The Field Guide to Physician Coding delivers a payload of precise information on coding rules and relevant billing guidelines.

The Field Guide to Physician Coding includes:

• The definition of the service
• Reimbursement rules related to the service
• In depth billing and coding rules
• Clinical examples, when relevant
• Medicare references

New for this Edition!

• Consults
• Wellness visits
• Changing Medicare Regulations
• Transition to ICD-10
• E-prescribing
• Modifiers 53, 58
• PPACA/Health Reform Act

Contents

1. Accounts Receivable Benchmark Data
2. Adjusted Collection Ratio
3. Advance Beneficiary Notice
4. Aging Report
5. Allergen Immunotherapy
6. Assistant at Surgery Services
7. Care Plan Oversight- CPT® Codes
8. Care Plan Oversight for Medicare Patients
9. Certification of Home Health Services
10. Cerumen Removal
11. CLIA Waived Tests
12. Comprehensive Error Rate Testing
13. Consolidated Nursing Home Billing
14. Consultations
15. Critical Care Services
16. Days in Accounts Receivable
17. Diagnosis Coding
18. Documentation Guidelines
19. Emergency Department Visits
20. E-Prescribing
21. Evaluation and Management Services and Profiles
22. General Principles of Medical Record Documentation
23. Global Surgical Package
24. Gross Collection Ratio
25. Healthcare Common Procedure Coding System
26. Hospital Discharge Services
27. Hospital Initial Services, Inpatient
28. Hospital Observation Services
29. Hospital Subsequent Services
30. Immunization Administration for Vaccinations
31. Incident to Services (Medicare)
32. Legibility
33. Local Coverage Determinations
34. Locum Tenens Billing
35. Medical Necessity
36. Medicare Physician Fee Schedule Data Base
37. Mini Mental Status Exam
38. Modifier 22
39. Modifier 24
40. Modifier 25
41. Modifier 26
42. Modifier 50
43. Modifier 51
44. Modifier 52
45. Modifier 53
46. Modifier 58
47. Modifier 59
48. Modifier 78 and Modifier 79
49. Multiple Endoscopy Procedures
50. Multiple Surgical Procedures
51. National Correct Coding Initiative
52. National Coverage Determinations
53. New Patient
54. Nurse Visit
55. Nursing Facility Visits
56. OIG Work Plan
57. Patient Protection and Affordable Care Act
58. Reform Act of 2010
59. Pelvic and Breast Clinical Exam
60. Physician Quality Reporting Initiative
61. Pre-operative Exams
62. Preventive Medicine Services
63. Preventive Medicine Services (Medicare)
64. Prolonged Services
65. Recovery Audit Contractor Initiative
66. Reciprocal Billing Arrangements
67. Reviewing Medical Records
68. Shared Visits (Medicare)
69. Smoking Cessation Counseling
70. Teaching Physician Rules Based on Time
71. Teaching Physician Rules for Critical Care Services
72. Teaching Physician Rules for Evaluation and Management Codes
73. Teaching Physician Rules for Medical Students
74. Teaching Physician Rules for Primary Care Exception
75. Teaching Physician Rules for Surgical Procedures
76. Telephone Calls
77. Time Based Codes
78. Welcome to Medicare
79. Wellness Visits
80. Guide to Acronyms

Index

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