Step by Step Medical Coding 2014 Edition 1st edition by Carol Buck – Ebook PDF Instant Download/Delivery: 1455746355, 978-1455746354
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ISBN 10: 1455746355
ISBN 13: 978-1455746354
Author: Carol Buck
Take your first step toward a successful career in medical coding with in-depth coverage from the most trusted name in coding education! Carol J. Buck’s Step-by-Step Medical Coding, 2014 Edition is a practical, easy-to-use resource that shows you exactly how to code using all current coding systems. Explanations of coding concepts are followed by practice exercises to reinforce your understanding. In addition to coverage of reimbursement, ICD-9-CM, CPT, HCPCS, and inpatient coding, this edition provides complete coverage of the ICD-10-CM diagnosis coding system in preparation for the upcoming ICD-10 transition. No other text on the market so thoroughly covers all coding sets in one source!
Step by Step Medical Coding 2014 Edition 1st Table of contents:
UNIT 1: Reimbursement
Chapter 1: Reimbursement, HIPAA, and compliance
Introduction
Basic structure of the medicare program
Health insurance portability and accountability act9
Federal register
Outpatient resource-based relative value scale (RBRVS)
Medicare fraud
Managed health care
Chapter 1, part I, theory
Chapter 1, part II, practical
UNIT 2: ICD-10-CM
Chapter 2: An overview of ICD-10-CM
Development of the ICD-10-CM
ICD-10-CM replaces the ICD-9-CM, volumes 1 and 2
Improvements in the ICD-10-CM
Structure of the system
Mapping
Index
Tabular
Official instructional notations in the ICD-10-CM
Chapter 2, part I, theory
Chapter 2, part II, practical
Chapter 3: ICD-10-CM outpatient coding and reporting guidelines
First-listed diagnosis
Unconfirmed diagnosis
Outpatient surgery
Additional diagnoses
Z codes
Observation stay
First-listed diagnosis and coexisting conditions
Uncertain diagnoses
Chronic diseases
Documented conditions
Diagnostic services
Therapeutic services
Preoperative evaluation
Prenatal visits
Chapter 3, part I, theory
Chapter 3, part II, practical
Chapter 4: Using ICD-10-CM
Organization of the guidelines
Accurate coding
Alphabetic index and tabular list
Level of specificity
Integral conditions
Multiple coding
Acute and chronic
Combination codes
Late effects
Reporting same diagnosis code more than once
Laterality
Chapter 4, part I, theory
Chapter 4, part II, practical
Chapter 5: Chapter-specific guidelines (ICD-10-CM chapters 1-10)
Certain infectious and parasitic diseases
Neoplasms
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Endocrine, nutritional, and metabolic diseases
Mental, behavioral and neurodevelopmental disorders
Diseases of the nervous system
Diseases of the eye and adnexa
Diseases of the ear and mastoid process
Diseases of the circulatory system
Diseases of the respiratory system
Chapter 5, part I, theory
Chapter 5, part II, practical
Case study 1
Matching
Chapter 6: Chapter-specific guidelines (ICD-10-CM chapters 11-14)
Diseases of the digestive system
Diseases of the skin and subcutaneous tissue
Diseases of the musculoskeletal system and connective tissue
Diseases of the genitourinary system
Chapter 6, part I, theory
Chapter 6, part II, practical
Chapter 7: Chapter-specific guidelines (ICD-10-CM chapters 15-21)
Pregnancy, childbirth, and the puerperium
Certain conditions originating in the perinatal period
Congenital malformations, deformations and chromosomal abnormalities
Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
Injury, poisoning, and certain other consequences of external causes
Chapter 7, part I, theory
Chapter 7, part II, practical
UNIT 3: ICD-9-CM
Chapter 8: An overview of ICD-9-CM
The ICD-9-CM
ICD-9-CM format
Tabular list, volume 1
Appendices in the tabular list, volume 1
Alphabetic index, volume 2
Procedures, volume 3
Chapter 8, part I, theory
Chapter 8, part II, practical
Chapter 9: ICD-9-CM outpatient coding and reporting guidelines
First-listed diagnosis
Additional diagnoses
V codes
Specificity
Uncertain diagnosis
Chronic diseases
Diagnostic services
Therapeutic services
Surgery
Prenatal visits
Chapter 9, part I, theory
Chapter 9, part II, practical
Chapter 10: Using ICD-9-CM
Organization of the guidelines
Level of specificity
Integral conditions
Multiple coding
Acute and chronic
Combination codes
Late effects
Impending or threatened condition
Chapter 10, part I, theory
Chapter 10, part II, practical
Chapter 11: Chapter-specific guidelines (ICD-9-CM chapters 1-8)
Infectious and parasitic diseases
Neoplasms
Endocrine, nutritional, and metabolic diseases and immunity disorders
Diseases of the blood and blood-forming organs
Mental, behavioral and neurodevelopmental disorders
Diseases of the nervous system and sense organs
Diseases of the circulatory system
Diseases of the respiratory system
Chapter 11, part I, theory
Chapter 11, part II, practical
Case study 1
Case study 2
Chapter 12: Chapter-specific guidelines (ICD-9-CM chapters 9-17)
DISEASES OF THE DIGESTIVE SYSTEM
DISEASES OF THE GENITOURINARY SYSTEM
COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
CONGENITAL ANOMALIES AND CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS
INJURY AND POISONING
CHAPTER 12, PART I, THEORY
CHAPTER 12, PART II, PRACTICAL
CASE STUDY 1
UNIT 4: CPT and HCPCS
Chapter 13: Introduction to the CPT and level II national codes (HCPCS)
The purpose of the CPT manual
Updating the CPT manual
CPT manual format
Starting with the index
History of national level codes
Chapter 13, part I, theory
Chapter 13, part II, practical
Chapter 14: Modifiers
CPT modifiers
Chapter 14, part I, theory
Chapter 14, part II, practical
Chapter 15: Evaluation and management (E/M) services
Contents of the E/M section
Three factors of E/M codes
Various levels of E/M service
An E/M code example
Using the E/M codes
Documentation guidelines
Chapter 15, part I, theory
Chapter 15, part II, practical
Chapter 16: Anesthesia
Types of anesthesia
Anesthesia section format
Formula for anesthesia payment
Concurrent modifiers
Unlisted anesthesia code
Other reporting
Chapter 16, part I, theory
Chapter 16, part II, practical
Chapter 17: Surgery guidelines and general surgery
Introduction to the surgery section
Notes and guidelines
Unlisted procedures
Special reports
Separate procedure
Surgical package
General subsection
Chapter 17, part I, theory
Chapter 17, part II, practical
Chapter 18: Integumentary system
Integumentary system
Format
Skin, subcutaneous, and accessory structures
Nails
Repair (closure)
Burns
Destruction
Breast procedures
Chapter 18, part I, theory
Chapter 18, part II, practical
Chapter 19: Musculoskeletal system
Format
Fractures and dislocations
General
Application of casts and strapping
Endoscopy/arthroscopy
Chapter 19, part I, theory
Chapter 19, part II, practical
Chapter 20: Respiratory system
Format
Endoscopy
Nose
Accessory sinuses
Larynx
Trachea/bronchi
Lungs and pleura
Chapter 20, part I, theory
Chapter 20, part II, practical
Chapter 21: Cardiovascular system
Coding highlights
Cardiovascular coding in the surgery section
Cardiovascular coding in the medicine section
Cardiovascular coding in the radiology section
Stop
Chapter 21, part I, theory
Chapter 21, part II, practical
Chapter 22: Hemic, lymphatic, mediastinum, and diaphragm
Hemic and lymphatic systems
Mediastinum and diaphragm
Chapter 22, part I, theory
Chapter 22, part II, practical
Chapter 23: Digestive system
Format
Lips
Vestibule of mouth
Tongue and floor of mouth
Dentoalveolar structures
Palate and uvula
Salivary gland and ducts
Pharynx, adenoids, and tonsils
Esophagus
Stomach
Intestines (except rectum)
Meckel’s diverticulum and the mesentery
Appendix
Rectum
Anus
Liver
Biliary tract
Pancreas
Abdomen, peritoneum, and omentum
Chapter 23, part I, theory
Chapter 23, part II, practical
Chapter 24: Urinary and male genital systems
Urinary system
Male genital system
Chapter 24, part I, theory
Chapter 24, part II, practical
Chapter 25: Reproductive, intersex surgery, female genital system, and maternity care and delivery
Reproductive system procedures
Intersex surgery
Female genital system
Maternity care and delivery
Chapter 25, part I, theory
Chapter 25, part II, practical
Chapter 26: Endocrine and nervous systems
Endocrine system
Nervous system
Chapter 26, part I, theory
Chapter 26, part II, practical
Chapter 27: Eye, ocular adnexa, auditory, and operating microscope
Format
Auditory system
Operating microscope
Chapter 27, part I, theory
Chapter 27, part II, practical
Chapter 28: Radiology
Format
Radiology terminology
Terms
Planes
Guidelines
Diagnostic radiology
Breast, mammography
Diagnostic ultrasound
Radiation oncology
Nuclear medicine
Chapter 28, part I, theory
Chapter 28, part II, practical
Chapter 29: Pathology/laboratory
Format
Organ or disease-oriented panels
Drug testing
Therapeutic drug assays
Evocative/suppression testing
Consultations (clinical pathology)
Urinalysis, molecular pathology, and chemistry
Molecular pathology
Hematology and coagulation
Immunology
Transfusion medicine
Microbiology
Anatomic pathology
Cytopathology and cytogenic studies
Surgical pathology
Other procedures
Chapter 29, part I, theory
Chapter 29, part II, practical
Chapter 30: Medicine
Format
Introduction to immunizations
Psychiatry
Biofeedback
Dialysis
Gastroenterology
Ophthalmology
Special otorhinolaryngologic services
Cardiovascular
Pulmonary
Allergy and clinical immunology
Endocrinology
Neurology and neuromuscular procedures
Central nervous system assessments/tests
Health and behavior assessment/intervention
Hydration
Chemotherapy administration
Photodynamic therapy
Special dermatological procedures
Physical medicine and rehabilitation
Medical nutrition therapy
Osteopathic manipulative treatment (OMT)
Chiropractic manipulative treatment (CMT)
Non-face-to-face nonphysician services
Special services, procedures, and reports
Other services and procedures
Home health procedures/services
Medication therapy management services
Chapter 30, part I, theory
Chapter 30, part II, practical
UNIT 5: Inpatient Coding
Chapter 31: Inpatient coding
Differences between inpatient and outpatient coding
Selection of principal diagnosis
Stop
Stop
Reporting additional diagnoses
Present on admission (poa)
Development of the ICD-10-PCS
Stop
Chapter 31, part I, theory
Chapter 31, part II, practical
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