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- NEW! Updated 2018 code set features the latest Healthcare Common Procedure Coding System codes to comply with current HCPCS standards for fast and accurate coding. - NEW! More full-color illustrations enhance understanding of specific coding situations.
Organized for quick and accurate coding, HCPCS Level II 2019 Professional Edition codebook includes the most current Healthcare Common Procedure Coding System (HCPCS) codes and regulations, which are essential references needed for accurate medical billing and maximum permissible reimbursement. This professional edition includes such features as Netter's Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment payment and status indicators. Features and Benefits - Full-color Netter's Anatomy illustrations clarify complex anatomic information and how it affects coding. - At-a-glance code listings and distinctive symbols identify all new, revised, reinstated and deleted codes for 2019. - The American Hospital Association Coding Clinic(R) for HCPCS citations provides sources for information about specific codes and their usage. - Convenient spiral binding provides easy access in practice settings. - Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. - Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs. - Color-codedTable of Drugs makes it easier to find specific drug information. - Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers. - Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. - American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place. - Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers and Medicare administrative contractors for DMEPOS services. - Special coverage information provides alerts when codes have specific coverage instructions, are not valid or covered by Medicare or may be paid at the carrier's discretion. - Age/Sex edits identify codes for use only with patients of a specific age or sex.
- NEW! Updated 2018 code set features the latest Healthcare Common Procedure Coding System codes to comply with current HCPCS standards for fast and accurate coding.
CPT® 2021 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services. Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT® code set is a dynamic, everchanging standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT® 2021 Professional Edition. Only the AMA, with the help of physicians and other experts in the health care community, creates and maintains the CPT code set. No other publisher can claim that. No other codebook can provide the official guidelines to code medical services and procedures properly. FEATURES AND BENEFITS The CPT® 2021 Professional Edition codebook covers hundreds of code, guideline and text changes and features: CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology citations -- provides cross-referenced information in popular AMA resources that can enhance your understanding of the CPT code set E/M 2021 code changes - gives guidelines on the updated codes for office or other outpatient and prolonged services section incorporated A comprehensive index -- aids you in locating codes related to a specific procedure, service, anatomic site, condition, synonym, eponym or abbreviation to allow for a clearer, quicker search Anatomical and procedural illustrations -- help improve coding accuracy and understanding of the anatomy and procedures being discussed Coding tips throughout each section -- improve your understanding of the nuances of the code set Enhanced codebook table of contents -- allows users to perform a quick search of the codebook's entire content without being in a specific section Section-specific table of contents -- provides users with a tool to navigate more effectively through each section's codes Summary of additions, deletions and revisions -- provides a quick reference to 2020 changes without having to refer to previous editions Multiple appendices -- offer quick reference to additional information and resources that cover such topics as modifiers, clinical examples, add-on codes, vascular families, multianalyte assays and telemedicine services Comprehensive E/M code selection tables -- aid physicians and coders in assigning the most appropriate evaluation and management codes Adhesive section tabs -- allow you to flag those sections and pages most relevant to your work More full color procedural illustrations Notes pages at the end of every code set section and subsection
- Updated 2018 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding. - New Non-Operating Room Procedure symbols identify procedures that do and do not affect MS-DRG assignment.
CPT(R) 2019 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services.
Master the complexities of health insurance with this easy-to-understand guide! Health Insurance Today: A Practical Approach, 7th Edition provides a solid foundation in basics such as the types and sources of health insurance, the submission of claims, and the ethical and legal issues surrounding insurance. It follows the claims process from billing and coding to reimbursement procedures, with realistic practice on the Evolve website. This edition adds coverage of the latest advances and issues in health insurance, including EHRs, Medicare, and other types of carriers. Written by Medical Assisting educators Janet Beik and Julie Pepper, this resource prepares you for a successful career as a health insurance professional. - What Did You Learn? review questions, Imagine This! scenarios, and Stop and Think exercises ensure that you understand the material, can apply it to real-life situations, and develop critical thinking skills. - Clear, attainable learning objectives highlight the most important information in each chapter. - CMS-1500 software with case studies on the Evolve companion website provides hands-on practice with filling in a CMS-1500 form electronically. - UNIQUE! UB-04 software with case studies on Evolve provides hands-on practice with filling in UB-04 forms electronically. - UNIQUE! SimChart® for the Medical Office (SCMO) cases on Evolve give you real-world practice in an EHR environment. - HIPAA Tips emphasize the importance of privacy and of following government rules and regulations. - Direct, conversational writing style makes it easier to learn and remember the material. - End-of-chapter summaries relate to the chapter-opening learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review. - Chapter review questions on Evolve help you assess your comprehension of key concepts - NEW and UNIQUE! Patient's Point of View boxes enable you to imagine yourself on the other side of the desk. - NEW and UNIQUE! Opening and closing chapter scenarios present on-the-job challenges that must be resolved using critical thinking skills. - NEW! End-of-chapter review questions ensure that you can understand and apply the material. - NEW! Clear explanations show how electronic technology is used in patient verification, electronic claims, and claims follow-up. - NEW! Coverage of the Affordable Care Act introduces new and innovative ways that modifications to the ACA allow people to acquire healthcare coverage. - NEW! Updated information addresses all health insurance topics, including key topics like Medicare and Electronic Health Records. - NEW! More emphasis on electronic claims submission has been added. - NEW! Updated figures, graphs, and tables summarize the latest health insurance information.
- 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.