Medical Coding and Billing Books, NewsLetters

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    2016Publicatio

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    CPT® copyright 2015 American Medical Association. All rights reserved.

    Webite: www.codinginstitute.com | E-mail: [email protected] | Phone: 704-303-8150

    2

    CONTENTS

    NEWSLETTERS  4

       Medical Coding Newsletters

       Compliance Newsletters

       Post Acute Newsletters

    BOOKS  7

       Medical Code Books

     Medical Specialty Illustrated Books

       

    Special Handbooks

    CHARTS 11

       ICD-10 Specialty Specifc Charts

    CONSULTING & AUDITING SERVICES 12

    EDITORIAL ADVISORY BOARD & EXPERT PANEL 13

    ....................................................................................................................................................................

    ...................................................................................................................................................................................................

    ...........................................................................................................................................................................................

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    CPT® copyright 2015 American Medical Association. All rights reserved.

    Webite: www.codinginstitute.com | E-mail: [email protected] | Phone: 704-303-8150

    3

    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.

    ABOUT US

    67 Years of Excellece in delivering quality products & commitments

    Wie Coverae

    Expert coding/billing/compliance/auditing guidance and how-to info on more than 30 specialities

      Seasoe Eitorial Team Editors work with the same national consultants who serve the CPT® editorial board, ICD-9 advisory board,

    and speciality society boards

    Timely & Upate Ifo One of the very few sites providing updated coding information to its subscribers the moment they are available

      Ubiase Coi Avice TCI is an independent organization, not affiliated with any government or certification company

    Avice from Experts Our coding tools are designed by coders & reviewed by coding veterans

    such as Melanie Witt RN, CPC®, COBGC®, MA.

    Onˡine Codinɡ Tooˡs Audio Conferences ʜeaˡtʰcare ɴeʷsˡetter Codinɡ Cʰarts

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    Mae Yo Pactice Potable an HIPPA Compliant with TCI’ Coin Alet

    Each month, the 30+ Coding Alerts from The Coding Institute provide clear answers to your specialty’stoughest coding challenges. Whether it’s clarifications on ICD-10 transition, detailed instructions on

    tricky coding scenarios, or updates on how the latest changes will aect your practice, our specialtynewsletters provide everything you need to know to ethically optimize your reimbursement, simplifyyour job, and make your practice more profitable.

     TCI’s team of CPC®-certified consultants, coders, trainers, and editors is unmatched in its expertise.

    Yo bciption to any of o newlette come with:

       Online archive (1 year access): Get access to a keyword-searchable database of all our archivednewsletter content on SuperCoder.com for a complete year.

       CEU opportunities: Your access to The Coding Institute’s Coding Alerts allows you to earn up to6 AAPC CEUs simply by passing the short quizzes for your newsletters (plus you have options for18 more CEU opportunities).

       SuperCoder’s Webinar Archives: Get access to SuperCoder’s webinars (current and archived) andclear your coding hurdles.

    Plus, get a FREE bimonthly e-newsletter, SuperCoder Bolt with your subscription.

    NEWSLETTERS

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       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

       Otolaryngology Coding Alert

       Outpatient Alert

       Pain Management 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

    COMPLIANCE NEWsLETTErs

     Health Information Compliance Alert

     Medicare Compliance & Reimbursement

     Practice Management Alert

     Inpatient Facility Coding & Compliance Alert

     Part B Insider

    MEdICAL COdINg NEWsLETTErs

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    POsT ACuTE NEWsLETTErs

    Eli Healthcare Publications oer breaking news and expert analysis on reimbursement, compliance,finance and operations for post-acute care providers. Our seasoned editorial team keeps tabs on CMS’slatest changes as well as policy and payment system updates. Every issue gives you plain-English guidanceand explanations to keep your organization in the know and operating in the best practices zone.

    A a bcibe, yo will qalify fo thee aitional cttin-ee eoce eine to helpyo tay on top with:

      Online Archive of all past issues (1 year access): Get your latest issue before it even goes topress with access to your newsletter content on SuperCoder.com. Plus, get keyword-searchabledatabase 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

     

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    BOOKS

    MEdICAL sPECIALTY ILLusTrATEd BOOks

     Tailor-made for 18 specialties, SuperCoder Illustrated Specialty Guides provide updated informationand description for every CPT® code ‒ official guidelines, CCI eits, Relative Value Uits (RVUs), easy-to-uersta Lay Terms, lobal ays, a a proceure illustratio where appropriate.

    Each boo come 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

    Pl, yo alo et a pecial eal if yo want to by moe than 3 boo.

    speCoe Illtatefo Caioloy

    speCoe Illtatefo Family Pactice

    speCoe Illtatefo geneal sey

    speCoe Illtatefo gatoenteoloy

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    speCoe Illtatefo Neoloy/Neoey

    speCoe Illtatefo Otolaynoloy

    speCoe Illtatefo Platic/

    dematoloy

    speCoe Illtatefo uoloy

    speCoe Illtatefo Obtetic &

    gynecoloy

    speCoe Illtatefo Peiatic

    speCoe Illtatefo Poiaty

    speCoe Illtatefo Vacla

    speCoe Illtatefo Ophthalmoloy

    speCoe Illtatefo Pain Manaement

    speCoe Illtatefo Plmonoloy

    speCoe Illtatefo Othopeic

    speCoe Illtatefo Patholoy/Lab

    speCoe Illtatefo raioloy

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    9

    2016 AMA CPT®Pofeional

    2016 ICd-10-PCsManal

    2016 PocealCoin Avio

    2016 Leacy ICd-9-CMExpet fo PhyicianVol. 1 & 2

    2016 HCPCs Level IIAvio

    2016 ICd-9-CM Aviofo Hopital/PayeVol. 1-3

    2016 ICd-10-CMManal

    2016 Pocealrefeence gie foCoe

    MEdICAL COdE BOOKS

    Coin Manal:

    SPECIAL HAndBOOKS

    2016 Home HealthPopective Payment

    sytem Final rleHanboo 

    Evalation anManaement Coin

    Hanboo 

    Face-to-Facedocmentation

    Hanboo 

    gatoenteoloyICd-10 Hanboo 

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    HIPAA Hanboo 2016

    Moie CoinHanboo 2016

    (2n Eition)

    Othopeic ICd-10-CMHanboo 

    uoloy ICd-10-CMHanboo 

    Hopice PaymentHanboo 

    Meicae Compliance& reimbement

    Inie 2016

    Pain ManaementCoin Hanboo 2016

    ICd-10 TaininHanboo 2016

    Non-PhyicianPactitione Hanboo

    2016

    Pactice ManaementHanboo 2016

    ICd-10 Coin Iniefo Home Health

    Ob-gyn ICd-10Hanboo 

    raioloy ICd-10-CMHanboo 

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    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 fromRapid Coder. These double-sided laminated quick-reference charts (8.5 X 11 & 24 X 36) for 30 specialtiesprovide all the ICD-10-CM code options for the common word terms physicians use.

    The chat cove thee pecialtie:

    Anesthesia Nephrology Plastic SurgeryAllergy/immunology Neurology/neurosurgery Podiatry

    Cardiology Obstetrics/Gynecology Primary Care

    Chiropractic Oncology/Hematology Psychiatry

    Dermatology Ophthalmology/Optometry PulmonologyEmergency 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-1Lookforappl i cab l eabbrevi ati ons,acronyms,andsynonyms.Refer too ffici al codesetfo rcompletedefin i ti onandabsol u teaccuracy.TheCodi ng Insti tu te(TCI)copr i h t . l l r i h t r rv . r l IC C fi l vi l l r n l r .cc. v/nch /i c/i c c .h t.Thespeci ficdesign , format, l ayou t,setup ,structu re,ed i ti ng, fo rmatting , tabu lati ng , typesetti ng,g roup i ng ,subgroup i ng ,abbreviati ng ,and/ororgani zati on,wh i char chrctr i ti c n i nhrn tt th cr ti n i C r , r c r i h t l l l r t ct i n tl l ctu l r r t.Unuthr i tti n ,alteration, reproduction,duplicat ion,and/or dissemination, inpart or intoto (Lati n ),byanymeanswhatsoever , i savio l ati onofcopyr i gh tl awandotherperti nen tl a ,n i u j ctt l i i l it.C r i h ti vi ru l n rc . I

    . . , . , . .

     Abbreviations: Rt-Right,Lt-Left, Uni-Unilateral,Bi-Bilateral, Un / Unspec.-Unspecifed, Char.-Character,

    Dz.-Disease, Diab.-Diabetic.7th  Character:7th indicatesacode requiresa7thcharacterfor encountertype.Codesmarkedwith 7th   inthischart

    havethese7 th characteroptions: A - Initial Encounter

    D - Subsequent EncounterS - Sequela.

    Colors: When a code’s nalcharacter depends on the sideof the body affected, colors are

    used to match the side to thecorresponding character option,as show n in this example:

    CerumenImpaction(Un/Rt/Lt/Bi)  H61.20 /1/2/3

     ABDOMINALPAIN R10.9

      RUQ R10.11  LUQ R10.12  RLQ R10.31  LLQ R10.32

      Epigastric R10.13  Generalized R10.84  Periumbilical R10.33

     Abd. / Pelvic Symptoms Other

    R19.8

     ABNORMALITYINEXAMS/TESTS  Alkaline Phosphatase R74.8 

    --

    ++

    + +

    +

    URINALYSISBacteriuria N39.0

      Biliuria R82.2  Cells / Casts R82.99  Glycosuria R81  Hematuria R31.9

      Gross R31.0  Microscopic

    Benign essential R31.1  Other R31.2  Hemoglobinuria R82.3

      Ketonuria R82.4  Proteinuria R80.9  Pyuria / UTI N39.0

     ABSCESS,alsosee

    CELLULITIS  Abdominal Wall L02.211

      Anorectal K61.2  Arm (Rt/Lt) L02.413/4  Axilla (Rt/Lt) L02.411/2  Back L02.212  Buttock L02.31

      Chest J86.9  Face L02.01  Head L02.811  Neck L02.11

      Peritonsillar J36  Tooth K04.7  Unspec. Site L02.91 Acidosis,Metabolic/ Respiratory 

    E87.2 Acne Vulgaris L70.0

     Addison’s Disease E27.1 Adenoiditis, Chronic J35.02 Adenoids, Hypertrophy J35.2

     

    th

    --

     Allergic Conjunct

     Allergic Rhinitis Animal Hair an

    Other AllergenPollen

    Unspec.Other Specied

     Allergy Desensiti

     ALLERGY/ AL Air-Borne Subst Animal Dander AsbestosToxicE th  # = 1- Accidenta2- Intentional Se

    3- Assault4- Undetermined  Bee Sting7th

    Caused by Med th

    DanderDandruffDermatitisduetDiathesisDrug / Medicine th

    Dust / House DFeatherFood, Ingested th

     Atopic, skin

    FoodinCont ac tGastritis, w/ H

    w / o H em o rr hGastroenteritis

    Grain / Grass

    ----

    th

    th

    th

    th  -

    ---

    th

    th

    th

    th th

    th

    th

    --

    --

    th

    th

    th

    th

    th

    th

      th

      th

    th

    th

      th

    th

    th

      th th 

    th th 

    th th 

    th 

    th 

    ----

    th th 

    th th

    th 

    -

    - - - --

    - -- ---

    ---

    -

    -

    -

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    12

    CONSULTING

    & AUDITINGSERVICES

    TCI’s Cosulti & Reveue Cycle Solutios will provide your organization with cost-eective solutionsfor your toughest coding, billing, documentation, and compliance challenges.

    Tainin

    From ICD-10 specialty-specific training to top specialty error areas, your comprehension and accuracywill soar after a Coding Institute educator trains your sta onsite or online.

    Meical Coin

    Our Medical Coding Team has more than 110 years of combined experience. A strong team ofmultispecialty Certified Coders will provide accurate coding with short turnaround time. Our triple-layer Quality assurance process will minimize errors, timely claims submission and help boost yourreimbursement and bottom line.

    Chat Aitin

     TCI’s experienced team of Auditors provide auditing services; with detailed review results, providereducation, reimbursement comparisons, including documentation improvement tips. We ensure HIPAAcompliance while doing remote audits without disrupting your office’s daily routine.

    ri Manaement

    Is your organization able to withstand the increased scrutiny from RACs, MACs, MPICs, ZPICs, andprivate payer audit programs? We’ll help you zero in on compliance hot-spots before they cause yourorganization problems.

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    EDITORIAL

    ADVISORY

    BOARD & EXPERTPANEL

    H Joel V. Brill, Md, AgAF, FASgE, FACg, CHCQM,

    represents the American GastroenterologicalAssociation on the CPT® Editorial Panel.

    Barbara J. Cobuzzi, MBA, CPC, CEnTC, CPCH,

    CPCP, CPC-I, CHCC, is president of CRN HealthcareSolutions, a consulting firm in Tinton Falls, N.J.Ms Cobuzzi is a past member of the AmericanAcademy of Professional Coders National AdvisoryBoard as well as their Executive Board

     Je goreau, BA, CPC, CPMA, CPEdC-AHIMA

    Aprove ICd-10-CM/PCS Traier,  director ofdevelopment and operations for SuperCoder.com,

    specializes in medical coding policy for severalspecialties. She wrote the ICD-9 study guide forthe Certified Otolaryngology Coder™ (CENTC™)examination oered through AAPC and editedthe 2011 Professional Medical Coding Curriculumthat AAPC certified instructors us

    Michael graovsky, Md, FACEP, CPC, CEdC,  ispresi-dent of LogixHealth, an ED Coding andBilling company in Bedford, Mass. He is the directorof the American Col-lege of Emergency Physicians(ACEP) Coding and Reim-bursement course aswell as the chairman of ACEP’s Na-tional Codingand Advisory Committee.

    Sarah L. gooma, MBA, CPC-H, CCP, FCS,  isan active member of both the North Carolinachapter of the Health-care Financial Management

    Association (NCHFMA) and of the Triangle N.C.chapter of AAPC, having as National Advisory Boardmember (2002-2005). She is currently serving onthe Board of Governors for the American Col-legeof Medical Coding Specialists (ACMCS).

    Charles F. Koopma Jr., Md, MHSA, is professorand associate chair at the University of Michigan’sdepart-ment of otolaryngology in Ann Arbor, anda former AMA CPT® Editorial Panel member.

    Suzae Burmeister, BA, MPhil, CPC, COBgC,AHIMA-approve ICd-10-CM traier. Eachmonth, she guides practices and hospitals in beststrategies and educates coders in common ICD-10coding changes, in ICD-10 Coding Alert.

    gle d. Litteber, Md, FACP, is a member of theAmerican Society of Gastrointestinal Endoscopyand the AMA CPT® Advisory Committee.

    Maie M. Mac, CPC, CEMC, CHC, CMM, ICCE, presi-dent of Maggie Mac-Medical Practice Consulting,

    Clear-water, Fla., and Brooklyn, N.Y., is a nationalspeaker on topics dealing with medical practicecompliance issues, coding and reimbursement,chart audits, and federal regulations.

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    14

    Richar A. Moltei, Md,  is a member of theAmerican Academy of Pediatrics and the AMA

    CPT® Advisory Com-mittee.

    Carol Pohli, BSn, Rn, CPC, ACS, is a senior coding& education specialist in the Office of ClinicalDocumenta-tion for the Department of Medicinefor the Hospital of the University of Pennsylvania.She is on the National Ad-visory Board and severalSpecialty Boards for the Board of Medical SpecialtyCoding.

    Richar Harriso Tuck, Md, FAAP,  is affiliated

    with PrimeCare of Southeastern Ohio and ismedical director for Quality Care Partners. Heis on the National Commit-tee on Coding andReimbursement, American Academy of Pediatrics(AAP) and serves as the Academy of Pediatricsrepresentative to the AMA RBRVS Review UpdateCom-mittee (RUC).

    Melaie Witt, Rn, CPC, MA, CPT®-OgS, providescoding education seminars to individual ob-

    gyn practices and performs shadow audits forpractices that have been tar-geted by third-partypayers for overpayments or fraud and abuse or

    compliance issues. She is on the Advisory Boardand is the technical editor for The Coding Insti-

    tute’s monthly newsletter Ob-Gyn Coding Alert.

     Jill M. You, CPC, CEdC, CIMC is the principal ofYoung Medical Consulting LLC. She is a memberof the Local Chapter Board National Board ofthe AAPC (AAPC-CA). She has given educationallectures nationally for the AAPC and for theMichigan State Medical Society. She has been atopic speaker at the AAPC National Conference forthe past five years.

    Beth Marti, BS, CPC-H authored a medicalcoding textbook for beginners and has taughtmedical coding, chart auditing, and all facets of therevenue cycle for over 12 years. She also worked asa healthcare consultant and coding and revenuecycle manager.

    90 atioally-reowe experts who preset

    close to 250 webiars a year o coi, billi,

    complex auiti, a healthcare maaemet

    topics tarete to physicia practices,

    hospitals,ASCs, home health, hospice, rehabs

    a SnFs.

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    Cotact Perso:

    Sam nair diecto Ctome scceThe Coin IntittePhoe no.: 704-303-8150Email: [email protected]

    Mailin Ae:

    The Coding Institute LLC, 2222 SedwickRoad, Durham, NC 27713www.codinginstitute.com

    © 2016 The Coding Institute LLC. All Rights Reserved.

    Our PArTNErs