Medical Insurance Made Easy - E-Book

Medical Insurance Made Easy - E-Book
Author: Jill Brown
Publisher: Elsevier Health Sciences
Total Pages: 554
Release: 2013-08-02
Genre: Medical
ISBN: 0323277012

- Features completely updated information that reflects the many changes in the insurance industry. - Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. - Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.

Evaluation and Management Coding Reference Guide - First Edition

Evaluation and Management Coding Reference Guide - First Edition
Author: AAPC
Publisher: AAPC
Total Pages: 14
Release: 2020-06-30
Genre: Medical
ISBN: 162688983X

Defeat the challenges that threaten your E/M claims and compliance success. Evaluation and management (E/M) services are the lifeblood of your revenue stream, and yet they’re the most problematic to report. Claim denials remain high. E/M coding errors, in fact, rose from 11.9% in 2018 to account for 12.8% of CMS’s overall 2019 improper payment rate. How much E/M revenue are you losing? Safeguard your organization from claim denials and audit scrutiny with the Evaluation & Management Coding Reference Guide. Our experts break down E/M coding rules and requirements into simple, manageable steps written in everyday language to boost your E/M reporting skills. Learn how to capture the key components of medical history, physical exam, and medical decision-making—and capitalize on real-world clinical scenarios to prevent over- or under-coding. The Evaluation & Management Coding Reference Guide will help you prep for 2021 E/M guideline changes overhauling new and established office and outpatient services, and walk you through online digital E/M services, remote physiologic monitoring, and more. Master the ins and outs of E/M coding—CPT® guidelines, level of service, modifiers, regulations, and documentation guidelines. Put an end to avoidable denials and optimize your E/M claims for full and prompt reimbursement. Benefit from expert tutorials covering the spectrum of E/M reporting concepts and challenges: Prep for 2021 guideline changes and their impact on your organization Master the ins and outs of E/M guidelines in CPT® Capture the seven components of E/M services Sort out medical decision-making coding Avoid the pitfalls of time-based coding Nail down specifics for critical care E/M services Clear up modifier confusion Understand NPPs rules for same-day E/M services Take the guesswork out of complexity determinations Get the details on coding surgery and E/M together Learn the principles of E/M documentation

Evaluation and Management (e&M) Coding Calculator

Evaluation and Management (e&M) Coding Calculator
Author: BarCharts, Inc
Publisher:
Total Pages: 0
Release: 2017-01-31
Genre:
ISBN: 9781423234708

Annotation Quick and easy tool for students and professionals. Whether studying for class or a coding certification test. Use as a quick go-to desk reference for the professional starting out or for the guru that has the ultimate coding toolbox of useful resources. 6-page laminated guide includes:Standard Steps & Codes for E/MDiagnosis or SymptomLocation of the ServiceRelationship Between Physician & PatientLevel of History from DocumentationLevel of Exam from DocumentationLevel of Medical Decision MakingChoose Code Based on Levels of Key ComponentsWhen Time Determines the E/M CodeModifiersSpecial Types of E/M ServicesHCPCS Level II E/M ServicesMedicare Documentation GuidelinesHistoryPhysical ExaminationMedical Decision MakingSuggested uses:Students - handy reference that is compact and easily reviewed on a daily basisCertification - great quick review tool for certification testingCoding Professionals - a quick reference memory refresherMedical Administration - training tool for coding or non-coding staff.

Medical Billing & Coding For Dummies

Medical Billing & Coding For Dummies
Author: Karen Smiley
Publisher: John Wiley & Sons
Total Pages: 355
Release: 2019-12-05
Genre: Medical
ISBN: 1119625440

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!

Coders' Dictionary & Reference Guide - First Edition

Coders' Dictionary & Reference Guide - First Edition
Author: AAPC
Publisher: AAPC
Total Pages: 18
Release: 2020-06-30
Genre: Medical
ISBN: 1626889813

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!

ICD-10-CM Coding Guidelines Made Easy

ICD-10-CM Coding Guidelines Made Easy
Author: Terry Tropin
Publisher:
Total Pages: 186
Release: 2020-09-12
Genre:
ISBN:

ICD-10-CM updates effective October 1, 2020. New for this edition--Review quizzes to help the reader differentiate between codes for mother and baby, musculoskeletal system and injury, and poisoning, adverse effects, toxic effects and underdosing. This book was developed by a certified coding teacher to help her students and others understand the complicated and confusing coding guides. It translates the guidelines into plain English and places them into tables for easy reference. See also Coding Made Easy books on PCS, External Causes, and E/M coding.

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)
Author: Department Of Health And Human Services
Publisher: Lulu.com
Total Pages: 128
Release: 2020-09-06
Genre: Medical
ISBN: 9781716599989

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.