2018-2019 Editions · coding for medical necessity. The 2018 ICD-10-CM for Physicians & Hospitals is brimming with new and revised ICD-10-CM codes and their descriptors, along with

2018-2019 Editions

Books

2CPT® copyright 2017 American Medical Association. All rights reserved.

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Nonphysician Practitioner Handbook 2018 ��$189�00

This comprehensive resource tackles your NPP coding, billing, compliance, and documentation troubles and makes coding accuracy easy. The experts at TCI lay out authoritative, easy-to-follow answers to solve complex coding dilemmas for NPP services, and help you master complex billing rules and guidelines. We take on your coding trouble spots—split-visit rules, place of service, prolonged services, and more—so you can earn the revenue you deserve. In the Nonphysician Practitioner Handbook 2018, you also get readers Q&A and handy clip-and-save tools to determine whether you can bill your NPP’s service incident-to the physician, how to avoid substitute physician billing challenges, and guard against errors with our incident-to audit checklist. Plus, the 2018 edition has been expanded to deliver twice as much key information as the best-selling 2017 edition—including and tips on patient-centered care, physician fee schedules, HIPAA compliance, preventing security breaches, and telemedicine.

HIPAA Handbook 2018 ��$149�00 With the boom in automated breach weaponry, the likelihood that a cybercriminal is targeting your patients’ PHI at this moment is almost guaranteed. That’s why it’s imperative your HIPAA compliance program remains up-to-date and ironclad—and that’s why TCI created the HIPAA Handbook 2018. Let us help you safeguard the security of your medical practice by equipping you to secure the frontlines and back doors to your patients’ protected health information. Referring to case studies of breach analysis, our nationally-recognized HIPAA compliance experts illuminate best practices and guide you step-by-step through the dos and don’ts of compliance. We also introduce you to new tools and provide numerous toolkits to facilitate breach reporting and help you to nail down risk assessments, tighten up your EHR privacy and security, reassess your risk analysis plan, prep for audits, streamline MACRA’s Advancing Care Information measures, train your staff, and optimize your 2018 telehealth services. Save your practice from corrective action plans that cost several times the expense of resources and monetary settlements. Leverage this best-selling handbook to implement an impermeable HIPAA compliance program.

MACRA Quality Measures Guide 2018 ��$249�00If the idea of MACRA causes your hair to stand on end, you’re not alone. Despite 2018 updates to the Final Rule that offer some process simplification, these changes leave core aspects intact, while continuing to expand expectations with even more reporting requirements. The MIPS performance threshold, for example, has increased from three to 15 points (out of a possible 100). In other words, you’ll have to put in more effort in 2018 to avoid penalties—but fear not. Get the answers you need to master MIPS and APMs participation—outlined clearly in everyday language with vital insights and advice—in TCI’s user-friendly MACRA Quality Measures Guide 2018. Brimming with guidance and strategies to maximize your incentives and earn bonus points, our

TOP SELLERS



MACRA experts lay out processes and systems step-by-step, showing you how to align your existing methods with current guidelines and equipping you with knowledge that brings MACRA confidence and assurance in efficient and profitable reporting. Become a MACRA authority and safeguard your Medicare revenue with this must-have resource.

Modifier Coding Handbook 2018 �� $189�00With new modifiers, ever-changing payer policies, and the rise in modifier-focused audits, navigating the road to modifier success challenges even the top coders in the business. Appending the correct modifier is integral to coding countless services and procedures—not to mention receiving full reimbursement. But there’s a simple fix to your modifier troubles. TCI’s comprehensive Modifier Coding Handbook 2018—brimming with essential information, proven strategies, and expert answers to questions from coders like you—sorts through confusing modifier-related issues to save you time and streamline your coding processes. Whether you need to determine if you can use modifier 25 to report a procedure in addition to the office visit, wondering when you can use modifier 57 on an E/M code, confused about appending 52 or 53 for an incomplete procedure, or attempting to capture full reimbursement using modifier 22—this resource has all the answers you need, including up-to-the-minute advice on telehealth modifiers.

Evaluation & Management Coding Handbook 2018 ��$189�00Evaluation and management coding is challenging and often results in claim denials and accusations of abuse that could land you in hot water. Know the pitfalls to avoid over- or under-coding your provider’s services. Master the ins and outs of E/M coding—grasp CPT® guidelines, level of service, modifiers, regulations, and 1995/1997 documentation guidelines… and ace accurate and compliant coding that maximizes ethical reimbursement for your E/M services. The Evaluation & Management Coding Handbook 2018 walks you through the web of rules and regulations, guiding you with in-depth coverage of everything you need to collect and assess the required components of medical history, physical exam, and medical decision-making. Leverage insight from real-life clinical examples to ensure quality reporting once and for all.

Practice Management Handbook 2018 ��$149�00

If there’s one person in your office who needs to keep up with 2018 coding, billing, guideline, and regulation changes—to say nothing of best practices—it’s you! There’s no room for procrastination, no leniency for error, no excuse for failing to keep current. Oversights are costly, and the buck stops with you, the practice manager. Not to worry, though. We’ve covered all your bases in the Practice Management Handbook 2018. Leverage transformative, high-impact strategies on clinical documentation improvement, compliance, revenue cycle management, patient relations, payer relations, recruitment, training, employee evaluations, and everything you need to manage a bountiful practice in 2018 and beyond.



2018 HCPCS Level II Advisor ��$79�95

Master coding accuracy and reap the reimbursement you’ve earned with quick access to recent code updates for 2018 for billing supplies, equipment, and drugs to Medicare and other payers. The 2018 HCPCS Level II Advisor includes the complete 2018 HCPCS code set with code descriptors in everyday language and special features like a customized Alphabetic Index for services, supplies, durable medical equipment, and drugs as well as the complete Tabular List. We’ve also included HCPCS G codes to CPT® crosswalks, BETOS codes with their descriptors, more brand-name drugs, and a bonus fold-out cover with 2018 CPT® and HCPCS modifiers and anesthesia, ambulatory, and ambulance modifiers.

2018 Procedural Coding Advisor $89�95

Master CPT® changes, improve your coding efficiency, and boost your reimbursement with the 2018 Procedural Coding Advisor. The user-friendly design of this comprehensive manual impeccably lays out the complete CPT® code set for 2018 with full code descriptors, E/M coding advice, CPT® to HCPCS G code crosswalks, CPT® and HCPCS modifiers with definitions and tips, proprietary laboratory analyses, inpatient-only procedure codes, Category II modifiers, brand-name vaccinations associated with CPT® codes, anesthesia and ambulatory modifiers, vascular families for interventional radiology coding, Medicare Physician Fee Schedule Payment System, and so much more—including The Quality Payment Program Overview Fact Sheets. Everything you need for each coding decision, conveniently organized, is easily identifiable with vibrant, color-coded alerts and highlights.

2018 Procedural Reference Guide for Coders ��$139�95 You’ll know exactly how to code correctly with the 2018 Procedural Reference Guide for Coders, also known by medical coders nationwide as the complete guide to 10,000+ lay terms for CPT® codes. Access lay descriptions that spell out in easy-to-understand terms how a procedure’s done for each code to ensure your coding accuracy—and say goodbye to frustration, ambiguity, claim denials, rework, and subpar reimbursement. Loaded with valuable features, this resource provides you with the complete CPT® code set across specialties, an exhaustive dictionary of medical terms, TCI’s Evaluation and Management Survival Guide, CPT® modifiers with lay terms and tips, an introduction to surgical coding and surgical terms, an overview of anesthesia, an index of normal lab values and vital signs, and so much more. Keep this reference at hand for swift, easy, and accurate CPT® coding.

2018 MEDICAL CODING BOOKS



2018 ICD-10-CM for Physicians & Hospitals ��$79�95

Are you struggling with the level of ICD-10-CM code specificity required for successful claim submissions? This invaluable resource will not only get you up to speed with 2018 updates but will also help you check your coding for medical necessity. The 2018 ICD-10-CM for Physicians & Hospitals is brimming with new and revised ICD-10-CM codes and their descriptors, along with the vital features you need for correct coding and reimbursement—including the Official ICD-10-CM Guidelines for Coding and Reporting and tips available online for interpreting Guidelines for each Tabular chapter. Additionally, highlighted vertical lines in the Alphabetic Index for indented terms make cross-referencing codes to the Tabular List easy. Preprinted stick-on tabs identify sections, as well as different colors that mark pages of each Tabular chapter. Vibrantly-colored highlights and symbols distinguish codes that are new, revised, unspecified, other specified, manifestation, HCC, RxHCC, MACRA, or Z codes as first-listed diagnosis. Plus, you’ll find symbols and highlights covering gender, age, maternity, primary diagnosis only, POA, questionable admission, unacceptable principal diagnosis, CC, MCC, CC/MCC exclusions, HAC, principal diagnosis as its own CC/MCC, 4th, 5th, 6th, 7th character, extension ‘X’, and notes – including Excludes1, Excludes2, and Includes. And navigation couldn’t be simpler! Rely on TCI and avoid unspecified code denials once and for all.

2018 ICD-10-PCS Complete Code Set ��$79�95

Nail down your inpatient procedures coding with the 2018 ICD-10-PCS Complete Code Set� TCI delivers the reimbursement alerts you’ve come to rely on, along with the complete ICD-10-PCS code set including the full Index and Tables for 2018, anatomical illustrations, an Approach Table with full definitions and examples, Official Conventions and additional conventions, the 2018 Official Guidelines for Coding and Reporting, and all the essentials you need to submit clean claims for your inpatient procedures. Bonus features include colored tabs on Tables pages for quick navigation, changes for 2018, and Appendixes for Root Operations Definitions, Body Part Key, Device Key, Device Aggregation Table, Character Meaning, Substance Key, Combination Clusters, and Non-OR Procedures Not Affecting MS-DRG Assignment. New and revised text is easily identified with orange font, and critical coding and reimbursement symbols throughout the tables determine limited coverage, noncovered, combination clusters, if a non-OR procedure affects MS-DRG assignment, if a procedure is HAC-associated, or if a procedure is male or female only. Designed for practical application, you’ll find information faster than ever and up your coding game quickly and painlessly.



AMA CPT® 2018 Professional Edition ��$116�95

This code book from the AMA packs the complete CPT® code set, modifiers, official coding rules and guidelines, and highlights all the 2018 coding, guidelines, and text changes. An enhanced table of contents facilitates quick searches without being in a specific section, and the comprehensive index enables coders to locate codes related to a specific procedure, service, anatomic site, condition, synonym, eponym, or abbreviation. Stave off denials with features like the CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology citations—and trust the AMA CPT® 2018 Professional Edition to guide you to flawless coding.

AMA CPT® 2018 Standard Edition ��$92�95

Master clean claim submissions and steer clear of denials and lost revenue with the AMA’s official CPT® coding resource. Reference the official CPT® coding guidelines, procedural coding rules, as well as hundreds of changes to codes, guidelines, and text with the AMA CPT® 2018 Standard Edition�

ILLUSTRATED SERIES – IN 22 SPECIALTIES

Coders’ Specialty Guides 2018 ��$189�00No more hunt-and-peck manuals that waste your valuable time. Find codes faster and improve your accuracy and productivity with the ingeniously-designed and illustrated Coders’ Specialty Guide 2018 Series�

ONE CODE, ONE PAGE—that’s TCI’s quick-reference approach in every Coders’ Specialty Guide! You’ll find everything you need for each CPT® code in your specialty neatly organized on one page—lay terms, ICD-10 CrossRefs, RVUs, CCI edits, procedural illustrations, Medicare reimbursement info, BETOS codes, and coding tips from industry veterans. Plus, we included HCPCS codes, lay terms, and coding tips for your specialty.

Master the 2018 CPT® and HCPCS code changes with the illustrated Coders’ Specialty Guide 2018 for your specialty—and keep your revenue flowing.

Coders’ Specialty Guide 2018: Cardiology/Cardiothoracic Surgery Coders’ Specialty Guide 2018: Dermatology/Plastics Coders’ Specialty Guide 2018: Emergency Medicine Coders’ Specialty Guide 2018: Family Practice/Primary Care Coders’ Specialty Guide 2018: Gastroenterology



Coders’ Specialty Guide 2018: General Surgery, Vol 1&2* Coders’ Specialty Guide 2018: Internal Medicine/Endocrinology/Wound

Care Coders’ Specialty Guide 2018: Neurology/Neurosurgery Coders’ Specialty Guide 2018: Obstetrics & Gynecology Coders’ Specialty Guide 2018: Oncology/Hematology Coders’ Specialty Guide 2018: Ophthalmology/Optometry Coders’ Specialty Guide 2018: Orthopedics, Vol 1&2* Coders’ Specialty Guide 2018: Otolaryngology/Allergy Coders’ Specialty Guide 2018: Pain Management Coders’ Specialty Guide 2018: Pathology/Laboratory Coders’ Specialty Guide 2018: Pediatrics Coders’ Specialty Guide 2018: Physical /Occupational/Speech Therapy Coders’ Specialty Guide 2018: Podiatry Coders’ Specialty Guide 2018: Pulmonology Coders’ Specialty Guide 2018: Radiology Coders’ Specialty Guide 2018: Urology/Nephrology Coders’ Specialty Guide 2018: Vascular Surgery

SPECIALTY HANDBOOKS

Home Health Sourcebook: Face-to-Face Documentation, Coding, and Reimbursement 2018 ��$189�00

In a review performed by the Office of Inspector General (OIG), 32% of claims for initial episodes of home health care lacked elements required by Medicare in their face-to-face documents. How does your F2F documentation hold up? Is a high denial rate hurting your bottom line? With the Home Health Sourcebook: Face-to-Face Documentation, Coding, and Reimbursement 2018, you’ll master billing, coding, reimbursement, and compliance issues to optimize your reimbursement and stay out of hot water.

Hospice Payment Handbook 2018 ��$169�00

Has the Hospice Wage Index and Payment Rate update gotten the better of you? Not to worry. Now you can meet the challenges of 2018 hospice changes with TCI’s Hospice Payment Handbook 2018. Conquer billing, coding, reimbursement, compliance, and quality reporting issues to ease your workload and alleviate your confusion and stress.

*The price for double-volume sets in this series is $229.



FINANCIAL MANAGEMENT

Financial Intelligence for Physician Practices 2018 ��$149�00

The business side of the physician practice is shifting dramatically because the economics of healthcare are shifting dramatically. To thrive in an era of value-based reimbursement and high out-of-pocket payments, you need to master new business moves. TCI’s Financial Intelligence for Physician Practices 2018 is the crash course you’re looking for. Our experts give you The Big Picture and arm you with financial planning processes and tools, such as SMART goals and SWOT. We show you how to spot and stop waste, how to win at the insurance game, how to employ intelligent marketing, and how to use tried-and-true methods like Kaizen, Six Sigma, Value-Stream Mapping, 5S, and Traction-Inspired KPI system for staff. Rely on this essential resource to grow your bottom line.

Unleash Your EHR’s Superpowers ��$99�00What does your EHR have to do with marketing, patient engagement, patient retention, and revenue growth? Everything! Your EHR contains answers to the most persistent problems that nag at your practice—all you have to do is know where to look and how to use what you find. And that’s where Unleash Your EHR’s Superpotwers comes in to play. Yes, we cover EHR essentials—how to select an EHR that works for you, how to determine if you should switch EHR vendors, how to defeat sneaky clauses in vendor contracts, etc. But then we show you how to harness your EHR’s horsepower to optimize almost every aspect of your medical practice. This invaluable resource will teach you a trove of new and revolutionizing tricks that leverage “big data” tactics to propel your revenue growth.

Revenue Cycle Management for the Physician Office 2018 ��$149�00Do you have the latest expert advice for maximizing your revenue? Do you know how to avoid ongoing claim denials and make the most of appeals? Are you struggling with customer service problems that are impacting your bottom line? Even if you think you have the tools you need to succeed, are you doing enough to ensure full reimbursement for your services? Solve your revenue shortfalls with TCI’s end-to-end Revenue Cycle Management for the Physician Office 2018. Manage your revenue cycle efficiently and profitably with relevant, real-world advice and tools to overcome the pitfalls of incorrect billing, EHR billing software, MIPS implementation, financial counseling, payer negotiations, collections, and much more.



Medical Collections Primer ��$99�00Having trouble collecting the self-pay revenue owed to you? Struggling with reducing self-pay A/R? Get the revenue you deserve now with expert guidance to wade through the self-pay collections quagmire. Improve your practice’s bottom line, crack the copay waiver compliance riddle, create a solid financial policy, step up your benefits verification, check your contracts for collections, get proactive and capture every allowable non-par dollar—and so much more—with the essential go-to resource for ethical self-pay collections. TCI’s Medical Collections Primer, jam-packed with authoritative advice, tips, and tools, will get your books out of the red and keep your practice thriving with sound, business-savvy know-how you can bank on.

Master Denials Management & Appeals 2018 ��$149�00In today’s healthcare climate, claim denials are an everyday reality. Is your practice buried in a backlog of appeals? Don’t risk your revenue on a lack of knowledge or training. Master Denials Management & Appeals 2018 takes on the burdensome denials challenge with user-friendly guidance and proven strategies. Learn how to avoid denials, identify which denials are likely to win an appeal likely to win an appeal, and build working knowledge to prevent future backlogs. TCI experts walk you through claim and appeal processes, step-by-step, with best-in-class guidance to help you make the right coding decision at the right time and ethically maximize your reimbursement with minimal time and effort. Nail down accurate coding and billing, zip through compliance and documentation issues for clean claims, and beat the appeals backlog once and for all.

Secrets of Profitable Practices ��$149�00 In a time of unprecedented reimbursement pressure, staggering compliance requirements, and a litany of persistent, plaguing challenges, you need more than theories to thrive. You need doable and effective strategies that will grow your practice. Secrets of Profitable Practices unveils keen and often overlooked methods that avert problems and promote opportunities. For both hazards to avoid and tactics to implement, the experts at TCI guide you in practical, concrete steps to major transformation in patient and staff satisfaction and in profits.



Let’s Make a Deal: Smart Growth Strategies for Physician Practice Entrepreneurs �� $149�00In today’s rapidly changing landscape, physician owners and practice managers must learn the art of the deal. It’s not just about haggling over denied claims or negotiating insurance contracts. For your practice to thrive, you’ve got to be smart about equipment loan consolidation, inventory, hiring, bringing on new associates, mergers and acquisitions, private equity, and more. Although no one taught you these skills, you need them now if you’re going to propel practice profits. With Let’s Make a Deal: Smart Growth Strategies for Physician Practice Entrepreneurs, you’ll learn tried-and-true tactics that get what you need from payers; how to avoid traps that EHR vendors sneak into use agreements—and how to renegotiate contracts that benefit your practice’s new associate or physician extender. Learn when to seize an opportunity—and when to walk away.

How to Lead Your ASC to Excellence and Profitability ��$149�00Unfortunately, good ASC management sometimes falls by the wayside, causing stakeholders to lose thousands—even millions. Is your ASC the best it can be? How to Lead Your ASC to Excellence and Profitability helps practice managers and ASC managers dig down to discover unseen opportunities—and problems—in your ASC, such as: what each and every financial report should reveal, key benchmarks to let you know how you’re doing, tried-and-true tactics to run leaner, and staffing secrets that help you comply with regulations. Get new insights to help you hire and retain the best, reduce turnover, and save money. Leverage insider tips, such as 35 ways your ASC is probably losing money—and how to fix them. Capitalize on everything from site planning secrets from administrators who’ve been there—to succession planning strategies you can’t ignore.

MARKETING

Practice Marketing Sourcebook 2018 ��$129�00

If your practice isn’t growing in today’s healthcare market, you’re in trouble. It’s more crucial than ever to take stock, determine where you want to go, and nail down a plan to get there. That’s why TCI wrote the Practice Marketing Sourcebook 2018—to give you the knowledge, tools, and action items you need to attract and retain patients, make data-driven marketing decisions, and achieve your growth goals amidst the changing market. Armed with this empowering resource—jam-packed with effective strategies, tactics, and checklists—you’ll be equipped to plot and implement a path to success that leverages your strengths and resources.



PROVIDER CONTRACTING

Secrets of Successful Provider Contracting 2018 ��$149�00Get the revenue you deserve with top strategies to flex your contracting muscles. The experts at TCI will save you time and money with step-by-step solutions to conquer contract negotiations, including physician contracting and private exchange provider contracting. Learn the ins and outs of recognizing opportunities for provider contracting and be equipped to ensure compliance. Negotiate like a pro and lock in revenue with Secrets of Successful Provider Contracting 2018.

Transitioning to Alternative Payment Models: A Guide to Next-Generation Managed Care Contracting ��$149�00Do you need help navigating the shift from volume-based to value-based managed care contractual relationships? Transitioning to Alternative Payment Models: A Guide to Next-Generation Managed Care Contracting imparts a clear understanding of value-based reimbursement models and how they can best work within your practice. From shared savings and pay for performance to quality metrics and patient liability, this best-selling resource has you covered!

Home Health Marketing Planner ��$99�00

In the rigors of home health management, who can afford to think about marketing? No worries. In the Home Health Marketing Planner, we’ve done the thinking for you. The fact is, you can’t afford to neglect marketing because you then neglect your bottom line. TCI experts walk you through a step-by-step marketing plan that’s easy to understand and follow. We’ve pulled together our best resources and tailor-designed them for practical, effective home health marketing tactics proven to attract and retain patients and ensure that your organization continues to thrive in this changing healthcare marketplace. Learn why branding is so important for the success of your home health agency, how to choose the right social media platforms, how to take control of your web presence, and how to establish and monitor your agency’s online reputation. Get this must-have, invaluable resource, and watch it pay for itself over and over again, year after year.



PATIENT RELATIONS/CUSTOMER SERVICE

Ready, Set, Engage: How to Create a Patient- Centered Practice 2018 ��$149�00

Patient engagement heavily influences outcomes and becomes a paramount concern when federal and private payers start to measure outcomes to pay for a provider’s performance. Don’t get lost in the transition from “fee-for-service” reimbursement to value-based reimbursement. Ready, Set, Engage: How to Create a Patient-Centered Practice 2018 lays out implications of the transition on your Medicare, private payer, and patient self-pay revenue—and provides you with time- and cost-efficient methods to safeguard your practice’s financial health through effective patient engagement that puts you on top as you put your patients first.

Service Excellence: Top Patient Relations Strategies for Customer Retention ��$129�00Let’s face it—when you lose patients, you lose revenue. Word of mouth on bad service will doom your practice. To improve service—to take something from routine to exceptional—you have to dive into all aspects of the operation. But how do you reach for the exceptional when you’re buried in the daily grind? The answers and strategies, both doable and transformative, are laid out, step-by-step in Service Excellence: Top Patient Relations Strategies for Customer Retention� TCI experts help you to establish a culture of excellence to retain patients and gain new ones, deliver top-notch customer service, stop patient attrition, and take back control of patient relations. Avoid numerous traps guaranteed to send your staff and patients into a tailspin. Say goodbye to humdrum service and hello to outstanding service with this decisive and insightful resource.

Mastering Patient Flow, 4th Edition �� $149�00

Can you run a patient-centered practice and keep the wheels of your well-oiled operations turning? The answer is yes! You can and must. Delivering high-quality, cost-effective care requires that you create and sustain patient-centered practice operations, and Mastering Patient Flow 4th Edition is your go-to source for uncovering new opportunities and efficiencies. Brimming with insightful strategies, tools, and best-in-class guidance, you’ll enhance every stage of your patient care—from reception, waiting, and engagement to encounter, prescriptions, test results, care transitions, scheduling, and discharge.



PRACTICE MANAGEMENT

Physician Practice Team Management Demystified ��$149�00People problems. They’re a tough nut to crack—even for well-seasoned practice managers. Cultivating a culture of employee excellence, though challenging, is vital to the success of your practice. It is unquestionably the most important aspect of your role as a business leader. And now you can leverage empowering leadership tactics, carefully laid out in the Physician Practice Team Management Demystified� This resource will show you how to attract the best candidates, screen for skills and emotional intelligence, how to onboard employees quickly and efficiently, and how to decide whether to promote from within or hire fresh talent from the outside. Learn how to help your physicians alter their top-down leadership styles. Master coaching moves, techniques for motivating Millennials, succession planning, better processes, healthcare compliance—and fix unique issues such as NPI numbers, locum tenens, incident-to rules, and more.

COMPLIANCE & AUDITING

Fraud, Waste, and Abuse Training for Healthcare Providers ��$169�00

Don’t land in hot water! Stay on top of the constantly evolving regulatory environment with an informed and aggressive compliance plan. Fraud, Waste, and Abuse Training for Healthcare Providers equips you and your staff to recognize and prevent noncompliance, abuse, and fraud. Nail down documentation and pre-claim review with expert TCI advice, profit from strategies and tips to troubleshoot compliance pitfalls, steer clear of common mistakes and oversights… understand the spectrum of regulatory requirements with easy-to-follow analyses and tactics to keep your practice compliant.

Physician Practice Compliance Sourcebook 2018 ��$169�00

HIPAA, FCA, Stark, Anti-Kickback, RACs, MACs, OSHA… It’s almost impossible to stay on top of compliance—but not quite, not with the Physician Practice Compliance Sourcebook 2018� This all-inclusive, convenient resource keeps all the information you need close at hand. You’ll get clear explanations and practical advice on topics like: how to use the OIG Work Plan, CBR reports, and Stark made simple. Benefit from tools that will eliminate oversights and help you train your staff. Safeguard your practice with effective and easy-to-understand guidance on the spectrum of regulations and concerns, including cybersecurity.



Coding for Medical Necessity 2018 ��$149�00 Avoid the #1 cause of claim denials—lacking medical necessity documentation. Get full reimbursement for your services the first time—and every time— with Coding for Medical Necessity 2018. Hone your coding prowess with myriad examples, tools, Q&A, and expert guidance across specialties to master coding for evidence-based clinical standards of care. We show you how to integrate best practices within your clinical and business workflows and lay out everything you need to accurately verify and capture medical necessity criteria, as well as how to avoid common coding errors and conduct spot-checks and self-audits to identify problems and keep your practice safe and profitable.

Risk Adjustment Primer 2018 ��$149�00If you’re confused by the CMS risk adjustment programs and their periodic methodology changes, TCI’s end-to-end Risk Adjustment Primer 2018 will get you up to speed, ensure you understand the impact of these programs on your organization, and equip you to navigate the risk assessment data that factors into patient risk scores. This invaluable resource lays out authoritative compliance guidance, fundamental details on policies to secure accurate data collection and calculation of Hierarchical Condition Category (HCC) diagnostic codes, key dates associated with risk adjustment, and essential tools to nail down documentation deficiencies and improve risk scores. Reduce the impact of the value-based purchasing (VBP) program, untangle the CMS overpayment rule, understand the effects of the frailty adjuster, normalization factor adjustment, and Medicare Advantage (MA) coding adjustment on scores—and so much more.

Medicare Compliance & Reimbursement Insider 2018 ��$189�00

No, we can’t do anything about 2018 Medicare reimbursement cuts—but we can help you capture every revenue dollar your practice has earned. Jumpstart your Medicare pay and avoid compliance penalties with the Medicare Compliance & Reimbursement Insider 2018. Rely on TCI’s nationally recognized Medicare compliance experts to avoid underpayments and grow your bottom line in 2018. In the process, you’ll conquer HIPAA audits, the 60-day overpayment rule, MIPS, cybersecurity, and more. Learn from case studies, leverage clip-and-save toolkits, and capitalize on answers to questions on everything from smart coding to technology safeguards in this comprehensive resource.



Cybersecurity for Physician Practices 2018 ��$149�00The time to plot out your practice’s security response plan is before a cyberattack. Even better is to shore up all fronts and nail shut your risk of HIPAA security breaches. But how, when you’re no longer sure where the frontlines in the cyber battle for security lie? Our experts at TCI illuminate the danger zones and provide actionable tactics to fortify each. In Cybersecurity for Physician Practices 2018, we walk you through HIPAA security regulations in plain English—while offering concrete compliance measures to safeguard your practice.

TRAINING

Clinical Documentation Sourcebook 2018 ��$129�0 Do you need help ensuring your documentation is accurate, timely, and reflects the scope of services provided? The Clinical Documentation Sourcebook 2018 unravels the biggest challenges for CDI in ICD-10 and gives you the inside scoop on CDI for EMRs, as well as E/M, hospice and home health, and more. We cover preventative care visits, global surgical package, joint/shared visits, incident-to billing, and our ICD-10 CDI toolkit, along with TCI expert advice and clear, practical guidance to frequently asked CDI questions, will transform your productivity—and your profits.

Master Auditing Basics 2018 ��$199�00

Now you can identify and correct coding problems before insurance or government payers challenge them. Mastering Auditing Basics 2018 provides you with in-depth guidance for effective review of medical documentation. The experts at TCI show you how to conduct internal and external reviews of coding accuracy, policies, and procedures to ensure you’re running an efficient and liability-free practice. With this valuable resource, you’ll determine outliers before payers find them, protect against fraudulent claims and billing activity, and nail down reimbursement deficiencies and opportunities that protect your bottom line.



Evaluation and Management Auditing Demystified ��$149�00

Master the ins and outs of E/M auditing and documentation guidelines with TCI’s Evaluation and Management Auditing Demystified� From chief complaint to medical decision making—from outpatient to hospital observation and inpatient services to rest home or custodial care services—you’ll conquer the rules to ensure your E/M auditing skills are compliant and effective. We show you proven strategies to chart out E/M auditing, as well as how to ensure compliance with time documentation, how to avoid documentation pitfalls, how to report face-to-face time, unit time, and coding based on time, and much more. Armed with the right knowledge, you’ll be equipped to create a solid action plan for improving documentation and coding, and conduct a successful audit.

The Telemedicine & Telehealth Handbook for Medical Practices 2018 ��$149�00

Are you optimizing your telemedicine options? Trust the experts at TCI to leverage the advantages of telemedicine—and build your practice volume. We put you on the path to reimbursement, covering billing, coding, compliance, denials, and everything in between. With The Telemedicine & Telehealth Handbook for Medical Practices 2018, you’ll get advice and guidance on new telehealth options from CMS, POS codes, how to ace your E/M telemedicine services, when to use modifier 95 to capture synchronous telemedicine services, and so much more! Don’t lose out on revenue from this widely growing field of services. Get up to speed on telemedicine today.

Evaluation and Management Coding Demystified ��$169�00

Learn your way around evaluation and management coding with easy-to-understand explanations, real-world examples, hands-on exercises, and our E/M survival guide in Evaluation and Management Coding Demystified. The TCI experts take you through the three levels and four contributing components for E/M services, documentation principles and requirements, E/M guidelines in CPT®, and the full spectrum of E/M coding considerations. Nail down OIG’s role. Get to know the types of E/M codes, discern between 1995 versus 1997 documentation guidelines, learn how to chart out the audit process, and so much more. Don’t be mystified. Step into the light with this illuminating resource.

Modifiers Explained 2018 ��$129�00

Don’t lose control of your revenue cycle. Master modifiers with Modifiers Explained 2018, your comprehensive guide to assigning modifiers. Targeted to beginners, this step-by-step guide also shows experienced coders the ins and outs of modifier assignment and includes plenty of examples and practice exercises. Master modifier assignment with clear explanations, coding tips for assigning modifiers correctly, glossary of common terms, index for easy reference, color-coded dictionary-style headers and bleed tabs for fast navigation, and much more.



CPT® Coding Book for Beginners ��$99�00

Learn how to code procedures with easy-to-understand explanations, examples, and practice exercises. The hands-on approach in this instructional resource walks you through the ins and outs of CPT® coding and imparts a solid foundation for coding success. Master basic CPT® coding concepts with learning objectives, numerous examples, overviews, and coding reference tools throughout this valuable resource. Get to know the basics of procedure coding with plenty of exercises. The CPT® Coding Book for Beginners has you covered—and is also a great resource for coding instructors.

Coding Emergency Room Visits ��$169�00Get answers to your most perplexing ED medical coding and documentation challenges. Jam-packed with real-life coding scenarios that walk you through every factor and consideration for the gamut of ED activities, Coding Emergency Room Visits gives you tips to code wound closures, clinical examples to help you decide when to combine repairs or report them separately, and rules for assigning laceration repairs and moderate sedation codes. Plus, get expert advice to modify your fracture care coding to provide the exact scope of services provided, hot tips to help with your burn coding, the ABCs of using the ACP codes in the ED setting—and so much more! The experts at TCI dissect myriad case studies and medical records to illuminate why certain codes won’t work and others will. Don’t get denied. Your next coding challenge has already been solved!

Medical Coding Demystified: Coding 101 for Non-coders 2018 ��$69�00 Struggling to navigate the world of medical coding? Confused by its complexity? Whether you’re working in billing, registration, clinical areas, or just interested in expanding your understanding of coding, Medical Coding Demystified: Coding 101 for Non-coders 2018 is the most comprehendible go-to source to jumpstart your knowledge and skill set. You’ll master the coding basics with simple explanations, examples, tables, diagrams, and more. Replete with a select set of bonus features based on the most common questions about coding from healthcare professionals, you’ll understand the inner workings of coding in no time. This is a great resource for practice managers to learn coding and train their non-coding team.

Master the Interview and Land the Job! ��$69�00If “You’re hired!” is the phrase you’re waiting to hear, Master the Interview and Land the Job! will make it happen. Finding the dream coding or billing job and negotiating the salary you deserve are major life events. Author Patricia Zubritzky—30-year veteran coder and national consultant—will help you do both. Patricia takes you behind the hiring manager’s desk so that you can ace every question thrown at you. This essential resource is loaded with the tools you need—including the top coding and billing interview questions and how to answer them, even answers for the tough “Gotcha!” questions. Learn how to create a social media presence that gets results, how to gain work experience, how to streamline your job search, and so much more. This empowering resource is the only interview book exclusively for new and experienced medical coders and billers.



CODING SUPPORT TOOLS

Coders’ Dictionary & Sourcebook 2018 ��$99�95

Clear your desk of reference volumes and find fast and easy access to the answers you need with the handy Coders’ Dictionary and Sourcebook 2018� Our experts at TCI created this unique coding resource to ease your workload and enhance your productivity with billing, coding, and reimbursement terms and definitions, thousands of medical terms with lay definitions, abbreviations, prefixes, suffixes, and eponyms. We’ve incorporated your most used and trusted tools—including New/Revised/Deleted Codes Advice for 2018 CPT® codes, place of service and type of service lists—in one comprehensive reference to give you fingertip access to the supporting information you need for medical and billing coding—including an anesthesia primer, modifiers and lay descriptions for CPT® and HCPCS, an introduction to surgery coding, and so much more!

Handbook on Medical Billing Terminology 2018 ��$89�00

Tackle the complexities of medical billing with TCI’s comprehensive and customized dictionary-type reference at your fingertips! The Handbook on Medical Billing Terminology 2018 is a unique billing resource that provides you with the supporting information you need to command your medical billing challenges, including: a comprehensive list of 600+ billing and reimbursement terms defined, 42 full-page anatomical illustrations, one-page CPT® and HCPCS modifier lookup with lay descriptions, definition, explanation, and tips, lists of prefixes, suffixes, abbreviations, and eponyms commonly used in coding, place of service (POS) and type of service (TOS) lists, and everything you need to know about CMS-1500 and UB-04 claim forms, including sample forms and guided instructions.

*New/ Revised/

Deleted Codes Advice



Specialty Coding Dictionary Series 2018 ��$129�00

Get medical necessity wrong and it’s pursued by CMS as a “knowingly false” act—with steep monetary civil penalties. That’s why we’ve packed our Specialty Coding Dictionary 2018 Series with 2018 CPT® and ICD-10-CM crosswalks in your specialty—to make accurately establishing medical necessity a snap. We include all the supporting information you need for clean and optimal medical coding: comprehensive list of thousands of medical, coding, and billing terms with definitions written in easy-to-understand language; TCI’s Evaluation and Management Survival Guide; anesthesia primer; CCI edits; modifiers with lay descriptions for CPT® and HCPCS modifiers; prefixes, suffixes, abbreviations, and eponyms commonly used in coding; anatomical illustrations; vital signs and lab values; place of service (POS) and type of service (TOS) lists; and so much more. Fly through your workload with fast answers in this handy look-up guide—available in your specialty:

Specialty Coding Dictionary 2018 : Cardiology Specialty Coding Dictionary 2018 : Family Practice/Primary Care Specialty Coding Dictionary 2018 : Gastroenterology Specialty Coding Dictionary 2018 : Obstetrics & Gynecology Specialty Coding Dictionary 2018 : Ophthalmology/Optometry Specialty Coding Dictionary 2018 : Orthopedics (Volume I & II)* Specialty Coding Dictionary 2018 : Otolaryngology/Allergy Specialty Coding Dictionary 2018 : Pain Management Specialty Coding Dictionary 2018 : Pathology/Laboratory Specialty Coding Dictionary 2018 : Pediatrics Specialty Coding Dictionary 2018 : Urology/Nephrology Specialty Coding Dictionary 2018 : Dermatology/Plastics

*The price for double-volume sets in this series is $149.

Mailing Address:The Coding Institute LLC, 2222 Sedwick Road, Durham, NC 27713

www.codinginstitute.com [email protected] 800-508-2582

© 2017 The Coding Institute LLC� All Rights Reserved�

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Documents

2018-2019 Editions · coding for medical necessity. The 2018 ICD-10-CM for Physicians & Hospitals is brimming with new and revised ICD-10-CM codes and their descriptors, along with