Two popular resources in one!
For 2018, we've combined two proven coding and billing resources into one convenient how-to guide. Now you get our Coding Essentials for RT/Pulmonary Function book integrated with our Coding Essentials for Sleep Studies book. You'll save time. You'll save money. And, above all, you'll get answers you trust from leading experts.
Claims for respiratory therapy, pulmonary function testing and sleep studies are certain to come under tough scrutiny in 2018 — which is why you want to make sure your documentation, coding and billing meet all requirements. 2018 Coding Essentials for RT/Pulmonary Function covers spirometry, chest manipulation, smoking cessation, IPV, PEP therapy and many more services.
You also get accurate answers to difficult questions such as: How do you determine start and stop times for ventilation management? When multiple sequential treatments are required, how do you report inhalation therapy? Which procedures qualify as chest physiotherapy? And what are the billing parameters for ventilator weaning?
New for 2018
- New CPT® codes for pulmonary stress testing and exercise test bronchospasm
- New language/updated guidance throughout
- Updated codes, payment information, and guidance throughout
- Expanded tips and guidance on:
- Tobacco cessation
- Ventilation management
- Inhalation treatments
- Chest manipulation/chest physiotherapy
- Sleep Studies chapter, including:
- CPT coding for sleep studies
- Other ancillary services
- Electroencephalogram and extended monitoring
- Medical necessity
- Documentation requirements
- NCD/LCD information
Features and Benefits
- Step-by-step through coding and billing for a full range of respiratory therapy services and pulmonary function testing, plus sleep testing, polysomnography, penile studies and home sleep testing
- Comprehensive — encompasses Medicare payments, medical necessity, national and local coverage determinations (LCDs/NCDs), advance beneficiary notices (ABNs), National Correct Coding Initiative (NCCI) edits, modifier usage, CPT/HCPCS codes, documentation requirements and more
- Covers code assignments by both hospital (technical) and physician (professional) entities
- Sections on specific services include:
- Descriptions and intended uses of the services provided
- Listings of the corresponding CPT/HCPCS and revenue codes, along with explanations of intended code usage
- Billing tips
- Clinical examples
- Payment information, including 2018 tables and hospital OPPS rates
- Special help with common areas of confusion and noncompliance, such as:
- Billing issues, including breathing treatments — a prime RAC target — and billing sequence or date of service
- Unbundling of codes and groups of CPT/HCPCS codes that are inappropriately reported together
- Incorrectly billing for routine monitoring, oxygen and services not specifically ordered by a physician
- Interpreting Medicare medical necessity coverage policies and frequency limitations
- Lack of documentation to support medical necessity
- Incorrect coding for home sleep study tests
CPT® is a registered trademark of the American Medical Association.
For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.
The final rules for the 2018 Medicare outpatient prospective payment system (OPPS) and the Medicare physician fee schedule (MPFS) dictate the publishing dates for our books. In previous years, the Centers for Medicare & Medicaid Services have issued these final rules in early November of the previous year (November 2017), and the updating process for our books begins.