Educators Catalog, Vol. 2, 2019

EDUCATORS CATALOG See New Certification Exam Resources p.52 Access Adaptive Learning Tech p.62 Implement New HIM Curricula Competencies p.66 VOLUME TWO

2019

WE ACHIEVE LIFE-LONG LEARNING TOGETHER

THERE’S STRENGTH IN NUMBERS. Building a pipeline of highly-qualified health information professionals has been our passion for more than 90 years. Education is the foundation of that charge. That’s why our resources are designed to help move the profession forward by supporting educators, students, and professionals. The HIM profession will thrive as we continue to work together to leverage our individual experiences and build a collective movement to advance learning opportunities.

OUR COMBINED IMPACT COUNTS.

45 AUTHORS

114 VOLUNTEERS

30 YEARS

15,000 STUDENTS

45 authors have contributed to more than 50 book titles currently available to support the expansion of HIM knowledge ahima.org/ahimapress

More than 15,000 students are learning to apply theory with hands-on HIM technology experience ahima.org/vlab

114 Council for AHIMA Excellence in Education (CEE) volunteers guide HIM education strategy in six key workgroups ahima.org/cee

30 years of equipping HIM educators to prepare tomorrow’s workforce ahima.org/aoe

BE COUNTED IN THE MOVEMENT TO ADVANCE HIM KNOWLEDGE. Visit ahima.org/education 377.19

Coding, Classification, and Reimbursement. 4–23

Health Information Management . 24–51

Certification. 52–61

Adaptive Learning. 62–63

Learning Bundles. 64–65

Faculty Resources . 66–67

ACHIEVE YOUR ACADEMIC PROGRAM GOALS Resources from AHIMA Press feature:  Test banks and other instructor materials to help prepare your courses  Mapped to curriculum competencies to seamlessly fit within your health information program  Virtual Lab (VLab) bundles that combine theory and practice with real health information software to effectively prepare students for the workforce

Request a Faculty Review Copy at ahima.org/reviewcopy

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Coding, Classification, and Reimbursement

DownloadableResources

Clinical Coding Workout 2020 Practice Exercises for SkillDevelopment

VLab Encoder Subscription

AHIMA’s virtual lab (VLab) offers access to real-world health information software tools. The VLab encoder-only option features three

withOdd-NumberedOnlineAnswers

coding applications: 3M encoder, Nuance Clintegrity™ encoder, and Find-A-Code, along with the 99 Patient Case medical records.

Professional Certificate Approval Program (PCAP)

Gain Recognition for your Coding Certificate Program AHIMA’s Professional Certificate Approval Program (PCAP) designation shows that you offer a comprehensive, valuable educational experience. Learn more at ahima.org/pcap

Establish a strong knowledge base and recognition for your coding academic program

2020 CODE BOOKS

Details on p. 6–8

5

Coding, Classification, and Reimbursement

ICD‑10‑CM Code Book, 2020 Anne B. Casto, RHIA, CCS, Consulting Editor

AHIMA proudly presents the ICD‑10‑CM Code Book, 2020, to help you execute the International Classification of Diseases, Tenth Revision, Clinical Modification. Key Features » » Completely updated with 2020 codes and coding guidelines » » NEW spiral-bound option » » Includes Hierarchical Condition Category (HCC) codes » » Features color-coded tabs to align with section colors » » Color-coded sections ease navigation and code selection » » MCC and CC codes as identified by the MS-DRG system » » Coding guidelines included in the Introduction and before each section for quick reference » » References to coding guidelines included throughout the Tabular » » American Hospital Association (AHA) Coding Clinic references included throughout the Tabular » » Anatomical art included throughout the Tabular » » Identification of diagnoses that impact Medicare Code Editor (MCE) edits » » Identification of diagnoses that impact MS-DRG pathways and edits » » Identification of diagnoses included in Medicare’s Hospital-Acquired Conditions (HAC) Program » » Appendices include Principal Diagnosis Collections and Exclusions for CC and MCC, HAC Listings and Conditional Logic, and New and Deleted Codes About the Consulting Editor Anne B. Casto, RHIA, CCS, is the founder and president of Casto Consulting, LLC. Table of Contents Introduction • Index to Diseases and Injuries • Table of Neoplasms • Table of Drugs and Chemicals • Index to External Causes • Tabular List of Diseases and Injuries • Chapter 1: Certain Infectious and Parasitic Diseases (A00–B99) • Chapter 2: Neoplasms (C00–D49) • Chapter 3: Diseases of the Blood and Blood– forming Organs and Certain Disorders Involving the Immune Mechanism (D50–D89) • Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00–E89) • Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders (F01–F99) • Chapter 6: Diseases of the Nervous System (G00–G99) • Chapter 7: Diseases of the Eye and Adnexa (H00–H59) • Chapter 8: Diseases of the Ear and Mastoid Process (H60–H95) • Chapter 9: Diseases of the Circulatory System (I00–I99) • Chapter 10: Diseases of the Respiratory System (J00–J99) • Chapter 11: Diseases of the Digestive System (K00–K95) • Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00– L99) • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00–M99) • Chapter 14: Diseases of the Genitourinary System (N00–N99) • Chapter 15: Pregnancy, Childbirth and the Puerperium (O00– O9A) • Chapter 16: Certain Conditions Originating in the Perinatal Period (P00–P96) • Chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00–Q99) • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99) • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00–T88) • Chapter 20: External Causes of Morbidity (V00–Y99) • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00–Z99) • Online Appendices: Appendix A: CC/MCC Principal Diagnosis Collections and Exclusion Lists • Appendix B: Hospital- Acquired Conditions (HAC) List • Appendix C: New Codes 2020 • Appendix D: Deleted Codes 2020

NEW Product#: AC221019 ISBN: 9781584267317

Approx. 1,424 pages © 2019

Softcover

Premier Member: $90.95

Member: $94.95

NonMember: $115

NEW SPIRAL-BOUND OPTION Product#: AC221119 ISBN: 9781584267324 Softcover, Spiral-bound Approx.

1,424 pages © 2019

Premier Member: $90.95

Member: $94.95

NonMember: $115

A portion of the proceeds from the sale of each book will be donated to the AHIMA Foundation.

6

AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

ICD‑10‑PCS Code Book, 2020 Anne B. Casto, RHIA, CCS, Consulting Editor

AHIMA proudly presents the ICD‑10‑PCS Code Book, 2020, to help you execute the International Classification of Diseases, Tenth Revision, Procedure Coding System. Key Features » » Completely updated with 2020 codes and coding guidelines » » Softcover » » Features color-coded tabs to align with section colors » » Color-coded sections ease navigation and code selection » » Coding guidelines included in the Introduction and before each section for quick reference » » Medical-Surgical and OB sections include Code Listings » » American Hospital Association (AHA) Coding Clinic references included throughout the Code Listings » » Anatomical art included in each body system section of the Medical and Surgical Tables and Code Listings » » Identification of procedures that impact Medicare Code Editor (MCE) edits » » Identification of procedures that impact MS-DRG pathways and edits » » Identification of procedures that are included in Medicare’s Hospital- Acquired Conditions (HAC) program » » Appendices include Root Operation Definitions, Type and Qualifier Definitions, Approach Definitions, Medical and Surgical Body Parts, Medical and Surgical Device Table and Device Aggregation Table, Substance Qualifier Table, and New and Deleted Codes About the Consulting Editor Anne B. Casto, RHIA, CCS, is the founder and president of Casto Consulting, LLC. Table of Contents Introduction • ICD–10–PCS Overview • ICD‑10‑PCS Code Structure • ICD‑10‑PCS Organization and Official Conventions • ICD‑10‑PCS Additional Conventions • ICD‑10‑PCS Official Guidelines for Coding and Reporting, 2020 • Index • Medical and Surgical • Central Nervous System and Cranial Nerves (001–00X) • Peripheral Nervous System (012–01X) • Heart and Great Vessels (021–02Y) • Upper Arteries (031–03W) • Lower Arteries (041–04W) • Upper Veins (051–05W) • Lower Veins (061–06W) • Lymphatic and Hemic Systems (072– 07Y) • Eye (080–08X) • Ear, Nose, Sinus (090–09W) • Respiratory System (0B1–0BY) • Mouth and Throat (0C0–0CX) • Gastrointestinal System (0D1–0DY) • Hepatobiliary System and Pancreas (0F1–0FY) • Endocrine System (0G2–0GW) • Skin and Breast (0H0–0HX) • Subcutaneous Tissue and Fascia (0J0–0JX) • Muscles (0K2– 0KX) • Tendons (0L2–0LX) • Bursae and Ligaments (0M2–0MX) • Head and Facial Bones (0N2–0NW) • Upper Bones (0P2–0PW) • Lower Bones (0Q2–0QW) • Upper Joints (0R2–0RW) • Lower Joints (0S2–0SW) • Urinary System (0T1–0TY) • Female Reproductive System (0U1–0UY) • Male Reproductive System (0V1–0VW) • Anatomical Regions, General (0W0–0WY) • Anatomical Regions, Upper Extremities (0X0–0XY) • Anatomical Regions, Lower Extremities (0Y0–0YW) • Obstetrics • Placement • Administration • Measurement and Monitoring • Extracorporeal or Systemic Assistance and Performance • Extracorporeal or Systemic Therapies • Osteopathic • Other Procedures • Chiropractic • Imaging • Nuclear Medicine • Radiation Therapy • Physical Rehabilitation and Diagnostic Audiology • Mental Health • Substance Abuse • New Technology • Appendix A: Root Operations Definitions • Appendix B: Type and Qualifier Definitions • Appendix C: Approach Definitions • Appendix D: Medical and Surgical Body Parts • Appendix E: Medical and Surgical Device Table • Appendix F: Substance Qualifier Table (Key) • Appendix G: New ICD-10-PCS Codes 2020 • Appendix H: Deleted ICD-10-PCS Codes 2020

NEW Product#: AC222019 ISBN: 9781584267133

Approx. 1,536 pages © 2019

Softcover

Premier Member: $90.95

Member: $94.95

NonMember: $115

A portion of the proceeds from the sale of each book will be donated to the AHIMA Foundation.

7

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Coding, Classification, and Reimbursement

ICD‑10-PCS Code Book Professional Edition, 2020 Anne B. Casto, RHIA, CCS, Consulting Editor

AHIMA proudly presents the ICD‑10‑PCS Code Book Professional Edition, 2020 to help medical coders execute the International Classification of Diseases, Tenth Revision, Procedure Coding System specifically in the inpatient setting. Key Features » » Completely updated with 2020 codes and coding guidelines » » Spiral-bound » » Contains only the Index, Tables, and Appendices, creating an accessible and efficient flow for professional coders » » Features color-coded tabs to align with section colors » » Color-coded sections ease navigation and code selection » » Coding guidelines included in the Introduction and before each section for quick reference » » American Hospital Association (AHA) Coding Clinic references provided for all sections » » Anatomical art included in each body system section of the Medical and Surgical Tables » » Appendices include Root Operation Definitions, Type and Qualifier Definitions, Approach Definitions, Medical and Surgical Body Parts, Medical and Surgical Device Table and Device Aggregation Key, Substance Qualifier Table, and New and Deleted Codes About the Consulting Editor Anne B. Casto, RHIA, CCS, is the founder and president of Casto Consulting, LLC. Table of Contents Introduction • ICD‑10‑PCS Overview • ICD‑10‑PCS Code Structure • ICD‑10‑PCS Organization and Official Conventions • AHA Coding Clinic for ICD-10-CM and ICD-10-PCS • ICD‑10‑PCS Official Guidelines for Coding and Reporting, 2020 • Index • Medical and Surgical • Central Nervous System and Cranial Nerves (001– 00X) • Peripheral Nervous System (012–01X) • Heart and Great Vessels (021–02Y) • Upper Arteries (031– 03W) • Lower Arteries (041–04W) • Upper Veins (051–05W) • Lower Veins (061–06W) • Lymphatic and Hemic Systems (072–07Y) • Eye (080–08X) • Ear, Nose, Sinus (090–09W) • Respiratory System (0B1–0BY) • Mouth and Throat (0C0–0CX) •Gastrointestinal System (0D1–0DY) •Hepatobiliary Systemand Pancreas (0F1–0FY) • Endocrine System (0G2–0GW) • Skin and Breast (0H0–0HX) • Subcutaneous Tissue and Fascia (0J0–0JX) • Muscles (0K2– 0KX) • Tendons (0L2–0LX) • Bursae and Ligaments (0M2–0MX) • Head and Facial Bones (0N2–0NW) • Upper Bones (0P2–0PW) • Lower Bones (0Q2–0QW) • Upper Joints (0R2–0RW) • Lower Joints (0S2–0SW) • Urinary System (0T1–0TY) • Female Reproductive System (0U1–0UY) • Male Reproductive System (0V1–0VW) • Anatomical Regions, General (0W0–0WY) • Anatomical Regions, Upper Extremities (0X0–0XY) • Anatomical Regions, Lower Extremities (0Y0–0YW) • Obstetrics • Placement • Administration • Measurement and Monitoring • Extracorporeal or Systemic Assistance and Performance • Extracorporeal or Systemic Therapies • Osteopathic • Other Procedures • Chiropractic • Imaging • Nuclear Medicine • Radiation Therapy • Physical Rehabilitation and Diagnostic Audiology • Mental Health • Substance Abuse • New Technology • Appendix A: Root Operations Definitions • Appendix B: Type and Qualifier Definitions • Appendix C: Approach Definitions • Appendix D: Medical and Surgical Body Parts • Appendix E: Medical and Surgical Device Table • Appendix F: Substance Qualifier Table (Key) • Appendix G: New ICD-10-PCS Codes 2020 • Appendix H: Deleted ICD-10-PCS Codes 2020

NEW Product#: AC222219 ISBN: 9781584267331 Softcover, Spiral-bound

Approx. 704 pages Member: $75.95

© 2019

Premier Member: $72.95

NonMember: $94.95

A portion of the proceeds from the sale of each book will be donated to the AHIMA Foundation.

8

AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

2020 HCPCS Level II, Professional Edition For quick, accurate, and efficient coding, pick this best-selling HCPCS professional reference! 2020 HCPCS Level II, Professional Edition provides an easy-to-use guide to the latest Healthcare Common Procedure Coding System codes. It helps you locate specific codes, comply with coding regulations, optimize reimbursement, report patient data, code Medicare cases, master ICD-10 coding, and more. This professional edition features a full-color design, dental codes, and ambulatory surgical center (ASC) payment and status indicators. Key Features » » Spiral-bound » » At-a-glance code listings and distinctive symbols identify all new, revised, and deleted codes for 2020. » » The American Hospital Association Coding Clinic for HCPCS citations provide a reference point for information about specific codes and their usage. » » Colorful design with color-coded tables makes locating and identifying codes faster and easier. » » American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place. » » Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Code (NDC) Directory and other Food and Drug Administration (FDA) approved drugs. » » Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. » » Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to third-party payers. » » ASC payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. » » Information on coverage provides alerts when codes have special instructions, are not valid or covered by Medicare, or may be paid at the carrier’s discretion. » » Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers, and Medicare administrative contractors submitting for DMEPOS services provided. » » Age/sex edits identify codes for use only with patients of a specific age or sex. » » Physician Quality Reporting System icon identifies codes that are specific to PQRS measures.

HCPCS Level II 2020 P r o f e s s i o n a l E d i t i o n

AVAILABLE DECEMBER 2019 Product#: AC228019 ISBN: 9781584267515 Spiral-bound 434 pages

© 2020

Premier Member: $71.95

Member: $74.95

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Table of Contents Guide to Using the 2020 HCPCS Level II Codes • Symbols and Conventions • 2020 HCPCS Updates • 2020 Index • 2020 Table of Drugs • 2020 HCPCS Level II National Codes

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Coding, Classification, and Reimbursement

Clinical Coding Workout: Practice Exercises for Skill Development, 2020 AHIMA Clinical Coding Workout challenges coding students and professionals with more than 1,500 coding scenarios and exercises to develop the expert skills required for coding accuracy. Questions are presented by code set and include the 2020 editions of ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS Level II. This valuable resource can be used many ways: » » HIM educators can use the exercises to supplement basic- and intermediate-level course materials » » Coding professionals can use the exercises to gain additional coding experience in inpatient, ambulatory, physician practice, and nonacute- care settings Individuals preparing to sit for the mastery-level CCS and CCS-P certification exams offered by AHIMA can gain additional practice in a variety of specialty coding topics. Key Features » » Updated for 2020 code sets and guideline changes » » A partial online answer key with enhanced rationales explains correct and incorrect answer choices for odd-numbered questions » » Practice coding in 2020 ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II code sets and guidelines » » Coding for present on admission (POA) and MS-DRGs (v36-grouper) » » Subsections addressing specific body systems and diseases provide targeted practice » » Case studies with multiple choice and open-ended questions address skills at all levels Table of Contents Chapter 1: Basic Principles of ICD‑10‑CM/PCS Coding • Chapter 2: Basic Principles of CPT Coding • Chapter 3: HCPCS Level II Coding • Chapter 4: Case Studies from Inpatient Health Records • Chapter 5: Case Studies from Ambulatory Health Records • Chapter 6: Case Studies from Physician-based Health Records • Chapter 7: Case Studies from Inpatient Health Records • Chapter 8: Case Studies from Ambulatory Health Records • Chapter 9: Case Studies from Physician-based Health Records • Chapter 10: Coding Challenge: Nonacute Settings, ICD‑10‑CM and ICD‑10‑PCS Code Sets, CPT Modifiers, HCPCS Level II Modifiers • References

DownloadableResources

Clinical Coding Workout 2020 Practice Exercises for Skill Development

with Odd-Numbered Online Answers

AVAILABLE DECEMBER 2019 Product#: AC201519

e-book Coming Soon

ISBN: 9781584267379

e-ISBN: 9781584267386

Softcover

402 pages Member: $71.95

© 2020

Premier Member: $67.95

NonMember: $89.95

AVAILABLE AS A BUNDLE See page 65 of this catalog for details on the book and Full VLab Access. ISBN: 9781584267522

Instructor Materials Instructor materials include presentation slides and a complete answer key with rationales.

10

AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

Healthcare Code Sets, Clinical Terminologies, and Classification Systems, Fourth Edition Kathy Giannangelo, MA, RHIA, CCS, CPHIMS, FAHIMA, Volume Editor Healthcare Code Sets, Clinical Terminologies, and Classification Systems, Fourth Edition, features up-to-date content to familiarize readers with healthcare’s vast and complex structure of terminologies. With content that includes ICD‑10‑CM/PCS, CPT, HCPCS, CDT, SNOMED CT, LOINC, RxNorm, DSM-5, and ICD-11, this resource provides students and practitioners in health information management and informatics with an overview of each system. From code sets and classification systems commonly used for administrative reporting to more complex clinical terminologies for semantic interoperability, parts I and II of this book introduce readers to the content and supporting principles and guidelines while demystifying the terminologies through use cases and explanations of tools to access and use. Parts III and IV highlight the use of data standards and explore how terminology and classifications are applied in real-world settings. Key Features » » Updated content includes ICD-11, SNOMED CT, LOINC, data set and interchange standards such as FHIR, and data mapping » » New material describing adoption and use cases provides an understanding of how the terminology is used in the real world » » Explains the relationship between terminologies and acts as a resource for many facets of healthcare About the Editor Kathy Giannangelo, MA, RHIA, CCS, CPHIMS, FAHIMA, has a comprehensive background in the field of clinical terminologies, classification, and data standards with more than 40 years of experience in HIM.

NEW Product#: AB201918 ISBN: 9781584266730

e-book Available

e-ISBN: 9781584267553

Softcover

612 pages Member: $79.95

© 2019

Premier Member: $74.95

NonMember: $99.95

Instructor Materials Instructor materials include sample syllabi, test banks, a full answer key, and presentation slides. The test bank is available in Respondus.

11

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Coding, Classification, and Reimbursement

Basic ICD‑10‑CM and ICD‑10‑PCS Coding, 2020 Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA Brooke N. Palkie, EdD, RHIA Basic ICD‑10‑CM and ICD‑10‑PCS Coding, 2020, provides students and in-training professionals with a balanced approach to coding. In-depth instruction and practical exercises build a foundation to apply ICD‑10‑CM and ICD‑10‑PCS conventions and rules to everyday examples and exercises using actual case documentation. Key Features » » New online appendix with coding scenarios for students to gain additional practice using real-world examples » » Key concepts icon calls out important topics in each chapter for ease in identifying essential practices » » Chapters are organized by body system, with a step-by-step approach to rules, rationale for use, including relevant parts of the ICD‑10‑CM coding guidelines, plus procedure coding » » Each chapter in the ICD‑10‑CM and ICD‑10‑PCS classification system is addressed with Check Your Understanding questions and review exercises to apply coding knowledge and skills » » Online resources include odd-numbered answer key for exercises and the full text of both the ICD‑10‑CM and ICD‑10‑PCS Official Guidelines for Coding and Reporting About the Authors Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA, is employed by Advocate Health Care as the manager of clinical data in their Center for Health Information Services. Brooke N. Palkie, EdD, RHIA, is an associate professor for the Department of Health Informatics and Information Management at the College of St. Scholastica. Table of Contents Chapter 1: Introduction to ICD‑10‑CM • Chapter 2: Introduction to ICD‑10‑PCS • Chapter 3: Introduction to the Uniform Hospital Discharge Data Set and Official ICD‑10‑CM‑ Coding Guidelines • Chapter 4: Certain Infectious and Parasitic Diseases (A00–B99) • Chapter 5: Neoplasms (C00–D49) • Chapter 6: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50–D89) • Chapter 7: Endocrine, Nutritional and Metabolic Diseases (E00–E89) • Chapter 8: Mental, Behavioral and Neurodevelopmental Disorders (F01–F99) • Chapter 9: Diseases of the Nervous System (G00–G99) • Chapter 10: Diseases of the Eye and Adnexa (H00–H59) • Chapter 11: Diseases of the Ear and Mastoid Process (H60–H95) • Chapter 12: Diseases of the Circulatory System (I00–I99) • Chapter 13: Diseases of the Respiratory System (J00–J99) • Chapter 14: Diseases of the Digestive System (K00–K95) • Chapter 15: Diseases of the Skin and Subcutaneous Tissue (L00– L99) • Chapter 16: Diseases of the Musculoskeletal System and Connective Tissue (M00–M99) • Chapter 17: Diseases of the Genitourinary System (N00–N99) • Chapter 18: Pregnancy, Childbirth and the Puerperium (O00– O9A) • Chapter 19: Certain Conditions Originating in the Perinatal Period (P00–P96) • Chapter 20: Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00–Q99) • Chapter 21: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99) • Chapter 22A: Injury (S00– T34) • Chapter 22B: Poisoning and Certain Other Consequences of External Causes (T36–T88) • Chapter 23: External Causes of Morbidity (V00–Y99) • Chapter 24: Factors Influencing Health Status and Contact with Health Services (Z00–Z99) • Chapter 25: Coding and Reimbursement • Coding Self-Test

DownloadableResources

Basic ICD-10-CM and ICD-10-PCS Coding

2020

Lou Ann Schraffenberger , MBA, RHIA, CCS, CCS-P, FAHIMA Brooke N. Palkie, EdD, RHIA

AVAILABLE DECEMBER 2019 Product#: AC200519

e-book Coming Soon

ISBN: 9781584267447

e-ISBN: 9781584267454

Softcover

784 pages Member: $79.95

© 2020

Premier Member: $75.95

NonMember: $99.95

AVAILABLE AS A BUNDLE See page 65 of this catalog for details on the book and VLab Encoder. ISBN: 9781584267461 Instructor Materials Instructor materials include additional exercises, an instructor manual, a test bank, a full answer key, and presentation slides. The test bank is also available in Respondus.

12

AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

Basic ICD ‑ 10 ‑ CM and ICD ‑ 10 ‑ PCS Coding Exercises, Seventh Edition Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA Michelle Dionisio, MA, MSC, RHIA, CCS Basic ICD‑10‑CM and ICD‑10‑PCS Coding Exercises was created to give beginning coders practical, skill-building experience. Designed with industry expert input, it can be used as a companion to Basic ICD‑10‑CM and ICD‑10‑PCS Coding or as a stand-alone workbook for students new to coding practice. Basic ICD‑10‑CM and ICD‑10‑PCS Coding Exercises presents more than 400 patient care encounter scenarios—rather than one-line diagnosis statements—to train students to make realistic diagnostic and procedural coding decisions. De-identified cases from real healthcare encounters provide students with professional knowledge and the practice needed to master the effective application of ICD ‑ 10 ‑ CM and ICD ‑ 10 ‑ PCS codes. Key Features » » Fully updated to 2020 ICD ‑ 10 ‑ CM and ICD ‑ 10 ‑ PCS codes and guidelines » » 10 new advanced coding scenarios in chapter 22 » » Chapter organization aligns with the 21-chapter ICD ‑ 10 ‑ CM Tabular List » » Offers coding practice for increased proficiency » » Includes odd-numbered answer key with rationales and references About the Authors Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA is employed by Advocate Health Care as the manager of clinical data in their Center for Health Information Services. She is a member of the editorial panel for AHA Coding Clinic for HCPCS. Michelle Dionisio, MA, MSC, RHIA, CCS, is an instructor in the health information management program at Rutgers University. She is also a medical records specialist at Morristown Medical Center. Table of Contents Chapter 1: Certain Infectious and Parasitic Diseases • Chapter 2: Neoplasms • Chapter 3: Diseases of Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism • Chapter 4: Endocrine, Nutritional, and Metabolic Diseases • Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders • Chapter 6: Diseases of the Nervous System • Chapter 7: Diseases of the Eye and Adnexa • Chapter 8: Diseases of the Ear and Mastoid Process • Chapter 9: Diseases of the Circulatory System • Chapter 10: Diseases of the Respiratory System • Chapter 11: Diseases of the Digestive System • Chapter 12: Diseases of the Skin and Subcutaneous Tissue • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue • Chapter 14: Diseases of the Genitourinary System • Chapter 15: Pregnancy, Childbirth, and the Puerperium • Chapter 16: Certain Conditions Originating in the Perinatal Period • Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities • Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified • Chapter 19A: Injuries, Effects of Foreign Body, Burns and Corrosions, and Frostbite • Chapter 19B: Poisoning by, Adverse Effects, Underdosing, Toxic Effects of Substances, Other Effects of External Causes, Certain Early Complications of Trauma and Complications of Surgical and Medical Care • Chapter 20: External Causes of Morbidity • Chapter 21: Factors Influencing Health Status and Contact with Health Services • Partial Answer Key for Coding Scenarios • Chapter 22: Advanced Coding Scenarios for Basic ICD-10-CM and ICD-10-PCS Coding Exercises

DownloadableResources

Basic ICD-10-CM and ICD-10-PCS Coding Exercises

Seventh Edition

Lou Ann Schraffenberger , MBA, RHIA, CCS, CCS-P, FAHIMA Michelle Dionisio, MA, MSc, RHIA, CCS

AVAILABLE DECEMBER 2019 Product#: AC210518

e-book Available e-ISBN: 9781584267362

ISBN: 9781584267065

Softcover

352 pages Member: $54.95

© 2020

Premier Member: $52.95

NonMember: $64.95

Instructor Materials Instructor materials include a full answer key.

13

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Coding, Classification, and Reimbursement

Basic Current Procedural Terminology and HCPCS Coding, 2020 Gail I. Smith, MA, RHIA, CCS-P Gain basic training and practice in the application of procedural codes from the Current Procedural Terminology (CPT®) and the Healthcare Common Procedure Coding System (HCPCS). CPT codes are explained throughout the text, which includes more than 70 additional operative reports. Key Features » » Brilliant four-color interior design with updated artwork to help students visualize anatomy and related surgical procedures as they practice coding » » Targeted exercises and all-new guidance highlight ways to utilize AMA’s CPT QuickRef app in the professional setting » » Appendix B expanded to include more than 75 case studies » » Complete explanation of symbols and formatting used in CPT and HCPCS coding provides a foundation for learning and application » » Lesson on how to use AMA’s CPT Assistant to support coding decisions » » Illustration of the connection between coding and reimbursement » » Detailed chapters on modifiers, HCPCS Level II (National Codes), and reimbursement provide targeted learning for both hospital and physician office coding » » Odd-numbered answers are included in appendix C » » Downloadable student ancillaries including web resources, glossary, and E/M documentation guidelines About the Author Gail I. Smith, MA, RHIA, CCS-P, is president of Gail I. Smith Consulting in Estero, FL. Table of Contents Chapter 1: Introduction to Clinical Coding • Chapter 2: Application of the CPT System • Chapter 3: Modifiers • Chapter 4: Surgery • Chapter 5: Radiology • Chapter 6: Pathology and Laboratory Services • Chapter 7: Evaluation and Management Services • Chapter 8: Evaluation and Management Documentation Requirements • Chapter 9: Medicine • Chapter 10: Anesthesia • Chapter 11: HCPCS Level II • Chapter 12: CPT and Reimbursement • Chapter 13: Computer-Assisted Coding • Appendix A: References and Bibliography • Appendix B: Additional Practice Exercises • Appendix C: Answers to Odd- Numbered Exercises • Index

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Basic Current Procedural Terminology and HCPCS Coding 2020

Gail I. Smith, MA, RHIA, CCS-P

AVAILABLE DECEMBER 2019 Product#: AC200620

e-book Coming Soon

ISBN: 9781584267478

e-ISBN: 9781584267485

Softcover

451 pages Member: $79.95

© 2020

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NonMember: $99.95

AVAILABLE AS A BUNDLE See page 65 of this catalog for details on the book with CPT ® 2019 Professional Edition ISBN: 9781584267492 Instructor Materials Instructor materials include an instructor manual, test bank, answer key, and presentation slides. The test bank is also available in Respondus.

DOODY’S C O R E T I T L E

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AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

Basic Current Procedural Terminology and HCPCS Coding Exercises, Fifth Edition Gail I. Smith, MA, RHIA, CCS-P Basic Current Procedural Terminology and HCPCS Coding Exercises, Fifth Edition, the coding knowledge of students of all levels with skill-building drills and real-world case studies. Students can expect exercises that test knowledge of medical terminology, anatomy, and clinical concepts through instruction designed to bridge the gap between clinical documentation and coding. Key Features » » New exercises to reflect the addition of two new chapters in Basic Current Procedural Terminology and HCPCS Coding, 2019 » » Expanded test bank » » Advanced exercises to practice visual coding, editing, and computer- assisted coding » » Detailed case studies taken from health records offer real-world coding scenarios » » New illustrations augment discussion of the body systems » » Examples of connecting CPT codes to ICD-10-CM codes to support medical necessity » » Exercises provide targeted experience with specific categories of codes and mixed codes that occur in the real world About the Author Gail I. Smith, MA, RHIA, CCS-P, is president of Gail I. Smith Consulting in Estero, FL. Table of Contents Chapter 1: Introduction to Clinical Coding • Chapter 2: Application of the CPT System • Chapter 3: Modifiers • Chapter 4: Surgery • Chapter 5: Radiology • Chapter 6: Pathology and Laboratory Services • Chapter 7: Evaluation and Management Services • Chapter 8: Evaluation and Management Documentation Requirements • Chapter 9: Medicine • Chapter 10: Anesthesia • Chapter 11: HCPCS Level II • Chapter 12: CPT and Reimbursement • Chapter 13: Computer-Assisted Coding • Appendix A: Odd-numbered Answer Key

Downloadable Resources

Basic Current Procedural Terminology and HCPCS Coding

Exercises Fifth Edition

Gail I. Smith, MA, RHIA, CCS-P

NEW Product#: AC210618 ISBN: 9781584266884

e-book Available e-ISBN: 9781584267126

Softcover

200 pages Member: $35.95

© 2019

Premier Member: $33.95

NonMember: $44.95

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Coding, Classification, and Reimbursement

ICD‑10‑PCS: An Applied Approach, 2020 Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Therese M. Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA This comprehensive text, which uses the 2020 code set in effect October 1, 2019, is devoted to learning and mastering the process of building codes in ICD-10-PCS. All students in academic programs and current coding professionals must become and remain proficient in using this system for inpatient procedures. The text begins with a detailed review of the structure and design of the ICD-10-PCS system, including a description of the code format and official ICD-10-PCS Coding Guidelines. A thorough description of coding concepts that are unique to ICD-10-PCS is included, as well as a systematic review of the root operations. Each of the body systems from the main section of ICD-10-PCS, Medical and Surgical, are methodically examined, with an in- depth review of the function and anatomy of the system, along with the root operations, body parts, approaches, devices, and qualifiers that are used in each body system. This same process is used in reviewing all other sections. Key Features » » Updated with 2020 ICD-10-PCS code set changes and coding guidelines » » Student workbook available online » » In-depth discussion of the code-building process » » Code Building Exercises guide the reader through the process of evaluating an operative report by providing thought-provoking questions along with complete in-text answers and rationales » » Annotated reports, decision trees, short-statement coding, and capstone exercises enhance learning » » Select answers with rationales included in appendix B About the Authors Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, is president of Kuehn Consulting in Waukesha, WI. Therese M. Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA, is a clinical assistant professor in health information management at the University of Illinois at Chicago. Table of Contents Part I: System Definitions and Guidelines • Chapter 1: System Structure and Design • Chapter 2: ICD‑10‑PCS Coding Guidelines • Part II: Introduction to the Medical and Surgical Section • Chapter 3: Root Operations that Take Out All/Part or Take Out Solids/Fluids/Gases • Chapter 4: Root Operations that Cut or Separate, Put in or Put Back, or Move Body Parts • Chapter 5: Root Operations that Alter Diameter or Route of Body Parts, or Involve a Device • Chapter 6: Root Operations that Involve Examination Only, Other Repairs, or Other Objectives • Chapter 7: Anatomical Regions • Chapter 8 : Nervous System • Chapter 9: Sense Organs • Chapter 10: Respiratory System • Chapter 11: Circulatory System • Chapter 12: Gastrointestinal and Hepatobiliary Systems • Chapter 13: Endocrine and Lymphatic Systems • Chapter 14: Integumentary System • Chapter 15: Muscular System: Muscles, Tendons, Bursae, and Ligaments • Chapter 16: Skeletal System: Bones and Joints • Chapter 17: Urinary System • Chapter 18: Male Reproductive System • Chapter 19: Female Reproductive System • Part III: Medical and Surgical–related Sections • Chapter 20: Obstetrics • Chapter 21: Placement, Administration, Measurement, and Monitoring • Chapter 22: Extracorporeal Assistance, Performance, and Therapies • Chapter 23: Osteopathic, Other Procedures, and Chiropractic Sections • Part IV: Ancillary Sections • Chapter 24: Imaging, Nuclear Medicine, and Radiation Therapy • Chapter 25: Physical Rehabilitation and Diagnostic Audiology, Mental Health, Substance Abuse Treatment, and New Technology • Part V: Review Exercises and Case Studies • Appendix A: Roots and Approaches • Appendix B: Answer Key

AVAILABLE NOVEMBER 2019 Product#: AC201119

e-book Coming Soon

ISBN: 9781584267539

e-ISBN: 9781584267546

Approx. 648 pages Member: $84.95

© 2020

Softcover

Premier Member: $80.95

NonMember: $105

Instructor Materials Instructor materials include an instructor manual, test bank, full textbook answer key, student workbook answer key, and presentation slides. The test bank is also available in Respondus.

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AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

Procedural Coding and Reimbursement for Physician Services: Applying Current Procedural Terminology and HCPCS, 2020 Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Kim Huey, MJ, CHC, CCS-P, PCS, CPC, CPCO, COC Procedural Coding and Reimbursement for Physician Services: Applying Current Procedural Terminology and HCPCS, 2020 introduces the basic principles and conventions of CPT® and HCPCS coding while delivering the experience-based knowledge needed to code confidently and efficiently. The chapters have been reorganized to meet the needs of classroom educators and their students. Key Features » » Expanded test bank » » Document Check-Ups to progress student understanding » » Five online appendices, including printable CMS-1500 claim form » » More than 80 case-based coding scenarios to apply coding knowledge and skills » » Hundreds of practice questions, including chapter exercises, chapter tests, and test bank items in the instructor’s guide About the Author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, is president of Kuehn Consulting in Waukesha, WI. Kim Huey, MJ, CHC, CCS-P, PCS, CPC, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physician practices. Table of Contents Chapter 1: Introduction to Coding Basics • Chapter 2: Anesthesia • Chapter 3: Modifiers • Chapter 4: Surgery • Chapter 5: Radiology • Chapter 6: Pathology and Laboratory • Chapter 7: Medicine • Chapter 8: HCPCS Level II Coding • Chapter 9: Evaluation and Management Coding • Chapter 10: Reimbursement Process • Chapter 11: Coding and Reimbursement Reports and Databases • Chapter 12: Evaluation of Coding Quality

DownloadableResources

Procedural Coding and Reimbursement for Physician Services Applying Current Procedural Terminology and HCPCS 2020

Lynn Kuehn , MS, RHIA, CCS-P, FAHIMA Kim Huey , MJ, CHC, CCS-P, PCS, CPC, CPCO, COC

AVAILABLE DECEMBER 2019 Product#: AC201320

e-book Coming Soon

ISBN: 9781584267393

e-ISBN: 9781584267430

Softcover

528 pages Member: $79.95

© 2020

Premier Member: $75.95

NonMember: $99.95

Instructor Materials Online instructor materials include Respondus- ready test banks, practice questions, answer keys, and presentation slides. Covers the current 2014 AHIMA HIM Professional Competencies and maps Chapter content to the HIM curriculum.

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Coding, Classification, and Reimbursement

Medical Coding in the Real World Elizabeth Roberts, MA Ed, CPC

Medical Coding in the Real World is a medical coding and billing textbook for students that combines the intricacies of medical coding in ICD ‑ 10 ‑ CM, ICD ‑ 10 ‑ PCS, CPT®, and HCPCS code sets with accessible instruction on how to correctly identify, select, and apply codes to the health record in a real ‑ world setting. Each chapter focuses on a specialty and builds in complexity from topic to topic within each chapter, addressing each in a natural progression that allows students to learn the coding process organically. Chapters contain coding exercises that range in difficulty from simple to complex within a specialty, case studies to code, and required billing forms to complete. Key Features » » Presentation of coding material for ICD ‑ 10 ‑ CM, ICD ‑ 10 ‑ PCS, CPT, and HCPCS code sets across a variety of specialty areas in a real- world setting » » Full-color illustrations, images, and pedagogy » » Key to Success boxes call out insightful information from the perspective of a professional coder » » There’s a Code for That exercises provide practice applying chapter concepts, accompanied by a full answer key in appendix B » » Putting It All Together sections at the end of relevant chapters tie key About the Author Elizabeth Roberts, MA Ed, CPC, is the provider coding educator for DaVita Medical Group in Colorado Springs, CO, and is an AHIMA-approved ICD-10 CM/PCS Trainer. In addition to serving as the lead instructor for the Medical Billing and Coding Department for Virginia College in Austin, TX, she was the senior director of content for ImplementHIT and is an experienced consultant in medical coding and reimbursement. Table of Contents Chapter 1: Your Coding Career • Chapter 2: Healthcare Billing Basics • Chapter 3: Basics of Coding • Chapter 4: Learning the ICD-10-CM Code Book • Chapter 5: Learning the CPT and HCPCS Code Books • Chapter 6: Supplies and Services • Chapter 7: Behavioral Health Services • Chapter 8: Primary Care Services • Chapter 9: Eye and Vision Services • Chapter 10: Urgent Care and Emergency Department Services • Chapter 11: Surgical Services • Chapter 12: Anesthesia and Pain Management Services • Chapter 13: Radiology and Imaging Services• Chapter14: LaboratoryandPathologyServices• Chapter15: OrthopedicServices• Chapter16: Physical, Occupational, and Speech Therapy Services • Chapter 17: Obstetrics and Gynecology Services • Chapter 18: Healthcare Specialist Services, Part I • Chapter 19: Healthcare Specialist Services, Part II • Chapter 20: Inpatient Hospital Services • Appendix A: Coding Certifications and Professional Coding Organizations • Appendix B: Answer Key to There’s a Code for That Exercises concepts together within a real-world coding scenario » » Hierarchical Condition Category (HCC) coding references incorporated throughout the text

e-book Available e-ISBN: 9781584266419

Product#: AC234016

ISBN: 9781584265508

Softcover

800 pages Member: $74.95

© 2018

Premier Member: $71.95

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NEW EDITION SPRING 2020 Product#: AC234019

e-book Coming Soon

ISBN: 9781584267591

e-ISBN: 9781584267607

Approx. 800 pages Member: $94.95

© 2020

Softcover

Premier Member: $90.95

NonMember: $115

AVAILABLE AS A BUNDLE See page 65 of this catalog for details on the book and VLab Encoder. ISBN: 9781584266303 Instructor Materials Instructor materials include sample syllabi, a full answer key, and presentation slides. The test bank is available in Respondus.

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AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

Coding, Classification, and Reimbursement

Medical Coding in the Real World Student Workbook Elizabeth Roberts, MA Ed, CPC

Medical Coding in the Real World StudentWorkbook

Medical Coding in the Real World Student Workbook is a comprehensive student workbook designed to be used in conjunction with Medical Coding in the Real World . The workbook enhances understanding of the information and concepts addressed in each chapter of the textbook. Each workbook chapter includes several true/false, multiple choice, matching, and short answer exercises as well as practice selecting, sequencing, and reporting appropriate ICD ‑ 10 ‑ CM, ICD ‑ 10 ‑ PCS, CPT®, and HCPCS codes. Key Features » » A comprehensive range of exercises to apply ICD ‑ 10 ‑ CM, ICD ‑ 10 ‑ PCS, CPT, and HCPCS codes sets across a variety of specialty areas in a real-world setting » » Pairs seamlessly with the Medical Coding in the Real World textbook » » Answers to odd-numbered questions included for self-evaluation » » Blank forms are provided to support appropriate coding exercises About the Author Elizabeth Roberts, MA Ed, CPC, is the provider coding educator for DaVita Medical Group in Colorado Springs, CO, and is an AHIMA-approved ICD-10 CM/PCS Trainer. In addition to serving as the lead instructor for the Medical Billing and Coding Department for Virginia College in Austin, TX, she was the senior director of content for ImplementHIT and is an experienced consultant in medical coding and reimbursement. Table of Contents Chapter 1: Your Coding Career • Chapter 2: Healthcare Billing Basics • Chapter 3: Basics of Coding • Chapter 4: Learning the ICD-10-CM Code Book • Chapter 5: Learning the CPT and HCPCS Code Books • Chapter 6: Supplies and Services • Chapter 7: Behavioral Health Services • Chapter 8: Primary Care Services • Chapter 9: Eye and Vision Services • Chapter 10: Urgent Care and Emergency Department Services • Chapter 11: Surgical Services • Chapter 12: Anesthesia and Pain Management Services • Chapter 13: Radiology and Imaging Services • Chapter 14: Laboratory and Pathology Services • Chapter 15: Orthopedic Services • Chapter 16: Physical, Occupational, and Speech Therapy Services • Chapter 17: Obstetrics and Gynecology Services • Chapter 18: Healthcare Specialist Services, Part I • Chapter 19: Healthcare Specialist Services, Part II • Chapter 20: Inpatient Hospital Services • Appendix A: Student Workbook Answer Key • Appendix B: Additional Resources • Appendix C: Blank Forms

ElizabethRoberts,MEd,CPC

e-book Available e-ISBN: 9781584266662

Product#: AC235016

ISBN: 9781584265597

Softcover

240 pages Member: $34.95

© 2018

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NonMember: $44.95

NEW EDITION SPRING 2019 Product#: AC235019

e-book Coming Soon

ISBN: 9781584267614

e-ISBN: 9781584267621

Approx. 240 pages Member: $34.95

© 2020

Softcover

Premier Member: $33.95

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AVAILABLE AS A BUNDLE See page 65 of this catalog for details on the book and VLab Encoder. ISBN: 9781584266303 VLab Encoder software tools include: 3M Coding and Reimbursement System, Find- A-Code, and Nuance Clintegrity™ Facility and Physician Coding, Compliance and Abstracting. See p. 34 for details about AHIMA’s VLab.

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Coding, Classification, and Reimbursement

Principles of Healthcare Reimbursement, Sixth Edition Anne B. Casto, RHIA, CCS Principles of Healthcare Reimbursement provides educators, students, and practitioners with up-to-date information on healthcare payment systems and their effects on the US healthcare delivery system and economy in one authoritative source. This publication makes complex topics understandable for students and practitioners and helps to clarify the US healthcare reimbursement maze. Key Features » » Aligns to the 2018 AHIMA HIM curricula competencies » » Contains up-to-date content on Medicare payment systems, improper payment reviews, value-based purchasing programs » » Explains the impact of CMS Hierarchical Condition Category (CMS- HCC) risk adjustment on reimbursement » » Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement » » Discusses various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed care » » Contains a discussion of MACRA provisions for physicians » » Describes various types of healthcare cost-sharing and their effects on providers and consumers » » Illustrates specialized data collection instruments and classification systems used in postacute care » » Discusses the role of HIM professionals in revenue cycle management » » Online student workbook includes additional student activities and application and data analysis exercises

DownloadableResources

SIXTH EDITION

Principles of

Healthcare Reimbursement

Anne B. Casto, RHIA, CCS

e-book Available e-ISBN: 9781584266648

Product#: AB202017 ISBN: 9781584266464

Softcover

392 pages Member: $79.95

© 2018

Premier Member: $75.95

NonMember: $99.95

Instructor Materials Instructor materials, available to approved .edu programs, include an instructor’s manual, test bank, curriculum map, presentation slides, and a map to the AHIMA HIM curricula competencies The test bank is also available in Respondus.

DOODY’S C O R E T I T L E

About the Author Anne B. Casto, RHIA, CCS, is president of Casto Consulting, LLC.

Table of Contents Chapter 1: HealthcareReimbursementMethodologies• Chapter 2: ClinicalCodingandCodingCompliance• Chapter 3: Commercial Healthcare Insurance Plans • Chapter 4: Government–Sponsored Healthcare Programs • Chapter 5: Managed Care Plans • Chapter 6: Medicare–Medicaid Prospective Payment Systems for Inpatients • Chapter 7: Ambulatory and Other Medicare–Medicaid Reimbursement Systems • Chapter 8: Medicare–Medicaid Prospective Payment Systems for Postacute Care • Chapter 9: Revenue Cycle Management • Chapter 10: Value–Based Purchasing • Appendix A: Glossary • Appendix B: Answer Key for Check Your Understanding Questions • Appendix C: CMS 1500 Claim Form • Appendix D: CMS 1450 (UB-04) Claim Form • Appendix E: Medicare Summary Notice

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AHIMA EDUCATORS CATALOG | VOLUME TWO 2019

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