The Essential Guide to Coding in Otolaryngology

The Essential Guide to Coding in Otolaryngology PDF

Author: Seth M. Brown

Publisher: Plural Publishing

Published: 2021-09-07

Total Pages: 473

ISBN-13: 1635503825

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The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference

Justcoding's Practical Guide to Coding Management

Justcoding's Practical Guide to Coding Management PDF

Author: Rose T. Dunn

Publisher:

Published: 2016-10-01

Total Pages: 150

ISBN-13: 9781683080886

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JustCoding's Practical Guide to Coding Management Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS ICD-10's arrival changed more than code selection--it's also brought challenges related to coder productivity, coding quality and accuracy, staffing shortages, coder education and training, and the increased need for auditing. The old rules and standards for running a department no longer apply, and coding managers must update their efforts, just as coders themselves have. This book gives coding managers new benchmarks, standards, and tips to ensure they're running an effective coding department. It provides strategies for coder retention, best practices to balance internal and outsourced coders, and tips for managing on-site and remote staff. The book also provides much-needed information for managers on how to educate their teams on coding's role within the revenue cycle.

Coding for Medical Necessity Reference Guide - First Edition

Coding for Medical Necessity Reference Guide - First Edition PDF

Author: AAPC

Publisher: AAPC

Published: 2020-03-18

Total Pages: 17

ISBN-13: 1626889805

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Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ

ISO 27001 controls – A guide to implementing and auditing

ISO 27001 controls – A guide to implementing and auditing PDF

Author: Bridget Kenyon

Publisher: IT Governance Ltd

Published: 2019-09-16

Total Pages: 237

ISBN-13: 1787781453

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Ideal for information security managers, auditors, consultants and organisations preparing for ISO 27001 certification, this book will help readers understand the requirements of an ISMS (information security management system) based on ISO 27001.

The Coding Manager's Handbook

The Coding Manager's Handbook PDF

Author: Rose T. Dunn

Publisher: HC Pro, Inc.

Published: 2010-03-12

Total Pages: 177

ISBN-13: 1601463286

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Provides a comprehensive and detailed look at coding managers' and supervisors' responsibilities and explains how to: allocate resources and structure the coding function to maximize productivity; select, develop, retain, and motivate staff; and establish a coding quality review program to ensure accuracy and compliance.

Medical Record Auditor

Medical Record Auditor PDF

Author: Deborah J. Grider

Publisher: American Medical Association Press

Published: 2011

Total Pages: 0

ISBN-13: 9781603592949

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"This book helps readers understand the principles of medical record documentation and chart auditing. It introduces readers to principles of medical record documentation and how to conduct a medical record chart review in the physcian's or outpatient office"--Provided by publisher.

JustCoding's Guide to Modifiers: Hospital Outpatient Edition

JustCoding's Guide to Modifiers: Hospital Outpatient Edition PDF

Author: Susan E. Garrison

Publisher:

Published: 2015-11-23

Total Pages: 0

ISBN-13: 9781556454837

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JustCoding's Guide to Modifiers: Hospital Outpatient Edition Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H Modifiers are a frequent audit target of CMS and the Office of Inspector General, with focused efforts against modifiers such as -25 and -59. JustCoding's Guide to Modifiers: Hospital Outpatient Edition features a comprehensive explanation of when to report each CPT(R)/HCPCS modifier, including coding tips and the latest regulations and guidance. Each chapter contains exercises that let you use real-life documentation, including operative reports and case studies, to test your knowledge on how to apply each modifier. This book will review the most recent guidance for each modifier, with citations from relevant regulatory documents. Table of Contents About the Author 1. Introduction 2. National Correct Coding Initiative Modifiers(Subsections: Modifiers -59, -XE, -XS, -XP, -XU, -58, -76 to -79, and -91)3. Evaluation and Management Modifiers (Subsections: Modifiers -25 and -27) 4. Anatomical Modifiers(Subsections: Modifiers -50, -RT, -LT, -E1 to -E4, -F1 to -F9, -FA, -LC, -LD, -LM, -RC, -RI, -T1 to -T9, and -TA)5. Reduced/Discontinued Services Modifiers (Subsections: Modifiers -52, -53, -73, and -74) 6. Medical Necessity Modifiers(Subsections: Modifiers -GA, -GX, -GY, and -GZ)7. Screening Services Modifiers(Subsections: Modifiers -GG and -PT)8. Outpatient Therapy Modifiers(Subsections: Modifiers -GN to -GP and -KX)9. Miscellaneous Modifiers(Subsections: Modifiers -CA, -ET, -JW, and -PA to -PC)10. Modifier Coding Compliance Quiz 11. Answer Key Benefits: Properly use modifiers to prevent audits Reduce confusion about when to use modifiers Get coding tips to clarify regulatory guidance and provide examples of which modifiers apply in different situations Access case studies and operative reports to test your knowledge of modifiers

Network Security Auditing

Network Security Auditing PDF

Author: Chris Jackson

Publisher: Cisco Press

Published: 2010-06-02

Total Pages: 700

ISBN-13: 1587059428

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This complete new guide to auditing network security is an indispensable resource for security, network, and IT professionals, and for the consultants and technology partners who serve them. Cisco network security expert Chris Jackson begins with a thorough overview of the auditing process, including coverage of the latest regulations, compliance issues, and industry best practices. The author then demonstrates how to segment security architectures into domains and measure security effectiveness through a comprehensive systems approach. Network Security Auditing thoroughly covers the use of both commercial and open source tools to assist in auditing and validating security policy assumptions. The book also introduces leading IT governance frameworks such as COBIT, ITIL, and ISO 17799/27001, explaining their values, usages, and effective integrations with Cisco security products.