Fordney's Medical Insurance - Text and Workbook Package PDF Download

Author: Linda Smith
Publisher: Saunders
ISBN: 9780323708524
Category :
Languages : en
Pages :

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Author: American Medical Association
Publisher:
ISBN: 9781640161597
Category :
Languages : en
Pages : 900

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Book Description
ICD-10-PCS 2022: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders. ICD-10-PCS contains classifications for procedures, devices, and technologies. FEATURES AND BENEFITS Summary of changes. Quickly see how additions and deletions affect each section of ICD-10-PCS. Complete ICD-10-PCS 2022 code set. The code set is organized in 17 sections. Each section contains a code table by which a code can be built through character selections that reflect the procedure performed. A character meanings table and citations to American Hospital Association's Coding Clinic(R) start each section. Official coding guidelines. Learn how to use the code set appropriately following the guidelines specific for each section. Illustrations. The color illustrations provide a visual explanation of anatomy and procedural approach. Approach illustrations show the access location, method, and instrumentation that determine the approach. Body parts with indicators to applicable code characters (provided immediately after the Character Meaning tables in the Medical/Surgical sections) Visual alerts. This edition provides color-coding and symbols that identify male/female procedures and new/revised character values. Detailed information on structure and conventions of ICD-10-PCS. Learn about the unique structure and the specific definitions and functions of each character. Practice your skills with sample exercises (answers included). Color-coding and symbols for the Medicare Code Edits. This edition includes color-coding and symbols for the most comprehensive coverage of ICD10 MS-DRG MCEs for procedures including; Non-covered procedures Limited-coverage procedures Combination-only procedures Non-operating room procedures affecting MS-DRG assignment Non-operating room procedures not affecting MS-DRG assignment Hospital-acquired condition (HAC)-related procedures Procedure combination tables. Identify ICD-10-PCS code-combination requirements needed to satisfy certain MS-DRG requirements. Valuable resources to enhance productivity. Resources to help guide the user, including: Root operation definition table for medical/surgical section Root operation for medical/surgical section, grouped by objective Operation/Type definition tables for other ICD-10-PCS sections Body-part definitions and body-part key for accurate identification of correct body-part character Device key and device aggregation tables Approach definitions Substance key

Author: Linda M. Smith
Publisher: Elsevier Health Sciences
ISBN: 0323810748
Category : Medical
Languages : en
Pages : 547

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- NEW! Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student. - NEW! Scenario boxes help you apply concepts to real-world situations. - NEW! Quick Review sections summarize chapter content and also include review questions. - NEW! Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter's content. - NEW! Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.

Author: Elsevier
Publisher: Elsevier Health Sciences
ISBN: 0323764150
Category : Business & Economics
Languages : en
Pages : 720

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Book Description
30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder, plus access to additional encoder practice exercises on the Evolve website. ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting provide fast, easy access to instructions on proper application of codes. Coverage of both common and complex procedures prepares you for inpatient procedural coding using ICD-10-PCS. Numerous and varied examples and exercises within each chapter break chapters into manageable segments and help reinforcing important concepts. Illustrations and examples of key diseases help in understanding how commonly encountered conditions relate to ICD-10-CM coding. Strong coverage of medical records provides a context for coding and familiarizes you with documents you will encounter on the job. Illustrated, full-color design emphasizes important content such as anatomy and physiology and visually reinforces key concepts.

Author: Elsevier
Publisher: Elsevier
ISBN: 9780323715331
Category : Medical
Languages : en
Pages :

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Author: American Medical Association
Publisher:
ISBN: 9781640161559
Category :
Languages : en
Pages : 1250

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Book Description
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:
ISBN: 9781640160873
Category :
Languages : en
Pages : 1200

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Book Description
CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.

Author: Karen Smiley
Publisher: John Wiley & Sons
ISBN: 1119625440
Category : Medical
Languages : en
Pages : 355

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Book Description
The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

Author: Michelle Green
Publisher:
ISBN: 9780357621356
Category :
Languages : en
Pages : 704

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Book Description
Strengthen your skills and develop a solid foundation in medical insurance processing and revenue management with Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2022 Edition. This reader-friendly, comprehensive resource explains the latest developments and medical code sets and coding guidelines as you learn how to assign ICD-10-CM, CPT 2022 codes and HCPCS level II codes, complete health care claims and master revenue management concepts. You focus on important topics such as the latest managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity and common health insurance plans. New material introduces electronic claims, performance measurement and processing clinical quality language. A helpful workbook provides hands-on assignments and case studies, while MindTap online resources offer practice in CMS-1500 claims completion and assigning codes.

Author: Sheri Poe Bernard
Publisher: American Medical Association Press
ISBN: 9781640160392
Category :
Languages : en
Pages : 500

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Book Description
Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. The impact of risk-adjustment coding (hierarchical condition category (HCC) coding) on a practice should not be underestimated: More than 75 million Americans are enrolled in risk-adjusted insurance plans. This population represents more than 20% of those insured in the United States. Insurance risk pools under the Affordable Care Act include risk adjustment. CMS has proposed expanding audits on risk-adjustment coding. FEATURES AND BENEFITS Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, and guidance for development of internal risk-adjustment coding policies. Ten chronic disease ICD-10-CM coding summaries for quick reference and study. Two appendices offering mappings and tabular information of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. "Advice/Alert Notes" that highlight important coding and documentation advice from federal regulatory sources. "Sidebars" that provide derivative story and additional information, such as "Coding Tips" that guide coders with practical advice from sources like AHA's Coding Clinic and cautionary notes about conflicts and exceptions "Clinical Examples" that underscore key documentation issues for risk adjustment "Clinical Coding Examples" that provide snippets or full encounter notes and codes to illustrate risk-adjustment coding and documentation concepts "Documentation tips" that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms "Examples" that explain difficult concepts and promote understanding of those concepts as they relate to a section "FYI" call outs that provide quick facts "Abstract & Code It!" exercises that test diagnosis abstraction and coding skills (exclusive to Chapter 4) Extensive end-of-chapter "Evaluate Your Understanding" sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.