2022 Orthopedic Coding And Documentation Trainer

A comprehensive, plain-English guide on how to properly code and document the most common orthopedic procedures. This manual instructs coders in a practical manner, addressing common orthopedic procedure coding situations, conveying authoritative coding guidance and bundling policies from AMA and the American Academy of Orthopedic Surgeons, and addressing common documentation, coding and billing errors that may arise. The 2022 Orthopedic Coding & Documentation Trainer also includes: Chapters on E/M services, imaging and medical services: Updated to include the 2021 E/M documentation guidelines, which created a sea change in how medical practices select a level of E/M service. The revised reporting requirements mark the first significant update in more than 20 years since the release of the 1995 and 1997 documentation guidelines. Step-by-step guidance for musculoskeletal procedure code selection Definition of anatomic terms, including tips for how they are used in documentation, coding and billing Code scenario examples, with instructions on how they should be coded Practical guidance on code selection based on authoritative resources Relevant Q&As that address coders' own queries about the material covered Guidance on ICD-10-CM code selection for various musculoskeletal conditions References to authoritative resources to handle the frequent clinician question: "Where does it say I have to do that?" An appendix containing the relevant CCI coding manual chapters, as well as other relevant resources.

Operative note exercises to improve competency Educational and interactive, the Orthopedic Coding Trainer, 2014 provides real-life orthopedic-specific operative notes that walk you through a comprehensive approach to coding. These tools will help you develop a systematic approach to successfully deciphering difficult operative notes. Learn what should be in a note to guarantee correct reimbursement and fewer denials. You'll work through more than 75 operative notes that cover procedures of the upper and lower extremities and the spine. Nationally recognized orthopedic coding expert Margie Scalley Vaught, CPC, CPC-H, CCS-P, ACS-OR provides the answers based on her 20+ years of front-line experience. Margie has worked through each op note to reveal her comprehensive approach to coding. Margie's expert direction will guarantee you have the tools to successfully decipher your own difficult operative notes. Inside you'll find: * An introduction explaining what a good operative note should contain, so you know when key information is missing and when you should go back to the physician and get it to avoid missteps. * More than 75 real-life operative notes so you can test your coding knowledge and discover where you may be overlooking billable services. * Answer key for the operative notes, with key phrases highlighted in each, so you know what to look for in order to make accurate procedure and diagnosis coding selection If you don't have a systematic approach to tearing apart your op notes, you risk missing billable services, unbundling or even coding the wrong procedure entirely! The Orthopedic Coding Trainer, 2014 provides a greater understanding of what should be in a note to guarantee correct reimbursement and fewer denials.

Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. A step-by-step approach makes it easier to build your coding skills and remember the material. Learning objective and glossary review questions reinforce your understanding of key chapter concepts and terms 30-day trial to TruCode® Encoder Essentials gives you experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). UNIQUE! "Real-life" coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. Online activities on Evolve provide extra practice with assignments, including coding reports. More than 450 illustrations help you understand the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop your coding ability and critical thinking skills. UNIQUE! Coders’ Index in the back of the book makes it easy to quickly locate specific codes. Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records you will encounter in the workplace.

This decisive coding resource eliminates any confusion regarding how to apply E&M codes in your practice. Detailed explanations of the five levels of E&M codes and practical coding scenarios help you code correctly. There is also a complete listing of all orthopaedic and related CPT codes and their RVU equivalents. It is edited by the AAOS Coding, Coverage, and Reimbursement Committee.

Detailed training manual for compliance with standardized requirements for appropriate coding and documentation of physician services. Modified for specific practices, i.e., hospitalists, office/outpatient encounters.