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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| Médium: | E-kniha |
| Jazyk: | angličtina |
| Vydáno: |
Cham, Switzerland :
Springer,
2017
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| Žánr/forma: | kolektivní monografie elektronické knihy |
| ISBN: | 978-3-319-43595-4 978-3-319-43593-0 9783319435930 |
| Témata: | |
| On-line přístup: | Plný text |
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Obsah:
- 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