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Principles of Coding and Reimbursement for Surgeons

  • Book
  • © 2017

Overview

Editors:
  1. Mark Savarise

    1. Department of Surgery, University of Utah, Salt Lake City, USA

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    You can also search for this editor in PubMed   Google Scholar

  2. Christopher Senkowski

    1. Department of Surgery, Mercer University School of Medicine Memorial University Medical Center, Savannah, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  • Provides the in-depth understanding of the mechanisms that guide coding and reimbursement

  • Written by experts in the field

  • Of great value to general surgeons and surgical subspecialists in private practice, and academic institutions

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Table of contents (25 chapters)

  1. Front Matter

    Pages i-xvii
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  2. Coding and Valuation

    1. Front Matter

      Pages 1-1
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    2. Medical Coding in the United States: Introduction and Historical Overview

      • Karen R. Borman
      Pages 3-11

    3. ICD-10

      • Lee R. Morisy
      Pages 13-34

    4. The CPT Code

      • Austin Ward, J. Scott Roth
      Pages 35-44

    5. A Resource-Based Relative Value Scale (RBRVS) System

      • Charles D. Mabry, Jan Nagle
      Pages 45-56

  3. Reimbursement

    1. Front Matter

      Pages 57-57
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    2. CMS, the SGR, and MACRA

      • Kenneth Simon, Susan Roberts
      Pages 59-67

    3. Global Period

      • Ketan R. Sheth
      Pages 69-80

    4. Medicare Part A and DRG’s

      • John T. Preskitt
      Pages 81-93

    5. Acute Care Surgical Bundled Payment Models

      • Guy R. Orangio
      Pages 95-113

    6. Accountable Care Organizations

      • Meredith C. Mason, Nader N. Massarweh
      Pages 115-131

    7. Pay for Performance and Value-Based Care

      • Brett Tracy
      Pages 133-143

  4. Specific Coding Issues

    1. Front Matter

      Pages 145-145
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    2. Coding and Reimbursement of Evaluation and Management Services

      • Mark Savarise
      Pages 147-160

    3. Skin and Soft Tissue

      • Scott Collins, Dinakar Golla
      Pages 161-175

    4. Breast Coding

      • Eric B. Whitacre
      Pages 177-185

    5. Gastrointestinal Endoscopy

      • Christopher Kim, Glenn Littenberg
      Pages 187-206

    6. Coding for Laparoscopic Surgery

      • Jennwood Chen, Eric T. Volckmann
      Pages 207-214

    7. Coding for GI Tract and Hepatopancreaticobiliary Procedures

      • Christopher K. Senkowski, Samuel Corey
      Pages 215-221
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Keywords

About this book

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.

Editors and Affiliations

  • Department of Surgery, University of Utah, Salt Lake City, USA

    Mark Savarise

  • Department of Surgery, Mercer University School of Medicine Memorial University Medical Center, Savannah, USA

    Christopher Senkowski

About the editors

Mark Savarise MD, FACS

Clinical Associate Professor of Surgery

University of Utah

30 N. Medical Drive, #3B-110

Salt Lake City, UT 84132

mark.savarise@hsc.utah.edu


Christopher K. Senkowski MD FACS

Professor and Chair

Department of Surgery

Mercer University School of Medicine

Memorial University Medical Center

Savannah, GA

Senkoch1@gmail.com

Bibliographic Information

  • Book Title: Principles of Coding and Reimbursement for Surgeons

  • Editors: Mark Savarise, Christopher Senkowski

  • DOI: https://doi.org/10.1007/978-3-319-43595-4

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing Switzerland 2017

  • Softcover ISBN: 978-3-319-43593-0Published: 06 January 2017

  • eBook ISBN: 978-3-319-43595-4Published: 30 December 2016

  • Edition Number: 1

  • Number of Pages: XVII, 343

  • Number of Illustrations: 5 b/w illustrations, 4 illustrations in colour

  • Topics: General Surgery

  • Industry Sectors: Biotechnology, Finance, Business & Banking, Health & Hospitals, Pharma

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