CPT Professional 2021 (spiral bound)

The official CPT® guidelines at your fingertips Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT® code set is a dynamic, ever-changing standard, an outdated codebook does not suffice.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.The CPT® 2021 Professional Edition Codebook covers hundreds of code, guideline and text changes. It features the following enhancements: More full-color procedural illustrations Notes pages at the end of every code set section and subsection 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 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 Full-color 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 2021 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, multianalyte assays, vascular families 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

CPT Professional 2021 and CPT QuickRef APP Bundle

This print and digital coding package includes one spiralbound copy of CPT® 2020 Professional Edition, single-user access of the eBook version of the codebook and free access to all premium content available in the CPT® QuickRef app (accessible by mobile device only). Premium app content includes the following: Coding and Billing Pack 2020 Use your mobile device to access all CPT codes, AMA and CMS '95 and '97 guidelines, modifiers, procedural illustrations, clinical examples and links to relevant CPT® Assistant articles.CPT QuickRef app The fully loaded CPT QuickRef app combines the best of AMA’s CPT content with billing tools to help improve the accuracy and efficiency of the work you perform. Features of the CPT QuickRef app with premium content include: The latest information — Receive updates from the cloud when new RVUs and proprietary laboratory analysis (PLA) codes are released or when technical corrections are made to 2020 CPT codes Two editions of the CPT code set — Easily navigate between 2019 and 2020 code sets to ensure the codes in use during a patient visit are recognized at the time of the year-end code transition Favorites — Select the codes you use most and save them to your favorites list Facility and non-facility RVUs — Use federal data on facility and non-facility work and practice expense values GPCIs — Set your region’s geographic practice cost index to calculate accurate Medicare payments for each procedure Global days — Reference the number of global days CMS assigns to a given procedure Illustrations — Better understand complex procedures with AMA-created illustrations Clear references to CPT Assistant articles — View article titles instead of date and page number references found in other resources CPT Assistant Archive 1990 — 2019 Access the full content of all CPT Assistant issues (1990–2019) using your mobile device. View images of the CPT QuickRef app.

DRG Expert - (2 Volume set, shrink wrapped)

The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for more than 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, 2020. 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 on the presence or absence of CCs or major CCs (MCCs). • 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.

DRG Expert - eBook

E/M Office Visit Compendium 2021 NEW TITLE

CPT® Assistant is the official newsletter that educates the industry on proper CPT coding for past, present and future code set releases. A subscription will enhance your use of CPT® Professional. Uses AMA's CPT® Assistant is instrumental to many when appealing insurance denials, validating coding to auditors, training staff and simply answering day-to-day coding questions. Each monthly issue offers vital and timely information such as: The latest codes and trends in the medicine Clinical scenarios that demystify confusing codes Answers to frequently asked questions Anatomical and procedural illustrations, charts and graphs that add context to codes and guidelines See a full list of previously published articles. Features A two year subscription to CPT® Assistant includes 24 monthly issues and four special bulletin reports. Download a cumulative index of articles at any time. The AMA holds copyright in CPT. Use or reprint of CPT in any product or publication requires a license.

HCPCS 2021 Level II Professional Edition

HCPCS 2021 Level II Professional Edition provides your practice a quick and accurate coding reference. Along with the most current HCPCS codes and regulations included in the codebook, you'll have everything needed for accurate medical billing and maximum reimbursement. View 2020 Sample Pages Uses Organized for quick and accurate coding, HCPCS Level II 2021 Professional Edition codebook includes the most current Healthcare Common Procedure Coding System codes and regulations, which are essential references needed for accurate medical billing and maximum permissable reimbursement. This professional edition includes such features as Netter's Anatomy illustrations, dental codes and ASC (Ambulatory Surgical Center) payment and status indicators. Features 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 2021. The American Hospital Association Coding Clinic® 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-coded — Table 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.

ICD-10-CM 2021 The Complete Official Codebook with Guidelines

This 2021 edition is guaranteed to arrive with the official 2020 guidelines bound in the codebook. Preferred choice for those taking certification exams. View 2020 Sample Pages Uses ICD-10-CM 2021: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Features Full list of code changes — provides the complete list of new, revised, and deleted codes QPP symbol in the tabular section — identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MARCA The addition of more than 100 coding tips — gives insight into coding for physician and outpatient settings The addition of more than 300 new definitions in the tabular listing — highlights key components of the disease process or injury Intuitive features and format — include full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes Placeholder X — alerts the coder to an important ICD-10-CM convention — the use of a “placeholder X” for three-, four- and five-character codes requiring a seventh character extension Coding guideline explanations and examples — provide additional insight into the guidelines at the beginning of each chapter in the tabular section Muscle/tendon translation table — helps determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Appendices — supplement with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes

ICD-10-CM Expert for Hospitals - (Spiral) with guidelines

The 2021 ICD-10-CM Expert for Hospitals with Guidelines, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier for acute care and longterm care hospitals (LTCH). This code book contains the complete ICD-10-CM code set, MCEs, and ICD-10 MS-DRG edits with symbols identifying codes for comorbidities/complications (CC) and major comorbidities/complications (MCC). Also identified are hospital acquired conditions (HAC) and CMS hierarchical condition categories (HCC). Delivery might be delayed beyond the October 1, 2020 effective date. Delivery is dependent on when the updated Official Guidelines for Coding and Reporting for 2021 are released from CMS. Key Features and Benefits • Optum360 Edge — Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, QPP, and unspecified codes. • Coding tips. Coding tips are reviewed and updated and assist in appropriate code selection. • Clinical definitions. Clinical definitions help provide an understanding of complex ICD-10-CM diagnostic terms. • List of code changes and conversion table. A list of all 2021 new, revised, and deleted codes to identify at a glance code changes, plus an ICD-10-CM conversion table from the new and changed codes to the code previously used. • Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms • Guidelines with coding examples. Official Guidelines for Coding and Reporting including chapterspecific coding examples. • Detailed color anatomy illustration appendix. Many illustrations at the code level identifying specific code-related anatomy. • Downloadable files. CMS updates received after this ICD-10-CM Expert goes to print, including MCCs, CC Excludes PDx collection, and POA exempt codes. • Supplementary appendixes. Additional information provided for POA coding and reporting tutorial; code lists for CC, MCC, and other valuable appendixes.

ICD-10-CM Expert for Physicians - (Spiral) with guidelines

The 2021 ICD-10-CM Expert for Physicians with Guidelines, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier. Developed specifically to meet the needs of physicians, the Optum360 codebook contains the complete ICD-10-CM code set, which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement. Symbols in the tabular section identify codes associated with CMS quality payment program (QPP) measures and CMS hierarchical condition categories (HCC) used in risk adjustment (RA) coding. Supplementary appendixes available only in the expert edition include: pharmacology listings, Z codes for long-term use of drugs and associated drug names, and Z codes used only as primary diagnosis. Delivery might be delayed beyond the September 1, 2020 effective date. Delivery is dependent on when the updated Official Guidelines for Coding and Reporting for 2021 are released from CMS. Key Features and Benefits • Optum360 Edge — Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, QPP, and unspecified codes. • Updated coding tips. Coding tips are reviewed and updated, and assist in appropriate code selection. • Clinical definitions. Clinical definitions have been added for a better understanding of complex ICD10-CM diagnostic terms. • List of code changes and conversion table. A list of all 2021 new, revised, and deleted codes to identify at a glance code changes for your specialty. Plus an ICD-10-CM conversion table from the new and changed codes to the code previously used. • Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms. • Guidelines with coding examples. Official Guidelines for Coding and Reporting including chapterspecific coding examples. • Helpful illustrations. Detailed color anatomy illustration appendix. Plus many illustrations at the code level identifying specific code-related anatomy.

ICD-10-CM Professional for Hospitals - (Softbound) with guidelines

The ICD-10-CM Professional for Hospitals, with 2021 Guidelines, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier for acute care and long-term care hospitals (LTCH). This code book contains the complete ICD-10-CM code set, MCEs, and ICD-10 MS-DRG edits with symbols identifying codes for comorbidities/complications (CC) and major comorbidities/complications (MCC). Also identified are hospital acquired conditions (HAC) and CMS hierarchical condition categories (HCC). Delivery might be delayed beyond the October 1, 2020 effective date. Delivery is dependent on when the updated Official Guidelines for Coding and Reporting for 2021 are released from CMS. Key Features and Benefits • Optum360 Edge — Intuitive features and format. Visual alerts, including color-coding and symbols, that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, QPP, and unspecified codes. • Updated — Coding tips. Coding tips are reviewed and updated and assist in appropriate code selection. • Clinical definitions. Clinical definitions have been added for a better understanding of complex ICD10-CM diagnostic terms. • List of code changes and conversion table. A list of all 2021 new, revised, and deleted codes to identify at a glance code changes for your specialty. Plus an ICD-10-CM conversion table from the new and changed codes to the code previously used. • Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms.

ICD-10-CM Professional for Physicians - (Softbound) with guidelines

The 2021 ICD-10-CM Professional for Physicians with Guidelines, with our hallmark features and format, makes facing the challenge of accurate diagnosis coding easier. Developed specifically to meet the needs of physicians, the Optum360 codebook contains the complete ICD-10-CM code set, which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement. Symbols in the tabular section identify codes associated with CMS quality payment program (QPP) measures and CMS hierarchical condition categories (HCC) used in risk adjustment (RA) coding. Delivery might be delayed beyond the October 1, 2020 effective date. Delivery is dependent on when the updated Official Guidelines for Coding and Reporting for 2021 are released from CMS. Key Features and Benefits • Optum360 Edge — Intuitive features and format. Visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, QPP, and unspecified codes. • Updated coding tips. Coding tips are reviewed and updated, and assist in appropriate code selection. • Clinical definitions. Clinical definitions have been added for a better understanding of complex ICD10-CM diagnostic terms. • List of code changes and conversion table. A list of all 2021 new, revised, and deleted codes to identify at a glance code changes for your specialty. Plus an ICD-10-CM conversion table from the new and changed codes to the code previously used. • Updated index with shaded guides. The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms. • Guidelines with coding examples. Official Guidelines for Coding and Reporting including chapterspecific coding examples. • Helpful illustrations. Detailed color anatomy illustration appendix. Plus many illustrations at the code level identifying specific code-related anatomy.

ICD-10-PCS 2021 The Complete Official Codebook

ICD-10-PCS 2021: The Complete Official Codebook helps coders use the PCS portion of the ICD-10 code set. The code set is laid out in easy-to-understanding tables sorted by type of procedure. View 2020 Sample Pages Uses ICD-10-PCS 2021: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders. ICD-10-PCS contains classifications for procedures, devices and technologies. Features Summary of changes — indicates how additions and deletions affect each section of ICD-10-PCS Complete 2021 ICD-10-PCS code set — The code set is organized in 17 sections. Each section contains a code table by which a code can be built through character selections that reflect the procedure performed. A character meanings table and citations to American Hospital Association’s Coding Clinic start each section. Official coding guidelines — instruct on appropriate use of the code set and its sections Full-color illustrations — provide a visual explanation of anatomy and procedural approach Approach illustrations show the access location, method, and instrumentation that determine the approach Body parts with indicators to applicable code characters (provided immediately after the character meaning tables in the Medical/Surgical sections) Visual alerts — identify male/female procedures and new/revised character values Detailed information on structure and conventions of ICD-10-PCS — explains the unique structure and the specific definitions and functions of each character while providing sample exercises (and answers) to practice your skills Color-coding and symbols for the Medicare Code Edits — for the most comprehensive coverage of ICD10 MS-DRG MCEs for procedures, including: Non-covered 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 Procedure combination tables — identify ICD-10-PCS code combination requirements needed to satisfy certain MS-DRG requirements Valuable resources to enhance productivity — include: 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

ICD-10-PCS Expert - (Spiral)

The ICD-10-PCS Expert is our spiral bound version of ICD-10-PCS with snap tabs to allow faster referencing of procedural terms in the index and sections in the tabular. It contains the complete ICD-10-PCS code set and all of the supplementary appendixes required for reporting of inpatient procedures. In addition, you will find the familiar Optum360 coding and reimbursement alerts you have come to rely upon, including the Medicare Code Edits (MCE) and ICD-10 MS-DRG edits. Intuitively organized into 17 sections of code tables with supplementary definitions tables and device and body part keys, the Optum360 ICD-10-PCS codebook sets the standard for coding accuracy, which is the cornerstone of healthcare analytics and revenue cycle management. Key Features and Benefits • Optum360 Edge — Color-coding and symbols for Medicare Code Edits. Includes our hallmark color-coding and symbols identifying ICD-10 MS-DRG MCEs for non-covered procedures, limited coverage procedures, combination only procedures, non-operating room procedures affecting MSDRG assignment, non-operating room procedures NOT affecting MS-DRG assignment, and hospital acquired condition (HAC) related procedures. • Approach illustrations. The approach illustrations show components that determine the approach, including access location, method, and instrumentation. • Body part definitions included in root operation tables. All terms listed in the body part definition appendix are included in the root operation tables for the Medical/Surgical section eliminating the need to reference the appendixes when selecting the correct body part value. • Illustrations. Illustrations of body parts with body part values accompany the Character Meaning tables in the Medical/Surgical section.

Netter's Atlas of Human Anatomy for CPT Coding, third edition NEW TITLE

An invaluable resource for CPT 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. Uses This unique resource pairs AMA CPT® codes and full descriptors with relevant anatomical illustrations created by famed medical illustrator and physician Frank Netter, MD, and others working in the Netter tradition. Each of seven chapters delves into a specific anatomical region—starting with the head and ending with the lower extremities—and opens with a brief introduction explaining the features of the region. The result is an illustrated explanation of how medical procedures relate to anatomy. This long-awaited third edition of Netter’s Atlas of Human Anatomy for CPT® Coding provides readers a natural reference tool for reviewing clinical information and understanding the assignment of codes. Netter's Atlas of Human Anatomy for CPT® Coding has innumerable training applications, from the new coders applying and translating their understanding of anatomy in the context of CPT codes, to the seasoned coders who are trying to glean and extract important information from an operative report to physician notes—all in context of anatomy and CPT codes simultaneously. This publication is an unsurpassed anatomical and CPT surgical coding reference that provides an invaluable resource to any setting that provides surgical services.

Principles of CPT Coding, Ninth Edition

Principles of CPT® Coding, ninth edition, is a best-selling resource that provides education on CPT® billing and guidelines. It offers valuable training on how to code correctly with CPT. Uses 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® 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 principles behind proper code selection for each section of the codebook. 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 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 appendix! CMS '95 and '97 guidelines for E/M 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® Assistant, CPT® Changes and CPT® 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® QuickRef app that encourage active participation and develop coding skills Hands-on coding exercises that are based on real-life case studies and redacted medical documentation New and extensive end-of-chapter "Evaluate Your Understanding" sections that include open ended questions, true-or-false questions, a terminology assessment, hands-on case studies based on real-life scenarios for coding, Internet-based exercises, and questions paired exclusively to the new AMA CPT® QuickRef app New educator resources that include an instructor's manual, chapter slide presentations, test bank, and mock certification exams New binding that allows for lay-flat display of pages when the book is in use and easy recognition of the title when the book is shelved Updated "Coding Tips" and "Examples" that highlight and clarify content and increase understanding, respectively Updates that reflect the 2017 CPT code set (The intent of this resource is to explain the underlying fundamental principles behind CPT coding and should not be used as a substitution for the latest edition of CPT Professional)

Principles of ICD-10-CM Coding, Fourth Edition

Principles of ICD-10-CM Coding provides the tools needed for providers and payers to accurately and effectively use the ICD-10-CM code set. It clarifies the new diagnosis codes in detail to assist in making correct ICD-10-CM coding choices. Examples of real-life chart notes are included. Uses Updated to include the 2017 code set, the fourth edition of Principles of ICD-10-CM Coding helps health care professionals learn how to make correct decisions when selecting diagnosis codes from the ICD-10-CM codeset. It is written for all skill levels—from basic to advanced—and appropriate for self-learners and the classroom. This educational tool helps professionals: Understand the purpose of ICD-10-CM and its relationship to the reimbursement process Understand and apply coding conventions when assigning codes Interpret basic coding guidelines for outpatient care Assign ICD-10-CM codes to the highest level of specificity Properly sequence ICD-10-CM codes Learn how you can save up to 35% on this resource. Features Principles of ICD-10-CM Coding is a best-selling training tool that assists in ICD-10-CM education for medical professionals who need to learn more about ICD-10-CM diagnosis coding. The fourth edition features: Updated code set: Updated and revised using the 2017 ICD-10-CM code set Introduction to ICD-10-CM: Contains conventions and terminology used in the ICD-10-CM coding system Chapters organized by codebook section: Allows the reader to follow along with the ICD-10-CM codebook Real-life chart notes: Code directly from real-life chart notes from medical records using the ICD-10-CM diagnosis coding system ICD-10-CM guidelines for coding: Leads readers through each of the ICD-10-CM sections by reviewing and analyzing the guidelines Chapter checkpoint exercises: Tests readers' knowledge of ICD-10-CM coding Resouces The Principles of ICD-10-CM Coding, 4e includes new materials to expand resources for instructors and ensure that they are successful in presenting all course work. The following materials are part of the Instructor Resources: Instructor’s Manual includes section overviews for each chapter, teaching notes, and lesson plans PowerPoint Slides can be used to reinforce key concepts to engage students through visual learning Test Bank includes 1000+ questions in a variety of formats and the answer keys and rationales for all 1000+ questions Mock Certification Exams can be used to assess students’ preparedness for certification and/or their overall understanding of terminology, CPT codes, anatomy, reimbursement, patient manage-ment, and ICD-10-CM codes

Risk Adjustment Documentation & Coding, 2nd Edition NEW TITLE

Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Uses Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. Features and Benefits Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, an alphabetized, topical review of clinical documentation improvement and coding for risk-adjustment, and guidance for development of internal risk-adjustment coding policies. Three appendices offering mappings, tabular information, and documentation and abstraction training tools for coders and physicians that include an alphanumeric mapping of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs for Medicare Advantage plans. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. “Advice/Alert Notes” that highlight important coding and documentation advice from federal regulatory sources. Sidebars” that provide derivative story and additional information, such as: “Coding Tips” with practical advice from sources like AHA’s Coding Clinic and cautionary notes about conflicts and exceptions. “Clinical Examples” that underscore key documentation issues for risk adjustment. “Clinical Coding Examples” that provide notes and codes to illustrate risk-adjustment, coding and documentation concepts. “Documentation tips” that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms. “Examples” that explain difficult concepts and promote understanding of those concepts. “Abstract & Code It!” exercises that test diagnosis abstraction and coding skills. End-of-chapter “Evaluate Your Understanding” sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.

Uniform Billing Editor - eBook

Uniform Billing Editor (Updateable Binder)

Facilities can use this reference tool daily to manage the constant changes to the Medicare billing and reimbursement process. The Uniform Billing Editor provides detailed, accurate, and timely information about Medicare and UB-04 billing rules and assists the user with 5010 data and UB-04 and 837i requirements. Key Features and Benefits • Quickly locate topics based on field locators, revenue codes, or coding structures. This easy-to-use format is fully indexed and tabbed with icons for quick reference. • Quickly link HCPCS and CPT® codes to applicable revenue codes. This crosswalk helps you to prevent the most common reasons for rejections: mismatched revenue codes and CPT® or HCPCS Level II codes. • Crosswalk to 837 institutional claims. Provides links to 837i 5010 data elements and any applicable billing rules, facilitating easier transition to the 837i. • Coding and billing tips with quick access to official sources. Submit claims to Medicare accurately the first time, which helps reduce claim delays and denials. • Includes 5010 standards and provides detailed, accurate, and timely information about Medicare billing and reimbursement. • OCE and MCE edits. Identify data inconsistencies, potential rejections, and denials through OCE and MCE edits. • Timely updates throughout the year. Stay current with changes to help you eliminate billing with outdated information.

Coding for Pediatrics 2021