Principles of Coding and Reimbursement for Surgeons (eBook)

Mark Savarise MD, FACSClinical Associate Professor of SurgeryUniversity of Utah30 N. Medical Drive, #3B-110Salt Lake City, UT 84132mark.savarise@hsc.utah.eduChristopher K. Senkowski MD FACSProfessor and ChairDepartment of SurgeryMercer University School of MedicineMemorial University Medical CenterSavannah, GASenkoch1@gmail.com

Section 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.