CPT Professional 2022


Book Description

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







Principles of Coding and Reimbursement for Surgeons


Book Description

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.




The Essential Guide to Coding in Otolaryngology


Book Description

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference




Coders' Specialty Guide 2024: General Surgery (Volume I & II)


Book Description

Is your general surgery practice on top of 2024 CPT® code changes? Are you struggling to beat a high denial rate? Now you can keep your claims on track, finding the reporting details you need in a snap. Your coding will never be faster or more solid than it is when using the Coders’ Specialty Guide 2024: General Surgery Volumes I & II. Easily find the key indicators needed for each service or procedure in one go-to resource — ICD-10 cross references, NCCI edits, RVUs, and anatomical illustrations, along with guidance on coding, billing, and reimbursement. Plus, a description of the procedure in easy-to-understand terms, so you can confidently translate your providers’ notes into the correct codes. Get the coding edge for expedient reporting and optimal revenue with these features: General surgery CPT® and HCPCS Level II procedure and service codes, including 2024 new and revised codes Official descriptors for Category I-III CPT® codes Expert billing tips to boost revenue Easy-to-follow lay term explanations of how surgeons perform each procedure Medicare fee schedule information including facility and non-facility RVUs NCCI alerts for each general surgery procedure Modifier crosswalks for procedures Pre-, post-, and intra-operative indicators Appendix of medical terms HCPCS Level II codes for general surgery with lay terms and revenue-enhancing tips ICD-10-CM-to- CPT® crosswalks to reduce audit risks Detailed anatomical illustrations Dictionary-style headers and color-coded tabs for quick code lookup Index of general surgery codes for quick searches And much more! Beat 2024 coding and reimbursement challenges with this all-inclusive guide for general surgery. *CPT® is a registered trademark of the American Medical Association.




Medical Billing & Coding For Dummies


Book Description

The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!










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


Book Description

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.




Coders' Specialty Guide 2024: Radiology


Book Description

Do you have a need for speed? Go from zero to 60 — with reporting precision — today! Every second in your coding world counts. That’s why we conveniently laid out all the valuable details you need to accurately report your radiology services and procedures in the Coders’ Specialty Guide 2024: Radiology. The intelligent design in this specialty coding guide organizes all the information you need about each CPT® code for quick, easy reference — ICD-10 cross references, NCCI edits, modifier crosswalks, and RVUs, along with anatomical illustrations and descriptions of procedures in easy-to-understand terms. Now you can command your workload and master 2024 CPT® and HCPCS Level II procedure code changes for radiology — and keep your revenue flowing. Get ready to fly through your toughest coding challenges with: Radiology CPT® and HCPCS Level II procedure and service codes, including 2024 new and revised codes Official descriptors for Category I-III CPT® codes Lay descriptions of how physicians perform radiology procedures Coding advice on new and revised 2024 CPT® codes Expert tips to optimize coding and reimbursement NCCI edits for each procedure to simplify bundling decisions ICD-10-CM-to-CPT® crosswalks to establish medical necessity Medicare fee schedule (physicians and hospitals) RVUs (facility and non-facility) HCPCS Level II codes with lay terms and revenue-optimizing tips Comprehensive code index with page numbers for quicker searches Detailed anatomical illustrations Page headers and tabs for simple navigation And much more! Ace 2024 CPT® code changes and secure optimal revenue with the Coders’ Specialty Guide 2024: Radiology. *CPT® is a registered trademark of the American Medical Association.