Coding and Payment Guide for Physical Therapist 2004

Coding and Payment Guide for Physical Therapist 2004

by Ingenix

Other Format(Spiral Bound - Older Edition)

$179.95

Product Details

ISBN-13: 9781563374548
Publisher: Ingenix
Publication date: 01/28/2004
Edition description: Older Edition

Table of Contents

Introduction1
Coding Systems1
Claims Forms3
Contents and Format of This Guide4
The Reimbursement Process7
Payer Comparisons8
Government Health Care Plans9
Payment Methodologies11
Other Factors Influencing Payments14
Supplemental Medicare Coverage27
Workers' Compensation32
Documentation--An Overview33
General Guidelines for Documentation34
Guidelines for Physical Therapy Documentation36
Fraud and Abuse45
Claims Processing53
What to Include in Claims54
HIPAA55
Standards and Code Sets56
Additional Requirements for Health Plans59
Processing the Claim59
Collection Policies60
Appeals Process62
Medicare Benefit Notices65
Automated Response Unit71
CMS-150071
UB-9290
CPT Definitions and Guidelines99
Appropriate Codes for Physical Therapists99
Definitions and Guidelines: Procedures102
Surgical Services and Procedures103
Medicine107
Physical Medicine and Rehabilitation123
CPT Index137
ICD-9-CM Definitions and Guidelines145
Structure of ICD-9-CM145
ICD-9-CM Index195
HCPCS Level II Definitions and Guidelines243
HCPCS Level III Local Codes243
Structure and Use of HCPCS Level II Codes244
The Conventions: Symbols and Modifiers245
Modifiers for Reporting Outpatient Services246
HCPCS Level II Codes249
HCPCS Level II Index269
Medicare Official Regulatory Information--CIM/MCM References273
Glossary315
Category III Codes327
Index331

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