ICD-10-PCS Draft - 2015

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ICD-10-PCS Draft - 2015 Description

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New 2016 editions will be available mid-September 2015.

The 2015 (Draft) ICD-10-PCS Expert with our hallmark features and format including the Medicare Code Edits (MCE) for the new ICD-10 MS-DRG reimbursement system contains the latest official government version of the ICD-10-PCS code set, plus the familiar Optum 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 healthcare analytics and revenue cycle management, with the confidence only an Optum product can deliver.

Key Features and Benefits

The 2015 (Draft)ICD-10-PCS Expert edition includes:

NEW Optum 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;

o Noncovered procedures

o Limited coverage procedures

o Combination only procedures

o Non-operating room procedures affecting MS-DRG assignment

o Non-operating room procedures NOT affecting MS-DRG assignment

o HAC related procedures

NEW Optum Edge Illustrations featuring anatomy and terminology included in the ICD-10-PCS classification system

Optum 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.

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. Receive additional resources to help guide the user, including tables that list root operation with definitions, anatomical listing, character meaning, and coding exercises.

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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Hfma's Introduction to Hospital Accounting

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Hfma's Introduction to Hospital Accounting La revue

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This book introduces the accounting and financial reporting issues of hospitals and other healthcare entities. It explains the basic accounting concepts and discusses how to develop internal financial reports. It also includes information on analyzing and interpreting financial statements. The book is written in a straightforward style that is ideal for students or professionals with no previous accounting experience. This new edition has been streamlined to provide a more practical and focused discussion of healthcare accounting. This edition also includes a new chart of accounts, a glossary of accounting terms, and new material on the balance sheet and statement of operations..


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Pathophysiology Made Incredibly Easy! (Incredibly Easy! Series®)

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Pathophysiology Made Incredibly Easy! (Incredibly Easy! Series®) La revue

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Expanded, updated, and now in full color throughout, this Fourth Edition presents vital pathophysiology information in an easy-to-understand, easy-to-remember, entertaining, and practical manner. Chapters cover cancer, infection, immune disorders, genetics, blood, and disorders of each body system, highlighting pathophysiologic processes, signs and symptoms, diagnostic test findings, and current treatments. Illustrations, memory joggers, and other special features help readers understand and remember key points.

This edition's expanded cancer chapter covers more types of cancer. The Practice Makes Perfect self-test includes more NCLEX®-style questions, with rationales for correct and incorrect answers.

A companion website on thePoint will offer additional information, illustrations, memory joggers, and study cards.

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Using Medical Terminology

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Using Medical Terminology Description

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Medical Terminology can be like a foreign language, as these terms of not part of everyday vocabulary. The approach used in Using Medical Terminology, 2e is to immerse you in the language, similar to how you'd learn a foreign language. Terms are learned in context, which helps to better understand and remember them. And, information is provided in more manageable units as opposed to longer, harder to digest sections. Combined with a number of critical features that help you practice, Using Medical Terminology is designed to help you read, review, and practice, so you are well prepared to enter the workforce.
NEW TO THE SECOND EDITION

• The number of exercises has expanded greatly, providing more opportunity to practice and review.• The design for the second edition has been improved to make the text more appealing and much easier to use.• The overall writing has been made even more student-friendly to help comprehension of medical terms without getting lost in scientific writing.• The art program has been improved so that figure labels are less cluttered and include only those medical terms introduced in the chapter. The number of photographs has also increased significantly.• Two new chapters, Oncology and Gerontology, have been included. In addition, former chapters 5 and 6, Skeletal System and Articulations, have been combined into one cohesive chapter, Skeletal System: Bones and Joints. 

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Healthcare Fraud: Auditing and Detection Guide

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Healthcare Fraud: Auditing and Detection Guide La revue

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An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud

According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations.

• Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency
• Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans
• Examines the necessary background that internal auditors should have when auditing healthcare activities

Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.

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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

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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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Validation Techniques for Dementia Care

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Validation Techniques for Dementia Care Info

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Written especially for family members and friends caring for people with dementia, this practical guidebook offers a solution to commonly faced communication and relationship difficulties. The Validation approach s caring, empathetic techniques have been used and valued by professionals and families around the world to support meaningful communication and interaction with people with memory impairments.

Adapted from the best-selling book for professionals, The Validation Breakthrough, this hands-on resource gives family caregivers all the information and guidance they need to successfully implement proven Validation techniques and enjoy resulting benefits like

* reduced challenging behavior

* improved communication

* lower levels of stress and anxiety in both caregivers and older adults

* more satisfying relationships

In addition to background information about dementia and the principles behind Validation, the book includes detailed, illustrated explanations of specific verbal and nonverbal communication techniques. Realistic case studies demonstrate the approach in action in many different relationships, including husband/wife, parent/child, and grandparent/grandchild.

Caregivers who adopt Validation will learn how to break through the silence and pain of withdrawal and interact with their loved one with greater respect and compassion. Start re-establishing connections and improving relationships today with Validation Techniques for Dementia Care..


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