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. 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.

CPT Coding Handbook, 1999 Edition provides a useful reference for physicians, hospitals, billing personnel, and coding professionals concerning the structure, use, and application of the CPT coding system for health services. It also serves as a textbook for CPT instruction in health information management programs and other allied health disciplines. Readers will gain an understanding of reimbursement guidelines and coding principles in order to properly assign CPT codes to health care services in both hospital and physician service facilities or in other health care facilities such as home health, rehabilitation, long term care, hospice, or freestanding ambulatory surgical centers.

An invaluable resource for surgeons, surgical leaders, and health system administrators at all levels, Healthcare Delivery in Surgery: Scientific Principles and Practice provides unique, expert coverage of common challenges in the delivery of surgical care. Editor Justin B. Dimick, MD, MPH, Chair of the University of Michigan’s Department of Surgery, leads an outstanding editorial team from the UM Center for Healthcare Outcomes and Policy who provide clear guidance on the strategy and operations of delivering optimal surgical care. Using a case-based approach, authors consider the underlying principles and existing evidence followed by real-world practical solutions.

This two volume set LNCS 10438 and LNCS 10439 constitutes the refereed proceedings of the 28th International Conference on Database and Expert Systems Applications, DEXA 2017, held in Lyon, France, August 2017. The 37 revised full papers presented together with 40 short papers were carefully reviewed and selected from 166 submissions. The papers discuss a range of topics including: Semantic Web and Semantics; Graph Matching; Data Modeling, Data Abstraction, and Uncertainty; Preferences and Query Optimization; Data Integration and RDF Matching; Security and Privacy; Web Search; Data Clustering; Top-K and Skyline Queries; Data Mining and Big Data; Service Computing; Continuous and Temporal Data, and Continuous Query Language; Text Processing and Semantic Search; Indexing and Concurrency Control Methods; Data Warehouse and Data Stream Warehouse; Data Mining and Machine Learning; Recommender Systems and Query Recommendation; Graph Algorithms; Semantic Clustering and Data Classific ation.

In clear and straightforward language, Medical Coding: What It Is and How It Works, Second Edition provides an overview of the evolution of medical coding and all the various coding systems, how they relate, and how they function. Reasoning and consequences of the delayed ICD-10 implementation are explained along with a sound overview of the ICD-10-CM and PCS classification systems. For those contemplating a career in the coding field, this book is ideal as a basic orientation. Other individuals in healthcare management and administration will also benefit from a basic understanding of how coding works. Unlike other publications that focus only on coding, this book integrates coding guidelines and principles into the billing and reimbursement process, giving the student a more practical foundation in the rationale for correct coding. Healthcare fraud and abuse is addressed as well, to assure that readers understand ethical concerns inherent in coding for reimbursement. Instructor Resources: Instructor's Manual, PowerPoint slides, Test Bank

Updated and revised by the AMA, this best-selling resource is a comprehensive training and education textbook that provides the most in-depth review available of the entire CPTr codebook. Expanded images, chapters and content provide a broader explanation of the CPT code set and include: New! Appendix describes how to code from an operative report New! Ancillary educator material includes individual chapter slide presentations, whole book review slide presentations, chapter presentation notes, and three levels of question-andanswer banks for tests and quizzes found throughout the book. New! Two new subsections of medicine that pertain to cardiovascular device monitoring and end-stage renal disease services Expanded and revised chapter sections provide enhanced coding guidelines and instructions for spinal and cranial sterotactic radiosurgery codes in the nervous system subsection, in addition to E/M revisions on newborn care services, delivery/ birth room attendance, resuscitation services and more Numerous revisions to medicine section offers in-depth discussion regarding hydration therapeutics, prophylactic injections and infusions, and chemotherapy administration

Provides a diverse, multi-faceted approach to health care evaluation and management The U.S. Health Care System: Origins, Organization and Opportunities provides a comprehensive introduction and resource for understanding healthcare management in the United States. It brings together the many “moving parts” of this large and varied system to provide both a bird’s-eye view as well as relevant details of the complex mechanisms at work. By focusing on stakeholders and their interests, this book analyzes the value propositions of the buyers and sellers of healthcare products and services along with the interests of patients. The book begins with a presentation of frameworks for understanding the structure of the healthcare system and its dynamic stakeholder inter-relationships. The chapters that follow each begin with their social and historical origins, so the reader can fully appreciate how that area evolved. The next sections on each topic describe the current environment and opportunities for improvement. Throughout, the learning objectives focus on three areas: frameworks for understanding issues, essential factual knowledge, and resources to keep the reader keep up to date. Healthcare is a rapidly evolving field, due to the regulatory and business environments as well as the advance of science. To keep the content current, online updates are provided at: www.HealthcareInsights.MD. This website also offers a weekday blog of important/interesting news and teaching notes/class discussion suggestions for instructors who use the book as a text. The U.S. Health Care System: Origins, Organization and Opportunities is an ideal textbook for healthcare courses in MBA, MPH, MHA, and public policy/administration programs. In piloting the content, over the past several years the author has successfully used drafts of chapters in his Healthcare Systems course for MBA and MPH students at Northwestern University. The book is also useful for novice or seasoned suppliers, payers and providers who work across the healthcare field and want a wider or deeper understanding of the entire system.

This issue of Surgical Clinics of North America, guest edited by Drs. Ronald Martin and Paul Schenarts, is devoted to Development of a Surgeon: Medical School through Retirement. They have assembled expert authors to review the following topics: Residency Surgical Training at a University Academic Medical Center; Fellowship Training: Need and Contributions; Evolving Educational Techniques in Surgical Training; Transition to Practice: From Trainee to Staff Surgeon; The Value of the Surgeon Emeritus; Alternative Methods and Funding for Surgical Training; Medical School Training for the Surgeon; Residency Surgical Training at an Independent Academic Medical Center; Assessment of Competence: The ACGME/RRC Perspective; Assessment of Competence: The American Board of Surgery Perspective; The Impaired Surgeon; Continuing Medical Education: The American College of Surgeons Perspective; Workforce Needs and Demands in Surgery, and more!