Guide to Coding Compliance

Guide to Coding Compliance

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A Guide to Coding Compliance provides guidelines on performing coding compliance reviews and developing a coding compliance program. Practical and fundamental discussions on the differences between coding and billing, medical necessity, reviewing techniques, educational guides and coding compliance strategies, along with case studies based upon real experiences offer both the experienced coder and the student, with the tools necessary for handling a range of coding compliance issues. Special attention is also given to Medicare guidelines and the importance of official coding guidelines, as well as implementation of electronic health record systems and automated coding systems. For the coding and billing managers the text serves as a practical guide in answering some of the most common coding and compliance issues faced today. For students the text lays a foundation for understanding the legal requirements, payer specific instructions and the importance of quality coding. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.Another type of downcoding occurs when third-party payers reduce the payment to providers by changing codes to a lower-paying or less complex code than was reported. ... The physician assigned CPT code 45378 for the diagnostic colonoscopy, and 45385 for the polypectomy by snare technique. ... 9 An ENT physician performs a septoplasty and submucous resection of inferior turbinates. During theanbsp;...

Title:Guide to Coding Compliance
Author:Joanne Becker
Publisher:Cengage Learning - 2009-11-19


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