Let’s Code It! 1st Edition by Shelley Safian, Mary Elizabeth Johnson 1266594182 9781266594182

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Product details:

ISBN-10 :  1266594182 

ISBN-13 :  9781266594182

Author :  Shelley Safian, Mary Elizabeth Johnson 

Let’s Code It! provides a 360-degree learning experience for anyone interested in the field of medical coding with strong guidance down the path to coding certification. It is designed to give your students the medical coding experience they need in order to pass their first medical coding certification exams such as the CCS/CCS-P or CPC/COC. This product is part of a multipart series that instructs students on how to become proficient in medical coding—a health care field that continues to be in high demand.

Let’s Code It! 1st Table of contents:

PART I: Medical Coding Fundamentals
1 INTRODUCTION TO THE LANGUAGES OF CODING
1.1 The Purpose of Coding
1.2 Diagnosis Coding
1.3 Procedure Coding
1.4 Equipment and Supplies
Chapter Summary and Review
2 ABSTRACTING CLINICAL DOCUMENTATION
2.1 For Whom You Are Reporting
2.2 The Process of Abstracting
2.3 Deconstructing Diagnostic Statements
2.4 Identifying Manifestations, Co-morbidities, and Sequelae
2.5 Reporting External Causes
2.6 Deconstructing Procedural Statements
2.7 How to Query
Chapter Summary and Review
3 THE CODING PROCESS
3.1 The Coding Process Overview
3.2 The Alphabetic Indexes
3.3 The Tabular List, Main Section, Tables, and Alphanumeric Section
3.4 The Official Guidelines
3.5 Confirming Medical Necessity
Chapter Summary and Review
PART II: Reporting Diagnoses
4 INTRODUCTION TO ICD-10-CM
4.1 Introduction and Official Conventions
4.2 ICD-10-CM Official Guidelines for Coding and Reporting
4.3 The Alphabetic Index and Ancillaries
4.4 The Tabular List
4.5 Which Conditions to Code
4.6 Putting It All Together: ICD-10-CM Basics
Chapter Summary and Review
5 CODING INFECTIOUS DISEASES
5.1 Infectious and Communicable Diseases
5.2 Bacterial Infections
5.3 Viral Infections
5.4 Parasitic and Fungal Infections
5.5 Infections Caused by Several Pathogens
5.6 Immunodeficiency Conditions
5.7 Septicemia and Other Blood Infections
5.8 Antimicrobial Resistance
Chapter Summary and Review
6 CODING NEOPLASMS
6.1 Screening and Diagnosis
6.2 Abstracting the Details about Neoplasms
6.3 Reporting the Neoplastic Diagnosis
6.4 Neoplasm Chapter Notes
6.5 Admissions Related to Neoplastic Treatments
Chapter Summary and Review
7 CODING CONDITIONS OF THE BLOOD AND IMMUNOLOGICAL SYSTEMS
7.1 Reporting Blood Conditions
7.2 Coagulation Defects and Other Hemorrhagic Conditions
7.3 Conditions Related to Blood Types and the Rh Factor
7.4 Disorders of White Blood Cells and Blood-Forming Organs
7.5 Disorders Involving the Immune System
Chapter Summary and Review
8 CODING ENDOCRINE CONDITIONS
8.1 Disorders of the Thyroid Gland
8.2 Diabetes Mellitus
8.3 Diabetes-Related Conditions
8.4 Other Endocrine Gland Disorders
8.5 Nutritional Deficiencies and Weight Factors
8.6 Metabolic Disorders
Chapter Summary and Review
9 CODING MENTAL, BEHAVIORAL, AND NEUROLOGIC DISORDERS
9.1 Conditions That Affect Mental Health
9.2 Mood (Affective) and Nonmood (Psychotic) Disorders
9.3 Anxiety, Dissociative, Stress-Related, Somatoform, and Other Nonpsychotic Mental Disorders
9.4 Physiological Conditions Affecting the Central Nervous System
9.5 Physiological Conditions Affecting the Peripheral Nervous System
9.6 Pain Management
Chapter Summary and Review
10 CODING DYSFUNCTION OF THE OPTICAL AND AUDITORY SYSTEMS
10.1 Diseases of the External Optical System
10.2 Diseases of the Internal Optical System
10.3 Other Conditions Affecting the Eyes
10.4 Dysfunctions of the Auditory System
10.5 Causes, Signs, and Symptoms of Hearing Loss
Chapter Summary and Review
11 CODING CARDIOVASCULAR CONDITIONS
11.1 Heart Conditions
11.2 Cardiovascular Conditions
11.3 Hypertension
11.4 Manifestations of Hypertension
11.5 CVA and Cerebral Infarction
11.6 Sequelae of Cerebrovascular Disease
Chapter Summary and Review
12 CODING RESPIRATORY CONDITIONS
12.1 Underlying Causes of Respiratory Disease
12.2 Disorders of the Respiratory System
12.3 Pneumonia and Influenza
12.4 Chronic Respiratory Disorders
12.5 Reporting Tobacco Involvement
12.6 Respiratory Conditions Requiring External Cause Codes
Chapter Summary and Review
13 CODING DIGESTIVE SYSTEM CONDITIONS
13.1 Diseases of Oral Cavity and Salivary Glands
13.2 Conditions of the Esophagus and Stomach
13.3 Conditions Affecting the Intestines
13.4 Dysfunction of the Digestive Accessory Organs and Malabsorption
13.5 Reporting the Involvement of Alcohol in Digestive Disorders
Chapter Summary and Review
14 CODING INTEGUMENTARY CONDITIONS
14.1 Disorders of the Skin
14.2 Disorders of the Nails, Hair, Glands, and Sensory Nerves
14.3 Lesions
14.4 Prevention and Screenings
Chapter Summary and Review
15 CODING MUSCULAR AND SKELETAL CONDITIONS
15.1 Arthropathies
15.2 Dorsopathies and Spondylopathies (Conditions Affecting the Joints of the Spine)
15.3 Soft Tissue Disorders
15.4 Musculoskeletal Disorders from Other Body Systems
15.5 Pathological Fractures
Chapter Summary and Review
16 CODING INJURY, POISONING, AND EXTERNAL CAUSES
16.1 Reporting External Causes of Injuries
16.2 Traumatic Injuries
16.3 Using Seventh Characters to Report Status of Care
16.4 Using the Table of Drugs and Chemicals
16.5 Adverse Effects, Poisoning, Underdosing, and Toxic Effects
16.6 Reporting Burns
16.7 Abuse, Neglect, and Maltreatment
16.8 Complications of Care
Chapter Summary and Review
17 CODING GENITOURINARY, GYNECOLOGY, OBSTETRICS, CONGENITAL, AND PEDIATRICS CONDITIONS
17.1 Renal and Urologic Malfunctions
17.2 Diseases of the Male Genital Organs
17.3 Sexually Transmitted Diseases
17.4 Gynecologic Care
17.5 Routine Obstetrics Care
17.6 Pregnancies with Complications
17.7 Neonates and Congenital Anomalies
Chapter Summary and Review
18 FACTORS INFLUENCING HEALTH STATUS (Z CODES)
18.1 Preventive Care
18.2 Early Detection
18.3 Genetic Susceptibility
18.4 Observation
18.5 Continuing Care and Aftercare
18.6 Organ Donation
18.7 Resistance to Antimicrobial Drugs
18.8 Z Codes as First-Listed/Principal Diagnosis
18.9 Social Determinants of Health
Chapter Summary and Review
19 INPATIENT (HOSPITAL) DIAGNOSIS CODING
19.1 Concurrent and Discharge Coding
19.2 Official Coding Guidelines
19.3 Present-On-Admission Indicators
19.4 Diagnosis-Related Groups
19.5 Uniform Hospital Discharge Data Set
Chapter Summary and Review
20 DIAGNOSTIC CODING CAPSTONE
PART III: Reporting Physician Services and Outpatient Procedures
21 INTRODUCTION TO CPT
21.1 Abstracting for Procedure Coding
21.2 CPT Code Book
21.3 Understanding Code Descriptions
21.4 Notations and Symbols
21.5 Official Guidelines
21.6 Category II and Category III Coding
Chapter Summary and Review
22 CPT AND HCPCS LEVEL II MODIFIERS
22.1 Modifiers Overview
22.2 Personnel Modifiers
22.3 Anesthesia Physical Status Modifiers
22.4 Ambulatory Surgery Center Hospital Outpatient Use Modifiers
22.5 Anatomical Site Modifiers
22.6 Service-Related Modifiers
22.7 Sequencing Multiple Modifiers
22.8 Supplemental Reports
Chapter Summary and Review
23 CPT EVALUATION AND MANAGEMENT CODING
23.1 What Are E/M Codes?
23.2 Location Where the E/M Services Were Provided
23.3 Relationship Between Provider and Patient
23.4 Types of E/M Services
23.5 Preventive Medicine Services
23.6 Abstracting the Physician’s Notes
23.7 E/M in the Global Surgical Package
23.8 E/M Modifiers and Add-On Codes
23.9 Special Evaluation Services
23.10 Coordination and Management Services
Chapter Summary and Review
24 CPT ANESTHESIA SECTION
24.1 Types of Anesthesia
24.2 Coding Anesthesia Services
24.3 Anesthesia Guidelines
24.4 Time Reporting
24.5 Qualifying Circumstances
24.6 Special Circumstances
24.7 HCPCS Level II Modifiers
Chapter Summary and Review
25 CPT SURGERY SECTION
25.1 Types of Surgical Procedures
25.2 The Surgical Package
25.3 Global Period Time Frames
25.4 Unusual Services and Treatments
25.5 Integumentary System
25.6 Musculoskeletal System
25.7 Respiratory System
25.8 Cardiovascular System
25.9 Digestive System
25.10 Urinary System
25.11 The Genital Systems: Male and Female
25.12 Nervous System
25.13 The Optical and Auditory Systems
25.14 Organ Transplantation
25.15 Operating Microscope
Chapter Summary and Review
26 CPT RADIOLOGY SECTION
26.1 Types of Imaging
26.2 Purposes for Imaging
26.3 Technical vs. Professional
26.4 Number of Views
26.5 Procedures With or Without Contrast
26.6 Diagnostic Radiology
26.7 Mammography
26.8 Bone and Joint Studies
26.9 Radiation Oncology
26.10 Nuclear Medicine
Chapter Summary and Review
27 CPT PATHOLOGY & LAB SECTION
27.1 Specimen Collection and Testing
27.2 Testing Methodology and Desired Results
27.3 Panels
27.4 Blood Test Documentation
27.5 Clinical Chemistry
27.6 Molecular Diagnostics
27.7 Immunology, Microbiology, and Cytopathology
27.8 Surgical Pathology
27.9 Modifiers for Laboratory Coding
27.10 Pathology and Lab Abbreviations
Chapter Summary and Review
28 CPT MEDICINE SECTION
28.1 Immunizations
28.2 Injections and Infusions
28.3 Psychiatry, Psychotherapy, and Biofeedback
28.4 Dialysis and Gastroenterology Services
28.5 Ophthalmology and Otorhinolaryngologic Services
28.6 Cardiovascular Services
28.7 Pulmonary
28.8 Allergy and Clinical Immunology
28.9 Neurology and Neuromuscular Procedures
28.10 Physical Medicine and Rehabilitation
28.11 Acupuncture, Osteopathic, and Chiropractic Treatments
28.12 Other Services Provided
Chapter Summary and Review
29 PHYSICIANS’ SERVICES CAPSTONE
PART IV: DMEPOS & Transportation
30 HCPCS LEVEL II
30.1 HCPCS Level II Categories
30.2 The Alphabetic Index
30.3 The Alphanumeric Listing Overview
30.4 Symbols and Notations
30.5 Appendices
Chapter Summary and Review
31 DMEPOS AND TRANSPORTATION CAPSTONE
PART V: Inpatient (Hospital) Reporting
32 INTRODUCTION TO ICD-10-PCS
32.1 The Purpose of ICD-10-PCS
32.2 The Structure of ICD-10-PCS Codes
32.3 The ICD-10-PCS Book
32.4 ICD-10-PCS General Conventions
32.5 Selection of Principal Procedure
Chapter Summary and Review
33 ICD-10-PCS MEDICAL AND SURGICAL SECTION
33.1 Medical/Surgical Section/Body Systems: Characters 1 and 2
33.2 Medical/Surgical Root Operations: Character 3
33.3 Medical/Surgical Body Parts: Character 4
33.4 Medical/Surgical Approaches: Character 5
33.5 Medical/Surgical Devices: Character 6
33.6 Medical/Surgical Qualifiers: Character 7
33.7 Multiple and Discontinued Procedures in Medical and Surgical Cases
33.8 Medical/Surgical Coding: Putting It All Together
Chapter Summary and Review
34 OBSTETRICS SECTION
34.1 Obstetrics Section/Body System: Characters 1 and 2
34.2 Obstetrics Root Operations: Character 3
34.3 Obstetrics Body Parts: Character 4
34.4 Obstetrics Approaches: Character 5
34.5 Obstetrics Devices: Character 6
34.6 Obstetrics Qualifiers: Character 7
34.7 Obstetrics Coding: Putting It All Together
Chapter Summary and Review
35 PLACEMENT THROUGH CHIROPRACTIC SECTIONS
35.1 Reporting Services from the Placement Section
35.2 Reporting Services from the Administration Section
35.3 Reporting Services from the Measurement and Monitoring Section
35.4 Reporting Services from the Extracorporeal or Systemic Assistance and Performance Section
35.5 Reporting Services from the Extracorporeal or Systemic Therapies Section
35.6 Reporting Osteopathic Services
35.7 Reporting from the Other Procedures Section
35.8 Reporting Inpatient Chiropractic Services
35.9 Sections 2–9: Putting It All Together
Chapter Summary and Review
36 IMAGING, NUCLEAR MEDICINE, AND RADIATION THERAPY SECTIONS
36.1 Reporting from the Imaging Section
36.2 Reporting from the Nuclear Medicine Section
36.3 Reporting from the Radiation Therapy Section
36.4 Sections B, C, and D: Putting It All Together
Chapter Summary and Review
37 PHYSICAL REHABILITATION AND DIAGNOSTIC AUDIOLOGY THROUGH NEW TECHNOLOGY SECTIONS
37.1 Reporting Services from the Physical Rehabilitation and Diagnostic Audiology Section
37.2 Reporting Services from the Mental Health Section
37.3 Reporting from the Substance Abuse Treatment Section
37.4 Reporting from the New Technology Section
37.5 Sections F–X: Putting It All Together
Chapter Summary and Review
38 INPATIENT CODING CAPSTONE
PART VI: Reimbursement, Legal, and Ethical Issues
39 REIMBURSEMENT
39.1 The Role of Insurance in Health Care
39.2 Types of Insurance Plans
39.3 Methods of Compensation
39.4 NCCI Edits and NCD/LCD
39.5 Place-of-Service and Type-of-Service Codes
39.6 Organizing Claims: Resubmission, Denials, and Appeals
Chapter Summary and Review
40 INTRODUCTION TO HEALTH CARE LAW AND ETHICS
40.1 Sources for Legal Guidance
40.2 Rules for Ethical and Legal Coding
40.3 False Claims Act
40.4 Health Insurance Portability and Accountability Act (HIPAA)
40.5 Health Care Fraud and Abuse Control Program
40.6 Codes of Ethics
40.7 Compliance Programs

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