Understanding medical coding/ a comprehensive guide Sandra L. Johnson, Robin I. Linker.
Detalles de publicación: Clifton Park, NY: Delmar Cengage Learning; 2013.Edición: Third EditionDescripción: xxxvi, 667 pages color illustrations 28 cmTipo de contenido:- 9781111306809
- RB115 .U525 2013
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Descripciones mejoradas de Syndetics:
Practical and easy to understand, UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, THIRD EDITION teaches readers everything they need to know about medical coding. Through clear, step-by-step instructions, readers will learn how to code a claim correctly, link the correct CPT and ICD-9-CM codes for reimbursement, understand adjustments as well as how and when to bill patients, and determine what to do if there is a denial or rejection. Coverage has been thoroughly updated to include information on ICD-10-CM and how it compares to ICD-9-CM. CPT coding and modifiers are also discussed, as well as more code-specific information, concentrating on specialty coding and the levels of coding.
Includes bibliographical references and index.
This textbook is organized into 16 chapters : Chapter 1. An introduction to the profession of medical coding. -- Chapter 2. through 4 cover the main coding systems. -- Chapter 5. is dedicated to Evaluation and Management codes. -- Chapter 6-12. are categorized by coding sections of the CPT and ICD-9-CM coding manuals, including obstetrics and medicine. -- Chapter 13. contains information about CPT and HCPCS modifiers.-- Chapter 14. delves into the particulars of insurance and billing in medical care facilities and practices, specifically for the ambulatory setting. -- Chapter 15. continues the discussion of insurance and reimbursement wtih in-depth coverage of how to file the claim form, using the CMS-1500 form. There are numerous examples throughout this chapter covering Medicare and Medicaid, other government insurance programs, HMOs, and various Blue Cross Shield insurance policies. -- Chapter 16. contains detailed descriptions of payment cycles and strategies to receive proper reimbursement, and also discusses audit procedures and compliance concepts.
Tabla de contenidos provista por Syndetics
- Preface
- 1 Introduction to Coding
- Introduction
- A Career As a Medical Coder
- What Skills are Required in Medical Coding?
- What is Fraud and Abuse?
- Tools of the Trade
- Types of Coding
- ICD-10CM
- 2 ICD-9-CM
- Introduction
- History and Usage of ICD-9-CM
- How to Look Up a Term
- Tabular List
- V Codes and E Codes
- M Codes
- Categories, Subcategories, and Subclassifications
- Coding Conventions
- Review of the Basic Steps in Coding
- Procedural Coding with ICD-9-CM
- Infections
- HIV Infections
- Circulatory System Coding
- Diabetes Mellitus
- Using V Codes
- Obstetrical Coding
- Neoplasms
- E Coding
- Injuries
- Fractures
- Burns
- Poisoning versus Adverse Effects
- Complications
- Late Effects
- Official Coding Guidelines
- ICD-10-CM
- Procedures in ICD-10-CM
- Implementation of ICD-10-CM
- Web Sites Related to ICD-10-CM
- 3 HCPCS Level II
- Introduction
- History
- Format
- HCPCSII Hierarchy
- Code Revisions
- Index
- HCPCSII Chapter Details
- Accuracy Tips
- HCPCSII Medication Flow Chart
- 4 Current Procedural Terminology (CPT) Basics
- Introduction
- AAMA/CPT Code Book
- Symbols
- Unlisted Codes
- Sending Copies of Notes
- Illustrations
- Anesthesia
- CPT Surgical Guidelines
- Radiology and Pathology Guidelines
- Category II Codes
- Category III Codes
- CPT Errata
- Appendix A
- Appendix B
- Appendix Ct- Clinical Examples
- Appendix D
- Appendix E
- Appendix F
- Appendix G
- Appendix H
- Appendix I
- Index
- Tips for Selecting a CPT Code
- 5 Evaluation and Management
- Introduction
- AMA/CPT Evaluation and Management (E/M) Guidelines
- Criteria of Documentation and E/M Code Selection per AMA/CPT
- More Details
- Time
- How to Select the C/M Code for the Most Common Encounters
- CMS 1995 Evaluation and Management Guidelines
- CMS 1997 Evaluation and Management Guidelines
- CPT Code Book
- 6 Anesthesia/General Surgery
- Introduction
- Anesthesia
- Types of Anesthesia
- Anesthesia Coding
- General Surgery
- The Respiratory System
- The Cardiovascular System
- The Hemic and Lymphatic Systems
- The Mediastinum and Diaphragm
- The Digestive System
- The Urinary System
- The Male Genital System
- Laparoscopy/Hysteroscopy
- The Nervous System
- The Eye and Ocular Adnexa
- The Auditory System
- 7 Integumentary System
- Introduction
- ICD-9-CM Code Selection
- Evaluation and Management Services for Integumentary/Skin
- Surgical Guidelines for Integumentary System
- Incision and Drainage
- Debridement
- Paring or Cutting
- Biopsy
- Removal of Skin Tags
- Lesion Removal or Destruction
- Nails
- Intralesional Injections and Tissue Expanders
- Repair (Closures)
- Graft Concepts and Tips
- Adjacent Tissue Transfer of Rearrangement
- Free Skin Grafts
- Flaps (Skin and/or Deep Tissues)
- Other Procedures
- Pressure Ulcers (Decubitus Uclers)
- Burns, Local Treatment
- Destruction
- Moh's Micrographic Surgery
- Breast Procedures
- Repair and/or Reconstruction
- 8 Orthopedics
- Introduction
- Fractures
- Dislocations
- Arthropathy
- Vertebral Disorders
- Sprains and Strains
- Other Conditions and Procedures
- 9 Cardiology and the Cardiovascular System
- Introduction
- Cardiac and Vascular Anatomy and Physiology
- ICD-9-CM Code Selection
- Cpt
- 90000 Series of CPT
- Intra-cardiac Electrophysiological Procedure/Studies
- Other Vascular Studies
- Noninvasive Vascular Diagnostic Studies
- 30000 Series of CPT
- Radiology
- Using Modifiers Effectively
- Considering an Unlisted Code û Category II
- Category II Codes
- 10 Ob/Gyn
- Introduction
- Unique Aspects of Coding OB/GYN
- Subspecialties of OB/GYN
- Anatomy and Physiology of the Female Reproductive System
- Obstetrics and Gynecology (OB/GYN)
- Obstetrics (OB)
- 11 Radiology, Pathology, and Laboratory
- Introduction
- Radiology
- CPT û Radiology