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Author: Elsevier Publisher: Elsevier Health Sciences ISBN: 0323811329 Category : Medical Languages : en Pages : 1040
Book Description
ICD-10-PCS Official Guidelines for Coding and Reporting (OGCR) provide easier reference to coding rules when they are needed most. Convenient Guide to the 2022 Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Unique! Full-color anatomy plates (including Netter’s Anatomy art) are included in the front of the book to help you understand complex anatomic information and how it may affect choosing codes. American Hospital Association's Coding Clinic® citations include official ICD-10-PCS coding advice relating to specific codes and their usage. Hospital Acquired Condition (HAC) symbol notes procedures related to HACs as outlined in the MS-DRG. Symbols for Non-Covered and Limited-Coverage Procedures indicate related material outlined in the Definitions of Medicare Code Edits. Sex edits from the Definition of Medicare Code Edits denote codes that are used only with patients of a specific sex. Non-Operating Room Procedure symbols identify procedures that do and do not affect MS-DRG assignment. Combinations symbol identifies procedures that can affect MS-DRG assignment. Online Appendix: Procedure Combination Table displays each procedure cluster and the corresponding DRG, as well as a few procedure combinations that are designated as non-OR. NEW! Updated 2022 Official Code set reflects the latest ICD-10 codes needed for procedural coding.
Author: Elsevier Publisher: Elsevier Health Sciences ISBN: 0323811329 Category : Medical Languages : en Pages : 1040
Book Description
ICD-10-PCS Official Guidelines for Coding and Reporting (OGCR) provide easier reference to coding rules when they are needed most. Convenient Guide to the 2022 Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Unique! Full-color anatomy plates (including Netter’s Anatomy art) are included in the front of the book to help you understand complex anatomic information and how it may affect choosing codes. American Hospital Association's Coding Clinic® citations include official ICD-10-PCS coding advice relating to specific codes and their usage. Hospital Acquired Condition (HAC) symbol notes procedures related to HACs as outlined in the MS-DRG. Symbols for Non-Covered and Limited-Coverage Procedures indicate related material outlined in the Definitions of Medicare Code Edits. Sex edits from the Definition of Medicare Code Edits denote codes that are used only with patients of a specific sex. Non-Operating Room Procedure symbols identify procedures that do and do not affect MS-DRG assignment. Combinations symbol identifies procedures that can affect MS-DRG assignment. Online Appendix: Procedure Combination Table displays each procedure cluster and the corresponding DRG, as well as a few procedure combinations that are designated as non-OR. NEW! Updated 2022 Official Code set reflects the latest ICD-10 codes needed for procedural coding.
Author: Joan L. Usher Publisher: ISBN: 9781615692798 Category : Languages : en Pages : 0
Book Description
Have you started your ICD-10 training? If you haven't, the time to start is right now Nationally recognized coding expert, Joan L. Usher, BS, RHIA, COS-C, ACE, will help you begin training with her new, comprehensive ICD-10 coding training manual. Specific to home health, this manual gives detailed coding training and how-to guidance for the top diagnoses in the homecare setting and breaks down some of the biggest changes that are featured in ICD-10. When ICD-10 goes into effect, home health agencies must include ICD-10 coding on their claims to prove medical necessity of their services per Medicare coverage guidelines. ICD-10 coding is complex and even the most seasoned ICD-9 coder will need education and training to code correctly under this new system due to the significant increase in codes and specificity required with coding. ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment will provide coding tutorials, as well as, analysis and guidance on the most common diagnoses and most challenging coding situations within the homecare setting. The book also features an exam to test your knowledge and ensure coder proficiency. ICD-10 Coding for Home Health: A Guide to Medical Necessity and Payment is a companion resource to Beacon Health's ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation. Together, these resources will help your agency remain profitable and compliant under the ICD-10 coding system. This book provides: - Coding how-to for the most common diagnoses in the homecare setting - An overview of OASIS-C1 and how it will accommodate ICD-10 codes - Guidance on how to properly document and code in ICD-10 to ensure proper Medicare payment
Author: American Medical Association Publisher: ISBN: 9781640160811 Category : Languages : en Pages : 1250
Book Description
ICD-10-CM 2021: 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, determining coverage and ensuring appropriate reimbursement. Each of the 21 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 coding guidelines for 2021 are bound into this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2021 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. 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 full-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: Department Of Health And Human Services Publisher: Lulu.com ISBN: 9781716599989 Category : Medical Languages : en Pages : 128
Book Description
These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
Author: American Medical Association Publisher: American Medical Association Press ISBN: 9781622029235 Category : Health insurance claims Languages : en Pages : 0
Book Description
ICD-10-CM 2020: 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, determining coverage and ensuring appropriate reimbursement. Each of the 21 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 coding guidelines for 2020 are bound into this codebook. FEATURES AND BENEFITS - Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2020 codes. - QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MARCA. - The addition of more than 100 coding tips. Obtain insight into coding for physician and outpatient settings. - The addition of more than 300 new 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. - Intuitive features and format. This edition includes full-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 - Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes.
Author: Publisher: ISBN: 9781645351276 Category : Languages : en Pages : 1992
Book Description
Prepare for thousands of FY2022 code changes, more PDGM changes and annual coding guidance changes, that you will quickly need to understand in order to assign the correct codes and capture accurate reimbursement. To code claims accurately, you need a resource that is more than just the code set. You need a tool that will guide your code choices - DecisionHealth's Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2022. The Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2022, is the only ICD-10 coding manual that's created specifically for home health coders. It contains guidance, tips, definitions and scenarios to help you accurately code your home health claims. You simply won't find a more all-inclusive and user-friendly ICD-10 code book for home health on the market. DecisionHealth's Coding Manual includes a wide range of features to help ensure accurate coding and compliance, prevent denials and help your agency secure every reimbursement dollar earned. Plus, the 2022 edition includes features that will support your ongoing PDGM training needs. Exclusive features: NEW! FY2022 code updates that will impact home health coding NEW! COVID-19 codes and guidance released throughout 2022 Updated! PDGM payment icons found in the Tabular so you can quickly and easily identify key coding and reimbursement conventions tied to a specific code Updated! More than 1,000 tips that include the latest Coding Clinic updates to guide you, raise red flags and help you code correctly to stay in compliance and gain accurate reimbursement Updated! More than 100 home health coding scenarios, including ones featuring multiple comorbidities that will help illustrate correct code choice in PDGM for your most complicated claims. Also included are new COVID-19 scenarios, including how to code both suspected and confirmed cases Updated! Alerts on codes that are being denied with information on how to properly assign them to avoid having the claim denied ICD-10 guidelines embedded in the Tabular at the code level for the most commonly-used home health codes so that you can quickly access the rules you'll need to code accurately Illustrations and definitions throughout to help you identify diseases and conditions to enhance coding and critical-thinking skills Home health-specific narrative introductions, written in plain-English, at the start of each disease chapter that outline the key coding concepts you'll need to understand to ensure competency. Learn what is covered in each chapter, including sequencing issues, top home care diagnoses and case-mix information BONUS: Pre-printed tabs to make it easier to navigate the tabular chapters
Author: Joan L. Usher Publisher: Beacon Health, a Division of Blr ISBN: 9781601468352 Category : Languages : en Pages : 0
Book Description
ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation Remain profitable and compliant under the ICD-10 coding system, as you begin preparation for the upcoming transition. Beacon Health provides you with a three-step plan that takes you from understanding the differences between ICD-9 and ICD-10 to full-scale ICD-10 readiness at your agency with ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation. You will learn the fundamentals of ICD-10 coding, what you can do today to manage the transition to ICD-10, and how to prepare for the impact on your daily operations. Complete with a chronological, step-by-step ICD-10 implementation action plan for your entire agency, this book is the perfect primer to get you where you need to be in order to survive and thrive under ICD-10. This book will help you: Implement simple coding changes immediately to ease the burden of the transition in future months Familiarize your coders with the ICD-10 format to ensure a smooth transition and avoid interruption of payments during implementation Develop timelines to train clinicians in new documentation requirements and ensure readiness by the implementation date Achieve leadership buy-in for the necessary budget, policy changes, and infrastructure upgrade to accommodate ICD-10 requirements Prevent payment denials under ICD-10 by determining primary diagnosis and sequencing in the new coding system Compare what documentation is necessary now to what will be required under ICD-10 with an ICD-9/ICD-10 crosswalk tool Ensure system readiness with a list of questions to ask your vendor Execute a step-by-step action plan throughout your agency to ensure timely ICD-10 readiness Table of Contents Acronym Guide PART I: Understanding the Fundamentals of ICD-10-CM Coding Introduction The Origins of ICD Coding Getting to Know the ICD-10-CM Manual Understanding the Coding Manual: Format and Setup Alphabetical index Tabular listing (essential under ICD-10) Conventions and Terms Format and structure (categories, subcategories, code) The 3-7 characters expansion New dummy place holders The complex general coding guidelines Five Easy Steps to Accurate Coding PART II: Home Health Specifics: What You Need to Know Primary and Other Diagnoses Selection of the primary and other diagnoses Case mix diagnosis Home health plan of care Effective Management of the Coding Process Referral and clinical documentation impact on coding The query process Coding functions and productivity Coding manager required skills Coverage Criteria Eligibility for coverage The new face-to-face encounter Home health care CAHPS survey Conditions of coverage OASIS CoPs and OASIS requirements OBQI and OBQM pre-survey reports Home health compare Receiving Appropriate Reimbursement Home health PPS Medical supplies, non-routine supplies, and DME under PPS HHRG and case mix adjustments Case Mix and Coding Diagnostic categories Grouper logic Ethical Coding Practice HIPAA and coding practices Health care fraud and abuse Corporate Compliance AHIMA Standards of Ethical Coding PART III: ICD-10-CM Preparation and Implementation ICD-10 Implementation Planning Step-by-step plan Education tool Administration Leadership and Support Managing the Coding Function Intake, liaisons, clinician Query Query forms and questions Understanding GEM Fiscal and Billing Necessities Information Systems Readiness Checklist for vendor readiness Performance Improvement Data Compliance Oversight Valuable tools and forms include: ICD-9/ICD-10 crosswalk Step-by-step action plan for implementation Vendor readiness questions Query form for clinicians Query form for intake
Author: Publisher: ISBN: 9781645351214 Category : Languages : en Pages : 304
Book Description
DecisionHealth's Home Health ICD-10-CM Coding Companion, 2022 is the perfect educational resource to use in conjunction with your Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2022. It's your guide to accurate coding and compliance with expert guidance and comprehensive decision trees to help you navigate the ICD-10 code set. This instructional tool mirrors each disease-specific chapter of your Home Health ICD-10-CM Diagnosis Coding Manual, 2022. Each chapter contains: Updated! FY2022 code updates that will impact home health coding Updated! Coding guidance issued throughout 2021 so that you have the most updated rules to code home health claims accurately Updated! Coding and payment updates related to PDGM so that you understand how your coding will impact your agency's payment Tips and strategies for accurate ICD-10 coding, including key anatomy and physiology information Key coding guidelines you need to be aware of to ensure you're following the new coding rules A description of major code categories and conditions common to home health A glossary of terms specific to each disease chapter A guide to help resolve multiple coding and sequencing issues Bonus: Disease-specific coding decision trees, including ones for coding diabetes and its manifestations, wounds, anemia, neoplasms, CVA and late effects, COPD and more. Enhance your ICD-10 coding knowledge, validate your coding decisions and ensure proper payment for services delivered with the Home Health ICD-10-CM Coding Companion, 2022, the perfect companion to your Home Health ICD-10-CM Diagnosis Coding Manual.
Author: Publisher: ISBN: 9781645351849 Category : Languages : en Pages : 0
Book Description
Prepare for thousands of FY2023 code changes, more PDGM changes and annual coding guidance changes, that you will quickly need to understand in order to assign the correct codes and capture accurate reimbursement. To code claims accurately, you need a resource that is more than just the code set. You need a tool that will guide your code choices - DecisionHealth's Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2023. The Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2023, is the only ICD-10 coding manual that's created specifically for home health coders. It contains guidance, tips, definitions and scenarios to help you accurately code your home health claims. You simply won't find a more all-inclusive and user-friendly ICD-10 code book for home health on the market. DecisionHealth's Coding Manual includes a wide range of features to help ensure accurate coding and compliance, prevent denials and help your agency secure every reimbursement dollar earned. Plus, the 2023 edition includes features that will support your ongoing PDGM training needs. Exclusive features: NEW! FY2023 code updates that will impact home health coding NEW! COVID-19 codes and guidance released throughout 2022 Updated! PDGM payment icons found in the Tabular so you can quickly and easily identify key coding and reimbursement conventions tied to a specific code Updated! More than 1,000 tips that include the latest Coding Clinic updates to guide you, raise red flags and help you code correctly to stay in compliance and gain accurate reimbursement Updated! More than 100 home health coding scenarios, including ones featuring multiple comorbidities that will help illustrate correct code choice in PDGM for your most complicated claims. Also included are new COVID-19 scenarios, including how to code both suspected and confirmed cases Updated! Alerts on codes that are being denied with information on how to properly assign them to avoid having the claim denied ICD-10 guidelines embedded in the Tabular at the code level for the most commonly-used home health codes so that you can quickly access the rules you'll need to code accurately Illustrations and definitions throughout to help you identify diseases and conditions to enhance coding and critical-thinking skills Home health-specific narrative introductions, written in plain-English, at the start of each disease chapter that outline the key coding concepts you'll need to understand to ensure competency. Learn what is covered in each chapter, including sequencing issues, top home care diagnoses and case-mix information BONUS: Pre-printed tabs to make it easier to navigate the tabular chapters