Full Description
The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all sub-specialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field.
Focused on a practical approach to coding, billing, and practice management, this text is user friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists.
New to the Second Edition:
Strategies for integrating 2021 guidelines for coding and documenting office visits
New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants
Updated coding for endoscopic sinus surgery and balloon sinus dilation
Information on billing for telehealth visits
Revision of all sub-specialty topics reflecting changes in coding and new technologies
Key Features:
All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts
Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics
Otolaryngology subspecialty-focused discussion of office-based and surgical coding
Tips on how to code correctly in controversial areas, including the use of unlisted codes
A robust index for easy reference
Contents
Foreword by Michael G. Stewart, MD, MPH, FACS
Foreword by Ronald B. Kuppersmith, MD, MBA, FACS
Preface
About the Editors
Acknowledgments
Contributors
Section I. Basics of Coding and Billing
Chapter 1. Introduction
Natalie R. Loops
Chapter 2. Navigating the CPT (R) Book
Teri Romano
Chapter 3. Navigating ICD-10-CM Codes
Linda Galocy
Chapter 4. Health Policy
Richard W. Waguespack
Chapter 5. Successful Strategies in Billing
Karen A. Zupko
Chapter 6. Strategic Appeals: Managing Denied Claims
Kimberley J. Pollock
Chapter 7. Legal Issues: Management Strategies and Avoiding Pitfalls
Patricia S. Hofstra and Alison T. Rosenblum
Chapter 8. Billing Guidelines for Nonphysician Practitioners and Teaching Physicians
Sarah Wiskerchen
Chapter 9. The Office Visit
Betsy Nicoletti and Kimberley J. Pollock
Chapter 10. Coding for Hospital Care
Kimberley J. Pollock and Betsy Nicoletti
Chapter 11. Demystifying Modifiers
Kimberley J. Pollock
Chapter 12. Billing and Coding for Telehealth Visits
Jennifer Bell
Section II. Office-Based Otolaryngology
Chapter 13. Office Rhinology
Seth M. Brown and Abtin Tabaee
Chapter 14. Otolaryngic Allergy
Gavin Setzen and Michelle Netoskie
Chapter 15. Office Laryngology
John W. Ingle and Clark A. Rosen
Chapter 16. Speech Pathology
Manderly Cohen and Michael Setzen
Chapter 17. Office Otology
Benjamin J. Wycherly
Chapter 18. Audiology
Debra Abel
Chapter 19. Office Facial Plastic Surgery
Sarah M. Kidwai and Amit D. Bhrany
Chapter 20. Office Head and Neck Surgery
Chetan Y. Safi and Marc A. Cohen
Chapter 21. Office Pediatric Otolaryngology
Kaitlyn B. Zenner, John P. Dahl, and Sanjay R. Parikh
Chapter 22. Office Sleep Medicine
Anit T. Patel
Chapter 23. In-Office Imaging
Gavin Setzen, Mary Lally, and Michelle Netoskie
Section III. Surgical Otolaryngology
Chapter 24. Basics of Surgical Coding
R. Peter Manes and Seth M. Brown
Chapter 25. Operative Rhinology
Justin P. McCormick and Jivianne T. Lee
Chapter 26. Operative Laryngology
Babak Sadoughi and Lucian Sulica
Chapter 27. Operative Otology
James Lin
Chapter 28. Operative Facial Plastic Surgery
Jeffrey D. Wilcox and Rebecca E. Fraioli
Chapter 29. Operative Head and Neck Surgery
Betty Y. Chen, Arun Sharma, Pardis Javadi, and Brendan C. Stack, Jr.
Chapter 30. Reconstructive Head and Neck Surgery
Adam S. Jacobson, Babak Givi, and Neal D. Futran
Chapter 31. Skull Base Surgery
Belachew Tessema and Jack A. Shohet
Chapter 32. Robotic Surgery
Justin R. Shinn, Steven B. Cannady, Bert W. O'Malley Jr., Gregory S. Weinstein, and Jason G. Newman
Chapter 33. Operative Pediatric Otolaryngology
Jay R. Shah
Chapter 34. Operative Sleep Surgery
Fred Y. Lin
Index
