Coding and Payment Guide for Oncology and Hematology Services 2003: An Essential Coding, Billing and Reimbursement Resource for the Oncologist and Hematologist

by St. Anthony Publishing

• ISBN13: 9781563298400
• ISBN10: 1563298406
• Edition: 3rd
• Format: Paperback
• Copyright: 2002-12-01
• Publisher: Optuminsight Inc

Summary

The 2003 Coding and Payment Guide for Oncology and Hematology Services focuses on coding, documentation and reimbursement issues from A to Z. It links coding and clinical information so you can code more accurately and get full, prompt reimbursement.

Table of Contents

Introduction	p. 1
Coding Systems	p. 1
Claims Forms	p. 3
Establishing Provider Charges	p. 3
Contents and Format of This Guide	p. 4
The Reimbursement Process	p. 7
Payer Comparisons	p. 7
Government Health Plans	p. 9
Payment Methodologies	p. 11
Calculating Costs	p. 13
Other Factors Influencing Payment	p. 14
Participation in Medicare Plans	p. 25
Supplemental Medicare Coverage	p. 27
Workers' Compensation	p. 32
Documentation--An Overview	p. 33
Methods of Documentation	p. 34
General Guidelines for Documentation	p. 34
Principles of Documentation	p. 35
Fraud and Abuse	p. 37
Compliance	p. 41
Action Plan	p. 42
Claims Processing	p. 43
What to Include in Claims	p. 43
HIPAA	p. 44
Processing the Claim	p. 48
Collection Policies	p. 50
Appeals Process	p. 51
Medicare Benefit Notices	p. 55
HCFA-1500: Purpose and Instructions	p. 60
UB-92: Purpose and Instructions	p. 80
CPT Definitions and Guidelines	p. 87
Structure of CPT	p. 87
CPT Coding Conventions	p. 87
Surgical Services and Procedures	p. 92
Radiology	p. 208
Laboartory and Pathology	p. 231
Medicine Services	p. 255
Evaluation and Management Services	p. 263
CPT Index	p. 303
ICD-9-CM Definitions and Guidelines	p. 313
Structure of ICD-9-CM	p. 313
ICD-9-CM Index	p. 361
HCPCS Level II Definitions and Guidelines	p. 445
Level II National Codes	p. 445
Level III Local Codes	p. 445
Structure and Use of HCPCS Level II Codes	p. 446
The Conventions: Symbols and Modifiers	p. 448
Modifiers	p. 449
HCPCS Level II Codes	p. 452
HCPCS Level II Index	p. 493
Medicare Official Regulatory Information--CIM/MCM References	p. 497
Glossary	p. 603
Category III Codes	p. 617
Correct Coding Initiative	p. 621
Index	p. 671
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