Download or read book The Coder s Guide to Physician Queries written by Adrienne Commeree and published by . This book was released on 2017-11-27 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is for new and established coders who are looking to expand their knowledge of queries.
Download or read book The Coder s Guide to Physician Queries Second Edition written by Jillian Harrington and published by . This book was released on 2021-04 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Coder's Guide to Physician Queries, Second Edition provides easy-to-follow strategies for coding departments to improve their query processes and train their coders on developing and executing physician queries. Using the tools in this guide, new and established coders can revise their practices and train staff to meet the challenges of integrating ICD-10-CM/PCS codes into queries, government payer initiatives, auditor denials, and electronic advances.
Download or read book Physician Queries Handbook written by James S. Kennedy and published by . This book was released on 2009-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Codebusters Coding Connection written by Patricia T. Aalseth and published by Jones & Bartlett Learning. This book was released on 2005 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Codebusters(tm) Coding Connection, Second Edition provides critical information that physicians, residents, medical students, and coders need for documentation to result in accurate and compliant coding. Revised to reflect changes in current payment systems, new national coding guidelines, and evolving medical terminology, this new edition includes these important updates:* The latest ICD-9-CM and CPT guidelines* Explains how language and terminology will change when ICD-10 is implemented* New coding categories for emerging diseases like SARS and West Nile virus * New systems for outpatient coding* HIPAA mandated standardized code sets* New measures taken by OIG to ensure coding accuracy to combat fraud* Expanded diagnosis and procedure sectionsWith documentation rules and checklists for dozens of diagnosis and procedure categories, this book makes an ideal training tool and assists compliance officers in demonstrating that their institutions are following OIG guidelines. Its small size, inviting format, easy-to-read content and low price make it an invaluable resource for clinicians and coding/billing staff in all settings.* Accurately code documents for dozens of diagnosis and procedure categories* Maximize reimbursement payments by accurately coding documents* Realize why being specific is essential to payable coding* Understand the implications of the transition to ICD-10-CM* Comply with important new coding guidelines
Download or read book Nursing Case Management written by Elaine Cohen and published by Elsevier Health Sciences. This book was released on 2004-08-26 with total page 650 pages. Available in PDF, EPUB and Kindle. Book excerpt: This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities
Download or read book The Field Guide to Physician Coding 4th Edition written by Betsy Nicoletti and published by . This book was released on 2018-06-18 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Field Guide to Physician Coding, 4th Edition, delivers a payload of precise information on coding rules and relevant billing guidelines. Betsy Nicoletti selects topics that answer the questions she is asked most frequently in her speaking and consulting work.
Download or read book The Clinical Documentation Improvement Specialist s Guide to ICD 10 written by Glenn Krauss and published by HC Pro, Inc.. This book was released on 2011-03 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take charge of ICD-10 documentation requirements The implementation of ICD-10 brings with it new documentation requirements that will have a significant impact on the work of your CDI team. The higher degree of specificity of information needed to code accurately will have a direct correlation to reimbursement and compliance. CDI specialists need a firm understanding of the new code set, and the rules that govern it, to obtain the appropriate level of documentation from physicians. The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only book that addresses ICD-10 from the CDI point of view. Written by CDI experts, it explains the new documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. You'll find the specific documentation requirements to appropriately code conditions such as heart failure, sepsis, and COPD. Learn from your peers The Clinical Documentation Improvement Specialist's Guide to ICD-10 includes case studies from two hospitals that have already begun ICD-10 training so you can use their timelines as a blue print to begin your organization's training and implementation. ICD-10 implementation happens in 2013. It's not too soon to start developing the expertise and comfort level you'll need to manage this important industry change and help your organization make a smooth transition. Benefits: * Tailored exclusively for CDI specialists * Side-by-side comparison of what documentation is necessary now v. what will be required starting October 1, 2013 * Timelines to train physicians in new documentation requirements to ensure readiness by implementation date * Strategies and best practices to ensure physician buy-in
Download or read book Successful Collaboration in Healthcare written by Colleen Stukenberg and published by CRC Press. This book was released on 2010-01-27 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: This critically acclaimed work makes the case for collaboration and shows that it can be greatly enhanced with conscious understanding and systematic effort. As a healthcare specialist who has worn many hats from direct care giver to case manager to documentation specialist, Colleen Stukenberg is able toShow how to build trust and communicat
Download or read book Practical Evaluation and Management Coding written by Christopher L. Taylor and published by Springer Science & Business Media. This book was released on 2008-03-14 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide explains the Evaluation and Management (E/M) coding process used by physicians and regulated by the American Medical Association. In four chapters, Dr. Christopher Taylor establishes a step-by-step approach to determining the correct CPT code for the most common patient encounters in the office, hospital, or nursing home. Helpful appendices provide E/M coding guide, templates, and additional information.
Download or read book Guide to Clinical Validation Documentation and Coding 2014 written by Optum360 and published by . This book was released on 2013-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2014 Guide to Clinical Validation, Documentation and Coding provides the clinical criteria necessary for code assignment. This resource describes the clinical documentation needed for determining if the condition is a complication, or when a medical condition should be coded as an additional diagnosis. Now coders, utilization review staff, and HIM managers can systematically evaluate the clinical criteria that influence code assignments and patient care. Covers 50 of the most challenging inpatient medical diagnoses and procedures. Provides detailed clinical criteria and physician documentation requirements. Code assignment justifications are thoroughly outlined. Helps craft physician queries. Learn how to address fine distinctions in a patient's medical condition and ensure appropriate reimbursement. Provides a detailed clinical description of problematic diagnoses or procedures--from a coder's perspective--plus the clinical criteria that support code assignment. Assists coders in determining what clinical elements are necessary for initial diagnosis code assignment, when it should be coded as a complication, and when the condition should be coded as an additional diagnosis. Ties in to ICD-10-PCS. Identifies other terminology that would qualify for the ICD-10-PCS specific root operation term.
Download or read book The Complete RHIT RHIA Prep A Guide for Your Certification Exam and Your Career written by Payel Bhattacharya Madero and published by Jones & Bartlett Learning. This book was released on 2019-11-06 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aligned to the latest AHIMA Core Competencies, The Complete RHIT and RHIA Prep: A Guide for Your Certification Exam and Your Career provides a comprehensive review of the RHIT and RHIA Exam Competency Standards through RHIT Review Online Interactive Modules, online test prep, and an accompanying text that will help students prepare for the RHIT exam. The RHIT Review Online Interactive Modules are a set of online presentations that use voiceover to review essential topicd and provide practicum exercises and interactive decision making simulations to ensure student understanding. Additionally, each of these interactive modules offers a 10 question multiple choice domain topic test. Once students have completed all the interactive modules, they can test their knowledge by taking a final mock exam and/or access hundreds of multiple choice questions for practice and review. The accompanying text offers additional multiple-choice questions, reviews details about the exam and more.
Download or read book Coders Dictionary Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-06-30 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Finding the coding and billing information you need just got easier. The Coders’ Dictionary & Reference Guide is the perfect companion for coding and billing students and busy professionals. This unique resource, designed for your everyday use, provides a complete reference library in one convenient and affordable volume. Now you can clear the pile of books from your desk and find all the supporting information you need for medical billing and coding. Boost your productivity with fingertip-access to medical terms and industry acronyms. Double-check your modifier usage. Find quick answers to your E/M, anesthesia, and surgery coding questions. Refer to educational illustrations and solidify your reporting know-how with essential lay terms. Speed up your workflow with these beneficial features: Exhaustive list of thousands of medical terms with definitions in an easy-to-understand language Billing, coding and reimbursement terms defined to familiarize you with current regulations, requirements, processes, and agencies How-to guidance for coding procedures from the Surgery section, with explanations of common terms Evaluation and Management (E/M) Survival Guideto help you identify the right choice for E/M service levels Anesthesia primer to distinguish between various types of anesthesia Modifiers and lay descriptions for CPT®and HCPCS modifiers in plain English to eliminate your confusion as to when and how to apply modifiers Lists of prefixes, suffixes, abbreviations, and eponyms frequently used in coding Anatomical illustrations to enhance your understanding of services and procedures Place of service(POS) and type of service (TOS) lists And much more!
Download or read book ICD 10 CM Official Guidelines for Coding and Reporting FY 2021 October 1 2020 September 30 2021 written by Department Of Health And Human Services and published by Lulu.com. This book was released on 2020-09-06 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
Download or read book The Essential Guide to Coding in Otolaryngology written by Seth M. Brown and published by Plural Publishing. This book was released on 2021-09-07 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference
Download or read book Mastering Physician Engagement written by John W. Showalter and published by CRC Press. This book was released on 2016-12-01 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Twenty-first century healthcare will be defined by better care, smarter spending, and healthier people. All eyes are on technology as the means to drive down costs and improve efficiency, enabling physicians to deliver care in a way that realizes the vision of a healthier planet. The transition from the acute care focus of the 20th century to the quality and data-driven organizations of tomorrow requires incredible effort and collaboration between all members of the healthcare community. Healthcare professionals are challenged to understand and rapidly adapt to new business models while achieving improved patient care and health outcomes. Physician engagement with the whole community has never been more important than it is today. Mastering Physician Engagement: A Practical Guide to Achieving Shared Outcomes explores strategies and tactics for engaging physicians in a meaningful way in a broad spectrum of change initiatives. Using proven techniques to create alignment with physicians, this book delivers practical approaches for effectively: Fostering engagement in revenue cycle, information technology, and population health initiatives Creating a data-driven culture Training physicians on new technologies and workflows Communicating insights and metrics Identifying and presenting return on investment Developing and achieving common goals
Download or read book Learning to Code with Icd 9 Cm for Health Information Management and Health Services Administration 2006 written by Thomas J. Falen and published by Lippincott Williams & Wilkins. This book was released on 2005-12-01 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book PROP Outpatient Coding Custom written by Anthem and published by Elsevier Health Sciences. This book was released on 2014-06-05 with total page 888 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROP - Outpatient Coding Custom
