Principles of Coding and Reimbursement for Surgeons

  • Mark Savarise
  • Christopher Senkowski

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Coding and Valuation

    1. Front Matter
      Pages 1-1
    2. Lee R. Morisy
      Pages 13-34
    3. Austin Ward, J. Scott Roth
      Pages 35-44
    4. Charles D. Mabry, Jan Nagle
      Pages 45-56
  3. Reimbursement

    1. Front Matter
      Pages 57-57
    2. Kenneth Simon, Susan Roberts
      Pages 59-67
    3. Ketan R. Sheth
      Pages 69-80
    4. John T. Preskitt
      Pages 81-93
    5. Guy R. Orangio
      Pages 95-113
    6. Meredith C. Mason, Nader N. Massarweh
      Pages 115-131
    7. Brett Tracy
      Pages 133-143
  4. Specific Coding Issues

    1. Front Matter
      Pages 145-145
    2. Scott Collins, Dinakar Golla
      Pages 161-175
    3. Eric B. Whitacre
      Pages 177-185
    4. Christopher Kim, Glenn Littenberg
      Pages 187-206
    5. Jennwood Chen, Eric T. Volckmann
      Pages 207-214
    6. Christopher K. Senkowski, Samuel Corey
      Pages 215-221

About this book

Introduction

This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement. The text is meant to be useful to surgeons in practice, both in general surgery and in surgical subspecialties; practice management teams of surgical practices and to resident physicians in surgery. Part 1 of the text addresses the CPT coding process, the relative valuation system (RVU), the ICD-9 and ICD-10 systems of classification, Medicare Part B payment rules for physicians, the DRG system and Medicare Part A payment for hospitals, alternative payment models, and the myriad of quality measures of importance to surgeons. Part 2 of the text addresses specific coding in areas where surgeons historically have had the most difficulty. This is not meant to substitute for the available texts, software or courses on coding, but to provide the historical background and rationale for the specific coding rules. Principles of Coding and Reimbursement for Surgeons will be of great value to general surgeons and surgical subspecialists in private practice, academic institutions, and employed positions. It will provide direction to management teams from practice and institutional levels. It is also of use to surgical trainees and to researchers in health policy issues.

Keywords

CPT ICD coding RUC RVU hospital reimbursement pay for performance

Editors and affiliations

  • Mark Savarise
    • 1
  • Christopher Senkowski
    • 2
  1. 1.Department of SurgeryUniversity of UtahSalt Lake CityUSA
  2. 2.Department of SurgeryMercer University School of Medicine Memorial University Medical CenterSavannahUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-319-43595-4
  • Copyright Information Springer International Publishing Switzerland 2017
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-43593-0
  • Online ISBN 978-3-319-43595-4
  • About this book