Justcoding's Injections and Infusions Coding Handbook (Pack of 5)

Justcoding's Injections and Infusions Coding Handbook (Pack of 5)

Author: Jugna Shah

Publisher: Hcpro, a Division of Blr

Published: 2015-04-01

Total Pages: 48

ISBN-13: 9781556455261

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JustCoding's Injections and Infusions Coding Handbook(Pack of 5) Jugna Shah, MPH Drug administration coding doesn't need to be difficult. Drug administration is one of the most common services provided in the outpatient setting, and while the rules and codes have not changed significantly since 2009, coders still have questions about how to apply the CPT® guidelines and follow CMS' guidance. This handbook begins with a review of drug administration concepts, including definitions of common terms. It then walks through the hierarchy that outpatient facility coders use to select the initial drug administration service. The handbook also explains how to properly determine when to report concurrent, subsequent, and additional hours of substances and when to report hydration. Included are 15 case examples of varying complexity for coders to test their understanding of drug administration principles. The correct coding for each example is provided, along with explanations highlighting key code assignment concepts. The handbook concludes with some frequently asked questions about drug administration. Resolve your toughest drug administration coding challenges! Table of Contents Introduction Definition of drug administration terms Importance of correct drug administration reporting CPT coding Codes and coding guidelines Drug administration hierarchy Documentation requirements CPT vs. Medicare rules Coding scenarios Chemotherapy Multiple infusions Subsequent drug administration Concurrent infusions Multiple drug pushes Hydration Coding scenario answers and explanations


Injections and Infusions Coding Toolkit

Injections and Infusions Coding Toolkit

Author: HCPro

Publisher: Hcpro Incorporated

Published: 2014-05-14

Total Pages: 8

ISBN-13: 9781615691609

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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


CPT Changes 2013

CPT Changes 2013

Author: American Medical Association

Publisher: American Medical Association Press

Published: 2012

Total Pages: 0

ISBN-13: 9781603596855

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This annual edition of the CPT code changes is an essential reference for the CPT coder and biller. LouAnn Schraffenberger, MBA, RHIA, CCS, CCS-P Why did a code change? Get the answer straight from the source of the CPT code set. Organized in the same manner as the CPT codebook, this guide provides the official AMA rationales for every new, revised and deleted CPT code and guideline. Benefits and Features * Clinical examples and procedural descriptions that help explain the practical application for each change * An at-a-glance tabular review of the 2013 changes to show the extent changes affect a particular specialty


The Rac Toolkit for Hospitals and Health Systems

The Rac Toolkit for Hospitals and Health Systems

Author: Elizabeth E. Lamkin

Publisher:

Published: 2011-05-20

Total Pages: 0

ISBN-13: 9781601468284

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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


Principles of CPT Coding

Principles of CPT Coding

Author: American Medical Association

Publisher: American Medical Association Press

Published: 2017

Total Pages: 0

ISBN-13: 9781622025510

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The newest edition of this best-selling educational resource contains the essential information needed to understand all sections of the CPT codebook but now boasts inclusion of multiple new chapters and a significant redesign. The ninth edition of Principles of CPT(R) Coding is now arranged into two parts: - CPT and HCPCS coding - An overview of documentation, insurance, and reimbursement principles Part 1 provides a comprehensive and in-depth guide for proper application of service and procedure codes and modifiers for which this book is known and trusted. A staple of each edition of this book, these revised chapters detail the latest updates and nuances particular to individual code sections and proper code selection. Part 2 consists of new chapters that explain the connection between and application of accurate coding, NCCI edits, and HIPAA regulations to documentation, payment, insurance, and fraud and abuse avoidance. The new full-color design offers readers of the illustrated ninth edition a more engaging and far better educational experience. Features and Benefits - New content! New chapters covering documentation, NCCI edits, HIPAA, payment, insurance, and fraud and abuse principles build the reader's awareness of these inter-related and interconnected concepts with coding. - New learning and design features -- Vocabulary terms highlighted within the text and defined within the margins that conveniently aid readers in strengthening their understanding of medical terminology -- "Advice/Alert Notes" that highlight important information, exceptions, salient advice, cautionary advice regarding CMS, NCCI edits, and/or payer practices -- Call outs to "Clinical Examples" that are reminiscent of what is found in the AMA publications CPT(R) Assistant, CPT(R) Changes, and CPT(R) Case Studies -- "Case Examples" peppered throughout the chapters that can lead to valuable class discussions and help build understanding of critical concepts -- Code call outs within the margins that detail a code description -- Full-color photos and illustrations that orient readers to the concepts being discussed -- Single-column layout for ease of reading and note-taking within the margins -- Exercises that are Internet-based or linked to use of the AMA CPT(R) QuickRef app that encourage active participation and develop coding skills -- Hands-on coding exercises that are based on real-life case studies


CPT 2015

CPT 2015

Author: American Medical Association

Publisher: Cengage Learning

Published: 2014

Total Pages: 0

ISBN-13: 9781622020270

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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.


CPT Professional 2020

CPT Professional 2020

Author: American Medical Association

Publisher: American Medical Association Press

Published: 2019-09-23

Total Pages: 0

ISBN-13: 9781622028986

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This AMA-authored resource helps health care professionals correctly report and bill medical procedures and services.