CONTENTS BOOKS Medical Coding Newsletters Compliance Newsletters Post Acute Newsletters

Transcription

1 2016 Publication

2 CONTENTS Newsletters... 4 Medical Coding Newsletters Compliance Newsletters Post Acute Newsletters BOOKS... 7 Medical Code Books Medical Specialty Illustrated Books Special s Charts ICD-10 Specialty Specific Charts Consulting & Auditing Services Editorial Advisory Board & Expert Panel

3 About Us The Coding Institute (TCI), LLC, headquartered in Durham, NC brings 150 years of combined expertise on coding, billing, auditing and compliance to physician practices, hospitals, ASCs, home health agencies, hospice, rehabs and SNFs. Our roots go back to 1947 with the launch of our first publication Medicine & Health. More than 150,000 consultants, physicians, compliance officers, practice managers, and medical coders have relied on the information and tools print, online, live and audio training provided by The Coding Institute. Onˡine Codinɡ Tooˡs Audio Conferences ʜeaˡtʰcare ɴeʷsˡetter Codinɡ Cʰarts 67 Years of Excellence in delivering quality products & commitments Wide Coverage Expert coding/billing/compliance/auditing guidance and how-to info on more than 30 specialities Seasoned Editorial Team Editors work with the same national consultants who serve the CPT editorial board, ICD-9 advisory board, and speciality society boards Timely & Updated Info One of the very few sites providing updated coding information to its subscribers the moment they are available Unbiased Coding Advice TCI is an independent organization, not affiliated with any government or certification company Advice from Experts Our coding tools are designed by coders & reviewed by coding veterans such as Melanie Witt RN, CPC, COBGC, MA. 3

4 Newsletters Make Your Practice Profitable and HIPPA Compliant with TCI s Coding Alerts Each month, the 30+ Coding Alerts from The Coding Institute provide clear answers to your specialty s toughest coding challenges. Whether it s clarifications on ICD-10 transition, detailed instructions on tricky coding scenarios, or updates on how the latest changes will affect your practice, our specialty newsletters provide everything you need to know to ethically optimize your reimbursement, simplify your job, and make your practice more profitable. TCI s team of CPC -certified consultants, coders, trainers, and editors is unmatched in its expertise. Your subscription to any of our newsletters comes with: Online archive (1 year access): Get access to a keyword-searchable database of all our archived newsletter content on SuperCoder.com for a complete year. CEU opportunities: Your access to The Coding Institute s Coding Alerts allows you to earn up to 6 AAPC CEUs simply by passing the short quizzes for your newsletters (plus you have options for 18 more CEU opportunities). SuperCoder s Webinar Archives: Get access to SuperCoder s webinars (current and archived) and clear your coding hurdles. Plus, get a FREE bimonthly e-newsletter, SuperCoder Bolt with your subscription. 4

5 Medical Coding Newsletters Anesthesia Coding Alert Cardiology Coding Alert Chiropractic Coding & Compliance Alert Dermatology Coding Alert ED Coding & Reimbursement Alert E/M Coding Alert Family Practice Coding Alert Gastroenterology Coding Alert General Surgery Coding Alert ICD-10 Coding Alert Internal Medicine Coding Alert Modifier Coding Alert Neurology and Pain Management Coding Alert Neurosurgery Coding Alert Ob-Gyn Coding Alert Oncology and Hematology Coding Alert Ophthalmology Coding Alert Oral Surgery Coding & Reimbursement Alert Orthopedic Coding Alert Pathology/Lab Coding Alert Pediatric Coding Alert Physical Medicine and Rehab Coding Alert Podiatry Coding Alert Psychiatry Coding & Reimbursement Alert Pulmonology Coding Alert Radiology Coding Alert Urology Coding Alert Otolaryngology Coding Alert Outpatient Alert Pain Management Coding Alert COMPLIANCE Newsletters Health Information Compliance Alert Medicare Compliance & Reimbursement Practice Management Alert Inpatient Facility Coding & Compliance Alert Part B Insider 5

6 Post Acute Newsletters Eli Healthcare Publications offer breaking news and expert analysis on reimbursement, compliance, finance and operations for post-acute care providers. Our seasoned editorial team keeps tabs on CMS s latest changes as well as policy and payment system updates. Every issue gives you plain-english guidance and explanations to keep your organization in the know and operating in the best practices zone. As a subscriber, you will qualify for these additional cutting-edge resources designed to help you stay on top with: Online Archive of all past issues (1 year access): Get your latest issue before it even goes to press with access to your newsletter content on SuperCoder.com. Plus, get keyword-searchable database of our entire archived newsletter content. Tailor-made answers to the toughest challenges so you don t face the same problem. Eli s Hospice Insider Eli s MDS Alert Eli s OASIS Alert Home Health ICD-9/ICD-10 Alert Long Term Care Survey Alert Eli s Home Care Week Eli s Rehab Report 6

7 Books Medical Specialty Illustrated Books Tailor-made for 18 specialties, Specialty Guides provide updated information and description for every CPT code official guidelines, CCI edits, Relative Value Units (RVUs), easyto-understand Lay Terms, global days, and a procedure illustration where appropriate. Each book comes with: Latest CPT procedure codes ICD-9 & ICD-10 CrossReference Easy-to-read list of comprehensive CCI edits that safeguards payments Global Day allowances that help you break Postop bundles Medicare Physician Fees to help you plug revenue drains Easy-to-understand Lay Terms that help to boost your coding accuracy Plus, you also get a special deal if you want to buy more than 3 books. for Cardiology for Family Practice for General Surgery for Gastroenterology 7

8 for Neurology/ Neurosurgery for Obstetrics & Gynecology for Ophthalmology for Orthopedics for Otolaryngology for Pediatrics for Pain Management for Pathology/Lab for Plastics/ Dermatology for Podiatry for Pulmonology for Radiology for Urology for Vascular 8

9 MedicaL CODE BOOKS Coding Manuals: 2016 AMA CPT Professional 2016 Procedural Coding Advisor 2016 HCPCS Level II Advisor 2016 ICD-10-CM Manual 2016 ICD-10-PCS Manual 2016 Legacy ICD-9-CM Expert for Physicians Vol. 1 & ICD-9-CM Advisor for Hospitals/Payers Vol Procedural Reference Guide for Coders SPECIAL s 2016 Home Health Prospective Payment System Final Rule Evaluation and Management Coding Face-to-Face Documentation Gastroenterology ICD-10 9

10 HIPAA 2016 Hospice Payment ICD-10 Training 2016 ICD-10 Coding Insider for Home Health Modifier Coding 2016 (2nd Edition) Medicare Compliance & Reimbursement Insider 2016 Non-Physician Practitioner 2016 Ob-Gyn ICD-10 Orthopedic ICD-10-CM Pain Management Coding 2016 Practice Management 2016 Radiology ICD-10-CM Urology ICD-10-CM 10

11 Look for applicable abbreviations, acronyms, and synonyms. Refer to official codeset for complete definition and absolute accuracy. The Coding Institute (TCI) co The specific design, format, layout, setup, structure, editing, formatting, tabulating, typesetting, grouping, subgrouping, abbreviating, and/or organization, which a alteration, reproduction, duplication, and/or dissemination, in part or in toto (Latin), by any means whatsoever, is a violation of copyright law and other pertinent la Charts The Coding Institute s ICD-10 Charts 2016 Have your specialty s top ICD-10-CM codes on your desk for faster learning with ICD-10 charts from Rapid Coder. These double-sided laminated quick-reference charts (8.5 X 11 & 24 X 36) for 30 specialties provide all the ICD-10-CM code options for the common word terms physicians use. The charts cover these specialties: Anesthesia Nephrology Plastic Surgery Allergy/immunology Neurology/neurosurgery Podiatry Cardiology Obstetrics/Gynecology Primary Care Chiropractic Oncology/Hematology Psychiatry Dermatology Ophthalmology/Optometry Pulmonology Emergency Medicines Orthopedics Radiology Endocrinology Otolaryngology Rheumatology Gastroenterology Pathology/lab Thoracic/vascular General Surgery Pediatrics Urology Infectious Disease Physiatry/Rehabilitation Urgent Care Rapid Coder 2016 ICD-1 Abbreviations: Rt-Right, URINALYSIS Allergic Conjunct Lt-Left, Uni-Unilateral, Bacteriuria N39.0 Allergic Rhinitis Bi-Bilateral, Un / Unspec.- Biliuria R82.2 Animal Hair an Unspecified, Char.-Character, Cells / Casts R82.99 Dz.-Disease, Diab.-Diabetic. Glycosuria R81 Other Allergen 7 th Character: Hematuria R31.9 Pollen 7 th indicates a code requires a Gross R31.0 Unspec. 7 th character for encounter type. Microscopic Other Specified Codes marked with 7 th in this chart Benign essential R31.1 Allergy Desensiti have these 7 th character options: Other R31.2 ALLERGY / ALL A - Initial Encounter Hemoglobinuria R82.3 Air-Borne Subst D - Subsequent Encounter Ketonuria R82.4 Animal Dander S - Sequela. Proteinuria R80.9 Asbestos Toxic E Pyuria / UTI N39.0 Colors: When a code s final # = 1- Accidenta character depends on the side ABSCESS, also see 2- Intentional Se of the body affected, colors are CELLULITIS 3- Assault used to match the side to the Abdominal Wall L Undetermined corresponding character option, Anorectal K61.2 Bee Sting7 th as shown in this example: Arm (Rt/Lt) L02.413/4 Caused by Med Cerumen Impaction (Un/Rt/Lt/Bi) Axilla (Rt/Lt) L02.411/2 Dander H61.20/1/2/3 Back L Dandruff ABDOMINAL PAIN R10.9 Buttock L02.31 Dermatitis due t Chest J86.9 Diathesis RUQ R10.11 Face L02.01 Drug / Medicine LUQ R10.12 Head L RLQ R10.31 Neck L02.11 Dust / House Du LLQ R10.32 Peritonsillar J36 Feather Epigastric R10.13 Tooth K04.7 Food, Ingested Generalized R10.84 Unspec. Site L02.91 Atopic, skin Periumbilical R10.33 Acidosis, Metabolic / Respiratory Food in Contact Abd. / Pelvic Symptoms Other E87.2 Gastritis, w/ H R19.8 Acne Vulgaris L70.0 ABNORMALITY IN EXAMS / Addison s Disease E27.1 w/o Hemorrha TESTS Adenoiditis, Chronic J35.02 Gastroenteritis Alkaline Phosphatase R74.8 Adenoids, Hypertrophy J35.2 Grain / Grass 11

12 Consulting & Auditing Services TCI s Consulting & Revenue Cycle Solutions will provide your organization with cost-effective solutions for your toughest coding, billing, documentation, and compliance challenges. Training From ICD-10 specialty-specific training to top specialty error areas, your comprehension and accuracy will soar after a Coding Institute educator trains your staff onsite or online. Medical Coding Our Medical Coding Team has more than 110 years of combined experience. A strong team of multispecialty Certified Coders will provide accurate coding with short turnaround time. Our triplelayer Quality assurance process will minimize errors, timely claims submission and help boost your reimbursement and bottom line. Chart Auditing TCI s experienced team of Auditors provide auditing services; with detailed review results, provider education, reimbursement comparisons, including documentation improvement tips. We ensure HIPAA compliance while doing remote audits without disrupting your office s daily routine. Risk Management Is your organization able to withstand the increased scrutiny from RACs, MACs, MPICs, ZPICs, and private payer audit programs? We ll help you zero in on compliance hot-spots before they cause your organization problems. 12

13 Editorial Advisory Board & Expert Panel H Joel V. Brill, MD, AGAF, FASGE, FACG, CHCQM, represents the American Gastroenterological Association on the CPT Editorial Panel. Barbara J. Cobuzzi, MBA, CPC, CENTC, CPCH, CPCP, CPC-I, CHCC, is president of CRN Healthcare Solutions, a consulting firm in Tinton Falls, N.J. Ms Cobuzzi is a past member of the American Academy of Professional Coders National Advisory Board as well as their Executive Board Jen Godreau, BA, CPC, CPMA, CPEDC-AHIMA Aproved ICD-10-CM/PCS Trainer, director of development and operations for SuperCoder.com, specializes in medical coding policy for several specialties. She wrote the ICD-9 study guide for the Certified Otolaryngology Coder (CENTC ) examination offered through AAPC and edited the 2011 Professional Medical Coding Curriculum that AAPC certified instructors us Michael Granovsky, MD, FACEP, CPC, CEDC, is presi-dent of LogixHealth, an ED Coding and Billing company in Bedford, Mass. He is the director of the American Col-lege of Emergency Physicians (ACEP) Coding and Reim-bursement course as well as the chairman of ACEP s Na-tional Coding and Advisory Committee. Sarah L. Goodman, MBA, CPC-H, CCP, FCS, is an active member of both the North Carolina chapter of the Health-care Financial Management Association (NCHFMA) and of the Triangle N.C. chapter of AAPC, having as National Advisory Board member ( ). She is currently serving on the Board of Governors for the American Col-lege of Medical Coding Specialists (ACMCS). Charles F. Koopmann Jr., MD, MHSA, is professor and associate chair at the University of Michigan s depart-ment of otolaryngology in Ann Arbor, and a former AMA CPT Editorial Panel member. Suzanne Burmeister, BA, MPhil, CPC, COBGC, AHIMA-approved ICD-10-CM trainer. Each month, she guides practices and hospitals in best strategies and educates coders in common ICD-10 coding changes, in ICD-10 Coding Alert. Glenn D. Littenberg, MD, FACP, is a member of the American Society of Gastrointestinal Endoscopy and the AMA CPT Advisory Committee. Maggie M. Mac, CPC, CEMC, CHC, CMM, ICCE, president of Maggie Mac-Medical Practice Consulting, Clear-water, Fla., and Brooklyn, N.Y., is a national speaker on topics dealing with medical practice compliance issues, coding and reimbursement, chart audits, and federal regulations. 13

14 Richard A. Molteni, MD, is a member of the American Academy of Pediatrics and the AMA CPT Advisory Com-mittee. Carol Pohlig, BSN, RN, CPC, ACS, is a senior coding & education specialist in the Office of Clinical Documenta-tion for the Department of Medicine for the Hospital of the University of Pennsylvania. She is on the National Ad-visory Board and several Specialty Boards for the Board of Medical Specialty Coding. Richard Harrison Tuck, MD, FAAP, is affiliated with PrimeCare of Southeastern Ohio and is medical director for Quality Care Partners. He is on the National Commit-tee on Coding and Reimbursement, American Academy of Pediatrics (AAP) and serves as the Academy of Pediatrics representative to the AMA RBRVS Review Update Com-mittee (RUC). Melanie Witt, RN, CPC, MA, CPT -OGS, provides coding education seminars to individual obgyn practices and performs shadow audits for practices that have been tar-geted by third-party payers for overpayments or fraud and abuse or compliance issues. She is on the Advisory Board and is the technical editor for The Coding Institute s monthly newsletter Ob-Gyn Coding Alert. Jill M. Young, CPC, CEDC, CIMC is the principal of Young Medical Consulting LLC. She is a member of the Local Chapter Board National Board of the AAPC (AAPC-CA). She has given educational lectures nationally for the AAPC and for the Michigan State Medical Society. She has been a topic speaker at the AAPC National Conference for the past five years. Beth Martin, BS, CPC-H authored a medical coding textbook for beginners and has taught medical coding, chart auditing, and all facets of the revenue cycle for over 12 years. She also worked as a healthcare consultant and coding and revenue cycle manager. 90 nationally-renowned experts who present close to 250 webinars a year on coding, billing, complex auditing, and healthcare management topics targeted to physician practices, hospitals,ascs, home health, hospice, rehabs and SNFs. 14

15 Contact Person: Sam Nair Director Customer Success The Coding Institute Phone No.: Mailing Address: The Coding Institute LLC, 2222 Sedwick Road, Durham, NC The Coding Institute LLC. All Rights Reserved. OUR PARTNERS 16