This unique manual shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services and procedures. It provides coders and anyone concerned about coding with an auditor's perspective on the clinical detail, regulatory instructions, and coding protocol needed for code assignment. Avoid the devastating effects of outside audits and reviews with this detailed coding tool.
 Key Features and Benefits
 NEW Contains library of time-saving Audit Forms in easy-to-customize electronic format.
 Provides coders with an auditor's perceptive. Know the clinical detail, regulatory instructions, coding protocol needed for code assignment, by individual code and code groupings.
 Know what information needs to be in the medical record and on the claim form to capture appropriate reimbursement.
 Differentiate between similar procedures. Helps coders and auditors compare and contrast seemingly similar, but different procedures.
 Know the key terms that need to be mentioned in the medical record to support code assignment.
 See the medical conditions that are indicated for diagnostic and therapeutic purposes.
 Get valuable code intelligence that helps confirm correct code assignment.
 Know about billing and payment issues that affect procedure types.
 Conduct internal audits that will ensure proper reimbursement.

Auditors' Desk Reference 2015

Medical Books

Optumlnsight, Inc.

Administration & Medicine Economics

Optum360º

This unique manual shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services and procedures.
 It provides coders and anyone concerned about coding with an auditor's perspective on the clinical detail, regulatory instructions, and coding protocol needed for code assignment.
 Avoid the devastating effects of outside audits and reviews with this detailed coding tool. 
 The 2016 Auditor s Desk Reference includes: 
 Key Features and Benefits
 New Optum360 Edge Exclusive. More auditing tools to protect your revenue critical services and procedures. 
 New Optum360 Edge Exclusive. Completely updated for code set and regulatory changes. 
 Contains library of time-saving Audit Forms. In easy-to-customize electronic format. 
 Provides coders with an auditor's perceptive. Know the clinical detail, regulatory instructions, coding protocol needed for code assignment, by individual code and code groupings. 
 Know what information needs to be in the medical record. And on the claim form to capture appropriate reimbursement. 
 Differentiate between similar procedures. Helps coders and auditors compare and contrast seemingly similar, but different procedures. 
 Know the key terms that need to be mentioned in the medical record. Support code assignment. 
 See the medical conditions that are indicated. For diagnostic and therapeutic purposes. 
 Get valuable code intelligence. Confirm correct code assignment. 
 Conduct skilled internal audits. Ensure proper reimbursement. 
 CPT® is a registered trademark of the American Medical Association

Auditors Desk Reference 2016

OPTUM360

A successful transition from ICD-9-CM, Volume 3, to the ICD-10-PCS coding system will require focused training for individuals and organizations. The first step is to understand that procedure codes are built from a range of variables including root operation, body system, body part, approach and more not selected from a list. Multiple codes may even be needed in some instances.  Beginning and advanced coders will benefit from Detailed Instruction for Appropriate ICD-10-PCS Coding, which goes beyond the official guidelines by anticipating questions and points of confusion. This resource will help with mastery of ICD-10-PCS coding, an essential skill since reimbursements for Medicare inpatient services make up a significant portion of hospital revenues.  Key Features and Benefits Part of the Optum360 Learning Coding & Reimbursement Educational series.   Easy-to-follow guide to ICD-10-PCS. Master the very different organizational principles and completely new classification system that are the foundation of ICD-10-PCS.  Map ICD-9-CM procedure terminology to ICD-10-PCS root operation terminology.  The umbrella procedures in ICD-9-CM map to several alternative root operations, and, some PCS root operations may map backwards to many commonly used procedural terms in ICD-9-CM. Know the key factors that will determine your code selection.  Exclusive Optum360 Root Operation Conversion Table.  Translate commonly used ICD-9-CM procedural terms to ICD-10-PCS root operations.  Shows how to quickly solve the foremost ICD-10-PCS coding challenges. Users are guided through the process with expert guidance on selecting the correct root operation from among the 31 root operations found in the Medical and Surgical section. Plus, get essential guidance for CMS body part and device keys that are crucial to appropriate code assignment.  Real-life coding scenarios.  Test your skills or your coders' with real-life coding scenarios that include not just answers but answer rationale that explain why the correct answer is the most appropriate.  Distills official guidelines into essential steps in the code building process.

Detailed Instruction for Appropriate ICD-10-PCS Coding 2016

Coders Dictionary 2016 Unlike other medical dictionaries, the 2016 Coders Dictionary helps you understand medical terminology from a coder s perspective. This unique dictionary was developed to meet the specific needs of medical coders, admitting clerks, billers, and adjudicators. Key Features and Benefits Get essential clinical terms with code assignments. With easy-to-understand explanations, plus CPT®, HCPCS, and ICD code assignments. More than 1,200 new terms added for ICD-10. The ICD-10 icon marks key new ICD-10 terms, such as root operations and body part keys. 
 In total, includes more than 9,500 alphabetic entries and 250 illustrations for terminology key to code selection so you can find definitions for medical nomenclature, eponyms, new technology, and acronyms. 
 Clear, concise definitions for clinical, coding, billing, and reimbursement terms. No need to use multiple print or electronic references to access medical definitions. 
 Illustrations. Detailed illustrations accompany medical terminology to enhance understanding of the definition. 
 New and updated terms for ICD-10, CPT®, and HCPCS code sets, plus terms for CMS programs and regulations (ACOs, PQRS, EHR/prescribing), and including many new lab and path terms that appear in 2015 CPT® code set. 
 CPT® is a registered trademark of the American Medical Association

Coders' Dictionary - 2016

2015 Coding Companion® for General Surgery/ Gastroenterology Consolidate the coding process with the one-stop resource developed exclusively for those who code for general surgery and gastroenterology. This comprehensive guide includes 2015 CPT® and ICD-9-CM code sets specific to general surgery and gastroenterology in an easy-to-use, one-page format. Each page has the CPT® code with its official description and a detailed illustration, as well as lay descriptions, coding tips, terminology, cross-coding, and national Medicare relative value units. Getting to the code information you need has never been so easy.
 Key Features and Benefits
 Illustrated one-page format. All the information you need is on one illustrated page, including lay descriptions, coding tips, terms, cross-coding, and Medicare RVUs and Pub. 100 references.
 Organized by CPT® code. Essential procedures for general surgery and gastroenterology are listed by CPT® code, along with crosswalks to ICD-9-CM diagnosis, procedure, and anesthesia codes.
 Easily determine fees for your practice and reinforce consistency in the charges. National Medicare relative value units for surgery codes and most diagnostic procedures are included.
 Avoid claim denials and/or audits. Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery.
 CCI Edits by CPT® code. CPT® codes with associated CCI edits in a special section and quarterly updates available online.
 CPT® is a registered trademark of the American Medical Association.

Coding Companion for General Surgery/Gastroenterology 2015: A Comprehensive Illustrated Guide to Coding and Reimbursement

Consolidate the coding process with the one-stop resource developed exclusively for those who code for podiatry. 
 This comprehensive and easy-to-use guide includes 2016 CPT®, HCPCS, and ICD-10-CM code sets specific to podiatry. 
 Each specialty-specific procedure code includes its official description and lay description, coding tips, terminology, cross-coding, and national Medicare relative value units. 
 Getting to the code information you need has never been so easy. 
 Key Features and Benefits
 Optum360 Edge HCPCS Procedure Codes. Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes. 
 Quickly find information. All the information you need is provided, including illustrations, lay descriptions, coding tips, terms, cross-coding, Medicare RVUs, and Pub. 100 references. 
 Organized by CPT® and HCPCS code. Essential procedures for podiatry are listed by CPT® or HCPCS code, along with crosswalks to ICD-10-CM diagnosis codes. 
 Easily determine fees for your practice and reinforce consistency in the charges. National Medicare relative value units for surgery codes and most diagnostic procedures are included. 
 Avoid claim denials and/or audits. Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery. 
 CCI Edits by CPT® and HCPCS code. CPT® codes with associated CCI edits in a special section and quarterly updates available online. 
 CPT® is a registered trademark of the American Medical Association.

Coding Companion® for Podiatry 2016

Consolidate the coding process with the one-stop resource developed exclusively for those who code for radiology. 
 This comprehensive and easy-to-use guide includes 2016 CPT®, HCPCS, and ICD-10-CM code sets specific to radiology. 
 Each specialty-specific procedure code includes its official description and lay description, coding tips, terminology, cross-coding, and national Medicare relative value units. 
 Getting to the code information you need has never been so easy. 
 Key Features and Benefits
 Optum360 Edge HCPCS Procedure Codes. Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes. 
 Quickly find information. All the information you need is provided, including illustrations, lay descriptions, coding tips, terms, cross-coding, Medicare RVUs, and Pub. 100 references. 
 Organized by CPT® and HCPCS code.v Essential procedures for radiology are listed by CPT® or HCPCS code, along with crosswalks to ICD-10-CM diagnosis codes. 
 Easily determine fees for your practice and reinforce consistency in the charges. National Medicare relative value units for surgery codes and most diagnostic procedures are included. 
 Avoid claim denials and/or audits. Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery. 
 CCI Edits by CPT® and HCPCS code. CPT® codes with associated CCI edits in a special section and quarterly updates available online. 
 CPT® is a registered trademark of the American Medical Association

Coding Companion® for Radiology 2016

Coding Companion® for Cardiology/Cardiothoracic/Vascular Surgery 2016 Consolidate the coding process with the one-stop resource developed exclusively for those who code for cardiology, cardiothoracic, and vascular surgery. This comprehensive and easy-to-use guide includes 2016 CPT®, HCPCS, and ICD-10-CM code sets specific to cardiology, cardiothoracic, and vascular surgery. Each specialty-specific procedure code includes its official description and lay description, coding tips, terminology, cross-coding, and national Medicare relative value units. Getting to the code information you need has never been so easy. Key Features and Benefits
 Optum360 Edge HCPCS Procedure Codes. Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes.
 Quickly find information. All the information you need is provided, including illustrations, lay descriptions, coding tips, terms, cross-coding, Medicare RVUs, and Pub. 100 references. 
 Organized by CPT® and HCPCS code. Essential procedures for cardiology, cardiothoracic, and vascular surgery are listed by CPT® or HCPCS code, along with crosswalks to ICD-10-CM diagnosis codes. 
 Easily determine fees for your practice and reinforce consistency in the charges. National Medicare relative value units for surgery codes and most diagnostic procedures are included. 
 Avoid claim denials and/or audits. Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery. CCI Edits by CPT® and HCPCS code. CPT® codes with associated CCI edits in a special section and quarterly updates available online. 
 CPT® is a registered trademark of the American Medical Association.

Coding Companion® for Cardiology/Cardiothoracic/Vascular Surgery - 2016

Consolidate the coding process with the one-stop resource developed exclusively for those who code for ophthalmology. 
 This comprehensive and easy-to-use guide includes 2016 CPT®, HCPCS, and ICD-10-CM code sets specific to ophthalmology. 
 Each specialty-specific procedure code includes its official description and lay description, coding tips, terminology, cross-coding, and national Medicare relative value units. 
 Getting to the code information you need has never been so easy. 
 Key Features and Benefits
 Optum360 Edge HCPCS Procedure Codes. Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes. 
 Quickly find information. All the information you need is provided, including illustrations, lay descriptions, coding tips, terms, cross-coding, Medicare RVUs, and Pub. 100 references. 
 Organized by CPT® and HCPCS code. Essential procedures for ophthalmology are listed by CPT® or HCPCS code, along with crosswalks to ICD-10-CM diagnosis codes. 
 Easily determine fees for your practice and reinforce consistency in the charges. National Medicare relative value units for surgery codes and most diagnostic procedures are included. 
 Avoid claim denials and/or audits. Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery. 
 CCI Edits by CPT® and HCPCS code. CPT® codes with associated CCI edits in a special section and quarterly updates available online. 
 CPT® is a registered trademark of the American Medical Association.

Coding Companion® for Ophthalmology 2016

Consolidate the coding process with the one-stop resource developed exclusively for those who code for oncology and hematology.  This comprehensive and easy-to-use guide includes 2016 CPT®, HCPCS, and ICD-10-CM code sets specific to oncology and hematology.  Each specialty-specific procedure code includes its official description and lay description, coding tips, terminology, cross-coding, and national Medicare relative value units.  Getting to the code information you need has never been so easy.  Key Features and Benefits Optum360 Edge HCPCS Procedure Codes.  Only Optum360 offers HCPCS procedure codes specific to your specialty with the same information as we provide for CPT codes.  Quickly find information.  All the information you need is provided, including illustrations, lay descriptions, coding tips, terms, cross-coding, Medicare RVUs, and Pub. 100 references.  Organized by CPT® and HCPCS code.  Essential procedures for oncology and hematology are listed by CPT® or HCPCS code, along with crosswalks to ICD-10-CM diagnosis codes.  Easily determine fees for your practice and reinforce consistency in the charges.  National Medicare relative value units for surgery codes and most diagnostic procedures are included.  Avoid claim denials and/or audits.  Medicare payer information provides the references to Pub. 100 guidelines, follow-up days, and assistant-at-surgery.  CCI Edits by CPT® and HCPCS code.  CPT® codes with associated CCI edits in a special section and quarterly updates available online.  CPT® is a registered trademark of the American Medical Association.

Coding Companion® for Oncology/Hematology 2016

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