ADVANCE: Health Information Learning Resources, Vol. 2 2020

2020 Education Catalog • Volume 2 ADVANCE Health Information Learning Resources

Inspire student engagement with digital learning resources p. 36

We have the power

Information inspires us. To find solutions that help people. To collaborate and connect through technology. To manage health information so it can serve patient care. To empower learners. To move health and healthcare forward—together. You’re invited to make more of a difference than ever.

CONTENTS: LEARNING CONTENT BY TOPIC Coding, Classification and Reimbursement | p. X Health Information | p. X Health Information Management Law, Privacy and Security Data Analytics Information Governance CONTENTS: LEARNING CONTENT BY TOPIC Coding, Classification and Reimbursement | p. 4 Health Information | p. 24 Health Information Management Law, Privacy and Security Data Analytics Informati n Gover ance

CAREER PREPARATION Certification | p. 54

EDUCATION TECHNOLOGY Adaptive Learning | p. X Virtual Lab | p. X EDUCATION TECHNOLOGY | p. 36 Adaptive Learning AHIMA VLab TM ACADEMIC RESOURCES Faculty Development & Tools | p. 70

CAREER PREPARATION Certification | p. X

ACADEMIC RESOURCES Faculty Development & Tools | p. X

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VOLUME TWO 2020

Coding, Classification and Reimbursement

Health Information is Human Information

We know what’s essential to our profession

Comprehensive texts are completely updated with a comprehensive texts include up-to-date codes list- ings and coding guidelines—reflecting our total commitment to relevance and skill- building for the real world. OTHER CODING RESOURCES:

Coding , classification, and reimbursement are the fundamentals of health information in action. AHIMA texts empower your classes and your students with comprehensive, up-to-date content that delivers standards and guidelines, best practices, and insights.

• With the AHIMA VLab TM Encoder Subscription, our students do inspiring work with real-world coding software tools. Find out more on p. 36. • You can earn recognition for your coding certificate through the PCAP Professional Certificate Approval Program. Learn more at ahima.org/pcap.

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VOLUME TWO 2020

ICD‑10‑CM Code Book, 2021 Anne B. Casto, RHIA, CCS, Consulting Editor

ICD‑10‑PCS Code Book, 2021 Anne B. Casto, RHIA, CCS, Consulting Editor

AHIMA proudly presents the ICD‑10‑CM Code Book, 2021, to help you execute the International Classification of Diseases, Tenth Revision, Clinical Modification.

AHIMA proudly presents the ICD‑10‑PCS Code Book, 2021, to help you execute the International Classification of Diseases, Tenth Revision, Procedure Coding System.

Key Features » Completely updated with 2021 codes and coding guidelines » Available in spiral- or perfect-bound formats

Key Features » Completely updated with 2021 codes and coding guidelines » Softcover

» 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 2021 • Appendix D: Deleted Codes 2021

» 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

NEW Product#: AC222020 ISBN: 9781584268123 Softcover

NEW Product#: AC221020 ISBN: 9781584268109 Softcover

1,544 pages ©2021

1,360 pages ©2021

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List: $115

Premier Member: $90.95

Member: $94.95

List: $115

Product#: AC221120 ISBN: 9781584268116 Softcover, Spiral-bound 1,360 pages ©2021 Premier Member: $90.95 Member: $94.95 List: $115

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

About the Consulting Editor Anne B. Casto, RHIA, CCS, is the founder and president of Casto Consulting, LLC.

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

Table of Contents Introduction • ICD–10–PCS Overview • ICD‑10‑PCS Code Structure • ICD‑10‑PCS Organization and Of ficial Conventions • ICD‑10‑PCS Additional Conventions • ICD‑10‑PCS Of ficial 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 2021 • Appendix H: Deleted ICD-10-PCS Codes 2021

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VOLUME TWO 2020

Coding, Classification, and Reimbursement

ICD‑10-PCS Code Book Professional Edition, 2021 Anne B. Casto, RHIA, CCS, Consulting Editor

2021 HCPCS Level II, Professional Edition For quick, accurate, and efficient coding, pick this best-selling Healthcare Common Procedure Coding System (HCPCS) professional reference! 2021 HCPCS Level II, Professional Edition provides an easy-to-use guide to the latest HCPCS 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 2021. » 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 (OPPS). » 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 (PQRS) icon identifies codes that are specific to PQRS measures.

AHIMA proudly presents the ICD‑10‑PCS Code Book Professional Edition, 2021 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 2021 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 Of ficial 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 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 2021 • Appendix H: Deleted ICD-10-PCS Codes 2021

NEW Product#: AC222220 ISBN: 9781584268130 Softcover, Spiral-bound 724 pages

AVAILABLEDECEMBER2020 Product#: AC228020 ISBN: 9781584268192 Spiral-bound 434 pages

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

Table of Contents Guide to Using the 2021 HCPCS Level II Codes • Symbols and Conventions • 2021 HCPCS Updates • 2021 Index • 2021 Table of Drugs • 2021 HCPCS Level II National Codes

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VOLUME TWO 2020

Coding, Classification, and Reimbursement

Clinical Coding Workout: Practice Exercises for Skill Development AHIMA Clinical Coding Workout, 2020, challenges coding students and professionals to develop the expert skills required for coding accuracy. Over 1,000 practice coding scenarios and exercises are offered to help users develop the skills needed to enhance their performance. Questions are presented by code set and include the 2020 editions of ICD-10-CM, ICD-10-PCS, and CPT®. Updated online answer key reflects 2021 codes and guidelines. 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 CCS and CCS-P certification exams offered by AHIMA can gain additional practice in a variety of specialty coding topics Key Features » All exercises are updated for 2021 ICD-10-CM, ICD-10-PCS, and CPT code sets and guidelines » Coding for present on admission (POA) and MS-DRGs (v37 grouper) » Subsections address specific body systems and diseases to provide targeted practice » Case studies with multiple-choice and open-ended questions are designed to meet each level of skill development » An answer key with rationales for odd-numbered questions is available online 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

Basic ICD‑10‑CM and ICD‑10‑PCS Coding Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA Brooke N. Palkie, EdD, RHIA Basic ICD-10-CM and ICD-10-PCS Coding, 2020, introduces students and professionals to a balanced approach to coding by providing basic coding principles and conventions using actual case documentation. Basic ICD-10- CM and ICD-10-PCS Coding provides the foundation to build and apply coding knowledge in a real-world setting. Updated online answer key reflects 2021 codes and guidelines. Key Features » Key concepts and topics in each chapter are called out in the margins » Chapters are organized by body systems, with a step-by-step approach to rules, rationale for use, including relevant parts of the ICD-10-CM coding guidelines, plus assigning procedure codes » Chapters include coding guidelines and instructional notes relevant to body system diagnosis and conditions and include explanations of clinical conditions with patient care scenarios » Each chapter in the ICD-10-CM and ICD-10-PCS classification system offers check your understanding questions and review exercises to apply coding knowledge and skills » Online coding scenarios help students gain practice using real-world examples » A full answer key and answers to odd-numbered exercises are available online About the Authors Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA, is an industry expert in ICD-10-CM and ICD-10-PCS coding. Ms. Schraffenberger is an AHIMA-approved ICD-10-CM and ICD-10-PCS trainer. Brooke N. Palkie, EdD, RHIA, is a graduate program director for Health Care Administration and Health Informatics at Charter Oak State College with a teaching focus on classifications, vocabularies, and clinical data standards, as well as assessing healthcare quality and corporate compliance. Dr. Palkie is an AHIMA-approved ICD-10-CM and ICD-10-PCS trainer. 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 Of ficial 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

Downloadable Resources

Downloadable Resources

Clinical Coding Workout 2020 Practice Exercises for Skill Development

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

2020

with Odd-Numbered Online Answers

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

2021OnlineAnswer KeyUpdate Product#: AC200519 e-bookAvailable ISBN: 9781584267447 e-ISBN: 9781584267454 Softcover 784 pages ©2020 Premier Member: $75.95 Member: $79.95 List: $99.95 AVAILABLEASABUNDLE See page 67 of this catalog for details on the book and VLab Encoder Access.

2021OnlineAnswer KeyUpdate Product#: AC201519 e-book Available ISBN: 9781584267379 e-ISBN: 9781584267386 Softcover 400 pages ©2020 Premier Member: $67.95 Member: $71.95 List: $89.95 AVAILABLEASABUNDLE See page 67 of this catalog for details on the book

and Full VLab Access. Product#: AC201519B ISBN: 9781584267522

Product#: AC200519B 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.

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

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VOLUME TWO 2020

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 provides the practice that beginner coders need to develop the ICD-10-CM and ICD-10-PCS coding skills to be successful. The exercises are short case studies and operative descriptions of real, de-identified, patient encounters in healthcare. This book offers over 400 CM and PCS patient care encounter scenarios to guide and prepare students and professionals to make realistic diagnostic and procedural coding decisions. This text can be used as a companion to Basic ICD-10-CM and ICD-10-PCS Coding, 2020, or as a stand-alone workbook for those new to coding practice. Updated online answer key reflects 2021 codes and guidelines. Key Features » Fully updated to the 2020 ICD-10-CM and ICD-10-PCS codes sets and guidelines » Advanced case studies with next level detail for users to practice coding » Chapter organization aligns with the 21-chapter ICD-10-CM Tabular List » Offers coding practice for increased proficiency » Answers to odd-numbered exercises provided at the back of the text About the Authors Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P, FAHIMA, is an industry expert in ICD-10-CM and ICD-10-PCS coding. Ms. Schraffenberger is an AHIMA-approved ICD-10-CM and ICD-10-PCS trainer. Michelle Dionisio, MA, MSc, RHIA, CCS, is an instructor in the health information management program at Rutgers University. Ms. Dionisio is also a coder at Atlantic Health System. 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, Ef fects of Foreign Body, Burns and Corrosions, and Frostbite • Chapter 19B: Poisoning by, Adverse Ef fects, Underdosing, Toxic Ef fects of Substances, Other Ef fects 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 • Chapter 22: Advanced Coding Scenarios for Basic ICD-10-CM and ICD-10-PCS Coding Exercises • Answer Key

Basic Current Procedural Terminology and HCPCS Coding, 2021 Gail I. Smith, MA, RHIA, CCS-P Gain basic training and practice in the application of procedural codes from Current Procedural Terminology (CPT®) and the Healthcare Common Procedure Coding System (HCPCS). CPT codes are explained throughout the text, which includes more than 75 additional operative reports. Key Features » Fully updated for the 2021 CPT codes and coding guidelines » Exercises simulate the nuanced coding scenarios a coding professional is likely to encounter in the real world » Four-color interior design with updated artwork helps students visualize anatomy and related surgical procedures as they practice coding » Appendix B includes more than 75 case studies » Complete explanation of symbols and formatting used in CPT and HCPCS coding provides a foundation for learning and application » Detailed chapters on modifiers, HCPCS Level II (National codes), and reimbursement provide targeted learning for both hospital and physician office coding » Odd-numbered answers to chapter questions are included in appendix C » Answers to all exercises and chapter review questions are located in the instructor manual, available only to approved faculty of educational programs » Downloadable student ancillaries including web resources, glossary, and E/M documentation guidelines

Downloadable Resources

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

2021 Online Answer KeyUpdate Product#: AC210518 e-bookAvailable ISBN: 9781584267065 e-ISBN: 9781584267362 Softcover 376 pages ©2020 Premier Member: $52.95 Member: $54.95 List: $64.95

AVAILABLE DECEMBER2020 Product#: AC200621 e-bookComingSoon ISBN: 9781584268253 e-ISBN: 9781584268260 Softcover 472 pages ©2021 Premier Member: $75.95 Member: $79.95 List: $99.95 AVAILABLEASABUNDLE See page 67 of this catalog for details on the book and CPT® 2021 Professional Edition.

Instructor Materials Instructor materials include a full answer key.

Product#: AC200621B ISBN: 9781584268321

About the Author Gail I. Smith, MA, RHIA, CCS-P, is president of Gail I. Smith Consulting in Estero, FL.

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

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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VOLUME TWO 2020

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 » 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

ICD‑10‑PCS: An Applied Approach, 2021 Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Therese K. Jorwic, MPH, RHIA, CCS, CCS-P, FAHIMA

Downloadable Resources

Basic Current Procedural Terminology and HCPCS Coding

Exercises Fifth Edition

This comprehensive text, which uses the 2021 code set in effect October 1, 2021, is devoted to learning and mastering the process of building codes in ICD-10-PCS. All current coding professionals and students in academic programs must become and remain proficient in using this system for inpatient procedures.

Key Features » Updated with 2021 ICD-10-PCS code set changes and coding guidelines

» Comprehensive 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 » Instructor materials include an instructor manual, PowerPoint slides, full answer key to exercises in book, full answer key to student workbook, test bank with full key (also in Respondus) About the Authors Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, is president of Kuehn Consulting in Waukesha, WI. Therese K. 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 aDevice • 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: Partial Answer Key

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

2021 Online Answer KeyUpdate Product#: AC210618 e-bookAvailable ISBN: 9781584266884 e-ISBN: 9781584267126 Softcover 200 pages ©2019 Premier Member: $33.95 Member: $35.95 List: $44.95

AVAILABLE OCTOBER2020 Product#: AC201120 e-bookComingSoon ISBN: 9781584268246 e-ISBN: 9781584268291

Approx. 660 pages

Softcover

©2021

Premier Member: $80.95

Member: $84.95

List: $105

About the Author Gail I. Smith, MA, RHIA, CCS-P, is president of Gail I. Smith Consulting in Estero, FL.

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.

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

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VOLUME TWO 2020

Coding, Classification, and Reimbursement

Procedural Coding and Reimbursement for Physician Services: Applying Current Procedural Terminology and HCPCS, 2021 Kim Huey, MJ, CHC, CCS-P, PCS, CPC, CPCO, COC Procedural Coding and Reimbursement for Physician Services: Applying Current Procedural Terminology and HCPCS, 2021 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 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 Repor ts and Databases • Chapter 12: Evaluation of Coding Quality

Principles of Healthcare Reimbursement, Sixth Edition Anne B. Casto, RHIA, CCS

Downloadable Resources

SIXTH EDITION

Principles of

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.

Healthcare Reimbursement

Key Features » Aligns to the 2018 AHIMA HIM curricula competencies

» Added coverage on CMS Hierarchical Condition Category, Physician Quality Payment Program as outlined by the Medicare Access and CHIP Reauthorization Act of 2015 » Increased coverage of the Outpatient Prospective Payment System’s movement to episode payment; each category of Ambulatory Payment Classifications is outlined with supporting examples » Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement » Explains the various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed care plans » Describes the types of healthcare cost-sharing and their effects on providers and consumers » Illustrates specialized data collection instruments and electronic submission software used in postacute care » Explores the revenue cycle and how HIM professionals can directly impact a facility’s fiscal health through analytics » Describes value-based purchasing and pay-for-performance in US healthcare systems and covers in detail Medicare initiatives » Connects medical coding to healthcare reimbursement and compliance

Anne B. Casto, RHIA, CCS

AVAILABLE DECEMBER 2020 Product#: AC201321

e-bookComingSoon

Product#: AB202017 e-bookAvailable ISBN: 9781584266464 e-ISBN: 9781584266648 Softcover 392 pages ©2018 Premier Member: $75.95 Member: $79.95 List: $99.95 SEVENTH EDITION AVAILABLE SPRING2021 Product#: AB202019 e-bookComingSoon ISBN: 9781584268000 e-ISBN: 9781584268017

ISBN: 9781584268277

e-ISBN: 9781584268284

Softcover

543 pages Member: $79.95

©2021 List: $99.95

Premier Member: $75.95

Instructor Materials Online instructor materials include Respondus- ready test banks, practice questions, answer keys, and presentation slides. Covers the current 2018 AHIMA HIM Professional Competencies andmaps Chapter content to the HIM curriculum.

Approx. 392 pages

Softcover

©2021

Premier Member: $75.95

Member: $79.95

List: $99.95

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

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

Table of Contents Chapter 1: Healthcare Reimbursement Methodologies • Chapter 2: Clinical Coding and Coding Compliance • 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 UnderstandingQuestions • AppendixC: CMS 1500ClaimForm• AppendixD: CMS 1450 (UB-04) Claim Form• AppendixE: Medicare Summary Notice

DOODY’S C O R E T I T L E

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VOLUME TWO 2020

Coding, Classification, and Reimbursement

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

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

Downloadable Resources

Downloadable Resources

Medical Coding in the Real World StudentWorkbook

Medical Coding in the Real World

Medical Coding in the Real World Student Workbook , Second 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 true/false, 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. 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 » Expanded workbook includes over 400 new questions and exercises » All-new case studies guide students through each step of the health record abstraction and code selection processes » 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 related coding exercises About the Author Elizabeth Roberts, MA Ed, CCS, CPC, is the physician coding educator for Optum in Colorado Springs, CO. 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 andGynecology 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

Medical Coding in the Real World , Second Edition, 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, addressing each in 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. Key Features » Presents coding material for ICD‑10‑CM, ICD‑10‑PCS, CPT, and HCPCS code sets across a variety of specialty areas » Expands coverage of inpatient coding topics, including ICD-10-PCS, the Inpatient Prospective Payment System, and the Uniform Hospital Discharge Data Set » 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 includes surgical illustrations, code book snippets, and learning aids to help students visualize complex coding concepts » Key to Success boxes call out insightful information from the perspective of a medical coding professional » 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 synthesize key concepts within real-world coding scenarios » Hierarchical Condition Category (HCC) coding references incorporated throughout the textbook About the Author Elizabeth Roberts, MA Ed, CCS, CPC, is the physician coding educator for Optum in Colorado Springs, CO. 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: OrthopedicServices • Chapter16: Physical,Occupational, andSpeechTherapyServices • Chapter17: ObstetricsandGynecology Services • Chapter 18: Healthcare Specialist Services, Part I • Chapter 19: Healthcare Specialist Services, Part II • Chapter 20: Inpatient Hospital Services • AppendixA: CodingCertifications and Professional CodingOrganizations • AppendixB: Answer Key to There’s a Code for That Exercises

Second Edition

Second Edition

ElizabethRoberts, MAEd, CPC

ElizabethRoberts, MAEd, CPC

NEW Product#: AC235019 e-bookAvailable ISBN: 9781584267614 e-ISBN: 9781584267621 Softcover 416 pages ©2020 Premier Member: $33.95 Member: $34.95 List: $44.95 AVAILABLEASABUNDLE See page 67 of this catalog for details on the book, main text, and VLab Encoder access.

NEW Product#: AC234019 e-bookAvailable ISBN: 9781584267591 e-ISBN: 9781584267607 Softcover 920 pages ©2020 Premier Member: $71.95 Member: $74.95 List: $94.95 AVAILABLEASABUNDLE See page 67 of this catalog for details on the book

and VLab Encoder Access. Product#: AC234019VB ISBN: 9781584267720

Product#: AC234019D ISBN: 9781584267737

VLab Encoder software tools include: 3MCoding and Reimbursement System, Find- A-Code, and Nuance Clintegrity™ Facility and Physician Coding, Compliance and Abstracting. See p. 36 for details about AHIMA’s VLab.

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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VOLUME TWO 2020

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, ICD-10-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, 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.

Coding and Reimbursement for Hospital Inpatient Services, Fourth Edition Karen S. Scott, MEd, RHIA, CCS-P, CPC, FAHIMA Coding professionals and educators will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement. Those training for positions in the coding field will find a useful guide to enhance their inpatient coding knowledge base as they prepare for certification. This book has been fully updated to include information from the 2016 Inpatient Prospective Payment System Final Rule. Key Features » Reimbursement and methodologies specific to inpatient practice settings, such as the inpatient prospective payment system (IPPS), the long-term care hospital prospective payment system (LTCH-PPS), the inpatient rehabilitation facilities prospective payment system (IRF-PPS), and inpatient psychiatric facility prospective payment system (IPF-PPS) » Structure and organization of Medicare inpatient acute-care prospective payment system » Relationship between coding and MS-DRG assignment » Data quality and coding compliance processes related to coding and reimbursement for inpatient services » Updated to include ICD‑10‑CM and ICD‑10‑PCS code sets in exercise and case answer keys and content on how these systems will impact inpatient reimbursement » New case studies and exercises About the Author Karen S. Scott, MEd, RHIA, CCS-P, CPC, FAHIMA, is the sole proprietor of her own consulting firm. Table of Contents Part I: Reimbursement Systems for Inpatient Services • Chapter 1: Introduction to Hospital Inpatient Services • Chapter 2: Reimbursement Methodologies for Inpatient Services • Chapter 3: Structure and Organization of the Medicare Inpatient Acute-Care Prospective Payment System • Chapter 4: Structure and Organization of Other Medicare Inpatient Prospective Payment Systems • Part II: Coding for Inpatient Services • Chapter 5: Diagnostic and Procedural Coding for Inpatient Services • Chapter 6: Coding and DRG Assignment • Part III: Processes Related to Coding and Reimbursement for Inpatient Services • Chapter 7: Data Quality Management • Chapter 8: Coding Compliance • Chapter 9: The Health Record Auditing Process • Abbreviations • Appendix A: Exercises • Appendix B: Case Studies • Appendix C: Guidelines for Achieving a Compliant Query Practice • Appendix D: Sample Audit Worksheets, Forms, and Tools

Coding and Reimbursement for Hospital Inpatient Services

Fourth Edition

Karen S. Scott, MEd, RHIA, CCS-P, CPC, FAHIMA

Product#: AC206214 e-book Available ISBN: 9781584265009 e-ISBN: 9781584265351 Softcover 208 pages ©2016 Premier Member: $71.95 Member: $75.95 List: $94.95 Instructor Materials Instructor materials include a complete answer key for case studies and exercises in the book.

Product#: AB201918 e-book Available ISBN: 9781584266730 e-ISBN: 9781584267553 Softcover 624 pages ©2019 Premier Member: $74.95 Member: $79.95 List: $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.

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VOLUME TWO 2020

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