Medical Coding textbook for beginners

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About the AuthorBeth A. Rich, B.S., CPC-H

• 12 years as a post-secondary coding instructor – 8+ years with Pittsburgh Technical Institute (pti.edu) – MOA degree, MA degree, Coding certificate – recent high school grads, adult learners

• 8 previous years training others and as project manager• 8 years as a manager of patient registration, patient financial

services, medical coding, chart auditing, and customer service• Experienced writer, instructional designer• Healthcare consulting experience • Experience in acute care, skilled nursing, rehabilitation, pharmacy,

mental health, dental, primary care• Additional teaching – medical office management; revenue cycle;

EHR; professionalism; patient relations; job readiness

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Today’s Presentation

• Why did I write this textbook?• Thousands of coding opportunities• Contents of the textbook• What makes this textbook different?• Additional Features• Instructor Manual Features• MyHealthProfessionsLab Features

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Why Did I Write This Textbook?1. To appeal to beginners and keep students engaged

in learning a difficultsubjectRelevant for everyone Incorporated students’ questions

2. To write in a way that is easy for students to read and understandSpeaks directly to students in a classroomNot copied from the coding manualsWalk-through examplesTables, including bulleted and numbered pointsDid not sacrifice content

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Why Did I Write This Textbook? (cont.)

3. To allow instructors to teach coding without being “the constant liaison”

Homework can be assigned without fear Students can understand the basics by reading Works with instructors, not against them Saves instructors’ time

4. To incorporate all the tools for success Anatomy and physiology texts or medical dictionary not

mandatory Medical terminology text not mandatory Internet searches not mandatory

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Why Did I Write This Textbook? (cont.)

5. To provide constant support and encouragement to students

Cheers students on through content and exercises and continues to “talk them through” difficult and challenging concepts, posing questions, providing examples

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Thousands of Coding Opportunities

• 2,119 practice exercises in textbook- 664 more than Step-by-Step Medical Coding textbook (1,455)

• Plus 2,554 practice exercises in MyHealthProfessionsLab

• Total of 4,673 practice exercises (text and lab)

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Medical Coding - A Journey Contents

• 36 chapters - Comprehensive coverage of:– ICD-9-CM – outpatient and inpatient diagnoses; inpatient procedures

(Chs. 3-5, 7-15)– ICD-10-CM – outpatient and inpatient diagnoses (Ch. 6, additional exs.

in Chs. 7-15 “A Look Ahead to ICD-10-CM”)– ICD-10-PCS – inpatient procedures (Ch. 16)– CPT-4, including modifier chapter (Chs. 17-34)– HCPCS chapter (Ch. 35)– Coding and the revenue cycle chapter (Ch. 1)– Medicare outpatient and inpatient reimbursement (Ch. 15)– Medical records and regulations chapter (Ch. 2)– Professionalism and patient relations chapter (Ch. 36)• Designed for two coding courses

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What makes this text different?

-Writing is easy to read and understand Speaks directly to

students

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What makes this text different? -Writing is easy to read and understand Not copied from the coding

manuals

a. General E Code Coding Guidelines – From the ICD-9-CM Official Guidelines for Coding and Reporting1) Used with any code in the range of 001-V91-An E code from categories E800-E999 may be used with any code in the range of 001-V91, which indicates an injury, poisoning, or adverse effect due to an external cause.-An activity E code (categories E001-E030) may be used with any code in the range of 001-V91 that indicates an injury, or other health condition that resulted from an activity, or the activity contributed to a condition.

2) Assign the appropriate E code for all initial treatments-Assign the appropriate E code for the initial encounter of an injury, poisoning, or adverse effect of drugs, not for subsequent treatment.-External cause of injury codes (E-codes) may be assigned while the acute fracture codes are still applicable.See Section I.C.17.b.1 for coding of acute fractures.

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-Writing is easy to read and understand Walk-through

examples

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-Writing is easy to read and understand Walk-through

examples (cont.)

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-Writing is easy to read and understand Tables

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-Writing is easy to read and understand Tables (cont.)

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-Writing is easy to read and understand Tables (cont.)

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-Incorporates all the tools for success Anatomy and

physiology texts or medical dictionary not mandatory

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- Incorporates all the tools for success Medical terminology

text not mandatory

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-Provides constant support to students

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-Diagnoses and procedures explained

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-Diagnoses and procedures explained (cont.)

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-Medical specialties explained • Medical specialties reviewed before students

code diagnoses and procedures

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-ICD-9-CM chapters covered comprehensively• 12 chapters devoted to coding diagnoses from all

of the 17 chapters of the Tabular List (over 300 pgs. of text)

• Inpatient diagnosis coding for ICD-9-CM and inpatient diagnosis coding for ICD-10-PCS are covered in the same chapter

• Complete coverage of the Official Guidelines for Coding and Reporting, anatomy and physiology, medical terminology – explained in plain language

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-Consistent Index entries help to code• In explanations of coding

• In examples• In tables

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-Exercises and examples are realistic• Outline real-world scenarios, not one-line

documentation• Include physicians’ names and specialties, patients’

names, conditions, ages, and procedures performed

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-Exercises and examples are realistic (cont.)

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- 2,119 coding exercises in “Take a Break” - strategically placed • Provide encouragement

• Throughout chapter at various intervals• Includes theory and coding practice• CPT exercises include optional diagnosis coding

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- 2,119 coding exercises in “Take a Break” - strategically placed

(cont.)

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-“Destination Medicare” - real-world practice• Medicare is the largest payer in the U.S.

• Students research coding, billing, and reimbursement regulations on Medicare’s website

• Found in Chapters 7-36

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-“Destination Medicare” - real-world practice (cont.)

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-“Workplace IQ” exercises • Real-world work scenarios• Students problem-solve• Incorporates higher levels of Bloom’s

taxonomy• Found in Chapters 6-36

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-“Workplace IQ” exercises (cont.)

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-“Interesting Facts” break up content• Learn more about a given topic in each

chapter; more facts in the Instructor’s Manual• Opportunity to break and review new and

interesting information

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-“Interesting Facts” break up content (cont.)

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-“Pointers from the Pros” interviews• Interviews with healthcare professionals who

hold a variety of positions – interview questions and answers provided to students

• Offers real-world advice for handling many types of workplace situations

• Found in Chapters 6-36

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-“Pointers from the Pros” interviews (cont.)

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-Video Pit Stop (Instructor’s Manual)• Videos correlate to every chapter:

-Surgeries – physicians moderate-Diagnoses and procedures - computer-based training-Healthcare issues-All videos include an exercise

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-Medical Record Interpretation and Chart Audit

(MyHealthProfessionsLab)• Students read a medical record and interpret its content using hints provided

• Students then review codes assigned to determine their accuracy

• Correlate to Chapters 7-35

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-Current Medicare regulations• Up-to-date coding, billing, and

reimbursement guidelines discussed from:-National coverage determinations (NCDs)-NCD Manual-Local coverage determinations (LCDs)-Medicare Claims Processing Manual-Medicare Benefit Policy Manual

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Additional FeaturesChapter Review exercises

comprehensive• Incorporates elements in chapter to test for understanding• Part theory – multiple choice• Part coding• CPT chapters include option to code diagnoses

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Additional FeaturesChapter Review exercises

comprehensive (cont.)

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Additional FeaturesColored diagrams and photos

throughout chapters• Illustrate various conditions, procedures, and

anatomy and physiology discussions

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throughout chapters (cont.)

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throughout chapters (cont.)

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Instructor’s Manual (online)Features

• PowerPoint presentations• Learning objectives and outlines • Detailed lesson plans • In-class activities• Teaching notes and tips• Additional Interesting Facts• Video Pit Stop• Answer key for chapter exercises and chapter review• Test bank

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MyHealthProfessionsLab Features

• Pre-test to assess skills learned per chapter• Results show practice target areas• Opportunities to practice per chapter• Post-test to assess improvement• 2,554 total practice exercises • Medical Record Interpretation and Chart Audit

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Thank you for your time!Do you have any questions?

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Medical Coding textbook for beginners