Descripciones mejoradas de Syndetics:

Provides students with the skills required to correctly identify the right codes for the diagnoses or services provided, and to use those codes to obtain reimbursement correctly the first time an insurance claim is filed. This third edition paces the student through the three major coding classifications - ICD-9 Diagnostic Codes, CPT Procedural Codes and HCPCS Level 3 Codes for non-CPT services and supplies - before refocusing on reimbursment.

Tabla de contenidos provista por Syndetics

• Unit I Current Procedural Terminology (CPT)(p. 1)
• Chapter 1 Introduction to the CPT(p. 2)
• The Purpose of the CPT Manual(p. 4)
• Updating the CPT Manual(p. 4)
• The CPT Manual Format(p. 6)
• Starting With the Index(p. 17)
• Chapter 2 Evaluation and Management (E/M) Section(p. 26)
• Contents of the E/M Section(p. 28)
• Three Factors of E/M Codes(p. 28)
• Various Levels of E/M Service(p. 30)
• An E/M Code Example(p. 48)
• Using the E/M Codes(p. 49)
• Documentation Guidelines(p. 75)
• Chapter 3 Anesthesia Section and Modifiers(p. 80)
• Part I Learning About the Anesthesia Section(p. 82)
• Types of Anesthesia(p. 82)
• Anesthesia Section Format(p. 84)
• Formula for Anesthesia Payment(p. 85)
• Unlisted Anesthesia Code(p. 92)
• Part II Modifiers(p. 94)
• The CPT Modifiers(p. 94)
• Chapter 4 Introduction to the Surgery Section and Integumentary System(p. 120)
• Part I Introduction to the Surgery Section(p. 122)
• Format(p. 122)
• Separate Procedures(p. 126)
• Surgical Package(p. 127)
• Part II General and Integumentary System Subsections(p. 130)
• General Subsections(p. 130)
• Format(p. 131)
• Skin, Subcutaneous and Accessory Structures(p. 131)
• Nails(p. 139)
• Repair (Closure)(p. 143)
• Burns(p. 154)
• Destruction(p. 156)
• Breast Procedures(p. 157)
• Chapter 5 Musculoskeletal System(p. 162)
• Format(p. 164)
• Coding Highlights(p. 164)
• General(p. 170)
• Application of Casts and Strapping(p. 178)
• Endoscopy/Arthroscopy(p. 181)
• Chapter 6 Respiratory System(p. 186)
• Format(p. 188)
• Coding Highlights(p. 189)
• Nose(p. 190)
• Accessory Sinuses(p. 196)
• Larynx(p. 197)
• Trachea and Bronchi(p. 199)
• Lungs and Pleura(p. 201)
• Chapter 7 Cardiovascular System(p. 208)
• Coding Highlights(p. 210)
• Cardiovascular Coding in the Surgery Section(p. 212)
• Cardiovascular Coding in the Medicine Section(p. 228)
• Cardiovascular Coding in the Radiology Section(p. 241)
• Chapter 8 Female Genital System and Maternity Care and Delivery(p. 248)
• Part I Female Genital System(p. 250)
• Format(p. 250)
• Coding Highlights(p. 250)
• Part II Maternity Care and Delivery(p. 261)
• Format(p. 261)
• Coding Highlights(p. 261)
• Chapter 9 General Surgery I(p. 268)
• Male Genital System(p. 270)
• Intersex Surgery(p. 271)
• Urinary System(p. 271)
• Digestive System(p. 274)
• Mediastinum and Diaphragm(p. 280)
• Chapter 10 General Surgery II(p. 286)
• Hemic and Lymphatic Systems(p. 288)
• Endocrine System(p. 290)
• Nervous System(p. 292)
• Eye and Ocular Adnexa(p. 298)
• Auditory System(p. 301)
• Chapter 11 Radiology Section(p. 306)
• Format(p. 308)
• Radiology Terminology(p. 308)
• Procedures(p. 309)
• Planes(p. 309)
• Guidelines(p. 316)
• The Four Radiology Subsections(p. 319)
• Chapter 12 Pathology/Laboratory Section(p. 336)
• Format(p. 338)
• Subsections(p. 338)
• Chapter 13 The Medicine Section and Level II National Codes(p. 350)
• Diagnostic and Therapeutic Services(p. 352)
• History of National Level Coding(p. 374)
• Unit II International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)(p. 389)
• Chapter 14 An Overview of the ICD-9-CM(p. 390)
• What is the ICD-9-CM?(p. 392)
• ICD-9-CM Format and Conventions(p. 394)
• Alphabetic Index, Volume 2(p. 402)
• Tabular List, Volume 1(p. 413)
• The Five Appendices in the Tabular List, Volume 1(p. 423)
• Procedures, Volume 3(p. 426)
• Chapter 15 Using the ICD-9-CM(p. 440)
• Some General Information About the Offical Guidelines for Coding and Reporting(p. 442)
• V Codes and Late Effects(p. 464)
• Chapter-Specific Guidelines(p. 469)
• More General Guidelines(p. 517)
• Diagnostic Coding and Reporting Guidelines for Outpatient Services(p. 519)
• Overview of ICD-10-CM and ICD-10-PCS(p. 522)
• Unit II An Overview of Reimbursement(p. 541)
• Chapter 16 Third-Party Reimbursement Issues(p. 542)
• Introduction(p. 544)
• The Basic Structure of the Medicare Program(p. 544)
• The Importance of the Federal Register(p. 547)
• Understanding Inpatient Diagnosis-Related Groups (DRGs)(p. 550)
• The Purpose of Peer Review Organizations (PROs)(p. 565)
• What Is the Outpatient Resource-Based Relative Value Scale (RBRVS)?(p. 567)
• The Prospective Payment System for the Skilled Nursing Facility(p. 573)
• Outpatient Medicare Reimbursement System--APC(p. 573)
• Medicare Fraud and Abuse(p. 576)
• The Managed Health Care Concept(p. 584)
• Appendix A ICD-9-CM Official Guidelines for Coding and Reporting(p. 591)
• Appendix B Exercise Answers(p. 633)
• Appendix C Documentation Guidelines for Evaluation and Management Services(p. 663)
• Glossary(p. 689)