{"title":"Outpatient Management of Chronic and Complex Conditions","authors":"","doi":"10.1542/9781610024471-part02-ch12","DOIUrl":"https://doi.org/10.1542/9781610024471-part02-ch12","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116933281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preventing Fraud and Abuse: Compliance, Audits, and Paybacks","authors":"","doi":"10.1542/9781610024471-part01-ch05","DOIUrl":"https://doi.org/10.1542/9781610024471-part01-ch05","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129856539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Consultations and Residential Evaluation and Management Services","authors":"","doi":"10.1542/9781610024471-part02-ch08","DOIUrl":"https://doi.org/10.1542/9781610024471-part02-ch08","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"6 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113944448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Qualified Nonphysician Health Care Professional Services","authors":"","doi":"10.1542/9781610024471-part02-ch13","DOIUrl":"https://doi.org/10.1542/9781610024471-part02-ch13","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132212413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preventive Services","authors":"","doi":"10.1542/9781610024471-part02-ch09","DOIUrl":"https://doi.org/10.1542/9781610024471-part02-ch09","url":null,"abstract":"Tufts Health Plan accepts and recognizes the use of modifier 33; when the primary purpose of the service is the delivery of an evidence based service in accordance with a USPSTF A or B rating in effect and other preventive services identified in preventive services mandates (legislative or regulatory), the service may be identified by adding 33 to the procedure. For separately reported services specifically identified as preventive, the modifier should not be used. Refer to our Modifier Payment Policy for more information regarding modifiers.","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124637564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation and Management Documentation Guidelines Other Than Office and Other Outpatient Services","authors":"","doi":"10.1542/9781610024471-part01-ch06","DOIUrl":"https://doi.org/10.1542/9781610024471-part01-ch06","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116679499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Test Your Knowledge! Answer Key","authors":"","doi":"10.1542/9781610024471-appendix_v","DOIUrl":"https://doi.org/10.1542/9781610024471-appendix_v","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130227062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Business of Medicine: Working With Current and Emerging Payment Systems","authors":"","doi":"10.1542/9781610024471-part01-ch04","DOIUrl":"https://doi.org/10.1542/9781610024471-part01-ch04","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"277 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121323271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modifiers and Coding Edits","authors":"","doi":"10.1542/9781610024471-part01-ch02","DOIUrl":"https://doi.org/10.1542/9781610024471-part01-ch02","url":null,"abstract":"","PeriodicalId":152959,"journal":{"name":"Coding for Pediatrics 2021","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130708443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}