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Author : Joe Rivet,Sharon Bolarakis
Publisher : HC Pro, Inc.
Page : 137 pages
File Size : 49,9 Mb
Release : 2006
Category : Medical audit
ISBN : 9781578398157
Author : Carol J. Buck
Publisher : Saunders
Page : 0 pages
File Size : 51,6 Mb
Release : 2008
Category : Classification
ISBN : 1416035966
Covering 17 of the E/M subsections from the CPT manual, THE EVALUATION AND MANAGEMENT STEP: AN AUDITING TOOL includes three units to help you learn and practice with each subsection. Unit I includes an introduction to E/M coding and breaks down each of the selected 17 subsections in outline format with questions and reports for immediate practice and application. Unit II includes two examinations, each containing 18 fill-in-the-blank cases that correspond to the material from Unit I. Unit III provides the answers to the questions from Units I and II, making it easy to immediately assess your performance. Plus, appendices feature the official guidelines for the ICD-9-CM, E/M Documentation, blank audit forms, abbreviations, and other resources to further your learning. Includes both the 1995 and 1997 E/M Documentation Guidelines in appendices so you can easily reference whichever guidelines you prefer. Outline format makes content easy to follow and understand, plus a follow-up question at the end of each section tests your comprehension as you move through the book. Two practice examinations prepare you for both the exam and the professional environment. Evolve learning resources contain study tips, web links, and content updates and provide you with additional resources and links to information on medical coding.
Author : AAPC
Publisher : AAPC
Page : 14 pages
File Size : 43,6 Mb
Release : 2020-06-30
Category : Medical
ISBN : 9781626889835
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
Author : Carol J. Buck
Publisher : Elsevier Health Sciences
Page : 272 pages
File Size : 48,7 Mb
Release : 2013-08-07
Category : Medical
ISBN : 9781455774869
Building your skills as a professional coder and auditor, E/M Auditing Step, 3rd Edition provides a thorough review of the 17 Evaluation and Management (E/M) subsections presented in the Current Procedural Terminology (CPT) manual. Real-life scenarios let you practice coding with cases taken from actual documentation. An outline format includes plenty of practice questions, making it easy to review and prepare for E/M certification exams. Written by coding author and educator Carol J. Buck, this edition covers both ICD-9 and ICD-10 code sets, and helps you gain the accuracy and proficiency you need for success in auditing records and in E/M coding. A convenient outline format provides easy-to-follow, efficient coverage of E/M coding. An introduction to E/M coding describes how to fill out the main audit form used in the book, then breaks down each of the 17 E/M CPT subsections separately. Follow-up questions and reports test your comprehension of the E/M subsections and allow you to build confidence. An examination with answers prepares you for the professional environment with 17 real-life cases covering E/M codes. 1995 and 1997 E/M Documentation Guidelines, along with an Internet Only Manual, provide a quick reference to all E/M coding variations. Useful appendices include answers to Unit 1 questions and the Unit 2 exam, blank audit forms for practice, abbreviations, and additional resources. UPDATED content lets you practice using the 2013 code sets. Dual coding includes answers for both ICD-9 and ICD-10, preparing you for the diagnosis coding sets of both today and tomorrow.
Author : Duane C. Abbey
Publisher : CRC Press
Page : 232 pages
File Size : 50,7 Mb
Release : 2008-04-02
Category : Medical
ISBN : 9781563273681
While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
Author : Anonim
Publisher : Unknown
Page : 446 pages
File Size : 44,9 Mb
Release : 2015-03-31
Category : Electronic
ISBN : 0996162607
The Art of E & M Auditing(tm) is a resource guide and an educational tool, with over 400 pages, to be used for instructional purposes only. The intent is to provide education and understanding of the 1995 and 1997 Documentation Guidelines, as well as covering other topics such as False Claims Act, Medical Necessity, Diagnosis Coding, and different types of E&M Services. "Incident to," Teaching Physician Rules, and HIPAA are a few of the other topics discussed in this book. There are 10 sample cases, which you can use to audit yourself. Our appendices are filled with useful information including the 1995 and 1997 documentation guidelines, Teaching Physician Rules, terminology, web links, and abbreviations. Our book is not intended as a substitute for a provider's responsibility to choose the appropriate level of service rendered, nor is it intended to be used as a final authoritative source of information. This manual is intended as a supplement to other training and educational materials and/or programs.
Author : Joe Rivet
Publisher : Hcpro, a Division of Simplify Compliance
Page : 0 pages
File Size : 48,9 Mb
Release : 2011-06-15
Category : Medical audit
ISBN : 1601468210
Auditing Evaluation and Management Services: A Step-By-Step Guide to Accurate Coding, Reimbursement and Compliance, Second Edition Joe Rivet, CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHC Turn E/M audits into informative reports that minimize your compliance risk The government is increasing its scrutiny of physician E/M coding. Conducting your own E/M coding audits is best practice to effectively: Analyze complex code assignment options to select the appropriate code Assign an appropriate E/M code based on documentation in the record Identify opportunities for increased revenue and ways to reduce compliance risks Understand the rules and regulations that apply to E/M services billed to Medicare Auditing Evaluation and Management Services is an essential tool to ensure audit success and E/M compliance. This second edition goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas. Author Joe Rivet delivers step-by-step guidance from beginning to end of the E/M audit process. You'll learn how to Select an E/M code, Conduct an entire audit of your E/M services Report your E/M audit findings With this foundation, you'll be well prepared to enhance compliance and identify undercoding, underreporting, overcoding, revenue opportunities, and avenues for documentation improvement. Auditing Evaluation and Management Services, Second Edition, will help practices enhance existing auditing programs by explaining how to determine accurate E/M error rates and assess risk. You will learn how to: Determine proper E/M code selection Conduct risk assessments Structure audits, using the provided E/M audit tool, and package audits Create provider audit summary reports, practice audit summary reports, missed revenue reports, and an action plan Follow guidelines for facility E/M services and interpret the rules governing E/M services involving residents or fellows (including acceptable and unacceptable documentation) Develop a compliance plan and educate a variety of audiences from physicians to coding staff Take a look at the table of contents E/M Code Categories NEW! Selecting an E/M Code Conducting a Risk Assessment E/M Audit Structure Using an Audit Tool Packaging an Audit Facility E/M Services NEW! Teaching Physician Services NEW! Developing a Compliance Plan Education Techniques NEW! What's new? New chapters devoted to: E/M Code Categories Facility E/M Services Teaching Physicians Education Techniques Who will benefit from this book? Auditors and compliance officers in physician practices and hospitals Health systems that own physician practices Business managers Office managers Practice administrators Coding, billing, and reimbursement managers and staff Earn continuing education credits American Academy of Professional Coders This program has prior approval of the American Academy of Professional Coders (AAPC) for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or the program sponsor. American Health Information Management Association This program has been approved for 4 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
Author : Elsevier
Publisher : Elsevier Health Sciences
Page : 576 pages
File Size : 52,8 Mb
Release : 2018-11-03
Category : Electronic
ISBN : 9780323582629
Master advanced coding skills! Buck’s The Next Step: Advanced Medical Coding and Auditing shows how to code for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Real-world cases (cleared of any patient identifiers) takes your coding proficiency a step further by providing hands-on practice with physician documentation. With this guide, you’ll learn to pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and properly audit cases. Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on the job by using actual medical records, allowing you to practice coding with advanced material. UNIQUE! From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice. UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service. Over 170 full-color illustrations depict and clarify advanced coding concepts.
Author : Elsevier
Publisher : Elsevier Health Sciences
Page : 579 pages
File Size : 52,5 Mb
Release : 2020-11-05
Category : Medical
ISBN : 9780323764421
Master advanced coding skills! Buck’s The Next Step: Advanced Medical Coding and Auditing shows how to code for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Real-world cases (cleared of any patient identifiers) takes your coding proficiency a step further by providing hands-on practice with physician documentation. With this guide, you’ll learn to pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and properly audit cases. Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on the job by using actual medical records, allowing students to practice coding with advanced material. UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service. More than 150 full-color illustrations depict and clarify advanced coding concepts. From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice. NEW! Coding updates include the latest information available, including 2022 code updates when released. NEW! Coverage of CPT E/M guidelines changes for office and other outpatient codes.
Author : Carol J. Buck
Publisher : Elsevier Health Sciences
Page : 608 pages
File Size : 42,9 Mb
Release : 2015-12-03
Category : Medical
ISBN : 9780323389129
Mastering advanced medical coding skills is easier with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2016 Edition uses real-world patient cases to explain coding for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Hands-on practice with physician documentation helps you take the next step in coding proficiency. With this guide from coding author and educator Carol J. Buck, you will learn to confidently pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and then properly audit cases. UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service. Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on-the-job by using actual medical records. More than 185 full-color illustrations depict and clarify advanced coding concepts. From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice. UPDATED content includes the latest coding information available, for accurate coding and success on the job.
Author : American Medical Association
Publisher : American Medical Association Press
Page : 26 pages
File Size : 52,5 Mb
Release : 1995
Category : Decision making
ISBN : UCLA:L0069394112
Author : Jean Jurek,Stacey Mosay,Daphne Neris
Publisher : F.A. Davis
Page : 1128 pages
File Size : 49,8 Mb
Release : 2016-01-25
Category : Medical
ISBN : 9780803645110
Conquer Medical Coding. Take a real-world approach to coding that prepares you for the AAPC or AHIMA certification exams and for professional practice in any health care setting. The book is also a handy resource you can turn to throughout your career. Unique decision trees show you how to logically assign a code. It's the only text that breaks down the decision-making process into a visual and repeatable process! You’ll learn exactly how to select the correct ICD-10, CPT, and HCPCS codes. Each section parallels the Official Coding Guidelines, with a special emphasis on commonly used codes. A wealth of learning tools and tips, along with critical-thinking exercises and real-life case studies, provide the practice you need to master coding. Brief reviews of A&P and pathophysiology put the codes into perfect context.
Author : Health Decision
Publisher : Unknown
Page : 128 pages
File Size : 44,5 Mb
Release : 2008-01-01
Category : Electronic
ISBN : 0000470031
Author : Elsevier
Publisher : Elsevier Health Sciences
Page : 563 pages
File Size : 43,6 Mb
Release : 2022-12-05
Category : Medical
ISBN : 9780323874472
Master advanced coding skills! Buck’s The Next Step: Advanced Medical Coding and Auditing shows how to code for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Real-world cases (cleared of any patient identifiers) takes your coding proficiency a step further by providing hands-on practice with physician documentation. With this guide, you’ll learn to pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and properly audit cases. Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on the job by using actual medical records, allowing you to practice coding with advanced material. UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service. More than 150 full-color illustrations depict and clarify advanced coding concepts. Coverage of CPT E/M guidelines changes for office and other outpatient codes. From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice. NEW! Coding updates include the latest information available, including 2024 code updates when released.
Author : Carol J. Buck
Publisher : Elsevier Health Sciences
Page : 608 pages
File Size : 47,7 Mb
Release : 2015-01-01
Category : Medical
ISBN : 9780323292047
Moving on to advanced medical coding is easy with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2015 Edition helps you master coding skills for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Real-world patient cases give you hands-on practice with advanced, physician-based coding. Enhance your decision-making skills and learn to confidently pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, properly audit cases, and prepare for the transition to ICD-10 with the help of coding author and educator Carol Buck! Dual coding addresses the transition to ICD-10 by providing practice as well as coding answers for both ICD-9 and ICD-10. UNIQUE! Evaluation and Management (E/M) audit forms, developed to determine the correct E/M codes, simplify the coding process and help to ensure accuracy. UNIQUE! Netter anatomy illustrations in each chapter help you understand anatomy and how it affects coding. Realistic patient cases simulate your first year of coding by using actual medical records (with personal patient details changed or removed), allowing you to practice coding with advanced material. From the Trenches boxes highlight the experiences of real-life professional medical coders and include photographs, quotes, practical tips, and advice. Auditing cases prepare you to assign correct codes to complicated records, as well as audit records for accuracy. More than 180 full-color illustrations depict and clarify advanced coding concepts. UPDATED content includes the latest coding information available, to promote accurate coding and success on the job.