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Coding Essentials for RT/Pulmonary Function

2021 Coding Essentials for RT/Pulmonary Function book image

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From capturing full payment to avoiding high-risk practices, this trusted resource will guide you through coding, charging, billing and documentation requirements for a comprehensive full spectrum of RT services.

Non-Member Price: $199.00

Product Code: PRT

The following item is included FREE with this product for a limited time:

  • 2022 Medicare Payment Guide for RT/Cardiopulmonary Services - eBook ($121.00 value!)

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Maximize revenue while avoiding risky practices with this unique resource as your guide

Facilities strive to maximize revenue, but, with respiratory therapy services, it’s also about avoiding risky practices — because auditors, regulators and payers are watching closely! This unique resource will guide you through charge capture and coding while helping you avoid noncompliant practices for a full range of respiratory therapy, pulmonary function testing and sleep study services.

Count on our trusted RT experts to guide you step by step through the intricacies of coding, charging, billing and documentation for this very challenging area of healthcare. Along the way, you’ll discover a wealth of dos and don’ts, equipping you to protect your compliance and revenue. We address many potential pitfalls, including insufficient documentation, unbundled coding, modifier misuse, and the inappropriate coding of services.

Valuable FREE perks with this book!
Ordering this publication automatically enrolls you in the MedLearn Media Insiders program — at no additional charge. Throughout the year, you'll receive free Insider perks that complement and add value to your book.

Features and Benefits

Updated and expanded content, including:

  • Explanation of new, deleted, and revised CPT®/HCPCS codes – including two new codes and the elimination of the longstanding G-codes for outpatient pulmonary rehab
  • Guidance with all RT-specific HCPCS code changes and National Correct Coding Initiative (NCCI) updates
  • Comprehensive information including clarification of supervision requirements for pulmonary rehab, an audit topic that poses serious consequences for noncompliance
  • Updated billing tips and expanded guidance for common problem areas such as inhalation treatments (94640) and ventilation management, including coding guidelines and clarification of confusing NCCI rules
  • Expanded information and guidance specific to inhaled nitric oxide and remote monitoring services—including new codes for remote therapeutic monitoring (RTM)
  • FAQ section addressing some of the most commonly asked questions and challenges observed by our experts across the country
  • Special guidance with services that should not be reported, such as evaluation and management (E&M) and recreational therapy, as well as testing provided per protocol —this is a growing area of noncompliance for RT departments that focus on counting productivity
  • New appendices on the COVID-19 public health emergency (PHE) and the latest OIG audits regarding coverage requirements for outpatient cardiac and pulmonary rehabilitation services

Our experts address common questions, concerns, and problem areas:

  • High-risk practices inherent with polysomnography and other sleep studies, such as insufficient prior authorization and incorrect coding for home sleep study tests
  • Billing issues with 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
  • Medicare medical necessity coverage policies and frequency limitations
  • Lack of documentation to support medical necessity

Clear, step-by-step guidance through the tasks you perform every day:

  • Coding, documentation, and billing for a full range of respiratory therapy services and pulmonary function testing, plus polysomnography and other sleep studies, EEGs, home sleep testing, and penile studies
  • Covers code assignments by both hospital (technical) and physician (professional) entities

A proven quick-reference approach for busy professionals:

  • Easy to navigate; each section contains:
    • Descriptions and intended uses of services provided
    • Listings of the corresponding CPT/HCPCS and revenue codes, along with explanations of intended code usage
    • Modifier usage, where appropriate
    • Documentation and medical necessity requirements
    • Billing tips
    • Clinical examples
  • Complete and current payment information, including:
    • Hospital Outpatient Prospective Payment System (OPPS) rates
    • Procedures with APCs, status indicators and at-a-glance tables showing CPT/HCPCS codes included in APCs, plus prior year and current payment rates
    • National and local coverage determinations (LCDs/NCDs)
    • Advance beneficiary notices (ABNs)
    • NCCI, including procedure-to-procedure (PTP) and Medically Unlikely Edits (MUEs)

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.

*Subscribers to the Interventional Radiology, Radiology, or Comprehensive All-Access Pass, and/or MedLearn Media Resource Center receive 30% off the print version of the books included with their membership. This 30% does not include AMA fees or shipping and handling fees. For questions please email us at support@medlearnmedia.com.

**Please note that eBooks cannot be printed, and all sales on eBooks are final. If you would like a printed copy of this resource please select the Print version and allow time for shipping.

Medicare Payment Guide for RT/Cardiopulmonary Services Peripheral & Cardiology Coder 2022 Cardiology Reimbursement & Compliance Update 2022 Respiratory Therapy Reimbursement & Compliance Update
Non-Member Price: $121.00
Non-Member Price: $199.00
Price: $240.00
Non-Member Price: $240.00
2022 Medicare Payment Guide for RT/Cardiopulmonary Services book image 2022 Peripheral & Cardiology Coder image 2022 Cardiology Reimbursement & Compliance Update Webcast Image 2022 Respiratory Therapy Reimbursement & Compliance Update Webcast Image