Description
Book SynopsisThe 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
Table of ContentsForeword 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
