Coding for Medical Necessity Reference Guide - First Edition

Coding for Medical Necessity Reference Guide - First Edition PDF

Author: AAPC

Publisher: AAPC

Published: 2020-03-18

Total Pages: 17

ISBN-13: 1626889805

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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

Coders' Dictionary & Reference Guide - First Edition

Coders' Dictionary & Reference Guide - First Edition PDF

Author: AAPC

Publisher: AAPC

Published: 2020-06-30

Total Pages: 18

ISBN-13: 1626889813

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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!

Coders' Specialty Guide 2023: Gastroenterology

Coders' Specialty Guide 2023: Gastroenterology PDF

Author: AAPC

Publisher: AAPC

Published: 2023-01-31

Total Pages: 18

ISBN-13: 1646317092

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Gastroenterology coding was never more convenient. How’d you’d like to code lightning-fast and with new-found precision? Now you can with the Coders’ Specialty Guide 2023: Gastroenterology, the intelligently-designed resource for streamlining your gastroenterology reporting. With the Coders’ Specialty Guide 2023: Gastroenterology, quick and accurate coding is as easy as referencing a single page. Find the right code grouped with the supporting info you need—ICD-10 CrossRefs, CCI edits, RVUs, code descriptors and lay term, Medicare reimbursement details, procedure illustrations, and coding and billing advice. Beat the clock and earn prompt and equitable reimbursement: Gastroenterology CPT® codes, including 2023 new and revised codes Official descriptors for category I-III CPT® codes Easy-to-follow lay term explanations of how physicians perform each procedure Expert coding and billing tips for assigning specific CPT® codes Medicare reimbursement rates for both physicians and hospitals with facility and non-facility RVUs Modifier crosswalks showing applicable modifiers for CPT® codes Pre-, post-, and intra-operative procedure indicators CCI edits to quickly check possible bundling problems HCPCS codes with official descriptors, lay term explanations, and coding tips for commonly used supplies and equipment ICD-10-CM-to-CPT® crosswalks to identify medical necessity and earn maximum reimbursement Complete code index, with associated page numbers, make searches quick and easy Dictionary-style headers for quick navigation Captioned Illustrations display correlating codes for each image And more! Get out from under the paperwork with your one-stop quick-reference guide to coding your gastroenterology services in 2023. *CPT® is a registered trademark of the American Medical Association

Principles of CPT Coding

Principles of CPT Coding PDF

Author: American Medical Association

Publisher: American Medical Association Press

Published: 2003

Total Pages: 596

ISBN-13:

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This book is designed to be used by community colleges, career colleges, and vocational school programs for training. It is an training tool for independent study or for those who want a comprehensive coding reference for office use. This text is also for coders who are preparing for a certification exam.

CPT Reference of Clinical Examples

CPT Reference of Clinical Examples PDF

Author: American Medical Association

Publisher: American Medical Association Press

Published: 2008

Total Pages: 0

ISBN-13: 9781603590068

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CPTr Reference of Clinical Examples provide readers a framework for understanding the correct application of CPTr codes. Developed in detail, they richly illustrate official scenarios of procedural situations, delivering a comprehensive and powerful tool for reporting services provided to patients. The expanded second edition provides more than 1,000 detailed case histories of the top-reported codes pulled from the proprietary CPT information database and Medicare claims data. Organized like the CPT codebook, this invaluable reference includes insightful illustrations as well as: More than 100 coding tips Pre-/Intra-/Post-service - delivers detailed information of what was performed before, during and after the procedure Work value from Relative Value System (RVS) Global period information Symbols noting the most recent RUC five-year review, as well as additions from the first edition

Medical Billing & Coding For Dummies

Medical Billing & Coding For Dummies PDF

Author: Karen Smiley

Publisher: John Wiley & Sons

Published: 2019-12-05

Total Pages: 355

ISBN-13: 1119625440

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The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

Principles of CPT Coding

Principles of CPT Coding PDF

Author: AMA

Publisher: American Medical Association Press

Published: 2014-05-14

Total Pages: 527

ISBN-13: 9781603597937

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Learn to apply CPTr codes. Updated and revised by the AMA, this best-selling resource is a comprehensive textbook for the knowledgeable coder and healthcare professional. Designed to supplement the CPTr codebook, this textbook provides an in-depth review of the CPT guidelines and serves as a guide for proper application of the CPT codes. Features include: * Expanded and revised chapter Sections -- help you to better understand coding with useful descriptions on new codes and enhanced coding guidelines * Updated chapter information -- guides you in the proper application of new 2013 codes * New and revised tables and Illustrations -- make coding easier and more efficient * Coding tips -- provide helpful hints to aid in accurate code selection * New and revised chapter exercises -- test your knowledge and understanding of CPT concepts

Health Insurance Today - E-Book

Health Insurance Today - E-Book PDF

Author: Janet I. Beik

Publisher: Elsevier Health Sciences

Published: 2014-08-06

Total Pages: 557

ISBN-13: 0323262449

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Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today’s competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.

CPT Case Studies

CPT Case Studies PDF

Author: Ama

Publisher:

Published: 2014-06-25

Total Pages: 0

ISBN-13: 9781622020287

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The CPT(R) experts at the AMA introduce a new publication, CPT(R) Case Studies: Examples of Procedures and Services. Organized like the CPT(R) codebook, this important reference delivers accurate and authoritative information with practical situations for code reporting for more than 1000 most-reported CPT codes. Features and Benefits: - Coding tips and exclusive guidance from the AMA's CPT(R) Editorial Panel - Pre-, Intra-, and post-service details deliver information on elements that would be typically performed - Insightful procedural illustrations of procedural elements included in these services - Global period information associated with each code to provide more detailed information around the reporting environment of these CPT(R) codes - CPT code symbols from the CPT codebook are used and displayed in each page for easy reference - Citations for CPT(R) Assistant, Clinical Examples of Radiology, CPT(R) Changes associated with each code