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Author : Joe Rivet
Publisher : HC Pro, Inc.
ISBN 13 : 1578398150
Total Pages : 137 pages
Book Rating : 4.5/5 (783 download)
Download or read book Auditing Evaluation and Management Coding written by Joe Rivet and published by HC Pro, Inc.. This book was released on 2006 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Susan E. Garrison
Publisher :
ISBN 13 : 9781556454837
Total Pages : 0 pages
Book Rating : 4.4/5 (548 download)
Download or read book JustCoding's Guide to Modifiers: Hospital Outpatient Edition written by Susan E. Garrison and published by . This book was released on 2015-11-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: JustCoding's Guide to Modifiers: Hospital Outpatient Edition Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H Modifiers are a frequent audit target of CMS and the Office of Inspector General, with focused efforts against modifiers such as -25 and -59. JustCoding's Guide to Modifiers: Hospital Outpatient Edition features a comprehensive explanation of when to report each CPT(R)/HCPCS modifier, including coding tips and the latest regulations and guidance. Each chapter contains exercises that let you use real-life documentation, including operative reports and case studies, to test your knowledge on how to apply each modifier. This book will review the most recent guidance for each modifier, with citations from relevant regulatory documents. Table of Contents About the Author 1. Introduction 2. National Correct Coding Initiative Modifiers(Subsections: Modifiers -59, -XE, -XS, -XP, -XU, -58, -76 to -79, and -91)3. Evaluation and Management Modifiers (Subsections: Modifiers -25 and -27) 4. Anatomical Modifiers(Subsections: Modifiers -50, -RT, -LT, -E1 to -E4, -F1 to -F9, -FA, -LC, -LD, -LM, -RC, -RI, -T1 to -T9, and -TA)5. Reduced/Discontinued Services Modifiers (Subsections: Modifiers -52, -53, -73, and -74) 6. Medical Necessity Modifiers(Subsections: Modifiers -GA, -GX, -GY, and -GZ)7. Screening Services Modifiers(Subsections: Modifiers -GG and -PT)8. Outpatient Therapy Modifiers(Subsections: Modifiers -GN to -GP and -KX)9. Miscellaneous Modifiers(Subsections: Modifiers -CA, -ET, -JW, and -PA to -PC)10. Modifier Coding Compliance Quiz 11. Answer Key Benefits: Properly use modifiers to prevent audits Reduce confusion about when to use modifiers Get coding tips to clarify regulatory guidance and provide examples of which modifiers apply in different situations Access case studies and operative reports to test your knowledge of modifiers
Author : Rose T. Dunn
Publisher :
ISBN 13 : 9781683080886
Total Pages : 150 pages
Book Rating : 4.0/5 (88 download)
Download or read book Justcoding's Practical Guide to Coding Management written by Rose T. Dunn and published by . This book was released on 2016-10-01 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: JustCoding's Practical Guide to Coding Management Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS ICD-10's arrival changed more than code selection--it's also brought challenges related to coder productivity, coding quality and accuracy, staffing shortages, coder education and training, and the increased need for auditing. The old rules and standards for running a department no longer apply, and coding managers must update their efforts, just as coders themselves have. This book gives coding managers new benchmarks, standards, and tips to ensure they're running an effective coding department. It provides strategies for coder retention, best practices to balance internal and outsourced coders, and tips for managing on-site and remote staff. The book also provides much-needed information for managers on how to educate their teams on coding's role within the revenue cycle.
Author : Carol J. Buck
Publisher :
ISBN 13 : 9780323430821
Total Pages : 0 pages
Book Rating : 4.4/5 (38 download)
Download or read book Step-By-Step Medical Coding, 2017 Edition written by Carol J. Buck and published by . This book was released on 2016-12-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource ordered for the Health Information Technology program 105301.
Author : Robert J. Habicht
Publisher : Springer
ISBN 13 : 3319490923
Total Pages : 223 pages
Book Rating : 4.3/5 (194 download)
Download or read book Hospital Medicine written by Robert J. Habicht and published by Springer. This book was released on 2017-01-04 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical resource provides hospitalists of all levels a comprehensive foundation for understanding the critical elements of hospital medicine. Beginning with an overview of the healthcare system, chapters provide relevant insights on management, regulations, evidence-based approaches, an awareness of safety and economic concerns and professional development skills. Perspectives on how hospitalist and hospital medicine teams can effectively engage this system to provide cost-effective, high-quality care are offered throughout this volume. With real-world guidance on the major tenets of hospital medicine, Hospital Medicine will serve as the definitive guide to a successful career in this rapidly evolving specialty.
Author : Carol J. Buck
Publisher : Saunders
ISBN 13 : 9781437701845
Total Pages : 0 pages
Book Rating : 4.7/5 (18 download)
Download or read book Step-by-Step Medical Coding 2009 written by Carol J. Buck and published by Saunders. This book was released on 2008-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This money saving package includes Step-by-Step Medical Coding, 2009 Edition - Text and Virtual Medical Office.
Author : Elsevier
Publisher : Elsevier Health Sciences
ISBN 13 : 0323777333
Total Pages : 836 pages
Book Rating : 4.3/5 (237 download)
Download or read book Buck's Step-by-Step Medical Coding, 2021 Edition written by Elsevier and published by Elsevier Health Sciences. This book was released on 2020-11-08 with total page 836 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck's Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! - Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. - A step-by-step approach makes it easier for students to build coding skills and remember the material. - Learning objective and glossary review questions reinforce student understanding of key chapter concepts and terms. - 30-day trial to TruCode® Encoder Essentials gives students experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). - UNIQUE! "Real-life" coding reports (cleared of any confidential information) simulate the reports students will encounter as coders, and help them apply coding principles to actual cases. - Online activities on Evolve provide extra practice with assignments, including coding reports. - More than 450 illustrations help in understanding the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. - UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop students' coding ability and critical thinking skills. - UNIQUE! Coders' Index in the back of the book makes it easy to quickly locate specific codes. - Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. - Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. - Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. - Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records students will encounter in the workplace. - NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. - NEW! Coverage of CPT E/M Guidelines changes for Office and Other Outpatient codes.
Author : Elizabeth E. Lamkin
Publisher :
ISBN 13 : 9781601468284
Total Pages : 0 pages
Book Rating : 4.4/5 (682 download)
Download or read book The Rac Toolkit for Hospitals and Health Systems written by Elizabeth E. Lamkin and published by . This book was released on 2011-05-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program Amanda W. Berglund, MS, MBA; Elizabeth E. Lamkin, MHA Learn how to respond to RAC audits. And more importantly, how to prevent them. The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program is your answer to turning plans into proactive action for RAC success. Authors Elizabeth E. Lamkin, MHA, and Amanda W. Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Whether you are responding to a Recovery Auditor or another government auditor, your program must operate as effectively as possible. You will use their tested, proven, and practical tools that will help you build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical staff together for operational improvements that directly affect your bottom line. The RAC Toolkit for Hospitals and Health Systems will help you get the job done right. The RAC Toolkit for Hospitals and Health Systems will help you achieve the following goals: Take a systemic approach to RAC compliance Incorporate effective structure and processes to existing systems for measurable results Organize committees and facilitate information flow Appeal effectively and within deadlines Use proven tools and methods for an effective RAC program Table of Contents: Chapter 1: RAC Program Overview Chapter 2: Preparing for RAC Chapter 3: The Right Structure: Organizing the Committees Chapter 4: The Right People: Three Critical Roles for RAC Prevention Chapter 5: Additional RAC Stakeholders Chapter 6: Automated Reviews Chapter 7: Complex Review and Extrapolation Chapter 8 The Appeal Appendix (Acronyms and additional resources) Take advantage of these valuable tools included in your book: RAC appeal timeline RAC preparedness checklist RAC committee structure flowchart Organizational chart for RAC-related personnel Sample RAC committee meeting agenda Sample UR committee meeting agenda Complex case review worksheet Admission review continued stay and discharge review flowchart Patient status change letter template Automated review timeline Complex review timeline Appeal letter template for appeal level 1 redetermination CMS form 20027 CMS form 20034 CMS form DAB101
Author : American Academy of Professional Coders
Publisher : Cengage Learning
ISBN 13 : 9781285734583
Total Pages : 0 pages
Book Rating : 4.7/5 (345 download)
Download or read book Official CPC Certification Study Guide written by American Academy of Professional Coders and published by Cengage Learning. This book was released on 2014-12-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Packed with test-taking tips and techniques, the OFFICIAL CPC CERTIFICATION STUDY GUIDE delivers a current and comprehensive review that helps you maximize your success on the AAPC CPC Certification Exam. The guide begins with a complete summary of the business of medicine, giving you a solid understanding of the medical office and the role of the coder. It covers ICD-9-CM guidelines using real-life examples. Each body system is reviewed, including coverage of anatomy, related diagnosis coding, CPT coding, HCPCS Level II coding, and modifiers. End-of-chapter questions are modeled after those on the actual certification exam, while operative notes give you hands-on experience coding what you have learned. Additional testing techniques and an end-of-guide practice exam lets you put your skills to the test. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Author : Krista L. Lentine
Publisher : Springer Nature
ISBN 13 : 3030536181
Total Pages : 390 pages
Book Rating : 4.0/5 (35 download)
Download or read book Living Kidney Donation written by Krista L. Lentine and published by Springer Nature. This book was released on 2021-03-05 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a complete guide to the evaluation, care, and follow-up of living kidney donors. Living donor kidney transplantation is established as the best treatment option for kidney failure. However, despite the tremendous benefits of living donation to recipients and society, the outcomes and optimal care of donors themselves have received relatively less attention. Fortunately, things are changing – including recent landmark developments in living donor risk assessment, policy and guidance. This volume offers authoritative, evidence-based guidance on the full range of clinical scenarios encountered in the evaluation and care of living kidney donors. The approach to key elements of risk assessment, ethical considerations and informed consent is accompanied by recommendations for patient-centered care before, during, and after donation. Advocacy initiatives and policies to remove disincentives to donation and advance a defensible system of practice are also discussed. General and transplant nephrologists, as well as related allied health professionals, can look to this book as a comprehensive resource addressing contemporary clinical topics in the practice of living kidney donation.
Author : American Medical Association
Publisher :
ISBN 13 : 9781640161559
Total Pages : 1250 pages
Book Rating : 4.1/5 (615 download)
Download or read book ICD-10-CM 2022 the Complete Official Codebook with Guidelines written by American Medical Association and published by . This book was released on 2021-09-20 with total page 1250 pages. Available in PDF, EPUB and Kindle. Book excerpt: ICD-10-CM 2022: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, correct documentation, determining coverage and ensuring appropriate reimbursement. Each of the 22 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official 2022 coding guidelines are included in this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes Improved icon placement for ease of use New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes.
Author : American Medical Association
Publisher : Cengage Learning
ISBN 13 : 9781603592178
Total Pages : 0 pages
Book Rating : 4.5/5 (921 download)
Download or read book CPT 2011 written by American Medical Association and published by Cengage Learning. This book was released on 2010-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Color coded and thumb index tabs./Includes index.
Author : Joe Rivet
Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781601468215
Total Pages : 0 pages
Book Rating : 4.4/5 (682 download)
Download or read book Auditing Evaluation and Management Services, Second Edition written by Joe Rivet and published by Hcpro, a Division of Simplify Compliance. This book was released on 2011-06-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Auditing Evaluation and Management Services: A Step-By-Step Guide to Accurate Coding, Reimbursement and Compliance, Second Edition Joe Rivet, CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHC Turn E/M audits into informative reports that minimize your compliance risk The government is increasing its scrutiny of physician E/M coding. Conducting your own E/M coding audits is best practice to effectively: Analyze complex code assignment options to select the appropriate code Assign an appropriate E/M code based on documentation in the record Identify opportunities for increased revenue and ways to reduce compliance risks Understand the rules and regulations that apply to E/M services billed to Medicare Auditing Evaluation and Management Services is an essential tool to ensure audit success and E/M compliance. This second edition goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas. Author Joe Rivet delivers step-by-step guidance from beginning to end of the E/M audit process. You'll learn how to Select an E/M code, Conduct an entire audit of your E/M services Report your E/M audit findings With this foundation, you'll be well prepared to enhance compliance and identify undercoding, underreporting, overcoding, revenue opportunities, and avenues for documentation improvement. Auditing Evaluation and Management Services, Second Edition, will help practices enhance existing auditing programs by explaining how to determine accurate E/M error rates and assess risk. You will learn how to: Determine proper E/M code selection Conduct risk assessments Structure audits, using the provided E/M audit tool, and package audits Create provider audit summary reports, practice audit summary reports, missed revenue reports, and an action plan Follow guidelines for facility E/M services and interpret the rules governing E/M services involving residents or fellows (including acceptable and unacceptable documentation) Develop a compliance plan and educate a variety of audiences from physicians to coding staff Take a look at the table of contents E/M Code Categories NEW! Selecting an E/M Code Conducting a Risk Assessment E/M Audit Structure Using an Audit Tool Packaging an Audit Facility E/M Services NEW! Teaching Physician Services NEW! Developing a Compliance Plan Education Techniques NEW! What's new? New chapters devoted to: E/M Code Categories Facility E/M Services Teaching Physicians Education Techniques Who will benefit from this book? Auditors and compliance officers in physician practices and hospitals Health systems that own physician practices Business managers Office managers Practice administrators Coding, billing, and reimbursement managers and staff Earn continuing education credits American Academy of Professional Coders This program has prior approval of the American Academy of Professional Coders (AAPC) for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or the program sponsor. American Health Information Management Association This program has been approved for 4 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
Author : American Medical Association
Publisher : Cengage Learning
ISBN 13 : 9781622020270
Total Pages : 0 pages
Book Rating : 4.0/5 (22 download)
Download or read book CPT 2015 written by American Medical Association and published by Cengage Learning. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This codebook helps professionals remain compliant with annual CPT code set changes and is the AMAs official coding resource for procedural coding rules and guidelines. Designed to help improve CPT code competency and help professionals comply with current CPT code changes, it can help enable them to submit accurate procedural claims.
Author : Rose T Dunn
Publisher :
ISBN 13 : 9781683087106
Total Pages : 164 pages
Book Rating : 4.0/5 (871 download)
Download or read book The Essential Guide to Coding Audits written by Rose T Dunn and published by . This book was released on 2018-04 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : International Association of Plumbing and Mechanical Officials
Publisher :
ISBN 13 : 9781944366285
Total Pages : pages
Book Rating : 4.3/5 (662 download)
Download or read book 2019 California Plumbing Code written by International Association of Plumbing and Mechanical Officials and published by . This book was released on 2019-07 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2019 Edition of the California Plumbing Code© (CPC) contains plumbing design and construction standards. Provisions contained in the CPC provide minimum standards to safeguard life or limb, health, property and public welfare. It also protects against hazards that may arise from the use of plumbing piping and systems by regulating and controlling the design, construction, installation, quality of materials, location and operation of plumbing piping systems within the State of California.
Author : Duane C. Abbey
Publisher : HC Pro, Inc.
ISBN 13 : 9781578395750
Total Pages : 238 pages
Book Rating : 4.3/5 (957 download)
Download or read book Emergency Department Coding and Billing written by Duane C. Abbey and published by HC Pro, Inc.. This book was released on 2005 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt:
