Showing posts with label 2016. Show all posts
Showing posts with label 2016. Show all posts

Thursday, 16 February 2017

The Next Step: Advanced Medical Coding and Auditing, 2016 Edition

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The Next Step: Advanced Medical Coding and Auditing, 2016 Edition Info

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Mastering advanced medical coding skills is easier with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2016 Edition uses real-world patient cases to explain coding for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Hands-on practice with physician documentation helps you take the next step in coding proficiency. With this guide from coding author and educator Carol J. Buck, you will learn to confidently pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and then properly audit cases.

  • UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service.
  • Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on-the-job by using actual medical records.
  • More than 185 full-color illustrations depict and clarify advanced coding concepts.
  • From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice.
  • UPDATED content includes the latest coding information available, for accurate coding and success on the job.

 

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Wednesday, 15 February 2017

ICD-10-CM Expert for Hospitals 2016

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ICD-10-CM Expert for Hospitals 2016

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ICD-10-CM Expert for Hospitals 2016 Description

.

**New 2017 Edition will be available September 2016**

The 2016 ICD-10-CM Expert for Hospitals featuring our hallmark color-coding and symbols reflecting the new ICD-10 MS-DRG reimbursement edits makes facing the challenges of the new code set and reimbursement system easier.

Use the code book that contains the HIPAA-mandated ICD-10-CM code set, plus the familiar Optum360 coding and reimbursement alerts you have come to rely upon in your ICD-9-CM code books.

Set the standard for coding accuracy, the cornerstone of health care analytics and revenue cycle management, with the confidence only an Optum360 product can deliver.

Key Features and Benefits

New Optum360 Edge Coding Guideline Explanations and Examples. In addition to the Official Guidelines for Coding and Reporting, new sections have been added at the beginning of each chapter with detailed explanations and examples related to application of the ICD-10-CM coding guidelines.

New Optum360 Edge Supplementary Appendixes (exclusive to the Optum360 Expert Edition). Several appendixes have been added that provide supplementary information including:

10 steps to correct coding with coding examples

Valid 3-character ICD-10-CM codes

Complication and comorbidity (CC) code list

Major complication and comorbidity (MCC) code list

Pharmacological listings by chapter

Present on admission (POA) tutorial

Optum360 Edge Intuitive features and format. Ease into the new classification system using intuitive visual alerts to highlight code groupings as well as the distinctions between code choices plus, added features that make finding specific sections easier.

Optum360 Edge Placeholder X. A reference icon (designed and used exclusively by Optum360) alerts the coder to a new ICD-10-CM convention the use of a placeholder X.

Optum360 Edge PDx acting as CC and MCC Alert Symbols. This symbol (designed and used exclusively by Optum) alerts the coder to a new key factor in the DRG10 system that some diagnoses act as both PDx and CC or MCC.

Optum360 Edge Color-coding and symbols for the Medicare Code Edits. This edition includes all our hallmark color-coding and symbols for the most comprehensive coverage of MCEs for diagnoses.

Age

Sex

Manifestation codes

Unacceptable PDx

Hospital acquired condition (HAC)

CC and MCC with Exclusion List

New edit CC as PDx and MCC as PDx

HIV

Optum360 Edge Exclusive Following references in the indexes. The Following references help coders locate those alphanumeric codes that are out of sequence in the tabular.

Optum360 Edge Additional character required symbols. Know when an additional character is required for code specificity and validity to avoid invalid code submissions (provided in index and tabular section).

Key Word. Green font is used to differentiate key words that appear in similar code descriptions in a given category.

Illustrations. Featuring anatomy and terminology included in the ICD-10-CM classification system.

ICD-10-CM official conventions. This new coding system comes with new conventions that are concisely outlined for quick reference.

ICD-10-CM official coding guidelines. Build a solid coding practice foundation and understanding and get the new coding system right the first time.

Official index. Navigate through the official index to the tabular section and external causes using our exclusive shade guides to easily identify sub-term levels under main terms.

Table of Drugs and Chemicals and Neoplasm Table. Tables within ICD-10-CM with shaded columns and check additional character symbols.

HIPAA compliance. Comply with HIPAA requirements..


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Monday, 5 September 2016

The Coders' Desk Reference for Procedures - 2016

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The Coders' Desk Reference for Procedures - 2016 Info

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The Coders Desk Reference for Procedures
The Coders' Desk Reference for Procedures is a comprehensive resource for all 2016 CPT® codes. This all-inclusive tool helps identify the minute differences between, and components of, similar CPT® codes.

You'll code more accurately from operative reports and produce cleaner claims the first time by improving your understanding of the clinical meanings behind the codes and checking billing and coding information for Medicare.

Plus, this reference is ideal for training new coders and medical staff in the CPT® coding system.
Key Features and Benefits
Comprehensive CPT® code listing with CPT® procedure lay descriptions. Eliminate the need for multiple resources with a one-stop resource of more than 8,000 CPT® codes and 6,000 lay descriptions for surgery, laboratory/pathology, radiology, and medicine codes.

E/M code explanations. Discover the best ways to assign and document evaluation and management (E/M) codes.

Billing and modifier definitions and usage rules. Reduce research time and improve coding accuracy with a complete modifier list, accompanied by narrative explanations to ensure proper use of modifiers and E/M codes.

Surgical terms chapter. Define the components of surgical procedures, and break the terms into components to assist with code assignment.

Procedure eponym crosswalk. Locate eponym definitions and code links in an alphabetically organized section.

Reimbursement terms glossary. Understand terminology often used by payers with clear definitions.

Abbreviation, acronym, symbol, prefix, and suffix tutorial. Learn ways to understand and use these valuable tools for more efficient CPT® coding.

Anatomical illustrations. Recognize the body sites described in operative reports with helpful illustrations.
CPT® is a registered trademark of the American Medical Association..


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Thursday, 28 April 2016

2016 ICD-10-CM Hospital Professional Edition, 1e

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2016 ICD-10-CM Hospital Professional Edition, 1e

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2016 ICD-10-CM Hospital Professional Edition, 1e Info

.

Select diagnosis codes accurately with Carol J. Buck's 2016 ICD-10-CM for Hospitals: Professional Edition. Designed by coders for coders, this full-color manual includes all the ICD-10 codes needed for today’s inpatient and Medicare coding. As coders need more extensive knowledge to code with ICD-10-CM ― and to choose from the thousands of possible codes ― this edition provides an essential background in A&P, pathology, and medical terminology, along with colorful Netter’s Anatomy illustrations and clear instructions for using the book. Together with the durable spiral binding, these features make professional diagnosis coding faster and easier. Also included is a companion website with the latest coding news and updates!

  • UNIQUE! Full-color Netter’s Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List, to help you understand anatomy and how it may affect choosing codes.
  • Official Guidelines for Coding and Reporting (OGCRs) are listed in full and also integrated within the code set, providing fast, easy access to coding rules.
  • Convenient Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the annual changes.
  • Full-color design includes consistent color-coded symbols and text, providing easier access to codes and coding information.
  • More than 150 full-color illustrations provide visual orientation and enhance understanding of specific coding situations.
  • Symbols and highlights draw attention to codes that may require special consideration before coding, including:
    • New, Revised, and Deleted
    • Unacceptable Principal Diagnosis
    • Codes that call for the use of additional character(s)
    • Includes, Excludes 1 and Excludes 2
    • Use Additional
    • Unspecified
    • Code First and Code Also
  • Hospital Acquired Condition symbol notes specific conditions that will always be coded as hospital acquired.
  • Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category.
  • Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions.
  • Placeholder X symbol reminds you to assign placeholder X for codes less than 6 characters that require a 7th character.
  • Present on Admission symbol identifies the diseases that will always be coded as present on admission.
  • Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease.
  • CC (Complications & Comorbidities) and MCC (Major CC) symbols identify codes associated with the presence of secondary diagnoses from MS-DRGs, and call attention to CC and MCC exceptions.
  • Age and Sex edits from the Definition of Medicare Code Edits help to ensure accuracy by denoting codes that are used only with patients of a specific age or sex.
  • American Hospital Association's Coding Clinic® citations include official ICD-10-CM coding advice relating to specific codes and their usage.
  • Codingupdates.com companion website includes the latest changes to the ICD coding system.
  • NEW! 2016 ICD-10-CM for Hospitals replaces Carol Buck’s ICD-9-CM for Hospitals, Volumes 1 and 2; this manual includes an introduction to ICD-10-CM coding in Part I, an alphabetic index to diseases and injuries in Part II, and the Tabular List of diseases and injuries in Part III.
  • UPDATED 2016 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding.
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Sunday, 17 April 2016

Physician Coding Exam Review 2016: The Certification Step, 1e

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Physician Coding Exam Review 2016: The Certification Step, 1e Description

.

Prepare to succeed on your physician coding exam with Physician Coding Exam Review 2016: The Certification Step! From leading coding author and educator Carol J. Buck, this 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 (with ICD-9-CM posted on Evolve companion website); and more. Four full practice exams simulate the testing experience, include answers and rationales, and provide enough practice to reassure even the most insecure exam-taker. It’s the only physician coding exam review you need!

  • Comprehensive review content covers everything you need to know to pass the physician coding certification exam.
  • Mobile-optimized quick quizzes provide extra practice and review with 380 additional medical terminology, pathophysiology, CPT, ICD-10-CM, and HCPCS questions.
  • Practice exams on the Evolve website allow you to assess strengths and weaknesses and develop a plan for focused study, including a Pre-Exam to be taken prior to studying, the same exam again as a Post-Exam to be taken after your review, and a Final Exam that simulates the experience of taking the actual physician coding exam.
  • Answers and rationales to the Pre-/Post- and Final Exams are available on Evolve.
  • Netter’s Anatomy illustrations help you understand anatomy and how it affects coding.
  • Real-world coding reports (cleared of any patient identifiers) simulate the reports that you will encounter on the job and challenge you to apply key coding principles to actual cases.
  • Success Strategies section in the text guides you step-by-step through the entire exam process.
  • Concise outline format helps you access information quickly and study more efficiently.
  • Colorful design and illustrations make study and review easier and more engaging.
  • NEW! All diagnosis coding content is updated to ICD-10-CM, preparing you with all the ICD-10-CM information you need for success on the certification exam.
  • Updated content includes the latest coding information available, promoting exam success and accurate coding on the job.
  • NEW! ICD-9-CM versions of Units 4-5 and the practice examinations are posted to the Evolve companion website, so that you are prepared no matter which diagnosis code set is being tested on for your specific exam.
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Saturday, 2 April 2016

Step-by-Step Medical Coding, 2016 Edition, 1e

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Step-by-Step Medical Coding, 2016 Edition, 1e Description

.

Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! From bestselling author Carol J. Buck, Step-by-Step Medical Coding, 2016 Edition is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. Practice exercises follow each ‘step’ of information to reinforce your understanding of important concepts. In-depth coverage includes reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, with an Evolve website that includes 30-day access to TruCode® Encoder Essentials. No other text so thoroughly covers all coding sets in one source!

  • 30-day access to TruCode® Encoder Essentials and practice exercises on the Evolve companion website provide additional practice and help you understand how to utilize an encoder product.
  • A step-by-step approach makes it easier to build skills and remember the material.
  • Over 475 illustrations include medical procedures and conditions to help you understand the services being coded.
  • Real-world 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.
  • Dual coding includes answers for both ICD-10 and ICD-9 for every exercise, chapter review, and workbook question to help you ease into the full use of ICD-10.
  • Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information.
  • From the Trenches, Coding Shots, Stop!, Caution!, Check This Out!, and CMS Rules boxes offer valuable tips and helpful advice for working in today’s medical coding field.
  • Four coding-question variations develop your coding ability and critical thinking skills, including one-code or multiple-code answers.
  • Official Guidelines for Coding and Reporting boxes allow you to read the official wording for inpatient and outpatient coding alongside in-text explanations.
  • Coders’ Index makes it easy to quickly locate specific codes.
  • Appendix with sample Electronic Health Record screenshots provides examples similar to the EHRs you will encounter in the workplace.
  • Online practice activities on Evolve include questions such as multiple choice, matching, fill-in-the-blank, and coding reports.
  • A workbook corresponds to the textbook and offers review and practice with more than 1,200 theory, practical, and report exercises (odd-numbered answers provided in appendix) to reinforce your understanding of medical coding. Available separately.
  • NEW! Separate HCPCS chapter expands coverage of the HCPCS code set.
  • UPDATED content includes the latest coding information available, promoting accurate coding and success on the job.
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Friday, 27 November 2015

ICD-10-CM Professional for Hospitals 2016

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ICD-10-CM Professional for Hospitals 2016

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ICD-10-CM Professional for Hospitals 2016 Info

.

**New 2017 Edition will be available September 2016**

The 2016 ICD-10-CM Professional for Hospitals featuring our hallmark color-coding and symbols reflecting the new ICD-10 MS-DRG reimbursement edits makes facing the challenges of the new code set and reimbursement system easier.

Use the code book that contains the HIPAA-mandated ICD-10-CM code set, plus the familiar Optum360 coding and reimbursement alerts you have come to rely upon in your ICD-9-CM code books.

Set the standard for coding accuracy, the cornerstone of health care analytics and revenue cycle management, with the confidence only an Optum360 product can deliver.

Key Features and Benefits

New Optum360 Edge Coding guideline explanations and examples. In addition to the Official Guidelines for Coding and Reporting, new sections have been added at the beginning of each chapter with detailed explanations and examples related to application of the ICD-10-CM coding guidelines.

Optum360 Edge Intuitive features and format. Ease into the new classification system using intuitive visual alerts to highlight code groupings as well as the distinctions between code choices plus, added features that make finding specific sections easier.

Optum360 Edge Placeholder X. A reference icon (designed and used exclusively by Optum360) alerts the coder to a new ICD-10-CM convention the use of a placeholder X.

Optum360 Edge PDx acting as CC and MCC Alert Symbols. This symbol (designed and used exclusively by Optum) alerts the coder to a new key factor in the DRG10 system that some diagnoses act as both PDx and CC or MCC.

Optum360 Edge Color-coding and symbols for the Medicare Code Edits. This edition includes all our hallmark color-coding and symbols for the most comprehensive coverage of MCEs for diagnoses.

Age Sex Manifestation codes Unacceptable PDx Hospital Acquired Condition (HAC) CC and MCC with Exclusion List New Edit CC as PDx and MCC as PDx HIV

Optum360 Edge Exclusive Following references in the indexes. The Following references help coders locate those alphanumeric codes that are out of sequence in the tabular.

Optum360 Edge Additional character required symbols. Know when an additional character is required for code specificity and validity to avoid invalid code submissions (provided in index and tabular section).

Key Word. Green font is used to differentiate key words that appear in similar code descriptions in a given category.

Illustrations. Featuring anatomy and terminology included in the ICD-10-CM classification system.

ICD-10-CM official conventions. This new coding system comes with new conventions that are concisely outlined for quick reference.

ICD-10-CM official coding guidelines. Build a solid coding practice foundation and understanding and get the new coding system right the first time.

Official index. Navigate through the official index to the tabular section and external causes using our exclusive shade guides to easily identify sub-term levels under main terms.

Table of Drugs and Chemicals and Neoplasm Table. Tables within ICD-10-CM with shaded columns and check additional character symbols.

HIPAA compliance. Comply with HIPAA transaction and code set requirements to avoid delayed or denied claims and costly fines for violations.

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Thursday, 29 October 2015

Current Procedural Coding Expert - 2016 (Spiral)

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Current Procedural Coding Expert - 2016 (Spiral) Description

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Turn to the resource that goes beyond basic coding with the Current Procedural Coding Expert, your CPT® coding resource.


Equipped with the entire 2016 CPT® code set and arranged in a design known to speed coding, billing, and reimbursement, this easy-to-navigate resource will benefit physician practices, outpatient hospitals, and ASCs.

Youll also find a comprehensive listing of annual code additions/changes/deletions/reinstatements in the appendix, new code icons and notes, plus reimbursement information and mid-year changes not found in the American Medical Associations (AMA) CPT® code books.

Key Features and Benefits

New Appendices arranged in a more comprehensive manner. Find the correct reference material, more easily.

Optum360 Edge Appendix with codes used to report inpatient procedures only. Don t be denied payment by making coding errors.

Optum360 Edge Resequenced CPT® code alerts. Identify the AMAs new code resequencing at a glance with our specific instructions, color bars, and brackets.

Optum360 Edge Interventional radiology guidance. Access an appendix of illustrations showing interventional radiology vascular families for more accurate radiology coding.

Optum360 Edge Headings with detailed Optum360 subheadings. Locate CPT® codes quickly.

Optum360 Edge Medically Unlikely Edits (MUE) appendix. Improve claims accuracy by ensuring CMS compliance through easy-to-access codes and their associated MUE units.

Optum360 Edge Brand-name vaccinations associated with CPT® codes. Aid accurate coding for medications with this helpful reference.

Optum360 Edge Extensive user-friendly index. Find codes in a flash with the most accurate and expansive index of any CPT® coding resource with terms listed in a variety of ways.

Optum360 Edge PQRS icons and appendix. Link codes and their associated quality measure for reporting to Medicare.

Optum360 Edge Code-specific definitions, rules, and references. Reference comprehensive information compiled from the AMA, Centers for Medicare and Medicaid Services (CMS), Optum360, and other sources to assist with accurate coding and speed reimbursement.

Facility and non-facility RVUs and global/follow-up days. Ensure more accurate reimbursement with attachment to the corresponding code.

Helpful illustrations. Detect anatomical differences in codes with ease.

Medicare coverage rules with icons and Pub. 100 references. Understand which policies apply to CPT® codes prior to claim submission with icons and references for each rule, plus a copy of the applicable policy in the appendix.

Pub. 100s and national coverage determinations (NCD). Access new information that affects coding, including better identification of the national coverage manual.

Modifier icons. Apply modifiers correctly with quick icon identification with the CPT® code.

CPT® is a registered trademark of the American Medical Association..


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Tuesday, 29 September 2015

CPT 2016 Standard Edition (Cpt / Current Procedural Terminology (Standard Edition))

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CPT 2016 Standard Edition (Cpt / Current Procedural Terminology (Standard Edition)) Description

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The CPT 2016 Standard Codebook helps professionals remain compliant with annual Current Procedural Terminology code set changes. This is the AMA's official coding resource for procedural coding, rules and guidelines, which can help readers perform accurate claims submissions..


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Sunday, 23 August 2015

Understanding Modifiers - 2016

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Understanding Modifiers - 2016

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Understanding Modifiers - 2016 Info

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Understanding Modifiers uses actual medical records to outline in detail how to document services and apply the correct modifiers. The book was developed as an educational tool for physicians and their staff, as well as billers and coders of hospital outpatient services and ASC services.
Key Features and Benefits
Optum360 Edge Includes all AMA CPT® Modifier Updates. Optum360 Edge Educational format. Easy-to-use format for every experience level, for use in the classroom or on the job.

Optum360 Edge World Wide Web resources. Supplies all of the up-to-date links a coder needs to find accurate modifier information online.

Optum360 Edge Decision tree flow charts. Coders learn how to choose the correct modifier when more than one could apply.

Optum360 Edge Real-life clinical examples. Use to reduce claim denials by supplying correctly used modifiers and completed CMS-1500 forms.

Includes 2016 changes to modifiers and their guidelines.

CPT® is a registered trademark of the American Medical Association..


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Saturday, 25 July 2015

2016 ICD-10-CM Standard Edition

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2016 ICD-10-CM Standard Edition

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2016 ICD-10-CM Standard Edition Description

.

Select diagnosis codes accurately with Carol J. Buck's 2016 ICD-10-CM: Standard Edition. Designed by coders for coders, this practical manual includes all the ICD-10 codes needed for basic inpatient, outpatient, and Medicare coding. As coders need more extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition provides an essential background in A&P, pathology, and medical terminology, along with colorful Netter’s Anatomy illustrations and clear instructions for using the book. Together, these features make diagnosis coding faster and easier. Also included is a companion website with the latest coding news and updates!

  • UNIQUE! Full-color Netter’s Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List to help you understand anatomy and how it may affect choosing codes.
  • More than 150 illustrations provide visual orientation and enhance understanding of specific coding situations.
  • Convenient Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the annual changes.
  • Two-color design provides an economical version of this coding manual.
  • Official Guidelines for Coding and Reporting (OGCRs) are listed in full and also integrated within the code set, providing fast, easy access to coding rules.
  • Symbols and highlights draw attention to codes that may require special consideration before coding, including:
    • New, Revised, and Deleted
    • Codes that call for the use of additional character(s)
    • Includes, Excludes 1 and Excludes 2
    • Use Additional
    • Unspecified
    • Code First and Code Also
  • Placeholder X symbol reminds you to assign placeholder X for codes less than 6 characters that require a 7th character.
  • Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category.
  • Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions.
  • Codingupdates.com companion website includes the latest changes to the ICD coding system.
  • NEW! 2016 ICD-10-CM: Standard Edition replaces Carol Buck’s ICD-9-CM, Volumes 1 and 2; this manual includes an introduction to ICD-10-CM coding in Part I, an alphabetic index to diseases and injuries in Part II, and the Tabular List of diseases and injuries in Part III.
  • UPDATED 2016 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding.
.


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Thursday, 23 July 2015

Best Hospitals 2016

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Best Hospitals 2016 Info

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Now in its 26th year, U.S. News' annual guide to U.S. hospitals helps both consumers and medical professionals find the best hospitals and understand the latest trends in healthcare. Created by a team of health journalists and healthcare experts, this popular guidebook provides U.S. News' exclusive rankings of the best adult hospitals and children's hospitals for cancer, orthopedics, cardiology, neurology, and other medical specialties. Plus, rankings of the best hospitals in the 100 largest metro areas, the best diet plans (as chosen by nutrition experts), and the most-recommended over-the-counter products for more than 30 common conditions and needs. Chapters include: The Patient of the Future: Dr. Eric Topol, a top healthcare thought leader and author, describes how smart tools will empower people to diagnose and treat themselves at home How 3D printing, telemedicine, and superbugs are transforming healthcare Tapping the Power of Bionics: Meet a real Robocop, who was paralyzed from the waist down but is now back to work thanks to a bionic exoskeleton A Game Changer in the Cancer Fight: New drugs spur the body's own defenses to attack tumors, sometimes with amazing results Marijuana as Medicine: It's a miracle cure for some and is even being tested as a cancer treatment. But research shows limited effectiveness for many approved medical marijuana treatments A special guide to children's health, with in-depth looks at vaccines, anesthesia, allergies, school lunches, and sleep issues The growing field of patient navigators is helping steer sick people to the right care The Travel Trend: Why more companies are paying employees to travel for surgery.


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Tuesday, 21 July 2015

Evaluation and Management Coding Advisor - 2016

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Evaluation and Management Coding Advisor 2016
Evaluation and Management (E/M) coding is notoriously difficult. Consequently, providers make more mistakes with E/M coding than coding for any other item or service. This new resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations.

Now, with ICD-10-CM implementation approaching, your E/M coding takes on even greater importance and we've have provided extensive coverage to this vital E/M and ICD-10-CM relationship.
The 2016 Evaluation and Management Coding Advisor includes:
Key Features and Benefits
ICD-10-CM code assignment hinges on the quality and detail of E/M encounter data. Get appropriate ICD-10-CM coding assignments with improved E/M coding process. Minimize physician queries, and prevent delays in claims processing pending information and stop outright claims denials.

Includes clinical case studies. Train coders and clinicians using real-life scenarios.

Covers every E/M service. Review of the E/M rules and protocols for all E/M care.

Helpful advice designed for difficult E/M coding situations. Well-patient exams, H1N1 flu, and other common, but problematic coding scenarios are explained.

E/M template examples for EMRs. Ensure accurate code selection and avoid over-coding with guidelines for using templates.

Includes Knowledge Assessments. With answers and rationale. Instant feedback on knowledge retention.

Targeted areas. Review what auditors are targeting, such as critical care.

Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.

CPT® is a registered trademark of the American Medical Association.


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Saturday, 18 July 2015

ICD-10-CM Professional for Physicians 2016

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ICD-10-CM Professional for Physicians 2016 La revue

.

**New 2017 Edition will be available September 2016**

The 2016 ICD-10-CM Professional for Physicians with our hallmark features and format, makes facing the challenge of using the new code set easier.

Use the code book that contains the latest HIPAA-mandated ICD-10-CM code set, plus the familiar Optum360 coding and reimbursement alerts you have come to rely upon.

Set the standard for coding accuracy, the cornerstone of health care analytics and revenue cycle management, with the confidence only an Optum360 product can deliver.

Key Features and Benefits

New Optum360 Edge Coding guideline explanations and examples. In addition to the Official Guidelines for Coding and Reporting, new sections have been added at the beginning of each chapter with detailed explanations and examples related to application of the ICD-10-CM coding guidelines.

Optum360 Edge Intuitive features and format. Ease into the new classification system using intuitive visual alerts to highlight code groupings as well as the distinctions between code choices plus, added features that make finding specific sections easier.

Optum360 Edge Placeholder X. A reference icon (designed and used exclusively by Optum360) alerts the coder to a new ICD-10-CM convention the use of a placeholder X.

Optum360 Edge Color-coding and symbols for the Medicare Code Edits. This edition includes all our hallmark color-coding and symbols for the most comprehensive coverage of MCEs for diagnoses.

Age

Sex

Manifestation codes

Other specified

Unspecified

Optum360 Edge Exclusive Following references in the indexes. The Following references help coders locate those alphanumeric codes that are out of sequence in the tabular.

Optum360 Edge Additional character required symbols. Know when an additional character is required for code specificity and validity to avoid invalid code submissions (provided in index and tabular section).

Key Word. Green font is used to differentiate key words that appear in similar code descriptions in a given category.

Illustrations. Featuring anatomy and terminology included in the ICD-10-CM classification system.

ICD-10-CM official conventions. This new coding system comes with new conventions that are concisely outlined for quick reference.

ICD-10-CM official coding guidelines. Build a solid coding practice foundation and understanding and get the new coding system right the first time.

Official index. Navigate through the official index to the tabular section and external causes using our exclusive shade guides to easily identify subterm levels under main terms.

Table of Drugs and Chemicals and Neoplasm Table. Updated tables within ICD-10-CM with shaded columns and check additional character symbols.

HIPAA compliance. Comply with HIPAA transaction and code set requirements to avoid delayed or denied claims and costly fines for violations.

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Sunday, 28 June 2015

DRG Expert 2016 (ICD-10 Version)

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DRG Expert 2016 (ICD-10 Version) La revue

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**New 2017 Edition will be available September 2016**

The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process.

This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2015.

Key Features and Benefits

Optum360 Edge Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements.

Optum360 Edge Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MS-DRG under IPPS.

Optum360 Edge MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed.

Optum360 Edge LTC-DRG crosswalk and current rate structure. Know what the RW and length-of-stay data are for each MS-DRG under the LTCH prospective payment system.

Optum360 Edge MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC.

Optum360 Edge Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate.

Optum360 Edge Average national payment. Listed for every MS-DRG as a quick benchmark comparison.

Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code.

Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization.

Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up.

Icons indicate which CC subclass the DRG belongs to based upon the presence or absence of CCs or major CCs (MCC).

Complete list of diagnoses considered CCs and MCCs.

List of those Principal Diagnoses that are their own CC and their own MCC.

Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description.

Inpatient Medicare MedPAR benchmarking data designed to provide a high-level benchmark of discharges, length-of-stay, age, total charges, and total reimbursement on a DRG basis at a national level for hospitals.

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Wednesday, 24 June 2015

Step-by-Step Medical Coding, 2016 Edition

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Step-by-Step Medical Coding, 2016 Edition La revue

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Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! From bestselling author Carol J. Buck, Step-by-Step Medical Coding, 2016 Edition is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. Practice exercises follow each ‘step’ of information to reinforce your understanding of important concepts. In-depth coverage includes reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, with an Evolve website that includes 30-day access to TruCode® Encoder Essentials. No other text so thoroughly covers all coding sets in one source!

  • 30-day access to TruCode® Encoder Essentials and practice exercises on the Evolve companion website provide additional practice and help you understand how to utilize an encoder product.
  • A step-by-step approach makes it easier to build skills and remember the material.
  • Over 475 illustrations include medical procedures and conditions to help you understand the services being coded.
  • Real-world 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.
  • Dual coding includes answers for both ICD-10 and ICD-9 for every exercise, chapter review, and workbook question to help you ease into the full use of ICD-10.
  • Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information.
  • From the Trenches, Coding Shots, Stop!, Caution!, Check This Out!, and CMS Rules boxes offer valuable tips and helpful advice for working in today’s medical coding field.
  • Four coding-question variations develop your coding ability and critical thinking skills, including one-code or multiple-code answers.
  • Official Guidelines for Coding and Reporting boxes allow you to read the official wording for inpatient and outpatient coding alongside in-text explanations.
  • Coders’ Index makes it easy to quickly locate specific codes.
  • Appendix with sample Electronic Health Record screenshots provides examples similar to the EHRs you will encounter in the workplace.
  • Online practice activities on Evolve include questions such as multiple choice, matching, fill-in-the-blank, and coding reports.
  • A workbook corresponds to the textbook and offers review and practice with more than 1,200 theory, practical, and report exercises (odd-numbered answers provided in appendix) to reinforce your understanding of medical coding. Available separately.
  • NEW! Separate HCPCS chapter expands coverage of the HCPCS code set.
  • UPDATED content includes the latest coding information available, promoting accurate coding and success on the job.
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Monday, 25 May 2015

2016 ICD-10-CM Physician Professional Edition (Ama Physician Icd-10-Cm (Spiral))

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2016 ICD-10-CM Physician Professional Edition (Ama Physician Icd-10-Cm (Spiral)) La revue

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Select diagnosis codes accurately with Carol J. Buck's 2016 ICD-10-CM for Physicians: Professional Edition. Designed by coders for coders, this full-color manual includes all the ICD-10 codes needed for today’s outpatient and physician-based coding. As coders need more extensive knowledge to work with ICD-10-CM — and to choose from the thousands of possible codes — this edition provides an essential background in A&P, pathology, and medical terminology, along with colorful Netter’s Anatomy illustrations and clear instructions for using the book. Together with the durable spiral binding, these features make professional diagnosis coding faster and easier. Also included is a companion website with the latest coding news and updates!

  • UNIQUE! Full-color Netter’s Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List, to help you understand anatomy and how it may affect choosing codes.
  • Full-color design includes consistent color-coded symbols and text, providing easier access to codes and coding information.
  • More than 150 full-color illustrations provide visual orientation and enhance understanding of specific coding situations.
  • Official Guidelines for Coding and Reporting (OGCRs) are listed in full and also integrated within the code set, providing fast, easy access to coding rules.
  • Convenient Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the annual changes.
  • Symbols and highlights draw attention to codes that may require special consideration before coding, including:
    • New, Revised, and Deleted
    • Codes that call for the use of additional character(s)
    • Includes, Excludes 1 and Excludes 2
    • Use Additional
    • Unspecified
    • Code First and Code Also
  • Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions.
  • Placeholder X symbol reminds you to assign placeholder X for codes less than 6 characters that require a 7th character.
  • Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category.
  • Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease.
  • Age and Sex edits from the Definition of Medicare Code Edits help to ensure accuracy by denoting codes that are used only with patients of a specific age or sex.
  • American Hospital Association's Coding Clinic® citations include official ICD-10-CM coding advice relating to specific codes and their usage.
  • Codingupdates.com companion website includes the latest changes to the ICD coding system.
  • NEW! 2016 ICD-10-CM for Physicians replaces Carol Buck’s ICD-9-CM for Physicians, Volumes 1 and 2; this manual includes an introduction to ICD-10-CM coding in Part I, an alphabetic index to diseases and injuries in Part II, and the Tabular List of diseases and injuries in Part III.
  • UPDATED 2016 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding.
.


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Wednesday, 20 May 2015

2016 ICD-10-CM Standard Edition, 1e

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2016 ICD-10-CM Standard Edition, 1e Description

.

Select diagnosis codes accurately with Carol J. Buck's 2016 ICD-10-CM: Standard Edition. Designed by coders for coders, this practical manual includes all the ICD-10 codes needed for basic inpatient, outpatient, and Medicare coding. As coders need more extensive knowledge to code with ICD-10-CM ― and to choose from the thousands of possible codes ― this edition provides an essential background in A&P, pathology, and medical terminology, along with colorful Netter’s Anatomy illustrations and clear instructions for using the book. Together, these features make diagnosis coding faster and easier. Also included is a companion website with the latest coding news and updates!

  • UNIQUE! Full-color Netter’s Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List to help you understand anatomy and how it may affect choosing codes.
  • More than 150 illustrations provide visual orientation and enhance understanding of specific coding situations.
  • Convenient Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the annual changes.
  • Two-color design provides an economical version of this coding manual.
  • Official Guidelines for Coding and Reporting (OGCRs) are listed in full and also integrated within the code set, providing fast, easy access to coding rules.
  • Symbols and highlights draw attention to codes that may require special consideration before coding, including:
    • New, Revised, and Deleted
    • Codes that call for the use of additional character(s)
    • Includes, Excludes 1 and Excludes 2
    • Use Additional
    • Unspecified
    • Code First and Code Also
  • Placeholder X symbol reminds you to assign placeholder X for codes less than 6 characters that require a 7th character.
  • Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category.
  • Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions.
  • Codingupdates.com companion website includes the latest changes to the ICD coding system.
  • NEW! 2016 ICD-10-CM: Standard Edition replaces Carol Buck’s ICD-9-CM, Volumes 1 and 2; this manual includes an introduction to ICD-10-CM coding in Part I, an alphabetic index to diseases and injuries in Part II, and the Tabular List of diseases and injuries in Part III.
  • UPDATED 2016 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding.
.


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Tuesday, 19 May 2015

ICD-10-PCS Expert 2016

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ICD-10-PCS Expert 2016 La revue

.

**New 2017 Edition will be available September 2016**

The 2016 ICD-10-PCS with our hallmark features and format including the Medicare Code Edits (MCE) for the new ICD-10 MS-DRG reimbursement system.

This resource contains the HIPAA-mandated ICD-10-PCS code set, plus the familiar Optum360 coding and reimbursement alerts you have come to rely upon.

Set the standard for coding accuracy, the cornerstone of health care analytics and revenue cycle management, with the confidence only an Optum360 product can deliver.

Key Features and Benefits

New Optum360 Edge New productivity tools. Body part definitions table and root operation conversion table.

Optum360 Edge Intuitive features and format. Ease into the new classification system using these handy code tables to build the code through character value selections that reflect the procedure performed.

Optum360 Edge Color-coding and symbols for the Medicare Code Edits. This edition includes all our hallmark color-coding and symbols for the most comprehensive coverage of ICD10 MS-DRG MCEs for procedures including;

Noncovered 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

Optum360 Edge Procedure combination tables. Identify ICD-10-PCS code combination requirements needed to satisfy certain MS-DRG requirements.

Illustrations. Featuring anatomy and terminology included in the ICD-10-PCS classification system.

Detailed information on structure and conventions of ICD-10-PCS. Learn the new coding system with its unique structure of specific definition and functions for each character.

Complete set of ICD-10-PCS codes. View all 16 sections of tables by general procedure type from medical/surgical to substance abuse 30 tables in the medical surgical section alone covering procedures on all body systems.

Valuable resources to enhance productivity. Receive additional 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

Official coding guidelines. Learn how to use the code set appropriately following the guidelines specific for each section.

Basic tutorial with coding scenarios. Find step-by-step instructions in a well-organized format for developing basic coding proficiency of the new code set and implementing it in your facility.

Coding exercises. Facilitate training by completing sample exercises using the ICD-10-PCS code set.

HIPAA compliance. Comply with HIPAA transaction and code set requirements to avoid delayed or denied claims and costly fines for violations.

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Saturday, 16 May 2015

Coding for Pediatrics 2016: A Manual for Pediatric Documentation and Payment

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Coding for Pediatrics 2016: A Manual for Pediatric Documentation and Payment La revue

.

Coding for Pediatrics is the first place to look for the know-how you need to bill accurately, minimize payment problems, and maximize practice profitability. A widely used AAP exclusive, it complements standard coding manuals with proven pediatric-specific documentation and billing solutions for practitioners, administrative staff, and coding specialists.
 
This year’s totally updated edition includes all changes in Current Procedural Terminology (CPT®) codes for 2016- complete with expert guidelines for their application. The book's multiple clinical vignettes and examples, as well as the many coding pearls included throughout, have been fully revised.

You will find expert guidance on ICD-10-CM transition- including important documentation elements to support accurate code selection and helpful tips for using the ICD-10-CM code set

In addition to the revised CPT codes, new and updated items in this edition include
  • Revised chapter on enhanced quality and pay for performance
  • Expanded coding resources- including articles for the AAP Pediatric Coding Newsletter, coding fact sheets, sample appeal letter, denial tracking tool, and more
  • All clinical vignettes presented with corresponding ICD-10-CM codes, some included with valuable quality measure
  • Online access to many additional practice resources
  • And more

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