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3-2-1 Code It! 7th edition [Pehme köide]

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  • Ilmumisaeg: 05-Jan-2019
  • Kirjastus: Delmar Cengage Learning
  • ISBN-10: 1337902802
  • ISBN-13: 9781337902809
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3-2-1 Code It! 7th editionSuurem pilt
  • Formaat: Paperback / softback, 912 pages, kõrgus x laius x paksus: 35x213x274 mm, kaal: 1905 g
  • Ilmumisaeg: 05-Jan-2019
  • Kirjastus: Delmar Cengage Learning
  • ISBN-10: 1337902802
  • ISBN-13: 9781337902809
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Püsilink: https://www.kriso.ee/db/9781337902809.html
Märksõnad:
Discover today's most complete, easy-to-use medical coding guide, written specifically for beginning coders. Green's best-selling 3-2-1 CODE IT!, 7E presents the latest updates for ICD-10-CM, ICD-10-PCS, CPT® and HCPCS Level II coding sets, conventions and guidelines. Focused examples, understandable language and clearly defined terms help you master each concept, while extensive exercises, reviews and coding cases let you practice concepts and prepare to earn coding credentials.

This well-organized, intuitive approach begins with diagnosis coding before progressing to more in-depth instruction on coding procedures and services. Youll find clear coverage of both ICD-10 code sets with separate, thorough chapters on inpatient and outpatient coding. HCPCS level II and CPT coding are also covered in separate chapters. In addition, MindTap interactive digital tools further reinforce the coding skills you need for success.
List of Tables
viii
Preface ix
About the Author xv
Reviewers xvi
Acknowledgments xvii
How to Use This Text xviii
Part I Coding Overview
1(44)
Chapter 1 Overview of Coding
2(43)
Career as a Coder
4(3)
Training
4(1)
Credentials
5(1)
Employment Opportunities
6(1)
Other Professions Related to Coding
6(1)
Professional Associations
7(1)
Coding Systems and Coding Processes
8(13)
Coding Systems
9(2)
Medical Coding Process
11(8)
Computer-Assisted Coding
19(2)
Other Classification Systems, Databases, and Nomenclatures
21(9)
Alternative Billing Codes (ABC Codes)
22(1)
Clinical Care Classification (CCC) System
22(1)
Current Dental Terminology (CDT)
22(1)
Diagnostic and Statistical Manual of Mental Disorders (DSM)
23(1)
Health Insurance Prospective Payment System (HIPPS) Rate Codes
23(1)
International Classification of Diseases for Oncology, Third Edition (ICD-0-3)
24(3)
International Classification of Functioning, Disability and Health (ICF)
27(1)
Logical Observation Identifiers Names and Codes (LOINC)
27(1)
National Drug Codes (NDC)
27(1)
RxNorm
27(1)
Systematized Nomenclature of Medicine Clinical Terms (SNOMEDCT)
28(1)
Unified Medical Language System (UMLS)
29(1)
Documentation as Basis for Coding
30(3)
Medical Necessity
31(1)
Patient Record Formats
31(2)
Health Data Collection
33(12)
Reporting Hospital Data
34(1)
Reporting Physician Office Data
34(11)
Part II ICD-10CM and ICD-10-PCS Coding Systems
45(244)
Chapter 2 Introduction to ICD-10-CM and ICD-10-PCS Coding
46(28)
Overview of ICD-10-CM and ICD-10-PCS
47(8)
ICD-10-CM and ICD-10-PCS (ICD-10-CM/PCS)
47(2)
Coding Manuals, Encoders, and Computer-Assisted Coding
49(2)
Format and Structure of ICD-10-CM
51(1)
Updating ICD-10-CM and ICD-10-PCS
51(1)
Mandatory Reporting of ICD-10-CM Codes
52(3)
ICD-10-CM Tabular List of Diseases and Injuries
55(2)
ICD-10-CM Index to Diseases and Injuries
57(5)
Main Terms, Subterms, and Qualifiers
59(1)
Basic Steps for Using the ICD-10-CM Index to Diseases and Injuries
60(2)
ICD-10-PCS Index and Tables
62(5)
Development of ICD-10-PCS
62(1)
Structure of ICD-10-PCS Codes
63(1)
Format of ICD-10-PCS Coding Manual
64(1)
Build-a-Code Using ICD-10-PCS
65(2)
Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting
67(1)
ICD-9-CM Legacy Coding System
68(6)
General Equivalence Mappings (GEMs)
69(5)
Chapter 3 ICD-10-CM and ICD-10-PCS Coding Conventions
74(27)
Format and Typeface
75(2)
Eponyms
77(1)
Abbreviations
78(1)
Punctuation
79(1)
Boxed Notes
80(1)
Tables
81(2)
Includes Notes
83(1)
Excludes1 and Excludes2 Notes
84(1)
Inclusion Terms
85(2)
Other, Other Specified, and Unspecified Codes
87(1)
Etiology and Manifestation Rules
87(2)
And
89(1)
Due To
90(1)
In
91(1)
With
92(1)
Cross-References
93(1)
Code Assignment and Clinical Criteria
94(7)
Chapter 4 ICD-10-CM Coding Guidelines
101(103)
ICD-10-CM Official Guidelines for Coding and Reporting
102(13)
General ICD-10-CM Diagnosis Coding Guidelines
104(1)
Locating a Code in ICD-10-CM-Use of Both Index and Tabular List
104(2)
Level of Detail in Coding
106(1)
Codes from A00.0 Through T88.9, Z00-Z99.8
106(1)
Signs and Symptoms
106(1)
Conditions That Are an Integral Part of a Disease Process
107(1)
Conditions That Are Not an Integral Part of a Disease Process
107(1)
Multiple Coding for a Single Condition
107(1)
Acute and Chronic Conditions
108(1)
Combination Code
108(1)
Sequelae (Late Effects)
109(1)
Impending or Threatened Condition
109(1)
Reporting Same Diagnosis Code More Than Once
110(1)
Laterality
110(1)
Documentation by Clinicians Other Than the Patient's Provider
110(1)
Syndromes
111(1)
Documentation of Complications of Care
111(1)
Borderline Diagnosis
112(1)
Use of Sign/Symptom/Unspecified Codes
112(1)
Coding for Healthcare Encounters in Hurricane Aftermath
112(3)
ICD-10-CM
Chapter-Specific Diagnosis Coding Guidelines
115(89)
ICD-10-CM
Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
116(8)
ICD-10-CM
Chapter 2: Neoplasms (C00-D49)
124(5)
Morphology of Neoplasms
129(5)
ICD-10-CM
Chapter 3: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)
134(2)
ICD-10-CM
Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89)
136(3)
ICD-10-CM
Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99)
139(2)
ICD-10-CM
Chapter 6: Diseases of the Nervous System (G00-G99)
141(2)
ICD-10-CM
Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
143(2)
ICD-10-CM
Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95)
145(1)
ICD-10-CM
Chapter 9: Diseases of the Circulatory System (I00-I99)
146(4)
ICD-10-CM
Chapter 10: Diseases of the Respiratory System (J00-J99)
150(2)
ICD-10-CM
Chapter 11: Diseases of the Digestive System (K00-K95)
152(1)
ICD-10-CM
Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99)
153(2)
ICD-10-CM
Chapter 13: Diseases of the Musculoskeletal and Connective Tissue (M00-M99)
155(3)
ICD-10-CM
Chapter 14: Diseases of the Genitourinary System (N00-N99)
158(1)
ICD-10-CM
Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)
159(1)
Obstetrical Discharges
159(6)
ICD-10-CM
Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96)
165(4)
ICD-10-CM
Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00-Q99)
169(1)
ICD-10-CM
Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
170(2)
ICD-10-CM
Chapter 19: Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88)
172(2)
Burns
174(9)
Chapter 20: External Causes of Morbidity (V00-Y99)
183(5)
Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
188(1)
Reporting Z Codes
188(16)
Chapter 5 ICD-10-CM and ICD-10-PCS Hospital Inpatient Coding
204(57)
Acute Care Facilities (Hospitals)
205(3)
Inpatient Diagnosis Coding Guidelines
208(9)
Admitting Diagnosis
208(1)
Principal Diagnosis
208(6)
Other (Additional) Diagnoses with Documentation That Supports Reporting
214(3)
Inpatient Procedure Coding Guidelines
217(2)
Principal Procedure and Significant Other Procedures
217(2)
ICD-10-PCS Procedure Coding
219(42)
ICD-10-PCS Index
219(2)
ICD-10-PCS Tables
221(3)
Structure of ICD-10-PCS Codes
224(1)
ICD-10-PCS Values
224(1)
ICD-10-PCS Coding Conventions
225(1)
Medical and Surgical Section Coding Guidelines
226(13)
Obstetrics Section Coding Guidelines
239(1)
Placement Section
240(1)
Administration Section
240(1)
Measurement and Monitoring Section
241(1)
Extracorporeal or Systemic Assistance and Performance Section
241(1)
Extracorporeal or Systemic Therapies Section
241(1)
Osteopathic Section
241(1)
Other Procedures Section
241(1)
Chiropractic Section
242(1)
Imaging Section
242(1)
Nuclear Medicine Section
242(1)
Radiation Therapy Section
242(1)
Physical Rehabilitation and Diagnostic Audiology Section
242(1)
Mental Health Section
243(1)
Substance Abuse Treatment Section
244(1)
New Technology
244(1)
Coding Inpatient Diagnoses and Procedures
245(16)
Chapter 6 ICD-10-CM Outpatient and Physician Office Coding
261(28)
Outpatient Care
262(6)
Primary Care Services
263(1)
Hospital Outpatient Services
263(5)
Outpatient Diagnostic Coding and Reporting Guidelines
268(21)
Selection of First-Listed Condition
268(1)
Codes from A00.0 Through T88.9, Z00-Z99
269(1)
Accurate Reporting of ICD-10-CM Diagnosis Codes
269(1)
Codes That Describe Signs and Symptoms
269(1)
Encounters for Circumstances Other than a Disease or Injury
269(1)
Level of Detail in Coding
269(1)
ICD-10-CM Code for the Diagnosis, Condition, Problem, or Other Reason for Encounter/Visit
269(1)
Uncertain Diagnoses
270(1)
Chronic Diseases
270(1)
Code All Documented Conditions That Coexist
271(1)
Patients Receiving Diagnostic Services Only
271(1)
Patients Receiving Therapeutic Services Only
271(1)
Patients Receiving Preoperative Evaluations Only
271(1)
Ambulatory Surgery (or Outpatient Surgery)
272(1)
Routine Outpatient Prenatal Visits
272(1)
Encounters for General Medical Examinations with Abnormal Findings
272(1)
Encounters for Routine Health Screenings
272(17)
Part III Health Care Procedure Coding System (HCPCS) Level II Coding System
289(30)
Chapter 7 HCPCS Level II Coding System
290(29)
Overview of HCPCS
291(1)
HCPCS Level I
291(1)
HCPCS Level II
291(1)
HCPCS Level II Codes
292(9)
Responsibility for HCPCS Level II Codes
293(1)
Types of HCPCS Level II Codes
293(3)
General Guidelines for Modifier Use
296(2)
Modifiers Added to Surgical Procedures
298(1)
Modifiers Added to Radiology Services
299(1)
Reporting HCPCS Level II Modifiers
299(2)
Assigning HCPCS Level II Codes
301(7)
HCPCS Level II Index
302(1)
HCPCS Level II Code Sections
302(6)
Determining Payer Responsibility
308(11)
Patient Record Documentation
309(10)
Part IV Current Procedural Terminology (CPT) Coding System
319(488)
Chapter 8 Introduction to CPT Coding
320(36)
History of CPT
321(1)
Overview of CPT
322(2)
CPT Categories
323(1)
Organization of CPT
324(2)
CPT Category I Codes
324(1)
CPT Category II Codes
325(1)
CPT Category III Codes
325(1)
CPT Code Number Format
326(1)
CPT Index
326(3)
Boldfaced Type
327(1)
Italicized Type
327(1)
Cross-Reference Term
328(1)
Single Codes and Code Ranges
328(1)
Inferred Words
328(1)
CPT Appendices
329(1)
CPT Symbols
330(3)
CPT Sections, Subsections, Categories, and Subcategories
333(4)
CPT Guidelines
335(1)
Notes
335(1)
Descriptive Qualifiers
336(1)
CPT Modifiers
337(10)
National Correct Coding Initiative (NCCI)
347(9)
Unbundling CPT Codes
349(7)
Chapter 9 CPT Evaluation and Management
356(58)
Overview of Evaluation and Management Section
357(3)
Place of Service (POS)
358(1)
Type of Service (TOS)
358(2)
Evaluation and Management Section Guidelines
360(4)
Classification of E/M Services
360(1)
Definitions of Commonly Used Terms
361(2)
Unlisted Service
363(1)
Special Report
363(1)
Clinical Examples
363(1)
Evaluation and Management Levels of Service
364(14)
Key Components
365(8)
Contributory Components
373(5)
Evaluation and Management Categories and Subcategories
378(36)
Office or Other Outpatient Services
378(2)
Hospital Observation Services
380(3)
Hospital Inpatient Services
383(3)
Consultations
386(3)
Emergency Department Services
389(2)
Critical Care Services
391(2)
Nursing Facility Services
393(2)
Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services
395(1)
Domiciliary, Rest Home (e.g., Assisted Living Facility), or Home Care Plan Oversight Services
395(1)
Home Services
395(1)
Prolonged Services
396(3)
Case Management Services
399(1)
Care Plan Oversight Services
399(1)
Preventive Medicine Services
399(1)
Non-Face-to-Face Services
400(1)
Special Evaluation and Management Services
401(1)
Newborn Care Services
401(1)
Delivery/Birthing Room Attendance and Resuscitation Services
401(1)
Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
401(1)
Cognitive Assessment and Care Plan Services
402(1)
Care Management Services
402(1)
Psychiatric Collaborative Care Management Services
403(1)
Transitional Care Management Services
403(1)
Advance Care Planning
403(1)
General Behavioral Health Integration Care Management
404(1)
Other Evaluation and Management Services
404(10)
Chapter 10 CPT Anesthesia
414(39)
Anesthesia Terminology
415(3)
Types of Anesthesia
415(3)
Overview of Anesthesia Section
418(3)
Monitored Anesthesia Care (MAC)
419(2)
Anesthesia Section Guidelines
421(14)
Reporting Codes for Monitoring or Providing Other Services
423(2)
Intra-Arterial Lines
425(1)
Drug Administration Codes
426
Anesthesia Modifiers
425(3)
Time Reporting
428(3)
Anesthesia Services
431(1)
Supplied Materials
432(1)
Separate or Multiple Procedures
432(1)
Unlisted Service or Procedure
432(1)
Special Report
432(1)
Qualifying Circumstances
432(3)
Anesthesia Subsections
435(18)
Head
435(1)
Neck
436(1)
Thorax (Chest Wall and Shoulder Girdle)
436(1)
Intrathoracic
437(1)
Spine and Spinal Cord
437(1)
Upper Abdomen
437(2)
Lower Abdomen
439(1)
Perineum
440(1)
Pelvis (Except Hip)
440(1)
Upper Leg (Except Knee)
440(1)
Knee and Popliteal Area
441(1)
Lower Leg (Below Knee, Includes Ankle and Foot)
441(1)
Shoulder and Axilla
441(1)
Upper Arm and Elbow
441(1)
Forearm, Wrist, and Hand
441(1)
Radiological Procedures
442(1)
Burn Excisions or Debridement
443(1)
Obstetric
443(1)
Other Procedures
443(10)
Chapter 11 CPT Surgery I
453(44)
Overview of Surgery Section
454(5)
Organization of Surgery Section
456(3)
Surgery Guidelines
459(9)
Services
459(1)
CPT Surgical Package Definition
460(3)
Follow-Up Care for Diagnostic Procedures
463(1)
Follow-Up Care for Therapeutic Surgical Procedures
464(1)
Supplied Materials
464(1)
Reporting More Than One Procedure/Service
464(1)
Separate Procedure
465(1)
Unlisted Service or Procedure
466(1)
Special Report
466(1)
Imaging Guidance
466(1)
Surgical Destruction
466(2)
General Subsection
468(1)
Integumentary System Subsection
468(29)
Skin, Subcutaneous, and Accessory Structures
469(5)
Nails
474(1)
Pilonidal Cyst
475(1)
Introduction
476(1)
Repair (Closure)
477(9)
Destruction
486(2)
Breast
488(9)
Chapter 12 CPT Surgery II
497(47)
Musculoskeletal System Subsection
498(26)
Musculoskeletal System Notes
499(4)
General
503(4)
Head
507(2)
Neck (Soft Tissues) and Thorax
509(1)
Back and Flank
510(1)
Spine (Vertebral Column)
511(5)
Abdomen
516(1)
Shoulder
516(1)
Humerus (Upper Arm) and Elbow
517(1)
Forearm and Wrist
517(1)
Hand and Fingers
517(1)
Pelvis and Hip Joint
518(1)
Femur (Thigh Region) and Knee Joint
519(1)
Leg (Tibia and Fibula) and Ankle Joint
520(1)
Foot and Toes
520(1)
Application of Casts and Strapping
521(1)
Endoscopy/Arthroscopy
522(2)
Respiratory System Subsection
524(20)
Nose
525(3)
Accessory Sinuses
528(2)
Larynx
530(3)
Trachea and Bronchi
533(2)
Lungs and Pleura
535(9)
Chapter 13 CPT Surgery III
544(47)
Cardiovascular System Subsection
545(35)
Cardiovascular System Notes
546(4)
Heart and Pericardium
550(15)
Arteries and Veins
565(15)
Hemic and Lymphatic Systems Subsection
580(11)
Spleen
581(1)
General
582(1)
Transplantation and Post-Transplantation Cellular Infusions
583(1)
Lymph Nodes and Lymphatic Channels
583(8)
Chapter 14 CPT Surgery IV
591(46)
Mediastinum and Diaphragm Subsection
592(2)
Digestive System Subsection
594(25)
Lips
596(2)
Vestibule of Mouth
598(1)
Tongue and Floor of Mouth
598(1)
Dentoalveolar Structures
598(1)
Palate and Uvula
598(1)
Salivary Gland and Ducts
599(1)
Pharynx, Adenoids, and Tonsils
600(1)
Esophagus
601(4)
Stomach
605(2)
Intestines (Except Rectum)
607(3)
Meckel's Diverticulum and the Mesentery
610(1)
Appendix
611(1)
Colon and Rectum
611(2)
Anus
613(2)
Liver
615(1)
Biliary Tract
615(1)
Pancreas
616(1)
Abdomen, Peritoneum, and Omentum
617(2)
Urinary System Subsection
619(18)
Kidney
621(2)
Ureter
623(1)
Bladder
624(4)
Urethra
628(9)
Chapter 15 CPT Surgery V
637(55)
Male Genital System Subsection
639(4)
Reproductive System Procedures Subsection
643(1)
Intersex Surgery Subsection
643(1)
Female Genital System Subsection
644(6)
Maternity Care and Delivery Subsection
650(5)
Antepartum Services
651(1)
Delivery Services
652(2)
Postpartum Care
654(1)
Delivery After Previous Cesarean Delivery
654(1)
Abortion
654(1)
Endocrine System Subsection
655(2)
Thyroid Gland
655(1)
Parathyroid, Thymus, Adrenal Glands, Pancreas, and Carotid Body
656(1)
Nervous System Subsection
657(13)
Skull, Meninges, and Brain
658(3)
Spine and Spinal Cord
661(2)
Endoscopic Decompression of Neural Elements and/or Excision of Herniated Intervertebral Discs
663(4)
Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
667(3)
Eye and Ocular Adnexa Subsection
670(6)
Eyeball
671(1)
Anterior Segment
672(1)
Posterior Segment
673(1)
Ocular Adnexa
674(1)
Conjunctiva
674(2)
Auditory System Subsection
676(3)
External Ear
677(1)
Middle Ear
678(1)
Inner Ear
678(1)
Temporal Bone, Middle Fossa Approach
678(1)
Operating Microscope Subsection
679(13)
Chapter 16 CPT Radiology
692(44)
Radiology Terminology
693(4)
Planes of View
694(1)
Positioning and Radiographic Projection
695(1)
Radiology Procedures
695(2)
Overview of Radiology Section
697(4)
Professional Versus Technical Components
697(2)
Use of Modifiers with Radiology Codes
699(1)
Complete Procedure
699(1)
Evaluation and Management (E/M) Services
700(1)
Radiology Section Guidelines
701(3)
Subject Listings
701(1)
Separate Procedures
701(1)
Unlisted Procedures
701(1)
Special Report
701(1)
Supervision and Interpretation, Imaging Guidance
701(1)
Administration of Contrast Material(s)
702(1)
Written Report
703(1)
Radiology Subsections
704(32)
Diagnostic Radiology (Diagnostic Imaging)
704(8)
Diagnostic Ultrasound
712(3)
Radiologic Guidance
715(1)
Breast, Mammography
716(1)
Bone/Joint Studies
716(2)
Radiation Oncology
718(7)
Nuclear Medicine
725(11)
Chapter 17 CPT Pathology and Laboratory
736(29)
Overview of Pathology and Laboratory Section
737(4)
Specimens
738(1)
Professional and Technical Components
739(1)
Pathology and Laboratory Section Tables
740(1)
Pathology and Laboratory Section Guidelines
741(2)
Services in Pathology and Laboratory
741(1)
Separate or Multiple Procedures
742(1)
Unlisted Service or Procedure
742(1)
Special Report
742(1)
Modifier -51 and Modifier -91
743(1)
Pathology and Laboratory Subsections
743(22)
Organ or Disease-Oriented Panels
744(1)
Drug Assay and Therapeutic Drug Assays
744(1)
Evocative/Suppression Testing
745(1)
Consultations (Clinical Pathology)
745(1)
Urinalysis
746(1)
Molecular Pathology
747(1)
Genomic Sequencing Procedures and Other Molecular
Multianalyte Assays
748(1)
Multianalyte Assays with Algorithmic Analyses
748(1)
Chemistry
748(1)
Hematology and Coagulation
749(1)
Immunology
750(1)
Transfusion Medicine
751(1)
Microbiology
752(1)
Anatomic Pathology
753(1)
Cytopathology
753(1)
Cytogenetic Studies
754(1)
Surgical Pathology
755(1)
In Vivo (e.g., Transcutaneous) Laboratory Procedures
756(1)
Other Procedures
757(1)
Reproductive Medicine Procedures
757(1)
Proprietary Laboratory Analyses
758(7)
Chapter 18 CPT Medicine
765(42)
Overview of Medicine Section
766(1)
Medicine Section Guidelines
766(2)
Add-On Codes
767(1)
Separate Procedures
767(1)
Unlisted Service or Procedure
767(1)
Special Report
767(1)
Imaging Guidance
768(1)
Supplied Materials
768(1)
Medicine Subsections
768(39)
Immune Globulins, Serum or Recombinant Products
769(1)
Immunization Administration for Vaccines/Toxoids
770(1)
Vaccines, Toxoids
770(1)
Psychiatry
771(2)
Biofeedback
773(1)
Dialysis
773(3)
Gastroenterology
776(1)
Ophthalmology
777(1)
Special Otorhinolaryngologic
Services
778(1)
Cardiovascular
779(6)
Noninvasive Vascular Diagnostic Studies
785(1)
Pulmonary
786(1)
Allergy and Clinical Immunology
786(1)
Endocrinology
787(1)
Neurology and Neuromuscular
Procedures
788(1)
Ischemic Muscle Testing and Guidance for Chemodenervation
789(2)
Medical Genetics and Genetic Counseling Services
791(1)
Central Nervous System
Assessments/Tests (e.g., Neuro-Cognitive, Mental
Status, Speech Testing)
791(1)
Health and Behavior Assessment/Intervention
792(1)
Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration
792(4)
Photodynamic Therapy
796(1)
Special Dermatological
Procedures
796(1)
Physical Medicine and Rehabilitation
796(1)
Medical Nutrition Therapy
797(1)
Acupuncture
797(1)
Osteopathic Manipulative
Treatment
797(1)
Chiropractic Manipulative
Treatment
798(1)
Education and Training for Patient
Self-Management
798(1)
Non-Face-to-Face Nonphysician Services
798(1)
Special Services, Procedures, and Reports
799(1)
Qualifying Circumstances for
Anesthesia
799(1)
Moderate (Conscious) Sedation
799(1)
Other Services and Procedures
800(1)
Home Health Procedures/Services
800(1)
Medication Therapy Management Services
800(7)
Part V Insurance and Reimbursement Overview
807(62)
Chapter 19 Insurance and Reimbursement
808(61)
Third-Party Payers
811(12)
Health Insurance Marketplace
815(2)
Types of Third-Party Payers
817(6)
Health Care Reimbursement Systems
823(23)
Prospective Payment Systems, Fee Schedules, and Exclusions
823(15)
Case-Mix Analysis, Severity of Illness (SI), and Intensity of Services (IS) Systems
838(1)
Physician Documentation for Medical Necessity of Medicare Part A Hospital Inpatient Admissions
839(1)
Critical Pathways
840(1)
Revenue Cycle Management
840(6)
Impact of HIPAA on Reimbursement
846(23)
Health Care Access, Portability, and Renewability
846(1)
Preventing Health Care Fraud and Abuse
847(8)
Administrative Simplification
855(5)
Privacy and Security Rules
860(2)
Medical Liability Reform
862(7)
Appendix I E/M CodeBuilder 869(5)
Bibliography 874(1)
Glossary 875(30)
Index 905
Michelle Green has served as a full-time or adjunct faculty member since 2017. During Spring 2023, Green was named interim Program Director in the Health Information Technology department at Mohawk Valley Community College in Utica, New York. She was the SUNY Distinguished Teaching Professor in the Physical and Life Sciences department at the State University of New York College of Technology at Alfred for over 30 years. She has authored three popular textbooks related to coding, revenue management and health information management. An active member of the AAPC and American Health Information Management Association, Green has been recognized for her excellence in teaching as well as her significant contributions to the health information management profession. Her numerous accolades include the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers, AHIMA's FORE Triumph Educator Award and NYHIMAs Educator Award. In addition, she is a Registered Health Information Administrator, a fellow of the American Health Information Management Association and a Certified Professional Coder. She earned an MPS from Alfred University and a Bachelor of Science from Daemen College.