Medical Coding: What It Is and How It Works

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Jones & Bartlett Publishers, Aug 6, 2014 - Business & Economics - 320 pages
In clear and straightforward language, Medical Coding: What It Is and How It Works, Second Edition provides an overview of the evolution of medical coding and all the various coding systems, how they relate, and how they function. Reasoning and consequences of the delayed ICD-10 implementation are explained along with a sound overview of the ICD-10-CM and PCS classification systems. For those contemplating a career in the coding field, this book is ideal as a basic orientation. Other individuals in healthcare management and administration will also benefit from a basic understanding of how coding works. Unlike other publications that focus only on coding, this book integrates coding guidelines and principles into the billing and reimbursement process, giving the student a more practical foundation in the rationale for correct coding. Healthcare fraud and abuse is addressed as well, to assure that readers understand ethical concerns inherent in coding for reimbursement. Instructor Resources: Instructor's Manual, PowerPoint slides, Test Bank
 

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Contents

Chapter 1 Medical Coding in History
1
A Number for Every Disease
15
Location Location Location
99
Chapter 4 How Codes Are Used for Reimbursement
169
Chapter 5 Coding for Dollars
191
Chapter 6 Solving Your Healthcare Coding Problems
205
Chapter 7 Coding as a Career
215
Appendix A List of ICD10CM ThreeCharacter Diagnosis Categories
219
Appendix B General Equivalence Mapping GEM Files
277
Appendix C Uniform Billing Revenue Codes
283
Appendix D Remittance Advice Claim Adjustment Reason Codes
287
Appendix E Payment System Reference
293
Appendix F Useful Websites
297
Appendix G Uniform Hospital Discharge Data Set
299
Index
303
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Medical Coding and Documentation Consultant, Kansas City, Missouri

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