Conditions of Participation for Hospitals
Author: United States. Social Security Administration
Publisher:
Published: 1966
Total Pages: 72
ISBN-13:
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ICD-9-CM Official Guidelines for Coding and Reporting
Author:
Publisher:
Published: 1991
Total Pages: 76
ISBN-13:
DOWNLOAD EBOOKImproving Diagnosis in Health Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Published: 2015-12-29
Total Pages: 473
ISBN-13: 0309377722
DOWNLOAD EBOOKGetting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Registries for Evaluating Patient Outcomes
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Published: 2014-04-01
Total Pages: 385
ISBN-13: 1587634333
DOWNLOAD EBOOKThis User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
The Future of Nursing 2020-2030
Author: National Academies of Sciences Engineering and Medicine
Publisher:
Published: 2021-09-30
Total Pages:
ISBN-13: 9780309685061
DOWNLOAD EBOOKThe decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Coding with Modifiers
Author: Robin L. Linker
Publisher: American Medical Association Press
Published: 2020
Total Pages: 0
ISBN-13: 9781640160378
DOWNLOAD EBOOK"Coding with Modifiers, 6th Ed, is the ultimate resource for modifier guidelines. This revised edition provides guidance on how and when to use modifiers in order to avoid costly payment delays and denials. Coding with Modifiers uses real-life modifier scenarios and medical records to guide correct CPT® and HCPCS modifier usage. Modifiers create clear, concise communications between the provider and payer, and are essential to the coding process. Clinical documentation improvement and other pertinent considerations highlight important clinical documentation improvements for each modifier and related best practices to ensure correct modifier usage. Provides guidelines from CPT, CMS, third-party payers, and NCCI to explain how and when to use modifiers to avoid payment delays and denials"--
HCPCS Level II Expert 2025
Author: AAPC
Publisher: AAPC
Published: 2024-12-31
Total Pages: 20
ISBN-13: 1635277442
DOWNLOAD EBOOK2025 HCPCS Level II Expert Code Book Going beyond the basics to help you code accurately and efficiently, AAPC’s 2025 HCPCS Level II Expert is an essential code book for reporting durable medical equipment, injectable drugs, outpatient surgery, procedures and services, and many other codes. Complete with a customized Alphabetic Index and supplementary information for each code, this resource is designed for both professional coders and students preparing for their certification exam. Key features and benefits HCPCS Level II coding procedures guide from CMS to help you to better understand HCPCS Level II codes Comprehensive list of new, revised, and deleted codes for 2025 Table of drugs and biologicals helps identify HCPCS Level II drug codes based on their brand or generic name HCPCS Level II modifiers with descriptions and tips contain the information you need to accurately apply modifiers APC status indicator and ASC payment indicator symbols help you find codes payable through OPPS Anatomic illustrations and full color photos provide helpful visuals for selecting the correct code Citations to AHA Coding Clinic® indicate which HCPCS Level II codes have been covered in AHA Coding Clinic® articles for industry insights and advice Numerous appendices provide quick look ups for National Correct Coding Edits, POS codes, Medicare’s Pub 100 references, and tips on proper modifier use Color-coded icons supply age and sex alerts, new and revised code changes, and special Medicare coverage indicators Colorful orientation lines help you navigate indentations in the Index Free CEU: With your purchase of this book, you can register for a free code book training worth one CEU. Registration for the 2025 code book training will open in January 2025. Note: eBooks CANNOT be used on AAPC certification exams.
CPT 2021 Professional Edition
Author: American Medical Association
Publisher:
Published: 2020-09-17
Total Pages: 1000
ISBN-13: 9781640160491
DOWNLOAD EBOOKCPT® 2021 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services. Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT® code set is a dynamic, everchanging standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT® 2021 Professional Edition. Only the AMA, with the help of physicians and other experts in the health care community, creates and maintains the CPT code set. No other publisher can claim that. No other codebook can provide the official guidelines to code medical services and procedures properly. FEATURES AND BENEFITS The CPT® 2021 Professional Edition codebook covers hundreds of code, guideline and text changes and features: CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology citations -- provides cross-referenced information in popular AMA resources that can enhance your understanding of the CPT code set E/M 2021 code changes - gives guidelines on the updated codes for office or other outpatient and prolonged services section incorporated A comprehensive index -- aids you in locating codes related to a specific procedure, service, anatomic site, condition, synonym, eponym or abbreviation to allow for a clearer, quicker search Anatomical and procedural illustrations -- help improve coding accuracy and understanding of the anatomy and procedures being discussed Coding tips throughout each section -- improve your understanding of the nuances of the code set Enhanced codebook table of contents -- allows users to perform a quick search of the codebook's entire content without being in a specific section Section-specific table of contents -- provides users with a tool to navigate more effectively through each section's codes Summary of additions, deletions and revisions -- provides a quick reference to 2020 changes without having to refer to previous editions Multiple appendices -- offer quick reference to additional information and resources that cover such topics as modifiers, clinical examples, add-on codes, vascular families, multianalyte assays and telemedicine services Comprehensive E/M code selection tables -- aid physicians and coders in assigning the most appropriate evaluation and management codes Adhesive section tabs -- allow you to flag those sections and pages most relevant to your work More full color procedural illustrations Notes pages at the end of every code set section and subsection
HCPCS Level II Expert 2024
Author: AAPC
Publisher: AAPC
Published: 2023-12-31
Total Pages: 20
ISBN-13: 1646318196
DOWNLOAD EBOOKOfficial 2024 HCPCS Level II Expert Code Book With hundreds of 2024 code changes for durable medical equipment (DME), injectables, supplies, and various Medicare services, your HCPCS claims are at risk. Rely on the HCPCS Level II Expert 2024 for the latest code updates to bill supplies, equipment, and drugs to Medicare, Medicaid, and other payers. Special enhancements in this best-in-class code book include an abundance of code alerts, coding tips, and a fold-out cover with 2024 HCPCS Level II modifiers. Key features and benefits: Complete 2024 HCPCS Level II code set with new, revised, and deleted codes — plus a deleted codes crosswalk Customized, easy-to-use index with thousands of customized entries to help you quickly locate codes HCPCS Level II G code to CPT® code crosswalks Table of Drugs and Biologicals, including brand-name drugs and generic drugs NCCI edits (Column 1 and Column 2) Full-color anatomical illustrations to help you accurately identify which part of the body the code describes AHA Coding Clinic® citations to help keep your HCPCS Level II claims on track HCPCS Level II modifiers in quick-access format on the front fold-out flap User-friendly appendices packed with additional information Dictionary-style headers and color-coded bleed tabs, plus adhesive tabs for fast navigation Spiral binding for ease of use Free CEU with purchase: With every purchase of a 2024 AAPC code book, you can register for a free code book training (worth 1 CEU) that provides an overview of the book, including the history of the coding system, a book tour, and tips for success. Training courses only available for ICD-10-PCS, ICD-10-CM, HCPCS Level II, and 2024 AMA CPT® code books. More colorful icons for greater accuracy and faster reporting: · New and revised codes · MIPS code · Carrier judgment · Special coverage instructions apply · Not payable by Medicare · Non-covered by Medicare · Non-covered by Medicare statute · ASC payment indicator · APC status indicator · ASC approved procedure · Service not separately priced by Part B · Other carrier priced · Reasonable charge · Price established using national RVUs · Price subject to national limitation amount · Price established by carriers · Statute references · BETOS code and descriptor · Paid under the DME fee schedule · Pub 100 references CPT® is a registered trademark of the American Medical Association. Note: eBooks CANNOT be used on any AAPC certification exams.
