Download or read book Optum Learning Facilities and Ancillary Services written by Optum and published by . This book was released on 2013-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Optum Learning: Facilities and Ancillary Services helps advanced coders in the facility billing office and is an excellent module for beginning coders in ancillary service offices. Building on the basics learned in our Optum Learning: Medical Billing Basics, this course helps the user master effective coding skills. Features and benefits Optum Edge-Broad overview of the facility reimbursement process. In-depth overview of CPTr, ICD-9-CM, DRG, HCPCS Level II, APCs, and other coding systems. Understand and retain the material being presented. Illustrations, graphs, scenarios, coding tips, glossaries, and other features help improve understanding and retention. Complex coding scenarios. Use examples to ensure fast, accurate facility reimbursement. Insurance and payer background. Make sense of the alphabet soup of different types of insurance and payers. Prepare to pursue appropriate revenue. DRG, revenue code, APC, and ASC information.
Download or read book Optum Learning written by Optuminsight and published by Optuminsight. This book was released on 2012-12-01 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Geriatrics Models of Care written by Michael L. Malone and published by Springer. This book was released on 2015-05-22 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability and preserve quality of life. The models include specific interventions which are performed by health care workers to address the needs of older persons and their caregivers. These models respect patient values, consider patient safety and appreciate psychosocial needs as well. Divided into six parts that discuss hospital-based models of care, transitions from hospital to home, outpatient-based models of care and emergency department models of care, this text addresses the needs of vulnerable patients and the community. Geriatric Models of Care is an excellent resource for health care leaders who must translate these programs to address the needs of the patients in their communities.
Download or read book Signal Processing and Machine Learning for Biomedical Big Data written by Ervin Sejdic and published by CRC Press. This book was released on 2018-07-04 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt: Within the healthcare domain, big data is defined as any ``high volume, high diversity biological, clinical, environmental, and lifestyle information collected from single individuals to large cohorts, in relation to their health and wellness status, at one or several time points.'' Such data is crucial because within it lies vast amounts of invaluable information that could potentially change a patient's life, opening doors to alternate therapies, drugs, and diagnostic tools. Signal Processing and Machine Learning for Biomedical Big Data thus discusses modalities; the numerous ways in which this data is captured via sensors; and various sample rates and dimensionalities. Capturing, analyzing, storing, and visualizing such massive data has required new shifts in signal processing paradigms and new ways of combining signal processing with machine learning tools. This book covers several of these aspects in two ways: firstly, through theoretical signal processing chapters where tools aimed at big data (be it biomedical or otherwise) are described; and, secondly, through application-driven chapters focusing on existing applications of signal processing and machine learning for big biomedical data. This text aimed at the curious researcher working in the field, as well as undergraduate and graduate students eager to learn how signal processing can help with big data analysis. It is the hope of Drs. Sejdic and Falk that this book will bring together signal processing and machine learning researchers to unlock existing bottlenecks within the healthcare field, thereby improving patient quality-of-life. Provides an overview of recent state-of-the-art signal processing and machine learning algorithms for biomedical big data, including applications in the neuroimaging, cardiac, retinal, genomic, sleep, patient outcome prediction, critical care, and rehabilitation domains. Provides contributed chapters from world leaders in the fields of big data and signal processing, covering topics such as data quality, data compression, statistical and graph signal processing techniques, and deep learning and their applications within the biomedical sphere. This book’s material covers how expert domain knowledge can be used to advance signal processing and machine learning for biomedical big data applications.
Download or read book Medical Fee Schedule written by and published by . This book was released on 1995 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evaluation Management Coding Advisor 2014 written by Optum and published by . This book was released on 2014-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluation and Management (E/M) coding is notoriously difficult, mainly because coders have trouble accurately selecting a code from among a range of seemingly appropriate choices. Consequently, providers make more mistakes with E/M coding than coding for any other item or service. This new resource offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations. Features and benefits Updated "Bell Curve" data shows E/M code utilization by specialty. Also includes average charge and payment amount for E/M services, by specialty. Review of the E/M rules and protocols. Helpful advice. Includes insights into difficult E/M coding situations such as well-patient exams, H1N1 flu, and other common, but problematic, coding scenarios. Updated E/M template examples for EMRs. Accurate code selection with guidelines for using templates help you to avoid over-coding and explain how they relates to Meaningful Use. Target areas. Review what auditors are targeting, such as critical care. Compiles payer and specialty association guidance on E/M coding issues. Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information.
Download or read book The ASCRS Textbook of Colon and Rectal Surgery written by Scott R. Steele and published by Springer Nature. This book was released on 2021-11-20 with total page 1198 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a valuable resource for surgeons and health care providers at all stages of their career caring for patients with colorectal disease. This edition provides all newly written chapters, organized around the “pillars” of colorectal disease: perioperative (including endoscopy); anorectal disease; benign disease (including inflammatory bowel disease); malignancy; pelvic floor disorders; and a “miscellaneous” section that covers aspects both inside and beyond the operating room. Chapters are formatted to follow that of a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind a proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides operative technical details and perioperative “tips and tricks” that are utilized in the management of these complex surgical challenges. Chapters also include the assessment of risk and methods utilized to minimize perioperative complications. In addition, the book incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Written by experts in the field from around the world, The ASCRS Textbook of Colon and Rectal Surgery 4th Edition exposes the many critical gaps in our knowledge base and inspires the next generation to answer them through thoughtful and high level scientific inquiry.
Download or read book CPT Professional 2022 written by American Medical Association and published by . This book was released on 2021-09-17 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
Download or read book ICD 10 CM 2022 the Complete Official Codebook with Guidelines written by American Medical Association and published by . This book was released on 2021-09-20 with total page 1250 pages. Available in PDF, EPUB and Kindle. Book excerpt: ICD-10-CM 2022: 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, correct documentation, determining coverage and ensuring appropriate reimbursement. Each of the 22 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. Official 2022 coding guidelines are included in this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes Improved icon placement for ease of use New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes 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. This icon 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. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes.
Download or read book Advances In ME CFS Research and Clinical Care written by Kenneth J. Friedman and published by Frontiers Media SA. This book was released on 2019-11-25 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, the Institute of Medicine (USA) issued a report critical of the research effort and clinical care for ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) formerly known as Chronic Fatigue Syndrome (CFS) and Chronic Fatigue Immune Deficiency Syndrome (CFIDS). While worldwide investigation into the cause and nature of ME/CFS remains disproportionately small, and treatment remains symptomatic and controversial, modest research continues in all aspects of this disease: epidemiology, possible infectious origins and other triggers, possible involvement of genetics, metabolism, and microbiome, influence of co-morbid conditions, and more. Treatment of patients consists of providing symptomatic relief. Guidance in doing so is provided for the clinician. School-age children require not only treatment but, as revealed in a 25-year retrospective study, continued engagement with peers and social activity. This e-book explores the breadth and depth of current ME/CFS research and clinical care. Its impact for other chronic, complex illnesses should not be overlooked.
Download or read book CDT 2021 written by American Dental Association and published by American Dental Association. This book was released on 2020-09-08 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: To find the most current and correct codes, dentists and their dental teams can trust CDT 2021: Current Dental Terminology, developed by the ADA, the official source for CDT codes. 2021 code changes include 28 new codes, 7 revised codes, and 4 deleted codes. CDT 2021 contains new codes for counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use, including vaping; medicament application for the prevention of caries; image captures done through teledentistry by a licensed practitioner to forward to another dentist for interpretation; testing to identify patients who may be infected with SARS-CoV-2 (aka COVID-19). CDT codes are developed by the ADA and are the only HIPAA-recognized code set for dentistry. CDT 2021 codes go into effect on January 1, 2021. -- American Dental Association
Download or read book Buck s 2022 ICD 10 PCS E Book written by Elsevier and published by Elsevier Health Sciences. This book was released on 2021-10-09 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: ICD-10-PCS Official Guidelines for Coding and Reporting (OGCR) provide easier reference to coding rules when they are needed most. Convenient Guide to the 2022 Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Unique! Full-color anatomy plates (including Netter’s Anatomy art) are included in the front of the book to help you understand complex anatomic information and how it may affect choosing codes. American Hospital Association's Coding Clinic® citations include official ICD-10-PCS coding advice relating to specific codes and their usage. Hospital Acquired Condition (HAC) symbol notes procedures related to HACs as outlined in the MS-DRG. Symbols for Non-Covered and Limited-Coverage Procedures indicate related material outlined in the Definitions of Medicare Code Edits. Sex edits from the Definition of Medicare Code Edits denote codes that are used only with patients of a specific sex. Non-Operating Room Procedure symbols identify procedures that do and do not affect MS-DRG assignment. Combinations symbol identifies procedures that can affect MS-DRG assignment. Online Appendix: Procedure Combination Table displays each procedure cluster and the corresponding DRG, as well as a few procedure combinations that are designated as non-OR. NEW! Updated 2022 Official Code set reflects the latest ICD-10 codes needed for procedural coding.
Download or read book VA health care overview written by United States. Department of Veterans Affairs and published by . This book was released on 2004 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Building the Case for Health Literacy written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-08-26 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of health literacy has evolved from one focused on individuals to one that recognizes that health literacy is multidimensional. While communicating in a health literate manner is important for everyone, it is particularly important when communicating with those with limited health literacy who also experience more serious medication errors, higher rates of hospitalization and use of the emergency room, poor health outcomes, and increased mortality. Over the past decade, research has shown that health literacy interventions can significantly impact various areas including health care costs, outcomes, and health disparities. To understand the extent to which health literacy has been shown to be effective at contributing to the Quadruple Aim of improving the health of communities, providing better care, providing affordable care, and improving the experience of the health care team, the National Academies of Sciences, Engineering, and Medicine convened a public workshop on building the case for health literacy. This publication summarizes the presentations and discussions from the workshop, and highlights important lessons about the role of health literacy in meeting the Quadruple Aim, case studies of organizations that have adopted health literacy, and discussions among the different stakeholders involved in making the case for health literacy.
Download or read book Improving the Quality of Health Care for Mental and Substance Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Download or read book The 340B Drug Pricing Program written by Felix C. Larsen and published by Nova Snova. This book was released on 2020-05-12 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 340B Drug Pricing Program (340B Program) and the Medicaid Drug Rebate Program require manufacturers to provide discounts on outpatient drugs in order to have their drugs covered by Medicaid. These discounts take the form of reduced sales prices for covered entities participating in the 340B Program--eligible hospitals and federal grantees--and rebates on drugs dispensed to Medicaid beneficiaries, shared by states and the federal government. This book looks at important issues pertaining to the 340B Drug Pricing Program.
