Main description:

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all sub-specialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field.

Focused on a practical approach to coding, billing, and practice management, this text is user friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists.

New to the Second Edition:
Strategies for integrating 2021 guidelines for coding and documenting office visits
New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants
Updated coding for endoscopic sinus surgery and balloon sinus dilation
Information on billing for telehealth visits
Revision of all sub-specialty topics reflecting changes in coding and new technologies

Key Features:
All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts
Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics
Otolaryngology subspecialty-focused discussion of office-based and surgical coding
Tips on how to code correctly in controversial areas, including the use of unlisted codes
A robust index for easy reference

Contents:

Foreword by Michael G. Stewart, MD, MPH, FACS
Foreword by Ronald B. Kuppersmith, MD, MBA, FACS
Preface
About the Editors
Acknowledgments
Contributors

Section I. Basics of Coding and Billing

Chapter 1. Introduction
Natalie R. Loops

Chapter 2. Navigating the CPT (R) Book
Teri Romano

Chapter 3. Navigating ICD-10-CM Codes
Linda Galocy

Chapter 4. Health Policy
Richard W. Waguespack

Chapter 5. Successful Strategies in Billing
Karen A. Zupko

Chapter 6. Strategic Appeals: Managing Denied Claims
Kimberley J. Pollock

Chapter 7. Legal Issues: Management Strategies and Avoiding Pitfalls
Patricia S. Hofstra and Alison T. Rosenblum

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
Kimberley J. Pollock and Betsy Nicoletti

Chapter 11. Demystifying Modifiers
Kimberley J. Pollock

Chapter 12. Billing and Coding for Telehealth Visits
Jennifer Bell

Section II. Office-Based Otolaryngology

Chapter 13. Office Rhinology
Seth M. Brown and Abtin Tabaee

Chapter 14. Otolaryngic Allergy
Gavin Setzen and Michelle Netoskie

Chapter 15. Office Laryngology
John W. Ingle and Clark A. Rosen

Chapter 16. Speech Pathology
Manderly Cohen and Michael Setzen

Chapter 17. Office Otology
Benjamin J. Wycherly

Chapter 18. Audiology
Debra Abel

Chapter 19. Office Facial Plastic Surgery
Sarah M. Kidwai and Amit D. Bhrany

Chapter 20. Office Head and Neck Surgery
Chetan Y. Safi and Marc A. Cohen

Chapter 21. Office Pediatric Otolaryngology
Kaitlyn B. Zenner, John P. Dahl, and Sanjay R. Parikh

Chapter 22. Office Sleep Medicine
Anit T. Patel

Chapter 23. In-Office Imaging
Gavin Setzen, Mary Lally, and Michelle Netoskie

Section III. Surgical Otolaryngology

Chapter 24. Basics of Surgical Coding
R. Peter Manes and Seth M. Brown

Chapter 25. Operative Rhinology
Justin P. McCormick and Jivianne T. Lee

Chapter 26. Operative Laryngology
Babak Sadoughi and Lucian Sulica

Chapter 27. Operative Otology
James Lin

Chapter 28. Operative Facial Plastic Surgery
Jeffrey D. Wilcox and Rebecca E. Fraioli

Chapter 29. Operative Head and Neck Surgery
Betty Y. Chen, Arun Sharma, Pardis Javadi, and Brendan C. Stack, Jr.

Chapter 30. Reconstructive Head and Neck Surgery
Adam S. Jacobson, Babak Givi, and Neal D. Futran

Chapter 31. Skull Base Surgery
Belachew Tessema and Jack A. Shohet

Chapter 32. Robotic Surgery
Justin R. Shinn, Steven B. Cannady, Bert W. O'Malley Jr., Gregory S. Weinstein, and Jason G. Newman

Chapter 33. Operative Pediatric Otolaryngology
Jay R. Shah

Chapter 34. Operative Sleep Surgery
Fred Y. Lin

Index