Comprehensive, trusted answers and guidance.
You simply won't find a more complete or more trusted guide to coding and billing for respiratory therapy services and pulmonary function testing. Our experts have the answers you need — updated for 2017 — and they present this information clearly and succinctly. Highlights:
- Step-by-step through coding and billing for a full range of respiratory therapy services and pulmonary function testing
- Easy to navigate — starts with coding and billing essentials to help ensure the correct reimbursement; subsequent sections are organized by types of services and CPT®/HCPCS code sequence
- Sections on specific services include:
- Descriptions of the services provided
- Listings of the corresponding CPT/HCPCS and revenue codes, along with explanations of intended code usage
- Billing tips
- Hospital OPPS rates plus information on local and national coverage determinations (LCDs/NCDs)
- Special help with common areas of confusion and noncompliance, such as:
- Billing for breathing treatments — a prime RAC target
- Unbundling of codes
- Incorrectly billing for routine monitoring, oxygen and services not specifically ordered by a physician
- Interpreting Medicare medical necessity coverage policies and frequency limitations
UPDATED FOR 2017, including:
- 2017 codes and payment information
- New chapter on ICD-10 codes and their impact on coding and billing for RT services
- New guidance with medical necessity requirements
- Updated clarification on appropriately assigning PFT codes
- New clarification of medically unlikely edits (MUEs) related to NCCI edits for breathing treatments
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