Coding Guide – How Physician Services are Paid

Have a new staff member or practitioner? Looking for a resource that provides an overview of how physician. services are paid? Download our guide. Medical coding in physician offices is governed by coding rules, Medicare and other third party policies and reimbursement decisions made by payers. This coding guide describes the code sets and the rules that are behind the rules to insure that medical practices submit accurate, complete and compliant claims.

Table of Contents

• CPT^®
• HCPCS
• Modifiers
• NCCI
• Multiple procedures
• Fee calculation
• Global surgical payment
• Diagnosis coding

A physician sees a patient in the office or treats a patient with a fracture in the emergency department and wants to get paid for this service. That shouldn’t be too much to ask, should it?

The coding and reimbursement system in the United States is anything but simple and easy. This coding guide on medical coding in physician offices explains how all of the parts come together that result in payment for that physician.

This is an essential resource for new physicians, non-physician practitioners, coders and billers and for managers who want to know just enough to manage. In addition to this billing guide, be sure to reference the helpful infographic and Betsy’s 15 minute video on the payment process.

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