Written by nationally-renowned physician coding expert Betsy Nicoletti, The Field Guide to Physician Coding delivers a payload of precise information on coding rules and relevant billing guidelines. Her explanations shed light on why the rules were created and how certain topics are linked to other information about which you must be aware. Nicoletti also steers you to critical source documents for today's coding rules so you don't have to spend hours hunting for key facts in long official documents. Sleep well knowing that your practice is compliant with government rules and you're collecting all of the money you are entitled to collect!
Detailed Description...........
This book should be on the desk of every clinician, biller and coder in the country! No-nonsense advice supported by weblinks and a CD that answers the most pressing questions from physicians, practice mangers, bilkers and coders.
The "Rules" that help doctors get paid, not just the codes
Organized alphabetically, by topic, for ease of use
Relevance to all specialties
Rules explained in plain, easy-to-understand prose Each entry includes:
The definition of the service --Reimbursement rules related to the service 2006 RVUs
Clinical examples, when relevant
Medical references, CPT rule references
The Field Guide to Physician Coding – Table of Contents
Introduction
Accounts Receivable Benchmark Data
Adjusted Collection Ratio
Advance Beneficiary Notice
Aging Report
Allergen Immunotherapy
Assistant at Surgery Services
Care Plan Oversight - CPT Codes - Non-Medicare
Care Plan Oversight for Medicare Patients
Certification of Home Health Services
Cerumen Removal
CLIA Waived Tests
Comprehensive Error Rate Testing (CERT)
Consolidated Nursing Home Billing
Consultations Critical Care Services
Days in Accounts Receivable
Diagnosis coding
Documentation Guidelines
Emergency Department Visits
Evaluation and Management Services and Profiles
General Principles of Medical Record Documentation
Global Surgical Package
Gross Collection Ratio
Healthcare Common Procedure Coding System (HCPCS)
Hospital Discharge Services
Hospital Initial Services, Inpatient
Hospital Observation Services
Hospital Subsequent Services
Immunization administration for vaccinations
Incident to Services--Medicare
Legibility
Local Coverage Determinations (LCD's)
Locum Tenens Billing
Medical Necessity
Medicare Physician Fee Schedule Data Base (MFSDB)
Mini Mental Status Exam
Modifier 21
Modifier 22
Modifier 24
Modifier 25
Modifier 26
Modifier 50
Modifier 51
Modifier 52
Modifier 59
Modifier 78 and Modifier 79
Multiple Endoscopy Procedures
Multiple Surgical Procedures
National Coverage Determinations (NCDs)
New Patient
Nurse visit
Nursing Facility Visits
OIG Work Plan.
Pay for Performance
Pelvic and breast clinical exam
Physician Voluntary Reporting Program (PVRP)
Pre-operative Exams
Preventive Medicine Services
Preventive Medicine Services--Medicare
Prolonged Services
Reciprocal Billing Arrangements
Reviewing Medical Records
Shared Visits (Medicare)
Smoking Cessation Counseling
Teaching Physician Rules Based on Time
Teaching Physician Rules for Critical Care Services
Teaching Physician Rules for Evaluation and Management Codes
