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008 161230s2017 gw | s |||| 0|eng d
020 _a9783319435954
_9978-3-319-43595-4
024 7 _a10.1007/978-3-319-43595-4
_2doi
035 _a(DE-He213)978-3-319-43595-4
050 4 _aRD1-811
072 7 _aMNC
_2bicssc
072 7 _aMED085000
_2bisacsh
082 0 4 _a617
_223
245 1 0 _aPrinciples of Coding and Reimbursement for Surgeons
_h[electronic resource] /
_cedited by Mark Savarise, Christopher Senkowski.
264 1 _aCham :
_bSpringer International Publishing :
_bImprint: Springer,
_c2017.
300 _aXVII, 343 p. 9 illus., 4 illus. in color.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
505 0 _aSection 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.
520 _aThis 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.
650 0 _aMedicine.
650 0 _aSurgery.
650 1 4 _aMedicine & Public Health.
650 2 4 _aGeneral Surgery.
700 1 _aSavarise, Mark.
_eeditor.
700 1 _aSenkowski, Christopher.
_eeditor.
710 2 _aSpringerLink (Online service)
773 0 _tSpringer eBooks
776 0 8 _iPrinted edition:
_z9783319435930
856 4 0 _uhttp://dx.doi.org/10.1007/978-3-319-43595-4
912 _aZDB-2-SME
999 _c6639
_d6639