ADVANCE: Health Information Learning Resources Vol. 1, 2024

Coding, Classification, and Reimbursement

Table of Contents

About the Book

Medical Coding in the Real World Student Workbook , Fourth Edition, 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. Workbook chapters include detailed, specialty-specific coding case studies in addition to multiple choice, matching, and short answer exercises. Additional practice exercises focus on selecting, sequencing, and reporting appropriate ICD‑10‑CM, ICD‑10‑PCS, CPT ® , and HCPCS codes.

Part I: Medical Billing and Coding Basics 1 Your Coding Career 2 Healthcare Billing Basics 3 Basics of Coding 4 Learning the ICD-10-CM Code Book 5 Learning the CPT and HCPCS Code Books Part II: Coding in the Real World 6 Supplies and Services 7 Behavioral Health Services 8 Primary Care Services 9 Eye and Vision Services 10 Urgent Care and Emergency Department Services 11 Surgical Services 12 Anesthesia and Pain Management Services 13 Radiology and Imaging Services 14 Laboratory and Pathology Services 15 Orthopedic Services 16 Physical, Occupational, and Speech Therapy Services 17 Obstetrics and Gynecology Services 18 Healthcare Specialist Services, Part I 19 Healthcare Specialist Services, Part II 20 Inpatient Hospital Services Appendix A: Student Workbook Answer Key Appendix B: Additional Resources Appendix C: Blank Forms

Medical Coding in the Real World , Fourth Edition, presents the intricacies of medical coding in ICD-10-CM, ICD-10-PCS, CPT ® , and HCPCS code sets across a variety of specialty areas. This text offers accessible instruction on how to correctly identify, select, and apply codes to the health record in a real- world setting, with each chapter focusing on a specialty and building in complexity from topic to topic. It provides a natural progression that allows students to learn the coding process intuitively and organically. Chapters contain coding exercises ranging in difficulty from simple to complex, case studies to code, and required billing forms to complete.

Part I: Medical Billing and Coding Basics 1 Your Coding Career 2 Healthcare Billing Basics 3 Basics of Coding

4 Learning the ICD-10-CM Code Book 5 Learning the CPT and HCPCS Code Books Part II: Coding in the Real World 6 Supplies and Services 7 Behavioral Health Services 8 Primary Care Services 9 Eye and Vision Services 10 Urgent Care and Emergency Department Services 11 Surgical Services 12 Anesthesia and Pain Management Services 13 Radiology and Imaging Services 14 Laboratory and Pathology Services 15 Orthopedic Services 16 Physical, Occupational, and Speech Therapy Services 17 Obstetrics and Gynecology Services 18 Healthcare Specialist Services, Part I 19 Healthcare Specialist Services, Part II 20 Inpatient Hospital Services Appendix A: Coding Certifications and Professional Coding Organizations Appendix B: Answer Key to There’s a Code for That Exercises Glossary Index About the Author Elizabeth Roberts , MA Ed, CCS, CPC, CRC, has worked in the healthcare industry for over 20 years. She has served as the program director for the allied health department at Vista College in Las Cruces, New Mexico; lead instructor for the medical billing and coding department for Virginia College in Austin, Texas; and senior director of content for ImplementHIT. She currently manages the educational program for Optum’s National Revenue Cycle Fee-for- Service coding team and continues to educate medical coding professionals as an online adjunct instructor.

Medical Coding in the Real World Student Workbook, Fourth Edition Elizabeth Roberts , MA Ed, CCS, CPC, CRC

Medical Coding in the Real World, Fourth Edition Elizabeth Roberts , MA Ed, CCS, CPC, CRC

Key Features

• Updated case studies guide students through each step of the health record abstraction and code selection process • Provides a comprehensive range of exercises to apply ICD‑10‑CM, ICD‑10‑PCS, CPT ® , and HCPCS code sets across a variety of specialty areas in a real-world setting • Pairs seamlessly with the Medical Coding in the Real World textbook • Includes answers to odd-numbered questions in the appendices for self-evaluation • Supplies blank claim forms to support related coding exercises About the Author Elizabeth Roberts , MA Ed, CCS, CPC, CRC, has worked in the healthcare industry for over 20 years. She has served as the program director for the allied health department at Vista College in Las Cruces, New Mexico; lead instructor for the medical billing and coding department for Virginia College in Austin, Texas; and senior director of content for ImplementHIT. She currently manages the educational program for Optum’s National Revenue Cycle Fee-for- Service coding team and continues to educate medical coding professionals as an online adjunct instructor.

Key Features

• NEW! Fix That Claim exercises require students to determine both the reason for a coding denial and how to fix the claim • Updated Key to Success boxes, There’s a Code for That exercises, and Putting It All Together sections further student comprehension • End-of-chapter case studies guide readers through each step of the coding process, from abstracting the health record to searching the code book and, ultimately, selecting the correct code • Full-color imagery including surgical illustrations, code book snippets, and learning aids help students visualize complex coding concepts • Hierarchical Condition Category (HCC) coding references incorporated throughout the textbook

ebook Available e-ISBN: 978-1-58426-933-5

ebook Available e-ISBN: 978-1-58426-935-9

Available as a Bundle BUNDLE THIS BOOK WITH AHIMA VLab ® MEDICAL CODER ACCESS.

Print book and AHIMA VLab ® Medical Coder access Product #: AC234023VB ISBN: 978-1-58426-954-0 Print book, Student Workbook, and AHIMA VLab ® Medical Coder access Product #: AC234023D ISBN: 978-1-58426-955-7 Print book and Student Workbook Product #: AC235023D ISBN: 978-1-58426-956-4 Instructor Resources include the following: • Instructor manual • Sample syllabi • Full answer keys • Presentation slides • Transition guide The test bank is also available in Respondus.

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