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The Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2020 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice.
This concise, authoritative text provides detailed background information, explains all features of the physician payment system and serves as a reference in answering questions about the RBRVS system. This invaluable reference provides the insights and tools needed to understand the RBRVS system and how to calculate payment schedules accurately. * Up-to-date information - covers new payment rules that take effect in 2012 and gives an explanation of how they may affect your practice * How to correct payment schedule calculations - with updated payment policies, payment calculations and information on appropriate use of modifiers * Critical insight into the RBRVS system - provides detailed background information on the RBRVS system, in-depth explanation on the key components and operation of the payment system, geographic adjustments, conversion factors, and limits on physician charges * Easy-to-use tables - includes all the elements necessary to calculate the Medicare payment schedule, including 2012 relative value units (RVUs) and payment policy indicators for each physician's service and geographic practice cost indexes (GPCIs) for each Medicare payment locality
The 29th edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2020 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice. This book is a must-have tool for physician practices because it offers invaluable insight and information needed to understand Medicare's resource-based relative value scale (RBRVS) payment system, and to help physician practices establish physician charges and to calculate Medicare payments. FEATURES AND BENEFITS * The complete RVU table in an electronic file. Purchase the book and receive access to the complete RVU table in an Excel file format. Use the file to sort, filter, calculate, and present the data to meet your needs. Quarterly updates are also available. Initial file and quarterly updates will be delivered by an emailed link. * Critical insight into the RBRVS system -- detailed background information on the RBRVS system, an in-depth explanation on the key components and operation of the payment system, use of the RBRVS by Medicare and the private sector, geographic adjustments, conversion factors, limits on physician charges and CMS adoption of the Physician Practice Information Survey Data and other Practice Expense Methodology changes * Updated information on the Medicare Physician Fee Schedule, payment rules, and the conversion factor -- covers new payment rules that take effect in 2019 * Updated RVUs for 2020 CPT® codes including every RVU element -- Physician Work, Practice Expense (Facility and Nonfacility) and Professional Liability Insurance * List of RVUs for CPT and HCPCS-coded procedures and services -- calculate and establish physician charges using RBRVS relative values * List of RVUs for anesthesiology services * List of geographic practice cost indices (GPCIs) for each for each Medicare payment locality -- Physician Work, Practice Expense and Malpractice Insurance
CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
The 32nd edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2023 Medicare Physician Payment Schedule, payment rules, background on major coding and legislative changes, CPT, HCPCS, relative value units (RVUs), and GPCIs that affect the physician practice. This book is a must-have tool for physician practices because it offers invaluable insight and information needed to understand Medicare's resource-based relative value scale (RBRVS) payment system, and to understand the calculation of Medicare payments. FEATURES AND BENEFITS Critical insight into the RBRVS system -- detailed background information on the RBRVS system, an in-depth explanation on the key components and policy of the Medicare payment system, use of the RBRVS by the private sector, geographic adjustments, government policy and CMS adoption of the Physician Practice Information Survey Data and other Practice Expense Methodology changes. Updated information on the Medicare Physician Fee Schedule, payment rules and the conversion factor -- covers new payment rules that take effect in 2023. Updated RVUs for CPT® 2023 codes including every RVU component -- Physician Work, Practice Expense (Facility and Non-facility) and Professional Liability Insurance. List of RVUs for CPT and HCPCS - coded procedures and services-- calculate and establish physician payment using RBRVS relative values. List of Base Units for anesthesiology services. List of geographic practice cost indices (GPCIs) for each for each Medicare payment locality -- Physician Work, Practice Expense and Professional Liability Insurance.
For a better understanding of the latest revisions to the CPT(R) code set, rely on the CPT(R) Changes 2022: An Insider's View. Get the insider's perspective into the annual changes in the CPT code set directly from the American Medical Association.
ICD-10-CM 2022: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, correct documentation, determining coverage and ensuring appropriate reimbursement. Each of the 22 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official 2022 coding guidelines are included in this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes Improved icon placement for ease of use New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes.