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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.
The newest edition of this best-selling educational resource contains the essential information needed to understand all sections of the CPT codebook but now boasts inclusion of multiple new chapters and a significant redesign. The ninth edition of Principles of CPT(R) Coding is now arranged into two parts: - CPT and HCPCS coding - An overview of documentation, insurance, and reimbursement principles Part 1 provides a comprehensive and in-depth guide for proper application of service and procedure codes and modifiers for which this book is known and trusted. A staple of each edition of this book, these revised chapters detail the latest updates and nuances particular to individual code sections and proper code selection. Part 2 consists of new chapters that explain the connection between and application of accurate coding, NCCI edits, and HIPAA regulations to documentation, payment, insurance, and fraud and abuse avoidance. The new full-color design offers readers of the illustrated ninth edition a more engaging and far better educational experience. Features and Benefits - New content! New chapters covering documentation, NCCI edits, HIPAA, payment, insurance, and fraud and abuse principles build the reader's awareness of these inter-related and interconnected concepts with coding. - New learning and design features -- Vocabulary terms highlighted within the text and defined within the margins that conveniently aid readers in strengthening their understanding of medical terminology -- "Advice/Alert Notes" that highlight important information, exceptions, salient advice, cautionary advice regarding CMS, NCCI edits, and/or payer practices -- Call outs to "Clinical Examples" that are reminiscent of what is found in the AMA publications CPT(R) Assistant, CPT(R) Changes, and CPT(R) Case Studies -- "Case Examples" peppered throughout the chapters that can lead to valuable class discussions and help build understanding of critical concepts -- Code call outs within the margins that detail a code description -- Full-color photos and illustrations that orient readers to the concepts being discussed -- Single-column layout for ease of reading and note-taking within the margins -- Exercises that are Internet-based or linked to use of the AMA CPT(R) QuickRef app that encourage active participation and develop coding skills -- Hands-on coding exercises that are based on real-life case studies
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
The culmination of more than 25 years of clinical work and research, this is the authoritative presentation of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD). Written by the treatment's developers, the book includes session-by-session guidelines for implementation, complete with extensive sample dialogues and 40 reproducible client handouts. It explains the theoretical and empirical underpinnings of CPT and discusses how to adapt the approach for specific populations, such as combat veterans, sexual assault survivors, and culturally diverse clients. The large-size format facilitates photocopying and day-to-day use. Purchasers also get access to a Web page where they can download and print the reproducible materials. CPT is endorsed by the U.S. Departments of Veterans Affairs and Defense, the International Society of Traumatic Stress Studies, and the U.K. National Institute for Health and Care Excellence (NICE) as a best practice for the treatment of PTSD.
The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.
CPTr coding education straight from the source! The AMA, the expert in CPT coding, offers this new publication on the Introduction to CPTr Coding: Basic principles to learning, understanding and applying the CPT code set. This entry-level coding education resource can be used alone or in a classroom setting. Students and self-learners entering the coding and billing field will learn how to appropriately select the correct codes for the services and procedures performed. It is crucial to understand and correctly apply the CPT coding guidelines for each section and subsection of the CPT codebook. This valuable resource addresses the general guidelines for each at the beginner's level, and facilitates comprehension and application of the CPT coding guidelines. Each chapter contains valuable features to provide further educational guidance on appropriate coding, such as: * Check your Knowledge -- questions and answers to test your comprehension of the material * Key Terms -- defines fundamental terms used within the text for ease of use * Coding Tips -- helpful information listed throughout each chapter * Illustrations -- specific to the anatomy of the procedures and codes * "Real-life" coding examples -- teach you how to apply your new skills * Chapter exercises-- hands-on exercises challenge your knowledge of each chapter Whether you are a student or a self-learner, this book will teach you the essentials of CPT coding, and help to launch you into the exciting career of coding.
An invaluable resource for CPT(R) surgical coding with integrated anatomical instructions and illustrations. No other book brings anatomic and coding concepts together with the same degree of completeness and educational value. This brand new publication from the AMA unites annotated CPT surgical codes and descriptions with clinically significant renderings by renowned medical illustrator, Frank H. Netter, MD, to simplify the navigation through complex operative reports for CPT code abstraction. This is an ideal tool to boost anatomical knowledge within the context of CPT codes. Features and Benefits: - More than 700 individual Netter illustrations paired with specific code ranges to guide code selection - Figure captions provide full descriptions about the anatomies and procedures illustrated by the images to assist in code selection - Unique feature Coding Atlas presents additional information and details of anatomy related to procedures within specific CPT code ranges - A comprehensive glossary of procedural and anatomical terms simplifies complex terminology to promote further understanding - Chapter openers deliver an overview of the anatomical system(s) to provide a basic understanding of pathophysiology that may affect code selection - Written by Sheri Poe Bernard who has a 20-year history developing coding education and training tools, including serving as vice president of clinical coding content at AAPC
This is the only CPT codebook with official CPT coding rules and guidelines developed by the CPT editorial panel. The 2017 edition covers hundreds of code, guideline, and text changes. In addition to the most comprehensive updates to the CPT code set, this edition...includes notable changes to these subsections: cardiovascular system, mammography, moderate sedation, musculoskeletal, pathology and laboratory, physical medicine, prolonged services, radiation oncology, respratory system, synchronous telemedicine services and vaccines. Exclusive features include procedural and anatomical illustrations; clinical examples of the CPT codes for E/M services; and updated citations. -- back cover.