Payment Classification (APC) [17,18]; Facility andNon-facility CPT Reimbursement; CPT Code Detail-38500: Biopsy ofLymph Node; Facility Fees.
Summary 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.
Bibliography Note Includes bibliographical references at the end of each chapters and index.
Note Print version record.
ISBN 9783319435954 (electronic bk.)
3319435957 (electronic bk.)
ISBN/ISSN 10.1007/978-3-319-43595-4
OCLC # 967681149
Additional Format Print version: Principles of coding and reimbursement for surgeons. Cham, Switzerland : Springer, 2017 3319435930 9783319435930 (OCoLC)952788666

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