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Coding, Billing, and Reimbursement for Procedures

  • Cathryn B. Heath
Chapter

Abstract

Coding, billing, and reimbursement are an integral part of the procedures performed in today’s modern medical office. Gone are the days when one could learn a procedure and then just expect payment for services rendered. Performing the actual procedure is only part of the process. At times, billing and coding can be even more complicated and time-consuming than actually performing the procedure itself. However, once learned, procedure billing can become as routine as office visit billing. Appropriate billing with concomitant reimbursement is very satisfying and can gradually change the emphasis and tenor of a clinician’s practice. It is crucial that, before instituting a new office procedure, the clinician and the billing staff review the proper billing and coding to ensure that payment will occur.

Keywords

Cosmetic Surgery Durable Good Actual Procedure Capitation Rate Billable Procedure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Hughes C. Multiple procedures at the same visit. Family Practice Management July/Aug 2007, vol 14(7).Google Scholar
  2. 2.
    Moore KJ. Navigating the medicare web site. Family Practice Management Nov/Dec 2004, vol 11(10), p 31.Google Scholar
  3. 3.
    Morrison KM. Coding and billing software for palm-top computers. Family Practice Management May 2002, vol 9(5), p 33.Google Scholar
  4. 4.
    Moore KJ. CPT code update 2003. Family Practice Management Jan 2003, vol 10(1), p 14.Google Scholar
  5. 5.
    Hughes C. Discontinued procedures. Family Practice Management Oct 2006, vol 13(9).Google Scholar
  6. 6.
    Reichman M. Managed care administrative tasks: cutting the red tape. Family Practice Management Oct 2006, vol 13(9), p 32.Google Scholar

Additional Resources Web Sites

  1. The physicians’ guide to handheld computer software: www.fphandheld.com
  2. The Arch Foundation: http://www.archfoundation.com

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Family Medicine, Robert Wood Johnson Medical SchoolUniversity of Medicine and Dentistry of New JerseyNew BrunswickUSA

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