The Coder S Guide To Physician Queries Second Edition
The Coder S Guide To Physician Queries Second Edition Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of The Coder S Guide To Physician Queries Second Edition book. This book definitely worth reading, it is an incredibly well-written.
The Coder's Guide to Physician Queries, Second Edition by Jillian Harrington Pdf
The Coder's Guide to Physician Queries, Second Edition provides easy-to-follow strategies for coding departments to improve their query processes and train their coders on developing and executing physician queries. Using the tools in this guide, new and established coders can revise their practices and train staff to meet the challenges of integrating ICD-10-CM/PCS codes into queries, government payer initiatives, auditor denials, and electronic advances.
The Clinical Documentation Improvement Specialist's Handbook, Second Edition by Heather Taillon Pdf
The Clinical Documentation Improvement Specialist's Handbook, Second Edition Marion Kruse, MBA, RN; Heather Taillon, RHIA, CCDS Get the guidance you need to make your CDI program the best there is... The Clinical Documentation Improvement Specialist's Handbook, Second Edition, is an all-inclusive reference to help readers implement a comprehensive clinical documentation improvement (CDI) program with in-depth information on all the essential responsibilities of the CDI specialist. This edition helps CDI professionals incorporate the latest industry guidance and professional best practices to enhance their programs. Co-authors Heather Taillon, RHIA, and Marion Kruse, MBA, RN, combine their CDI and coding expertise to explain the intricacies of CDI program development and outline the structure of a comprehensive, multi-disciplinary program. In this edition you will learn how to: Adhere to the latest government and regulatory initiatives as they relate to documentation integrity Prepare for successful ICD-10 transition by analyzing your CDI program Step up physician buy-in with the improved education techniques Incorporate the latest physician query guidance from the American Health Information Management Association (AHIMA) Table of Contents Chapter 1: Building the CDI Program Chapter 2: CDI and the healthcare system Chapter 3: Application of coding guidelines Chapter 4: Compliant physician queries Chapter 5: Providing physician education Chapter 6: Monitoring the CDI program What's new in the Second Edition? Analysis of new industry guidance, including: AHIMA's "Managing an Effective Query Process" and "Guidance for Clinical Documentation Improvement Programs." CMS guidance from new IPPS regulations, MLN Matters articles, Quality Improvement Organizations, and the Recovery Audit Contractor (RAC) program, among others Strategies to help you incorporate the guidance into your CDI program. Tools to help you interpret MAC initiatives and RAC focus areas to enhance your CDI program and help prevent audit takebacks New sample queries, forms, tools, and industry survey data BONUS TOOLS! This book also includes bonus online tools you can put to use immediately! Sample query forms Sample job descriptions for CDI managers, and CDI specialists Sample evaluation form for CDI staff Sample pocket guide of common documentation standards
The Essential Guide to Coding in Otolaryngology by Seth M. Brown,Kimberley J. Pollock,Michael Setzen,Abtin Tabaee Pdf
The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference
The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition by Jennifer Avery,Cheryl Ericson Pdf
The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. In it you'll find the specific documentation requirements to appropriately code a variety of conditions. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors--an ICD-10 certified coder and CDI specialist--collaborated to create a comprehensive selection of ICD-10 sample queries that facilities can download and use to jumpstart their ICD-10 documentation improvement efforts. Develop the expertise and comfort level you need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD-10, Second Edition, is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools TABLE OF CONTENTS Chapter 1: ICD-10 primer Chapter 2: Conventions and Guidelines Chapter 3: Physician queries Chapter 4: CDI target areas Chapter 5: ICD-10-CM/PCS Provider Education
Physician Queries Handbook, Second Edition by Marion Kruse,Marion Kruse, Bsn, RN, MBA Pdf
The Physician Queries Handbook, Second Edition The second edition of thePhysician Queries Handbook is the authoritative source for defining policies, procedures, and best practices for physician queries. Take a walk through the evolution of query practices and discover how government and industry guidance has changed through the years. Learn how to develop query policies and procedures that take into account the latest query practice brief information. Discover how to update your CDI practices to meet the challenges of ICD-10-CM/PCS implementation, Recovery Auditor challenges, and other payer initiatives. New to the second edition! ACDIS/AHIMA 2013 physician query practice brief Sample queries for ICD-9 and ICD-10Benchmarking reports to assess query practices Tips for tracking and assessing query efforts Guidance to adapt query efforts for new government payer initiatives such as value-based purchasing Other topics covered include: Regulatory impact on physician queries ICD-9-CM, Coding Clinic, MS-DRGs, AHIMA, CMS, and OIG clarifications Query process infrastructure Enlisting internal facility support Developing query roles Defining CDI program organizational structure Prospective, concurrent, and retrospective queries Re-defining query formats Verbal vs. written Leading Multiple choice queries Yes/No queries Physician Queries Handbook, Second Edition is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more.
Coders' Dictionary & Reference Guide - First Edition by AAPC Pdf
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!
The Hospitalist Program Management Guide by Kenneth G. Simone,Jeffrey R. Dichter Pdf
Challenged to build and manage a hospitalist program? Overcome the challenge with the latest hospitalist program management techniques from 19 experts in the field: Jeffrey R. Dichter, MD, FACP; Kenneth G. Simone, DO; Mark Ault, MD; Yanick Beaulieu, MD, FRCPC; Martin B. Buser, MPH, FACHE; Mary Dallas, MD; Robbin Dick, MD, FACP; Leslie A. Flores, MHA; Patricia M. Gorman, RN, MSM, CPHQ; Aaron Gottesman, MD, FACP; Amir Jaffer, MD; Donald Krause, MD; Ajay Kumar, MD; John Nelson, MD, FACP; Philip Ng, MD; Charlene Porter, BS, MA, CPC; Bradley T. Rosen, MD, MBA; Geoff Teed; Wayne O. Winney These experts are in-the-trenches hospitalists, hospitalist program directors, chief executive officers, coding experts, chiefs of medicine, and critical care specialists. They'll help you: Use a step-by-step approach to evaluate the need for a hospitalist program Ensure proper communication between hospitalists, primary care physicians, and other staff Optimize hospitalist performance Define goals and specific performance benchmarks Grow the hospitalist program and streamline staff Recruit and retain effective hospitalists Create mentoring programs, call schedules, and more Achieve balanced workloads and successful coding practices Over the years, hospitalists' roles and responsibilities have extended far beyond what many programs originally intended. As a result, hospitals today must invest even more resources and time to create, monitor, and assess the value of a hospitalist program. For both new and existing programs, organization leaders need to ensure that the investment is worthwhile, cost-effective, of high quality, and benefits all parties--the hospital, the hospitalist, and the patient. The Hospitalist Program Management Guide, Second Edition, will show you how to: Establish a new or fledgling hospitalist program Avoid the common mistakes made when launching a program Monitor and improve a program once it is established This resource is completely updated with information from industry experts to help you meet evolving hospitalist program management challenges. New chapters include: Hospitalist program data: Tools to develop a program scorecard, guidelines for reviewing scorecard data, and strategies for using data to improve care and program processes. Benchmarks and evaluation: Strategies for using performance data in financial support negotiations with sponsoring organizations, physician incentive compensation plans, managed care contract negotiations, and program marketing. Tips for selecting metrics and analytical approaches to monitor performance and creating the hospitalist dashboard. Informatics specialist: Approaches for extracting performance metrics from typical information systems and navigating clinical and financial information systems. Return on investment: Tips for establishing, demonstrating, monitoring, and reporting the value of your hospitalists program to organization leadership and financial sponsors. Hospitalist culture and leadership development: Learn how to create a hospitalist culture that encourages participation, ownership, and leadership. Tips for encouraging open exchange of ideas, ensuring a reasonable workload, supporting hospitalists' individual interests and ambitions, and developing the next generation of leaders.
CDI Specialist's Guide to ICD-10 by Jennifer Avery Pdf
Now in its second edition, The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only guide to address ICD-10 from the CDI point of view. Written by CDI experts and ICD-10 Boot Camp instructors, it explains the ICD-10 documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. You'll find the specific documentation requirements to appropriately code a variety of conditions. The CDI Specialist's Guide to ICD-10, 2nd edition, not only outlines the changes coming in October 2014, it provides detailed information on how to assess staffing needs, training requirements, and implementation strategies. The authors-an ICD-10 certified coder and CDI specialist-collaborated to create a comprehensive selection of ICD-10 sample queries facilities can download and use to jumpstart ICD-10 documentation improvement efforts. Develop the expertise and comfort level you'll need to manage this important industry change and help your organization make a smooth transition. The Clinical Documentation Improvement Specialist's Guide to ICD- 10, 2nd ed. is part of the library of products and services from the Association of Clinical Documentation Improvement Specialists (ACDIS). ACDIS members are CDI professionals who share the latest tested tips, tools, and strategies to implement successful CDI programs and achieve professional growth. Member benefits include a quarterly journal, members-only Web site, quarterly networking conference calls, discounts on conferences, and more. WHAT'S NEW? Completely revised to accommodate changes in ICD-10 implementation dates Dozens of targeted ICD-10 physician queries Updated ICD-10 benchmarking reports BENEFITS Sample ICD-10 queries Specificity requirements and clinical indicators by disease type and body system Staff training and assessment tools
Competency Evaluation Tools for Case Management Professionals, Second Edition by Karen S. Zander Pdf
This essential toolkit for case management professionals focuses on real-world case management functions, providing compentency evaluation tools designed by experts in the field and best practices for those who develop performance appraisals, job descriptions, and sequence training.
2018 ICD-10-CM Physician Professional Edition - E-Book by Carol J. Buck Pdf
Select diagnosis codes accurately with Carol J. Buck's 2018 ICD-10-CM for Physicians: Professional Edition. Designed by coders for coders, this practical manual includes all the ICD-10 codes needed for basic outpatient and physician office coding. As coders need more extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition provides an essential background in A&P, pathology, and medical terminology, along with colorful Netter’s Anatomy illustrations and clear instructions for using the book. Together, these features make diagnosis coding faster and easier. Also included is a companion website with the latest coding news and updates! Convenient Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Official Guidelines for Coding and Reporting (OGCRs) are listed in full in the Introduction, at the beginning of each chapter, and integrated within the code set, providing easier reference to coding rules when they are needed most. UNIQUE! Full-color Netter’s Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List of Diseases and Injuries, to help users understand anatomy and how it may affect choosing codes. Full-color design includes consistent color-coded symbols and text, providing easier access to codes and coding information. American Hospital Association's Coding Clinic® citations include official ICD-10-CM coding advice relating to specific codes and their usage. 175 illustrations provide visual orientation and enhance understanding of specific coding situations. Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions. Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category. Symbols and highlights draw attention to codes that may require special consideration before coding, including: New, Revised, and Deleted Codes that call for the use of additional character(s) Includes, Excludes 1 and Excludes 2 Use Additional Unspecified Code First and Code Also Placeholder X symbol reminds users to assign placeholder X for codes less than 6 characters that require a 7th character. Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. Age and Sex edits from the Definition of Medicare Code Edits help to ensure accuracy by denoting codes that are used only with patients of a specific age or sex.
Buck's 2019 ICD-10-CM Physician Edition E-Book by Elsevier Pdf
Selecting diagnosis codes is faster and easier with Buck's 2019 ICD-10-CM Physician Edition. Designed by coders for coders, this full-color manual ensures you learn the most accurate billing and reimbursement codes for medical services provided in the physicians’ office and out-patient settings. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful Netter’s Anatomy illustrations to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding news and updates. At-a-glance Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Official Guidelines for Coding and Reporting (OGCRs) are listed in full in the Introduction, at the beginning of each chapter, and integrated within the code set, providing easier reference to coding rules when they are needed most. UNIQUE! Full-color Netter’s Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List of Diseases and Injuries, to help users understand anatomy and how it may affect choosing codes. Full-color design includes consistent color-coded symbols and text, providing easier access to codes and coding information. American Hospital Association's Coding Clinic® citations include official ICD-10-CM coding advice relating to specific codes and their usage. 182 illustrations provide visual orientation and enhance understanding of specific coding situations. Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions. Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category. Symbols and highlights draw attention to codes that may require special consideration before coding, including: new, revised, and deleted Unacceptable Principle Diagnosis Codes that call for the use of additional character(s) Includes, Excludes 1 and Excludes 2 Use Additional Unspecified Code First and Code Also Placeholder X symbol reminds you to assign placeholder X for codes less than 6 characters that require a 7th character. Manifestation code symbol identifies conditions for which it is important to record both the etiology and the symptom of the disease. Age and Sex edits from the Definition of Medicare Code Edits help to ensure accuracy by denoting codes that are used only with patients of a specific age or sex. NEW! UPDATED 2019 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding.
Coding Sepsis, Septicemia, SIRS, Severe Sepsis and Septic Shock by Cynthia Brown Pdf
CCHIS has created an ebook designed to assist healthcare professional in coding sepsis, septicemia, SIRS, severe sepsis and septic shock in both ICD 9 CM and ICD 10 CM. The ebook contains guidelines, pertinent subject matter, AHA Coding Clinic advice, sample coding cases with answers and much, much more. All in an easy to understand format for the beginner, intermediate, and expert coding professional.
