Ingenix Coding Lab 2 : Physician Offices 2003

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Edition: 6th
Format: Hardcover
Pub. Date: 2002-11-01
Publisher(s): Optuminsight Inc
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Summary

This comprehensive education module helps coders in the office or the classroom. Designed to allow the user to understand and master the basic skills needed to be an effective coder, this module includes a CD containing a student workbook and a code look-up program.

Table of Contents

Introductionp. 1
Welcome to Ingenix Coding Lab: Physician Offices, an advanced training program for medical codersp. 1
Medical Coders as Professionalsp. 1
Certificationp. 2
Organizationsp. 4
Medical Coding in the Physician Office Settingp. 5
Introductionp. 5
The Practice of Medicinep. 5
Medical Specialtiesp. 6
Subspecialtiesp. 7
Specialty Organizationsp. 8
Specialty Codingp. 8
Discussion Questionsp. 9
CPT Codingp. 11
Introductionp. 11
Level I: CPTp. 11
CPT 5 Projectp. 12
Importance of Current Codesp. 13
Structure of CPTp. 15
Guidelinesp. 17
General Guidelines for Using CPTp. 17
Putting CPT to Workp. 31
The 10 Steps to Basic CPT Codingp. 34
Evaluation and Management Services (99201-99499)p. 35
Components of E/M Servicesp. 42
Documentation Guidelines of Key Components for Evaluation and Management Servicesp. 44
Demonstration of E/M Level Selectionp. 71
Documentation of an Encounter Dominated by Counseling or Coordination of Carep. 72
Anesthesia (00100-01999)p. 72
Section Guidelinesp. 74
Surgery (10021-69999)p. 80
General (10021-10022)p. 88
Integumentary System (10040-19499)p. 89
Repairs and Closuresp. 91
Musculoskeletal System (20000-29909)p. 97
Respiratory System (30000-32999)p. 107
Cardiovascular System (33010-37799)p. 110
Hemic and Lymphatic System (38100-38999)p. 121
Mediastinum and Diaphragm (39000-39599)p. 122
Digestive System (40490-49999)p. 122
Urinary System (50010-53899)p. 129
Male Genital System (54000-55899)p. 132
Female Genital System (56405-58999)p. 134
Maternity Care and Delivery (59000-59899)p. 138
Endocrine System (60000-60699)p. 140
Nervous System (61000-64999)p. 141
Eye and Ocular Adnexa (65091-68899)p. 146
Auditory System (69000-69979)p. 150
Radiology Section (70010-79999)p. 154
Pathology and Laboratory Section (80048-89339)p. 156
Medicine Section (90281-99199)p. 160
Summaryp. 169
Discussion Questionsp. 169
ICD-9p. 171
Introductionp. 171
Alphabetic Index to Diseases and Injuriesp. 172
Table of Drugs and Chemicalsp. 172
Alphabetic Index to External Causes of Injury and Poisoning (E Codes)p. 172
ICD-9-CM Conventionsp. 178
Putting ICD-9-CM to Workp. 185
Coding Guidelinesp. 185
Clinical Applicationsp. 186
Infectious and Parasitic Diseases (Categories 001-139)p. 189
Neoplasms (Categories 140-239)p. 195
Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders (Categories 240-279)p. 200
Diseases of the Blood and Blood-forming Organs Categories (280-289)p. 207
Mental Disorders (Categories 290-319)p. 210
Mental Disorders Specific to Childhood and Adolescence (313-316)p. 215
Nervous System and Sense Organs (Categories 320-389)p. 215
Inflammatory Diseases of the Central Nervous System (320-326)p. 216
Hereditary and Degenerative Diseases of the Central Nervous System (330-337)p. 217
Disorders of the Autonomic Nervous System (337)p. 218
Other Disorders of the Central Nervous System (340-349)p. 218
Disorders of the Peripheral Nervous System (350-359)p. 219
Circulatory System (Categories 390-459)p. 220
Ischemic Heart Disease (410-414)p. 225
Cerebrovasular Disease (430-438)p. 227
Diseases of Arteries, Arterioles and Capillaries (440-448)p. 228
Diseases of the Veins and Lymphatics and Other Diseases of Circulatory System (451-459)p. 229
Respiratory System (Categories 460-519))p. 230
Other Diseases of the Upper Respiratory Tract (470-478)p. 232
Digestive System Categories (520-579)p. 235
Other Diseases of Intestines and Peritoneum (560-569)p. 238
Genitourinary System (Categories 580-629)p. 241
Diseases of Male Genital Organs (600-608)p. 243
Pregnancy, Childbirth, and Puerperium (Categories 630-677)p. 244
Skin and Subcutaneous Tissue (Categories 680-709)p. 247
Infections of the Skin and Subcutaneous Tissue (680-686)p. 247
Musculoskeletal System and Connective Tissue (Categories 710-739)p. 249
Congenital Anomalies (Categories 740-759)p. 254
Congenital Anomalies (740-759)p. 254
Conditions in the Perinatal Period (Categories 760-779)p. 255
Symptoms, Signs, and Ill-defined Conditions (Categories 780-799)p. 256
Injury and Poisoning (Categories 800-999)p. 258
Supplementary Classifications (Categories V01-V83, E800-E999)p. 264
Persons Encountering Health Services in Other Circumstances (V60-V68)p. 267
E Codesp. 270
Discussion Questionsp. 271
ICD-10p. 273
Introductionp. 273
ICD-10-CM Structurep. 274
Summaryp. 277
HCPCSp. 279
Introductionp. 279
HCPCS Level I/CPTp. 279
HCPCS Level II/National Codesp. 279
HCPCS Level III/Local Codesp. 280
The HCPCS National Codes in Detailp. 280
HCPCS Codesp. 280
Use of HCPCSp. 282
How to Use HCPCSp. 282
Modifiersp. 283
Unlisted HCPCS Codesp. 285
The DMEPOS Industryp. 285
Managed Care and DMEPOSp. 285
Defining DMEp. 286
Defining Prosthesesp. 288
Defining Orthosesp. 288
Defining Suppliesp. 289
DMEPOS and Third-party Payersp. 290
Special DMEPOS Coveragep. 290
Documentation and Certificates of Medical Necessityp. 291
Certificates of Medical Necessityp. 293
Other Third-party Payersp. 295
Provider Orders for DMEPOSp. 296
Orders Contained in the Clinical Recordp. 296
DMEPOS Supplier Registrationp. 296
Non-Par Limits on Chargesp. 297
The National Supplier Clearinghousep. 297
The DMERCsp. 297
SADMERCp. 297
Other Coding Systemsp. 298
Discussion Questionsp. 298
Practice Issues That Affect Medical Codingp. 299
Introductionp. 299
History of Medical Record Documentationp. 299
Documentation Overviewp. 301
General Guidelines for Documentationp. 302
Principles of Documentationp. 302
Documentation to Code and Billp. 303
Fraud and Abusep. 305
Using the Recordp. 307
Summaryp. 309
Discussion Questionsp. 309
HIPAAp. 311
Introductionp. 311
Privacy in Health Carep. 311
Transactions and Code Setsp. 313
Securityp. 315
HIPAA Definitionsp. 315
Summaryp. 319
Discussion Questionsp. 319
The Insurance Process--Private and Publicp. 321
Introductionp. 321
Historyp. 321
Medicare and Medicaidp. 321
Health Insurance Todayp. 322
Payer Comparisonsp. 322
The Reimbursement Processp. 326
The Claim Formp. 328
Common termsp. 329
Insurance Fraud and Abusep. 329
Summaryp. 331
Discussion Pointsp. 331
Relative Values and Fee Schedulesp. 333
Introductionp. 333
The UCR Systemp. 334
Fee Schedules and RVUsp. 334
Setting Fees for a Practicep. 338
Summaryp. 340
Discussion Pointsp. 340
Glossaryp. 341
Insurance Commissionersp. 473
Valid Three-Digit ICD-9-CM Codesp. 477
Sample Modifier Flow Chartp. 479
Indexp. 481
Table of Contents provided by Syndetics. All Rights Reserved.

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