Now enhanced with a new, bolder font to improve readability, Ingenix 2012 ICD-9-CM, VOLUMES 1, 2 & 3 code books continue to provide accurate and comprehensive coverage for diagnosis coding and reimbursement in hospitals and payer organizations. Loaded with innovative features and content to address regulatory changes and coding challenges, Ingenix experts study industry changes and trends while seeking feedback from coding professionals to ensure your code book provides accurate and up-to-date information in an easy-to-use, intuitive format. Remain a step ahead with a resource that's designed to enhance performance in your daily work.
ICD-10-CM/PCS has been delayed, so let this final edition of the ICD-9-CM Expert for Hospitals, Volumes 1, 2 & 3 with the hallmark features and content that have provided accurate and reliable information for over 25 years serve to meet current coding challenges under HIPAA and to function as a solid reference for utilizing valuable legacy ICD-9-CM coded data. In addition, new ICD-10-CM features help you prepare for the code set transition.
Let this final edition of the ICD-9-CM Expert for Hospitals, Volumes 1, 2 & 3 with the hallmark features and content that have provided accurate and reliable information for over 25 years serve to meet current coding challenges and to function as a solid reference for utilizing valuable legacy ICD-9-CM coded data. In addition, new ICD-10-CM features help you prepare for the code set transition. Key Features and Benefits Exclusive to the Expert edition: " NEW FEATURE- AHA's Coding Clinic topic summaries. Review a summary of coding advice from the latest AHA Coding Clinics. " Optum Edge -ICD-10-CM Coding Proficiency and Documentation Self-Assessment-Test your ICD-10-CM readiness and skills with this 50 question quiz. " Optum Edge -ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work. " Optum Edge -Present on admission (POA) indicator tutorial with source documentation table. Access additional explanation and examples to help simplify POA, plus official guidelines regarding use of information in the medical record. " Optum Edge -Dx/MDC/DRG list. Enhance overall reimbursement and reduce potential fine risks with information concerning the MDC and MS-DRG that a specific principal Dx group is under in the new MS-DRG system. Includes these traditional hallmark features plus many more: " Optum Edge -Intuitive color-coded symbols and alerts. Identify critical coding and reimbursement issues quickly with alerts on the same page as the code you need " Diagnosis and Procedure Medicare Code Edit (MCE) alerts. Color-coding and symbols identify all major Medicare Code Edits (MCE) used to audit claims submitted under the inpatient prospective payment system (IPPS) for diagnosis, including unacceptable PDx, questionable admission PDx, age, sex, CC and MCC, and manifestation codes. Also MCEs related to valid OR procedures, non-covered, limited coverage, non- operating room, bilateral edits and sex e
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.
Code with more precision and efficiency to reduce claim delays and denials using the ICD-9-CM Professional for Hospitals, Volumes 1, 2 & 3, with critical coding and reimbursement edit alerts on the same page as the code you want. This product supports HIPAA compliance by providing the approved standard code set (ICD-9-CM), the official coding guidelines, references for official coding advice, coding instructions and conventions required under HIPAA. Do it right ? in less time.
Lippincott Williams & Wilkins' Administrative Medical Assisting, Second Edition teaches students the theory and skills to become effective medical office assistants. The text and ancillary resources address all the required administrative competencies for CAAHEP and ABHES program accreditation. The book includes critical thinking questions and is written for maximum readability, with a full-color layout, over 100 illustrations, and boxes to highlight key points. A bound-in CD-ROM and a companion Website include CMA/RMA exam preparation questions, an English-to-Spanish audio glossary, a clinical simulation, administrative skill video clips, competency evaluation forms, and worksheets for practice. A Skills DVD with demonstrations of the most important medical assisting skills is available separately. An Instructor's Resource CD-ROM and online instructor resources will be available gratis upon adoption of the text.
A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.