The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management

First Edition

Seth M. Brown, Kimberley J. Pollock, Michael Setzen, Abtin Tabaee

Details: 391 pages, B&W, Spiral Bound, 8.5" x 11"

ISBN13: 978-1-59756-616-2

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About

The FIRST coding book BY otolaryngologists FOR otolaryngologists!

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management details how to properly and compliantly code for both surgical and nonsurgical services. It is a practical guide for all otolaryngologists in the United States and fills the gap in training residents and fellows in coding with a readable yet searchable book. Included are sections on otolaryngology coding basics and advanced issues, claim submission, and ICD-10-CM.

Focused entirely on a practical approach to coding, billing, and practice management, this text is user friendly and written both for the practicing physician and the coder. A physician's income is tied to the ability to code and good revenue cycle processes; thus, he or she must properly bill and collect for services provided. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the utmost importance. The Essential Guide to Coding in Otolaryngology is vital not only for new physicians but for nearly every otolaryngologist in practice.

Key Features

All chapters written by practicing otolaryngologists, health care providers, practice management, and coding experts
Discussion of the foundations of coding, billing, and practice management
Otolaryngology subspecialty-focused discussion of office-based and surgical coding
Robust index for easy reference

Reviews

"The rules and regulations surrounding coding, billing, and practice management are complex, variable, and updated on a regular basis. This all-star group of editors does an outstanding job of presenting the guidelines in an easy-to-understand, straightforward, and logical way, through which the reader can efficiently not only learn the basics and the advanced nuances of billing and coding, but also utilize the text as a reference for quick, to-the-point answers that arise on an ad hoc basis. . . . The strengths of the text include the combination of the expertise brought to bear on this challenging discipline, while maintaining a structure and template that reads well across the various disciplines. In addition, the text is extremely current, with focus on areas of high-frequency denials, controversies that providers are challenged with in the current payment structure, and discussion of current technology that is still working its way through the reimbursement system."
—Robert R. Lorenz, MD, MBA, Cleveland Ohio, in Head & Neck (March 2, 2017)

"A ring bound multi-author text of 33 chapters, it achieves a remarkable uniformity of style. ...Most chapters freely discuss 'controversial areas' and the perils of incorrect coding. ...Both office and hospital care are covered in basic principles, but also for every possible procedure, from robotic surgery, to investigation of sleep disordered breathing. ...Obviously, for US readers this is essential and a reference fundamental to practice."
—Liam M. Flood, FRCS, FRCSI, Middlebrough, UK, in the Journal of Laryngology & Otology (October 2016)

Introduction
Preface
Acknowledgments
Contributors

Section I. Basics of Coding and Billing

Chapter 1. Essentials of Coding
Natalie Loops

Chapter 2. Navigating the CPT® Book
Teri Romano

Chapter 3. Transition to ICD-10-CM
Margaret A. Skurka

Chapter 4. Health Policy
Richard W. Waguespack and Lawrence M. Simon

Chapter 5. Successful Strategies in Billing
Cheryl Toth and Karen A. Zupko

Chapter 6. Successful Navigation of the Appeals Process
R. Cheyenne Brinson

Chapter 7. Legal Issues: Management Strategies and Avoiding Pitfalls
Patricia S. Hofstra and Elinor Hart Murárová

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
Betsy Nicoletti and Kimberley J. Pollock

Chapter 11. Demystifying Modifiers
Kimberley J. Pollock

Section II. Office-Based Otolaryngology

Chapter 12. Office Rhinology
Seth M. Brown

Chapter 13. Otolaryngic Allergy
Gavin Setzen and Michelle M. Mesley-Netoskie

Chapter 14. Office Laryngology
John W. Ingle and Clark A. Rosen

Chapter 15. Speech Pathology
Manderly A. Cohen and Michael Setzen

Chapter 16. Office Otology
Benjamin J. Wycherly

Chapter 17. Audiology
Debra Abel

Chapter 18. Office Facial Plastic Surgery
Amit D. Bhrany

Chapter 19. Office Head and Neck Surgery
Marc A. Cohen and Abtin Tabaee

Chapter 20. Office Pediatric Otolaryngology
John P. Dahl and Sanjay R. Parikh

Chapter 21. Office Sleep Medicine
Anit T. Patel

Chapter 22. In-Office Imaging
Gavin Setzen, Mary Lally, and Michelle M. Mesley-Netoskie

Section III. Surgical Otolaryngology

Chapter 23. Basics of Surgical Coding
Seth M. Brown

Chapter 24. Operative Rhinology
Jivianne T. Lee

Chapter 25. Operative Laryngology
Babak Sadoughi and Lucian Sulica

Chapter 26. Operative Otology
Christopher R. Thompson and Charles A. Syms III

Chapter 27. Operative Facial Plastic Surgery
Rebecca E. Fraioli

Chapter 28. Operative Head and Neck Surgery
Andrew M. Hinson and Brendan C. Stack, Jr.

Chapter 29. Reconstructive Head and Neck Surgery
Babak Givi, Adam S. Jacobson, and Neal D. Futran

Chapter 30. Skull Base Surgery
Belachew Tessema and Jack A. Shohet

Chapter 31. Robotic Surgery
Jason G. Newman, Bert W. O'Malley Jr., and Gregory S. Weinstein

Chapter 32. Operative Pediatric Otolaryngology
Lawrence M. Simon

Chapter 33. Operative Sleep Surgery
Fred Y. Lin

Index

Authors

Seth M. Brown

Seth M. Brown, MD, MBA, is a graduate of the University of Connecticut School of Medicine. Prior to medical school he obtained a master's in business administration in health systems administration. He completed his residency at the Albert Einstein College of Medicine and a fellowship at Weill Medical College of Cornell University in rhinology and endoscopic sinus and skull base surgery. Dr. Brown is a clinical assistant professor at the University of Connecticut School of Medicine. He is currently chief of service of otolaryngology at St. Francis Hospital and Medical Center in Hartford, Connecticut, and is the site director at the hospital for the University of Connecticut Residency Program. He is active in the American Rhinology Society as a committee chair for the past seven years, currently serving as the chair of the Patient Advocacy Committee. He also serves the Academy on the CPT/RVU committee. Dr. Brown has published and presented extensively on sinus and endoscopic skull base surgery and has a particular interest in coding, practice management, and resident and fellow education. He currently practices at the Connecticut Sinus Institute, a member of Prohealth Physicians, and serves on their board.

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Kimberley J. Pollock

Kimberley J. Pollock, RN, MBA, CPC, CMDP, is a consultant with KarenZupko & Associates, Inc. For almost twenty years, she has helped large otolaryngology group practices, as well as academic and solo practices, improve coding, collections, and efficiency. She is an expert in analyzing otolaryngology documentation for accurate coding and in reengineering practices to enhance the reimbursement process. Ms. Pollock has presented seminars and workshops for physicians and their staff on behalf of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), the American Society of Plastic Surgeons, and the American Association of Neurological Surgeons. She has also presented on coding topics for the American Academy of Professional Coders, the North American Skull Base Society, the American Neurotology Society, and the Association of Otolaryngology Administrators. Additionally, she has published extensively on coding and practice management topics. Ms. Pollock is a former otolaryngology nurse and served as administrator in the Department of Otorhinolaryngology at the University of Texas Southwestern Medical Center in Dallas. She was the representative for the AAO-HNS on the clinical practice expert panel-technical group (CPEP-TEG) convened by CMS (formerly HCFA) to redetermine the practice expense portion of RBRVS. She has served on the Board of Directors for the Society of Otorhinolaryngology and Head-Neck Nurses, Inc. (SOHN) and the Ear, Nose and Throat Nursing Foundation. She is the recipient of the prestigious Presidential Citation Award from the SOHN as well as an Honor Award from the AAO-HNS. Ms. Pollock holds a master's of business administration degree from the University of Dallas and a bachelor's of science degree in nursing from the University of Wisconsin. She is also a certified coder through the AAPC and a certified medical documentation Professional (CMDP) through the American Institute of Healthcare Compliance.

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Michael Setzen

Michael Setzen, MD, is currently in private practice in Great Neck, New York. He is a clinical associate professor of otolaryngology at New York University School of Medicine and adjunct clinical assistant professor of otolaryngology at Weill Cornell University College of Medicine. He is section chief of rhinology at North Shore University Hospital in Manhasset, New York. He is a past president of the American Rhinologic Society (2011-2012) and past chairman of the Board of Governors of the American Academy of Otolaryngology-Head and Neck Surgery (2000-2001). He is recipient of the Board of Governors Practitioner Excellence Award of the American Academy of Otolaryngology-Head and Neck Surgery and the American Academy of Otolaryngology-Head and Neck Surgery Distinguished Service Award. Dr. Setzen has been listed yearly in New York Magazines Best Doctors for twelve of the past fourteen years and Castle Connolly's "America's Top Doctors" for the past fifteen years. He has given more than 250 scientific lectures throughout the United States and worldwide and is author or coauthor of numerous papers (seventy-five in peer reviewed journals) and book chapters. He is presently on the editorial boards of International Forum of Allergy and Rhinology, the American Journal of Otolaryngology, and the Ear, Nose, & Throat Journal. Dr. Setzen's areas of significant academic interest include medical and surgical management of nasal and sinus disease including endoscopic sinus surgery, rhinoplasty, snoring and sleep apnea surgery, reflux, sinus headache, and appropriate CPT coding and advocacy related issues in otolaryngology.

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Abtin Tabaee

Details: 769 pages, B&W, Softcover, 4.5" x 8"

ISBN13: 978-1-63550-337-1

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