The Field Guide to Physician Coding, 4th Edition

"All Physicians can increase their revenue and improve their compensation through accurate coding. This book tells you how."

The Field Guide to Physician Coding, 4th Edition delivers a payload of precise information on coding rules and relevant billing guidelines. Betsy Nicoletti selects topics that answer the questions she is asked most frequently in her speaking and consulting work. Her explanations are clear and detailed and tell the practice what it needs to know to code for services. Nicoletti also steers you to critical source documents for today's coding rules so you don't have to spend hours hunting for key facts in long official documents.

This book is organized, in a way that makes looking up topics easy. The book simplifies complex coding rules and provides source citations for the reader. 

NEW AND UPDATED FOR THIS EDITION!

  • Anticoagulation management coding
  • Care management for behavioral conditions
  • Non-face-to-face prolonged services CPT codes
  • Prolonged services for wellness visits, new HCPCS codes
  • Psychiatric collaborative care coding
  • Cognitive assessment and care plan services
  • Chronic care management
  • Critical care
  • Global surgical package

Coding drives revenue in medical practices and physician compensation, and as you know, coding is also a risky endeavor because of the necessity to do it right.

There is Complexity: coding is complex, and practices find it hard to be certain if they are doing it correctly. There is Change: the codes and rules change every year and a practice needs to stay up to date. And there is Concept: this is a book that explains the concepts that drive coding.

Designed with the most common coding issues that plague medical practices in mind, Betsy Nicoletti's "No-nonsense" advice supported by weblinks that answers the most pressing questions from physicians, practice managers, billers and coders.

  • The "rules" that help doctors get paid, not just the codes
  • Organized alphabetically, by topic, for ease of use
  • Relevant to all specialties
  • Detailed explanations

Each entry includes:

  • The definition of the service
  • Explanation of billing rules
  • Key points
  • Clinical examples, when relevant
  • CPT or CMS references

With The Field Guide to Physician Coding, 4th Edition, there is a confidence that the claims sent to the insurance company are accurate and compliant. Sleep well knowing that your practice is compliant with government rules and you're collecting all the money you are entitled to collect!

1128936726
The Field Guide to Physician Coding, 4th Edition

"All Physicians can increase their revenue and improve their compensation through accurate coding. This book tells you how."

The Field Guide to Physician Coding, 4th Edition delivers a payload of precise information on coding rules and relevant billing guidelines. Betsy Nicoletti selects topics that answer the questions she is asked most frequently in her speaking and consulting work. Her explanations are clear and detailed and tell the practice what it needs to know to code for services. Nicoletti also steers you to critical source documents for today's coding rules so you don't have to spend hours hunting for key facts in long official documents.

This book is organized, in a way that makes looking up topics easy. The book simplifies complex coding rules and provides source citations for the reader. 

NEW AND UPDATED FOR THIS EDITION!

  • Anticoagulation management coding
  • Care management for behavioral conditions
  • Non-face-to-face prolonged services CPT codes
  • Prolonged services for wellness visits, new HCPCS codes
  • Psychiatric collaborative care coding
  • Cognitive assessment and care plan services
  • Chronic care management
  • Critical care
  • Global surgical package

Coding drives revenue in medical practices and physician compensation, and as you know, coding is also a risky endeavor because of the necessity to do it right.

There is Complexity: coding is complex, and practices find it hard to be certain if they are doing it correctly. There is Change: the codes and rules change every year and a practice needs to stay up to date. And there is Concept: this is a book that explains the concepts that drive coding.

Designed with the most common coding issues that plague medical practices in mind, Betsy Nicoletti's "No-nonsense" advice supported by weblinks that answers the most pressing questions from physicians, practice managers, billers and coders.

  • The "rules" that help doctors get paid, not just the codes
  • Organized alphabetically, by topic, for ease of use
  • Relevant to all specialties
  • Detailed explanations

Each entry includes:

  • The definition of the service
  • Explanation of billing rules
  • Key points
  • Clinical examples, when relevant
  • CPT or CMS references

With The Field Guide to Physician Coding, 4th Edition, there is a confidence that the claims sent to the insurance company are accurate and compliant. Sleep well knowing that your practice is compliant with government rules and you're collecting all the money you are entitled to collect!

77.0 In Stock
The Field Guide to Physician Coding, 4th Edition

The Field Guide to Physician Coding, 4th Edition

by Betsy Nicoletti
The Field Guide to Physician Coding, 4th Edition

The Field Guide to Physician Coding, 4th Edition

by Betsy Nicoletti

eBook

$77.00 

Available on Compatible NOOK devices, the free NOOK App and in My Digital Library.
WANT A NOOK?  Explore Now

Related collections and offers


Overview

"All Physicians can increase their revenue and improve their compensation through accurate coding. This book tells you how."

The Field Guide to Physician Coding, 4th Edition delivers a payload of precise information on coding rules and relevant billing guidelines. Betsy Nicoletti selects topics that answer the questions she is asked most frequently in her speaking and consulting work. Her explanations are clear and detailed and tell the practice what it needs to know to code for services. Nicoletti also steers you to critical source documents for today's coding rules so you don't have to spend hours hunting for key facts in long official documents.

This book is organized, in a way that makes looking up topics easy. The book simplifies complex coding rules and provides source citations for the reader. 

NEW AND UPDATED FOR THIS EDITION!

  • Anticoagulation management coding
  • Care management for behavioral conditions
  • Non-face-to-face prolonged services CPT codes
  • Prolonged services for wellness visits, new HCPCS codes
  • Psychiatric collaborative care coding
  • Cognitive assessment and care plan services
  • Chronic care management
  • Critical care
  • Global surgical package

Coding drives revenue in medical practices and physician compensation, and as you know, coding is also a risky endeavor because of the necessity to do it right.

There is Complexity: coding is complex, and practices find it hard to be certain if they are doing it correctly. There is Change: the codes and rules change every year and a practice needs to stay up to date. And there is Concept: this is a book that explains the concepts that drive coding.

Designed with the most common coding issues that plague medical practices in mind, Betsy Nicoletti's "No-nonsense" advice supported by weblinks that answers the most pressing questions from physicians, practice managers, billers and coders.

  • The "rules" that help doctors get paid, not just the codes
  • Organized alphabetically, by topic, for ease of use
  • Relevant to all specialties
  • Detailed explanations

Each entry includes:

  • The definition of the service
  • Explanation of billing rules
  • Key points
  • Clinical examples, when relevant
  • CPT or CMS references

With The Field Guide to Physician Coding, 4th Edition, there is a confidence that the claims sent to the insurance company are accurate and compliant. Sleep well knowing that your practice is compliant with government rules and you're collecting all the money you are entitled to collect!


Product Details

ISBN-13: 9780999355374
Publisher: American Association for Physician Leadership
Publication date: 06/18/2018
Sold by: Barnes & Noble
Format: eBook
Pages: 238
File size: 3 MB

About the Author

Betsy Nicoletti, MS, CPC, President of Medical Practice Consulting, is a practice management author, speaker and consultant whose mission is to help doctors get paid. Besides doing auditing and compliance work, she excels at making complicated coding concepts easy for clinicians to understand and use. She also is the founder of Codingintel a coding library for physician practices.

Table of Contents

Dedication

About the Author

Foreword

Introduction

Advance Beneficiary Notice (ABN)

Advance Care Planning

Anticoagulation Management

Assistant at Surgery Services

Care Management for Behavioral Health Conditions

Care Plan Oversight (CPO) - CPT® Codes (Non-Medicare)

Care Plan Oversight for Medicare Patients

Category of Code Charts

Certification of Home Health Services

Cerumen Removal

Chronic Care Management

CLIA Waived Tests

Cloning Notes in an Electronic Health Record

Cognitive Assessment and Care Plan Services

Comprehensive Error Rate Testing (CERT)

Consolidated Nursing Home Billing

Consultations

Critical Care Services

Diagnosis Coding

Documentation Guidelines

Emergency Department Visits

Evaluation and Management Services and Profiles

Foot Care: Routine

General Principles of Medical Record Documentation

Global Surgical Package

Healthcare Common Procedure Coding System (HCPCS)

Hierarchical Condition Categories (HCCs)

Hospital Discharge Services

Hospital Initial Services, Inpatient

Hospital Observation Services

Hospital Subsequent Services

ICD-10-CM

Immunization Administration for Vaccinations

Incident to Services (Medicare)

Local Coverage Determinations (LCDs)

Locum Tenens Billing

Medical Necessity

Medicare Physician Fee Schedule Database (MPFSDB)

Mini Mental Status Exam

Modifier 22

Modifier 24

Modifier 25

Modifier 26

Modifier 33

Modifier 50

Modifier 51

Modifier 52

Modifier 53

Modifier 58

Modifier 59

Modifier 78 and Modifier 79

Modifier PT

Multiple Endoscopic Procedures

Multiple Surgical Procedures

National Correct Coding Initiative (NCCI)

National Coverage Determinations (NCDs)

New Patient

Nurse Visit

Nursing Facility Visits

Osteopathic Manipulative Treatment

Pelvic and Breast Clinical Exam

Pre-operative Exams

Preventive Medicine Services

Preventive Medicine Services (Medicare)

Prolonged Services

Prolonged Services for Non-Face-to-Face Care

Prolonged Services for Preventive Care (HCPCS)

Psychiatric Collaborative Care Management Services

Reviewing Medical Records

Shared Visits (Medicare)

Smoking Cessation Counseling

Teaching Physician Rules Based on Time

Teaching Physician Rules for Critical Care Services

Teaching Physician Rules for Evaluation and Management Codes

Teaching Physician Rules for Medical Students

Teaching Physician Rules for Primary Care Exception

Teaching Physician Rules for Surgical Procedures

Telephone Calls

Time-based Codes

Transitional Care Management (TCM) Services

Welcome to Medicare

Wellness Visits: Initial and Subsequent

Index

From the B&N Reads Blog

Customer Reviews