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JustCoding's Guide to Emergency Department Coding will help coders by clearly explaining how to interpret CPT codes and coding guidelines to accurately report procedures performed in the ED and billed by the facility. The book guides coders through assigning the most specific CPT E/M codes for both physician and facility services. It also offers detailed CPT coding and reporting guidance for integumentary and musculoskeletal procedures commonly provided in the ED and billed by the facility. The final chapter breaks down complex documentation and coding requirements for hospital intravenous injection and infusion services.
JustCoding's Emergency Department Coding Handbook (Pack of 5) Nena Scott, MSEd, RHIA, CCS, CCS-P, CCDS, AHIMA-approved ICD-10-CM/PCS trainer This handbook is a quick reference guide for coders in emergency department (ED) settings. It guides coders through assigning visit levels and documentation requirements for a variety of common ED services. The handbook also includes anatomical illustrations for fractures. Table of Contents: Evaluation and Management Type A ED visit levels Type B ED visit levels Integumentary System Anatomy of skin Incision and drainage Debridement Repair Simple Intermediate Complex Burns, local treatment Musculoskeletal System Introduction or removal Removal of foreign body Injection (tendons, muscles, trigger point) Arthrocentesis Fracture and/or dislocation anatomy and coding Definitions of common types and terms Skull Neck (soft tissues) and thorax Shoulder Humerus (upper arm) and elbow Forearm and wrist Hand and fingers Pelvic and hip joint Femur (thigh region) and knee joint Lower leg and ankle joint Foot and toes Application of casts and strapping Respiratory System Nose Removal of foreign body
Emergency Room Coding will prepare you for the real world of coding in the emergency department setting. The text provides the beginning coder with a solid foundation of how to code ER charts. We focus on the diagnoses and procedures seen in the majority of community-based hospitals. The scenarios in this book are based on real life experiences and will provide the coder with situations s/he will most likely encounter in the emergency room coding environment. The study guide contains 32 emergency room records. The case studies are representative of what is commonly treated in most emergency rooms. Each case study contains an ER report and an answer worksheet. The ER record serves as a good teaching tool for new coders because ER records do not require as much clinical background to code as inpatient records. However, some of the injury cases may present a challenge for new coders. Also, unlike most coding textbooks, this study guide contains a complete ER report with a full explanation, not just thumbnail sketches. Therefore, Emergency Room Coding is more realistic than the one-to-two line diagnostic statements encountered in most coding textbooks. Finally, the Answer Key for the case studies contains a rationale for all code assignments, as well as directions for locating the correct diagnostic and procedure codes. A multiple choice final review quiz is included at the end of this study guide as an opportunity for coders to test their coding skill set. Emergency Room Coding is updated annually to reflect the annual coding changes. Who is this book for? Coders needing to develop ER coding skills Students/Beginning coders trying to get their first job Anyone needing to understand ER code assignment Coding supervisors HIM Directors Auditors/Compliance Officers Case Managers What's Inside? 32 Case Studies Dictated ER Reports Answer Key Rationale Instructions on how to locate codes in ICD-9 Coding Book Final Exam Linda Kobayashi, BA, RHIT, CCS, has been a coder and coding manager for almost 20 years. Since 1998, Ms. Kobayashi has owned and operated Codebusters, Inc., a nationwide coding consulting company. Widely regarded as a medical coding and auditing expert, she has conducted workshops on a variety of coding topics, including CCS Exam preparation workshops. Throughout her career the author has remained professionally active, as an AHIMA member as well as a member of her state association, CHIA (California health Information Association). Her formal training includes a teaching credential from California State University Los Angeles, a B.A. degree in English Literature from University of California Los Angeles, an RHIT from AHIMA after completing the RHIT program at East Los Angeles College, and a CCS certificate from AHIMA. Extensive experience as a hands-on coder, auditor and educator, and has given the author the expertise to help coders prepare for the professional coding environment.
Code faster — and with spot-on accuracy — with the Coders’ Specialty Guide 2024: Emergency Medicine. Are you ready to take on CPT® code changes? Are you looking for help to stop claim denials from siphoning off your revenue? Get the upper hand with fast and exact coding made easy. The ingeniously designed Coders' Specialty Guide 2024: Emergency Medicine makes nailing down the right code simple and convenient. All the information you need to gather for each service or procedure can be found in one place — official code descriptors, ICD-10 cross references, RVUs, NCCI edits, anatomical illustrations, expert coding tips, best-in-class strategies, and reimbursement details for Medicare. Plus, a description of the procedure in easy-to-understand terms, so you can confidently translate your providers’ notes into the correct codes. Zip through your coding challenges and safeguard your revenue with these features: Emergency medicine CPT® and HCPCS Level II procedure and service codes, including 2024 new and updated codes Category I-III codes along with official descriptors to facilitate simple code selection Complex emergency medicine procedures explained in plain English lay terms Emergency medicine coding and billing tips from industry experts to aid in reporting specific CPT® codes Updated Medicare reimbursement information for hospitals and physicians Facility and non-facility RVUs for greater accuracy in payments Crosswalks for modifiers NCCI edits to make accurate bundling decisions Vital indicators for global days, diagnostic tests, and more Emergency medicine terminology with lay definitions Quick-view ICD-10-CM crosswalks to check medical necessity Comprehensive specialty code index with page numbers for faster code look-up Easy navigation through headers with code ranges on each page Detailed anatomical illustrations Master 2024 CPT® and HCPCS Level II code changes, conquer compliance, and safeguard your revenue with the Coders' Specialty Guide 2024: Emergency Medicine. *CPT® is a registered trademark of the American Medical Association.
JustCoding's Guide to Modifiers: Hospital Outpatient Edition Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H Modifiers are a frequent audit target of CMS and the Office of Inspector General, with focused efforts against modifiers such as -25 and -59. JustCoding's Guide to Modifiers: Hospital Outpatient Edition features a comprehensive explanation of when to report each CPT(R)/HCPCS modifier, including coding tips and the latest regulations and guidance. Each chapter contains exercises that let you use real-life documentation, including operative reports and case studies, to test your knowledge on how to apply each modifier. This book will review the most recent guidance for each modifier, with citations from relevant regulatory documents. Table of Contents About the Author 1. Introduction 2. National Correct Coding Initiative Modifiers(Subsections: Modifiers -59, -XE, -XS, -XP, -XU, -58, -76 to -79, and -91)3. Evaluation and Management Modifiers (Subsections: Modifiers -25 and -27) 4. Anatomical Modifiers(Subsections: Modifiers -50, -RT, -LT, -E1 to -E4, -F1 to -F9, -FA, -LC, -LD, -LM, -RC, -RI, -T1 to -T9, and -TA)5. Reduced/Discontinued Services Modifiers (Subsections: Modifiers -52, -53, -73, and -74) 6. Medical Necessity Modifiers(Subsections: Modifiers -GA, -GX, -GY, and -GZ)7. Screening Services Modifiers(Subsections: Modifiers -GG and -PT)8. Outpatient Therapy Modifiers(Subsections: Modifiers -GN to -GP and -KX)9. Miscellaneous Modifiers(Subsections: Modifiers -CA, -ET, -JW, and -PA to -PC)10. Modifier Coding Compliance Quiz 11. Answer Key Benefits: Properly use modifiers to prevent audits Reduce confusion about when to use modifiers Get coding tips to clarify regulatory guidance and provide examples of which modifiers apply in different situations Access case studies and operative reports to test your knowledge of modifiers
JustCoding's Practical Guide to Coding Management Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS ICD-10's arrival changed more than code selection--it's also brought challenges related to coder productivity, coding quality and accuracy, staffing shortages, coder education and training, and the increased need for auditing. The old rules and standards for running a department no longer apply, and coding managers must update their efforts, just as coders themselves have. This book gives coding managers new benchmarks, standards, and tips to ensure they're running an effective coding department. It provides strategies for coder retention, best practices to balance internal and outsourced coders, and tips for managing on-site and remote staff. The book also provides much-needed information for managers on how to educate their teams on coding's role within the revenue cycle.
Resource ordered for the Health Information Technology program 105301.
​This practical resource provides hospitalists of all levels a comprehensive foundation for understanding the critical elements of hospital medicine. Beginning with an overview of the healthcare system, chapters provide relevant insights on management, regulations, evidence-based approaches, an awareness of safety and economic concerns and professional development skills. Perspectives on how hospitalist and hospital medicine teams can effectively engage this system to provide cost-effective, high-quality care are offered throughout this volume. With real-world guidance on the major tenets of hospital medicine, Hospital Medicine will serve as the definitive guide to a successful career in this rapidly evolving specialty.