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You are here > Home > Reading Lists > Coding Books > The Field Guide to Physician Coding

The Field Guide to Physician Coding, 2nd Edition
Besty Nicoletti, MS, CPC

Softbound, 225 pages + companion CD-ROM 
ISBN 0982705522
978-0982705520
Greenbranch Publishing
December 2010
(please click the button below for the very best currently available price for this resource)

Written by nationally-renowned physician coding expert, The Field Guide to Physician Coding delivers a payload of precise information on coding rules and relevant billing guidelines. Her explanations shed light on why the rules were created and how certain topics are linked to other information about which you must be aware.

New to this edition:

  • Consults Wellness visits

  • Changing Medicare Regulations

  • Transition to ICD-10 E-prescribing Modifiers 53, 58

  • PPACA/Health Reform Act

No-nonsense advice supported by weblinks and a CD that answers the most pressing questions from physicians, practice mangers, bilkers and coders.

This book should be on the desk of every clinician, biller and coder since it supplies no-nonsense advice supported by weblinks and a CD that answers the most pressing questions from physicians, practice mangers, bilkers and coders:

  • The rules it offers help doctors get paid, not just the codes
  • Organized alphabetically, by topic, for ease of use
  • Relevance to all specialties

All of its guidelines are explained in plain, easy-to-understand prose, and include:

  • The definition of the service --Reimbursement rules related to the service RVUs
  • Clinical examples, when relevant
  • Medical references, CPT rule references

This guidebook 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. You can sleep well knowing that your practice is compliant with government rules and you're collecting all of the money you are entitled to collect. Its alphabetized contents include:

  • Accounts Receivable Benchmark Data
  • Adjusted Collection Ratio
  • Advance Beneficiary Notice
  • Aging Report
  • Allergen Immunotherapy
  • Assistant at Surgery Services
  • Care Plan Oversight - CPT Codes - Non-Medicare
  • Care Plan Oversight for Medicare Patients
  • Certification of Home Health Services
  • Cerumen Removal
  • CLIA Waived Tests
  • Comprehensive Error Rate Testing (CERT)
  • Consolidated Nursing Home Billing
  • Consultations Critical Care Services
  • Days in Accounts Receivable
  • Diagnosis coding
  • Documentation Guidelines
  • Emergency Department Visits
  • Evaluation and Management Services and Profiles
  • General Principles of Medical Record Documentation
  • Global Surgical Package
  • Gross Collection Ratio
  • Healthcare Common Procedure Coding System (HCPCS)
  • Hospital Discharge Services
  • Hospital Initial Services, Inpatient
  • Hospital Observation Services
  • Hospital Subsequent Services
  • Immunization administration for vaccinations
  • Incident to Services--Medicare
  • Legibility
  • Local Coverage Determinations (LCD's)
  • Locum Tenens Billing
  • Medical Necessity
  • Medicare Physician Fee Schedule Data Base (MFSDB)
  • Mini Mental Status Exam
  • Modifier 21
  • Modifier 22
  • Modifier 24
  • Modifier 25
  • Modifier 26
  • Modifier 50
  • Modifier 51
  • Modifier 52
  • Modifier 59
  • Modifier 78 and Modifier 79
  • Multiple Endoscopy Procedures
  • Multiple Surgical Procedures
  • National Coverage Determinations (NCDs)
  • New Patient
  • Nurse visit
  • Nursing Facility Visits
  • OIG Work Plan.
  • Pay for Performance
  • Pelvic and breast clinical exam
  • Physician Voluntary Reporting Program (PVRP)
  • Pre-operative Exams
  • Preventive Medicine Services
  • Preventive Medicine Services--Medicare
  • Prolonged Services
  • Reciprocal Billing Arrangements
  • 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 Primary Care Exception
  • Teaching Physician Rules for Surgical Procedures
  • Telephone calls
  • Time Based Codes
  • Welcome to Medicare
  • Guide to Acronyms
  • Field Notes from Gerald N. Rogan, MD
  • CD-ROM with Citations List
  • and more!

Betsy Nicoletti, MS, CPC, President of Medical Practice Consulting, is a Vermont-based 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 has worked in and around physician offices for over 20 years.

Greenbranch Publishing is a Baltimore-based publishing and consulting business providing consultation services to publishers on new product development, branding of copyrighted publishing properties, ancillary product development, market research, strategic planning and mergers and acquisitions. Building on the market niche of medical book, newsletter and journal publishers, Greenbranch Publishing has a special market emphasis on pharmaceutical sales/sponsorship and CME (Continuing Medical Education) activities. Greenbranch also publishes the Journal of Medical Practice Management.

Written by nationally-renowned physician coding expert, The Field Guide to Physician Coding delivers a payload of precise information on coding rules and relevant billing guidelines.

Please remember: The government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

You may also be interested:  Coding Resources New!

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