9781563298868

Ingenix Coding Lab: Understanding Modifiers, 2003

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  • ISBN13:

    9781563298868

  • ISBN10:

    1563298864

  • Edition: 5th
  • Format: Paperback
  • Copyright: 2003-01-01
  • Publisher: INGENIX - STA/MEDICODE
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Supplemental Materials

What is included with this book?

  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

Summary

This is the most comprehensive resource for Physicians' Current Procedural Terminology (CPT) and HCPCS II modifiers on the market. This best-selling guide gives you the tools you need to apply modifiers accurately and avoid payment delays and denials.

Table of Contents

Introductionp. 5
Decision for surgeryp. 9
Evaluation & Managementp. 13
Prolonged evaluation and management servicesp. 13
Unrelated E/M service by the same physician during a postoperative periodp. 14
Significant separately identifiable E/M service by the same physician on the same day of the procedure or other service
Mandated servicesp. 21
Reduced servicesp. 22
Decision for surgeryp. 24
Anesthesiap. 29
Unusual procedural servicesp. 29
Mandated servicesp. 31
Anesthesia by surgeonp. 32
Multiple proceduresp. 32
Discontinued procedurep. 34
Distinct procedural servicep. 35
Other Anesthesia Modifiersp. 37
Surgeryp. 39
Unusual procedural servicesp. 39
Unusual anesthesiap. 41
Professional componentp. 42
Mandated servicesp. 44
Anesthesia by surgeonp. 45
Bilateral procedurep. 45
Multiple proceduresp. 48
Reduced servicesp. 51
Discontinued procedurep. 52
Surgical care onlyp. 55
Postoperative management onlyp. 57
Preoperative management onlyp. 59
Staged or related procedure or service by the same physician during the postoperative periodp. 60
Distinct procedural servicep. 62
Two surgeonsp. 64
Procedure performed on infants less than 4kgp. 67
Surgical teamp. 68
Repeat procedure by same physicianp. 69
Repeat procedure by another physicianp. 70
Return to operating room for a related procedure during the postoperative periodp. 71
Unrelated procedure or service by the same physician during the postoperative periodp. 74
Assistant surgeonp. 75
Minimum assistant surgeonp. 77
Assistant surgeon (when a qualified resident is not available)p. 77
Multiple modifiersp. 79
Radiologyp. 81
Unusual procedural servicesp. 81
Professional componentp. 83
Mandated servicesp. 84
Bilateral Procedurep. 85
Multiple proceduresp. 86
Reduced servicesp. 87
Discontinued procedurep. 88
Staged or related procedure or service by the same physician during the postoperative periodp. 89
Distinct procedural servicep. 90
Two surgeonsp. 92
Repeat procedure by same physicianp. 93
Repeat procedure by another physicianp. 94
Return to operating room for related procedure during the postoperative periodp. 95
Unrelated procedure or service by the same physician during the postoperative periodp. 96
Assistant surgeonp. 97
Multiple modifiersp. 98
Pathology & Laboratoryp. 99
Unusual procedural servicesp. 99
Professional componentp. 100
Mandated servicesp. 101
Reduced servicesp. 102
Discontinued procedurep. 103
Distinct procedural servicep. 104
Reference (outside) laboratoryp. 105
Repeat clinical diagnostic laboratory testp. 106
Medicinep. 107
Unusual servicesp. 107
Professional componentp. 109
Mandated servicesp. 110
Bilateral procedurep. 111
Multiple proceduresp. 112
Reduced servicesp. 113
Discontinued procedurep. 114
Postoperative management onlyp. 116
Preoperative management onlyp. 117
Decision for surgeryp. 118
Staged or related procedure or service by the same physician during the postoperative periodp. 119
Distinct procedural servicep. 120
Repeat procedure by same physicianp. 122
Repeat procedure by another physicianp. 123
Return to operating room for a related procedure during the postoperative periodp. 123
Unrelated procedure or service by the same physician during the postoperative periodp. 125
Multiple modifiersp. 125
HCPCS Modifiers A-Vp. 127
Introductionp. 127
Ambulance Modifiersp. 127
HCPCS Level II Modifiersp. 128
ASC & Hospital Outpatient Modifiersp. 143
Ambulatory Payment Classificationsp. 145
Outpatient Code Editor for Outpatient Prospective Payment Systemp. 146
CPT and HCPCS Modifier Reporting Requirementsp. 149
Significant separately identifiable E/M service by the same physician on the same day of the procedure or other servicep. 151
Multiple outpatient hospital E/M encounters on the same datep. 152
Bilateral procedurep. 153
Reduced servicesp. 153
Staged or related procedure or service by the same physician during the postoperative periodp. 154
Distinct procedural servicep. 154
Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure prior to the administration of anesthesiap. 155
Discontinued outpatient hospital/ambulatory surgery center (ASC) procedure after administration of anesthesiap. 156
Repeat procedure by same physicianp. 156
Repeat procedure by another physicianp. 157
Return to the operating room for a related procedure during the postoperative periodp. 157
Unrelated procedure or service by the same physician during the postoperative periodp. 158
Repeat clinical diagnostic laboratory testp. 158
HCPCS Level II Modifiersp. 159
Modifiers & Compliancep. 161
Introductionp. 161
What Is Compliance?p. 161
The OIG's Compliance Plan Guidancep. 164
Modifiers and Compliance: A Quick Self-Testp. 166
Modifiersp. 2010
Contributorsp. xiii
Prefacep. xv
Acknowledgmentsp. xix
Introductionp. 3
Sexually Violent Predator Laws: Problems and Solutionsp. 25
The New Generation of Sex Offender Commitment Laws: Which States Have Them and How Do They Work?p. 27
State Policy Perspectives on Sexual Predator Lawsp. 41
Sex Offenders and Dangerousnessp. 61
Who Is Dangerous and When Are They Safe? Risk Assessment With Sexual Offendersp. 63
Evaluating Offenders Under a Sexually Violent Predator Law: The Practical Practicep. 75
Sex Offenders and Treatmentp. 99
What We Know and Don't Know About Treating Adult Sex Offendersp. 101
Treatment and the Civil Commitment of Sex Offendersp. 119
In the Wake of Hendricks: The Treatment and Restraint of Sexually Dangerous Offenders Viewed From the Perspective of American Psychiatryp. 131
The Rationale, Constitutionality, and Morality of Sexual Predator Commitment Lawsp. 147
Matching Legal Policies With Known Offendersp. 149
Bad or Mad?: Sex Offenders and Social Controlp. 165
"Even a Dog ...": Culpability, Condemnation, and Respect for Personsp. 183
Sex Offenders and the Supreme Court: The Significance and Limits of Kansas v. Hendricksp. 197
Alternative Strategies for Protecting the Communityp. 211
A Therapeutic Jurisprudence Analysis of Sex Offender Registration and Community Notification Lawsp. 213
Investing in the Future of Children: Building Programs for Children or Prisons for Adult Offendersp. 231
Chemical Castration of Sex Offenders: Treatment or Punishment?p. 249
Community Containment of Sex Offender Risk: A Promising Approachp. 265
Evaluating the Wisdom of Sexually Violent Predator Lawsp. 281
The Costs of Enacting a Sexual Predator Law and Recommendations for Keeping Them From Skyrocketingp. 283
Managing the Monstrous: Sex Offenders and the New Penologyp. 301
A Therapeutic Jurisprudence Assessment of Sexually Violent Predator Lawsp. 317
Conclusionp. 333
Table of Authoritiesp. 341
Author Indexp. 345
Subject Indexp. 353
About the Editorsp. 371
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