Download or read book JustCoding s Guide to Modifiers Hospital Outpatient Edition written by Susan E. Garrison and published by . This book was released on 2015-11-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: JustCoding's Guide to Modifiers: Hospital Outpatient Edition Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H Modifiers are a frequent audit target of CMS and the Office of Inspector General, with focused efforts against modifiers such as -25 and -59. JustCoding's Guide to Modifiers: Hospital Outpatient Edition features a comprehensive explanation of when to report each CPT(R)/HCPCS modifier, including coding tips and the latest regulations and guidance. Each chapter contains exercises that let you use real-life documentation, including operative reports and case studies, to test your knowledge on how to apply each modifier. This book will review the most recent guidance for each modifier, with citations from relevant regulatory documents. Table of Contents About the Author 1. Introduction 2. National Correct Coding Initiative Modifiers(Subsections: Modifiers -59, -XE, -XS, -XP, -XU, -58, -76 to -79, and -91)3. Evaluation and Management Modifiers (Subsections: Modifiers -25 and -27) 4. Anatomical Modifiers(Subsections: Modifiers -50, -RT, -LT, -E1 to -E4, -F1 to -F9, -FA, -LC, -LD, -LM, -RC, -RI, -T1 to -T9, and -TA)5. Reduced/Discontinued Services Modifiers (Subsections: Modifiers -52, -53, -73, and -74) 6. Medical Necessity Modifiers(Subsections: Modifiers -GA, -GX, -GY, and -GZ)7. Screening Services Modifiers(Subsections: Modifiers -GG and -PT)8. Outpatient Therapy Modifiers(Subsections: Modifiers -GN to -GP and -KX)9. Miscellaneous Modifiers(Subsections: Modifiers -CA, -ET, -JW, and -PA to -PC)10. Modifier Coding Compliance Quiz 11. Answer Key Benefits: Properly use modifiers to prevent audits Reduce confusion about when to use modifiers Get coding tips to clarify regulatory guidance and provide examples of which modifiers apply in different situations Access case studies and operative reports to test your knowledge of modifiers

Download or read book Coding with Modifiers written by Deborah J. Grider and published by American Medical Association Press. This book was released on 2013-10-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modifiers create clear, concise communications between the provider and payer, and are essential to the coding process. This fifth edition provides guidance on how and when to use modifiers in order to avoid costly payment delay and denials. New to this edition is a new chapter using real-life cases that contain modifier usage. These cases will help build usage skills and aid in the correct use of CPT(R) and HCPCS modifiers. Features and Benefits - New chapter -- modifier scenarios using real medical record patient encounters to build modifier usage skills - Coding tips -- explains how to use specific modifiers to clear up confusion around modifier usage - Modifiers approved for hospitals and ASCs -- provide information for professional service and hospital reporting requirements - Teaching tools -- enable content testing using AMA-developed questions and answers - Test-Your-Knowledge questions -- nearly 200 test questions to help determine comprehension of the material

Download or read book Quick Hospital Coding Reference Guide for Outpatient Coding written by David W. Eastabrooks and published by . This book was released on 2005-10 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: When medical record coding is needed, this exclusive publication is an excellent reference tool to help one do just that! We've combined both ICD-9 and CPT® diagnosis and procedure codes together in a easy-to-read format. Features a huge plethora of coding examples that smartly follow the body's 14 main systems. These system-specific coding examples and scenarios have been compiled from real-life coding situations and examples. Three styles of indexing are featured, as well as numerous notes and references to further aid the user. An informative classification of bacteria and their respected codes are also included, along with three separate lists of common names for anesthesia, steroid, and chemotherapy drugs. Even a convenient medical abbreviation list with over 3,300 acronyms is contained within this reference guide!

Download or read book CPT 2000 for Hospital Outpatient Services written by American Medical Association and published by American Medical Association Press. This book was released on 2000-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: HCFA has mandated implementation and use of certain variations in CPT coding conventions, including modifiers, for outpatient hospital reporting to Medicare. CPT 2000 for Hospital Outpatient Services is a specially annotated version of CPT. This educational reference correlates with HCFA's provisions of the Hospital Outpatient Prospective Payment System (OPPS) for provider-based facilities owned by hospitals, including physician office practices. It includes special instructions related to hospital outpatient reporting of CPT codes and special symbols that correspond with Ambulatory Payment Classifications (APCs). Does not include a CPT Mini Book.As a special bonus, CPT 2000 for Hospital Outpatient Services comes with a complimentary copy of the May 2000 issue of CPT Assistant, the American Medical Association's award-winning monthly newsletter for coding professionals.This issue focuses on outpatient reporting, and includes guidelines for using the new and revised CPT modifiers, a brief background on the development and intent of the OPPS, and expert commentary on procedures that share both inpatient and outpatient characteristics.

Download or read book Coding for Medical Necessity Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-03-18 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ

Download or read book The Charge Nurse Leader Program Builder written by Diana Swihart and published by Hcpro, a Division of Simplify Compliance. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Charge Nurse Leader Program Builder: A Competency-Based Approach for Developing Frontline Leaders is a comprehensive curriculum and road map for developing frontline leaders and ensuring charge nurses are trained, mentored, and supported in their roles. The Charge Nurse Leader Program Builder is the complete resource for creating a new program or revitalizing your existing training. It defines relevant competencies and provides the tools and framework that you need to get a program up and running. Use the book and its accompanying tools and resources to hold charge nurse workshops for those new to the role and provide ongoing training and development opportunities. The curriculum is already developed for you, so you can immediately get started. You can also pair The Charge Nurse Leader Program Builder with The Effective Charge Nurse Handbook, a pack of 10 short, easy-to-read handbooks to give to charge nurses and support them in their important work of creating a better, more professional nursing environment.

Download or read book Charge Nurse Program Builder written by Tammy L. Berbarie and published by HC Pro, Inc.. This book was released on 2010-06-22 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Charge Nurse Program Builder: Tools for Developing Unit Leaders Tammy L. Berbarie, BA, RN, RN-BC Turn your charge nurses into frontline leaders! As of June 20, 2014, contact hours for nurses are no longer available with this product. Order your copy today and train efficient, competent charge nurses This all-in-one training resource contains customizable tools, templates, and checklists to help nursing leaders provide charge nurses with top-notch training. Whether you hold your own charge nurse training workshop or pass it on as a self-study, this book makes training your charge nurses easier and more effective. It covers all aspects of the charge nurse role, from conflict management to technical duties such as handling patient assignments and scheduling. This all-in-one resource: Equips charge nurses with the skills they need to provide leadership to staff on their unit Enables staff development professionals to provide ongoing training to hundreds of charge nurses using one resource Provides customizable training materials including a PowerPoint presentation and handouts Reduces the time spent developing training materials for charge nurses Use the tools, templates, and checklists for a training workshop or give the book to charge nurses to use as a self-study guide! Table of Contents: Chapter 1: What Is a Charge Nurse? Introduction Charge Nurse Traditional Roles: The Main Ingredients Charge Nurse Exemplary Roles: The Icing on the Cake Summary Chapter 2: Developing a Charge Nurse Job Description Job Descriptions and Charters Engage Team Members Summary Tools Chapter 3: Charge Nurse Succession Planning Identifying Goals Goal 1: Organizational Culture Goal 2: Building Talent Goal 3: Recruiting Talent Goal 4: Maintaining Talent Summary Tools Chapter 4: Planning Charge Nurse Orientation Charge Nurse Job Description or Charge Nurse Charter Regulatory Requirements Leadership Training Coordination and Delivery of Patient Care Patient Safety and Quality Improvement Department and Organizational Orientation Shared Governance Charge Nurse Preceptors Charge Nurse Workshops Orientation Documentation Performance Expectations and Evaluation Launching Your Program Summary Chapter 5: Incorporating the Job Description into Orientation Hiring for the Position Elements to Include in Orientation Charge Nurse Job Description Sample Summary Chapter 6: Regulatory Requirements The Joint Commission Centers for Medicare & Medicaid Services (CMS) State Board of Nurses American Nurses Association (ANA) Organizational Policies and Procedures Summary Chapter 7: Charge Nurse Leadership Training Leadership Team Building Conflict Resolution Communication Developing Talent Summary Chapter 8: Coordination and Delivery of Patient Care Patient Flow Process Staffing and Scheduling Patient-Centered Care Decision-Making Contract Staff, Agency Staff, and Unlicensed Personnel Special Circumstances Documentation Summary Tools Chapter 9: Patient Safety Emergency Management and Documentation Errors Data Collection Summary Chapter 10: Department and Organizational Orientation Leadership Meet and Greet Department Specific Orientation: Crucial Elements Summary Chapter 11: Shared Governance Charge Nurse Participation in Shared Governance Charge Nurse Retreat Charge Nurse Unit Meetings Summary Chapter 12: Charge Nurse Preceptors Preceptor Selection Criteria Training Charge Nurse Preceptors Charge Nurse Precepted Time Summary Chapter 13: Charge Nurse Workshops Crucial Elements to Include Charge Nurse Presentation Development Setting Expectations Building Your Charge Nurse Reference Book Summary Chapter 14: Performance Evaluations Charge Nurse Role in Performance Evaluations Peer Evaluation Tool Nurse Manager Role: Charge Nurse Evaluation Components of a Charge Nurse Evaluation Summary Chapter 15: Launching Your Program Charge Nurse Role in Performance Evaluations Peer Evaluation Tool Nurse Manager Role: Charge Nurse Evaluation Components of a Charge Nurse Evaluation Summary Appendixes

Download or read book Step By Step Medical Coding 2017 Edition written by Carol J. Buck and published by . This book was released on 2016-12-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource ordered for the Health Information Technology program 105301.

Download or read book CDI Companion for Physician Advisors written by Trey La Charité and published by Hcpro, a Division of Simplify Compliance. This book was released on 2016-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: When it comes to clinical documentation, physician advisors have a range of important responsibilities, from query escalation to denials management and everything in between. With all these tasks on their plate, physician advisors are constantly pulled in different directions, making it hard to make the best use of their time. CDI Companion for Physician Advisors: Notes From the Field is designed to help physician advisors structure their time properly and carry out their CDI duties effectively and efficiently. This book will help physician advisors: Find their feet in the CDI role Identify tools to provide effective documentation education for physicians and CDI staff Engage medical staff in documentation improvement efforts Understand common documentation deficiencies for difficult diagnoses such as sepsis, heart failure, and kidney disease Work with their CDI team to tackle advanced record reviews in areas such as quality, audit defense, and outpatient HCCs Figure out how to best structure their time to carry out CDI duties

Download or read book CPT 2015 written by American Medical Association and published by Cengage Learning. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This codebook helps professionals remain compliant with annual CPT code set changes and is the AMAs official coding resource for procedural coding rules and guidelines. Designed to help improve CPT code competency and help professionals comply with current CPT code changes, it can help enable them to submit accurate procedural claims.

Download or read book The Rac Toolkit for Hospitals and Health Systems written by Elizabeth E. Lamkin and published by . This book was released on 2011-05-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program Amanda W. Berglund, MS, MBA; Elizabeth E. Lamkin, MHA Learn how to respond to RAC audits. And more importantly, how to prevent them. The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program is your answer to turning plans into proactive action for RAC success. Authors Elizabeth E. Lamkin, MHA, and Amanda W. Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Whether you are responding to a Recovery Auditor or another government auditor, your program must operate as effectively as possible. You will use their tested, proven, and practical tools that will help you build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical staff together for operational improvements that directly affect your bottom line. The RAC Toolkit for Hospitals and Health Systems will help you get the job done right. The RAC Toolkit for Hospitals and Health Systems will help you achieve the following goals: Take a systemic approach to RAC compliance Incorporate effective structure and processes to existing systems for measurable results Organize committees and facilitate information flow Appeal effectively and within deadlines Use proven tools and methods for an effective RAC program Table of Contents: Chapter 1: RAC Program Overview Chapter 2: Preparing for RAC Chapter 3: The Right Structure: Organizing the Committees Chapter 4: The Right People: Three Critical Roles for RAC Prevention Chapter 5: Additional RAC Stakeholders Chapter 6: Automated Reviews Chapter 7: Complex Review and Extrapolation Chapter 8 The Appeal Appendix (Acronyms and additional resources) Take advantage of these valuable tools included in your book: RAC appeal timeline RAC preparedness checklist RAC committee structure flowchart Organizational chart for RAC-related personnel Sample RAC committee meeting agenda Sample UR committee meeting agenda Complex case review worksheet Admission review continued stay and discharge review flowchart Patient status change letter template Automated review timeline Complex review timeline Appeal letter template for appeal level 1 redetermination CMS form 20027 CMS form 20034 CMS form DAB101

Download or read book Let s Code It written by Shelley C. Safian and published by . This book was released on 2018 with total page 913 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Step by Step Medical Coding 2009 written by Carol J. Buck and published by Saunders. This book was released on 2008-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This money saving package includes Step-by-Step Medical Coding, 2009 Edition - Text and Virtual Medical Office.

Download or read book Buck s Step by Step Medical Coding 2021 Edition written by Elsevier and published by Elsevier Health Sciences. This book was released on 2020-11-08 with total page 836 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck’s Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. A step-by-step approach makes it easier for students to build coding skills and remember the material. Learning objective and glossary review questions reinforce student understanding of key chapter concepts and terms. 30-day trial to TruCode® Encoder Essentials gives students experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). UNIQUE! "Real-life" coding reports (cleared of any confidential information) simulate the reports students will encounter as coders, and help them apply coding principles to actual cases. Online activities on Evolve provide extra practice with assignments, including coding reports. More than 450 illustrations help in understanding the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop students’ coding ability and critical thinking skills. UNIQUE! Coders’ Index in the back of the book makes it easy to quickly locate specific codes. Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records students will encounter in the workplace. NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. NEW! Coverage of CPT E/M Guidelines changes for Office and Other Outpatient codes.

Download or read book Current Controversies in Orthodontics written by Birte Melsen and published by Chicago : Quintessence Publishing Company. This book was released on 1991 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Selected experts evaluate the present state of the art in several areas of orthodontics, differentiating between mere convention and fact supported by scientific studies. From lingual orthodontics to rigid fixation for orthognathic surgery, this book provides much-needed information on how controversies within orthodontics are shaping the future of the field.

Download or read book Injections and Infusions Coding Toolkit written by HCPro and published by Hcpro Incorporated. This book was released on 2014-05-14 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated with 2012 CPTr changes! Hospitals have long struggled under complicated guidelines for coding injection and infusion services. But those days are over. Now, using a simple coding decision tree as your guide, you can master coding for these common procedures without having to master complex coding guidelines. The Injections and Infusions Coding Toolkit was developed by the staff at The University of Texas MD Anderson Cancer Center, a high-volume and world-renowned cancer treatment facility in Houston, TX. They designed a tool that makes it easy for staff to capture correct codes at point-of-service -- or for coders to use to assign appropriate codes to bill. The toolkit takes the guesswork out of: * Selecting the initial service * Deciding which codes can be reported in combination with other codes Your toolkit is updated with 2012 CPT changes and includes everything you need to get started today, including: * 5 copies of the color-coded, laminated coding decision tree * 5 copies of pocket-sized "cheat sheets" to help identify frequently used codes * A CD-ROM with the coding tree files you can customize for your facility * A PDF training guide and a PowerPoint training presentation

Download or read book CPT Changes 2003 written by American Medical Association and published by American Medical Association Press. This book was released on 2002 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: A must-have resource for CPT Professional users! This annual title, serves as a reference tool to understanding each of the CPT code changes found in CPT RM 2003. Every new, revised or deleted code change is listed along with a detailed rationale for the change. Guideline changes are also explained.