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2019 HCPCS Alpha-Numeric Index. Questions regarding coding and billing guidance should be submitted to the insurer in whose jurisdiction a claim would be filed. For private sector health insurance systems, please contact the individual private insurance entity. For Medicaid systems, please contact the Medicaid Agency in the state in which the claim is being filed. For Medicare, contact the Medicare contractor.
More information than most HCPCS books at a fraction of the cost. Includes HCPCS long descriptions, coverage action codes, PI and MPI data, CIM and MCM information, ASC information, plus much, much more. Expanded drug and alpha-numeric index with LARGER print.
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. Explanations of coding concepts are followed by practice exercises to reinforce understanding of the material. 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 text so thoroughly covers all coding sets in one source! A step-by-step approach makes it easier to build your skills and remember the material. 30-day trial access to TruCode® Encoder Essentials gives you experience with using an encoder (in addition to separate encoder practice exercises on the Evolve website). Learning Objective and glossary review questions are included at the end of each chapter. UNIQUE! Concrete "real-life" coding reports (cleared of any confidential information) simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. Instructor-led assessments on the companion Evolve website provide additional assessment options in classroom settings (answers and rationales provided at the discretion of your instructor). UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills. Over 450 total illustrations help you understand the types of medical conditions and procedures being coded, along with examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. UNIQUE! Coders’ Index in the back of the book makes it easy to quickly locate specific codes. 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 electronic health record screenshots (located in Appendix D) show examples similar to the EHRs you will encounter in the workplace. NEW! Updated content includes the latest coding information available, promoting accurate coding and success on the job. NEW! Additional exercise questions covering the Official Guidelines for Coding and Reporting.
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.
More than any other product on the market, the most successful Medical Assistants begin their careers with Kinn. Trusted for more than 60 years, Kinn's The Administrative Medical Assistant: An Applied Learning Approach, 14th Edition teaches you real-world administrative skills essential for a career in the modern medical office – always with a focus on application through unfolding case scenarios, critical thinking questions, procedure videos, and interactive exercises. The reorganized 14th edition includes expanded content on topics from professionalism and interpersonal skills to billing and coding, electronic health records, and practice management as well as a new chapter reviewing medical terminology, anatomy and physiology, and pathology. With an easy-to-read style and practical focus, paired with a full complement of separately sold adaptive solutions, real-world simulations, EHR documentation experience, and HESI remediation and assessment — you’ll learn the leading skills to prepare for certification and a successful career in the dynamic and growing Medical Assisting profession. Comprehensive coverage of all administrative procedures prepares you to run a medical office. 65 step-by-step illustrated procedures with rationales break down key administrative skills to master. Applied approach to learning helps you use what you’ve learned in a real-world setting, including case scenarios, critical thinking exercises, procedures videos, and interactive online activities. Thorough EHR coverage with access to hands-on activities incorporates use of SimChart® for the Medical Office software (sold separately) designed to ensure that you are practice-ready. Key vocabulary terms and definitions are presented at the beginning of each chapter and highlighted in text discussions. Summary of Learning Objectives serves as a checkpoint and study tool. Robust companion website includes chapter quizzes, sample certification exams, procedures videos, and interactive exercises. Patient education and legal and ethical features help relate content to practical use. NEW! Chapter reviews medical terminology, anatomy and physiology, and pathology to help you build a solid foundation. NEW! Reorganized and expanded content covers medical office accounts, collections, banking, and practice management to build a deep understanding of the workings of a medical office. NEW! Artwork focused on the workings of a modern medical office includes updated illustrations and photographs of procedures and medical records. NEW! Expanded and updated sample certification exams help you practice and prepare for certification. NEW! Streamlined presentation refines organization and writing for easy comprehension. NEW! Coverage of patient-centered care featured throughout textbook.
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 to build your coding skills and remember the material. 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). UNIQUE! "Real-life" coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. Online activities on Evolve provide extra practice with assignments, including coding reports. More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your 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 you will encounter in the workplace. NEW! Coding updates include the latest information available, promoting accurate coding and success on the job.
Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordney’s Medical Insurance equips you with the medical insurance skills you need to succeed in any of today’s outpatient settings. The 15th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart® for the Medical Office (SCMO) activities on the companion Evolve website give you the opportunity to practice using electronic medical records. UNIQUE! Interactive UB-04 Form filler on Evolve gives you additional practice with inpatient Electronic Health Records. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout highlights important HIPAA compliance issues to ensure you are compliant with the latest regulations. Separate chapter on documentation in the medical office covers the principles and rationales of medical documentation. Increased focus on electronic filing/claims submission prepares you for the industry-wide transition to electronic claims submission. Emphasis on the business of running a medical office and the importance of the medical insurance specialist prepares you for your role in the workplace. Detailed examples of potential situations throughout text signal you to be attentive to these types of occurrences. Specialized icons throughout text alert you to the connections and special considerations related to specific topics that medical insurance specialists need to be aware of. Procedures clearly outline in step-by-step format detail common responsibilities of the medical insurance specialist. SimChart® for the Medical Office (SCMO) application activities on the companion Evolve website add additional functionality to the insurance module on the SCMO roadmap. Key terms are defined and emphasized throughout the text to reinforce your understanding of new concepts and terminology. NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.
Prepare to succeed on your physician coding certification exam with Buck’s Physician Coding Exam Review 2020: The Certification Step! This extensive exam review provides complete coverage of all topics included on the physician coding certification exam — including anatomy, terminology, and pathophysiology for each body system; reimbursement issues; CPT, HCPCS, and ICD-10-CM coding; and more. Four full practice exams (with answers and rationales) simulate the testing experience and provide enough practice to reassure even the most insecure exam-taker. It’s the only physician coding exam review you need! UNIQUE! Four full practice exams on Evolve simulate the experience of taking the actual physician coding exam, allowing you to assess your strengths and weaknesses in order to develop a plan for focused study. Answers and rationales to questions on the practice exams let you check your work. Concise outline format helps you access key information quickly and study more efficiently. Mobile-optimized quick quizzes offer on-the-go practice with more than 350 medical terminology, pathophysiology, CPT, HCPCS, and ICD-10-CM questions. "Real-life" coding reports simulate the reports that you will encounter on the job, and challenge you to apply key coding principles to actual cases. Test-taking tips in the Success Strategies section guide you step-by-step through the entire exam process. NEW! Updated content features the latest coding information available, promoting accurate coding and success on the job.
UPDATED! Content organized to follow CAHIIM 2018 HIM Associate Degree curriculum competencies, allowing you to study content that matches your credentialing exam. NEW! Updated material fully addresses the newest curriculum competencies with the most contemporary picture of the health care landscape and job market. NEW! Cardinal focus on electronic health record processes in both ambulatory and acute care settings with new screens and images. UPDATED! Revised Statistics and Data Analytics chapter reinforces the role of the HIM professional as a data analyst, and includes introductory material on research methodologies. NEW! RHIT review question engine with custom exam and timer functionalities so you can study for the RHIT exam by category, or create timed mock exams. EXPANDED! Additional application exercises offer more opportunities to strengthen your understanding. UNIQUE! New Bloom’s-level Competency Milestone features assure instructors of your mastery of all competencies. NEW and UPDATED! Expanded coding and reimbursement content with hands-on exercises. NEW! Ethics Challenge and Critical Thinking exercises assess your learning. EXPANDED! Additional photos and images visually demonstrate HIM concepts and real-life scenarios.
The essential work in HIV for providers and pharmacists -- updated with everything they need to know in 2019! Assembled by the leading educational organization in HIV medicine, AAHIVM's Fundamentals of HIV Medicine 2019 is an end-to-end clinical resource for the treatment of individuals with HIV/AIDS. It offers state-of-the-art practical advice for physicians, pharmacists, nurse practitioners, and other professionals working in the care of HIV patients. Along with updates to the classic domains of HIV medicine, this new edition features expanded coverage of emerging topics, including: behavioral and therapeutic interventions to HIV prevention; updates on the pursuit of a cure; new DHHS and IAS guidelines and their clinical implications; and the myriad issues around aging with HIV. Embodying the American Academy of HIV Medicine's commitment to excellence in the care of seropositive patients, Fundamentals of HIV Medicine 2019 is must-have for health professionals across HIV care, treatment, and prevention.