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Overview

Teach students everything they need to know about medical coding in outpatient and physician health care facilities with UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, 4E. Using clear, step-by-step instructions, students learn to code a claim correctly and link the correct CPT and ICD-10-CM codes for reimbursement. They gain an understanding of adjustments, how and when to bill patients, and what to do in case of a denial or rejection. Updated coverage introduces ICD-10-CM and how it compares to ICD-9-CM. The book also details CPT coding and modifiers with more code-specific information and a concentration on specialty coding and levels of coding. Case studies, practice exercises, examples, charts, and photos help improve performance and ensure learners are well prepared for medical coding positions in a variety of settings. An accompanying Companion Website offers comprehensive resources, including online testing, PowerPoint® slides, online MindTap® resources and more.

Sandra L. Johnson, Indiana University Southeast, New Albany, Indiana

Sandra Johnson, CMA (AAMA), CPC has worked for 35 years in the health care field and offers25 years of teaching experience in medical assisting, medical coding and medical transcription courses. She is an active member of the American Association of Medical Assistants and the American Academy of Professional Coders. She was awarded the Indiana Medical Assistant of the year in 1993, the Golden Apple Educator Award by the Indiana Medical Assistants Association in 2003, and served as president of the ISMA in 1993-1994. She has been a multiple nominee for Who’s Who Among America’s Teachers and was the recipient of the Glenn W. Sample Award for Instructional Excellence in both 1996 and 2004 from Ivy Tech State College. She is a coding and transcription instructor at Indiana University Southeast, and holds a Bachelor of Science degree in Vocational and Technical Education and a Master’s of Science degree in Human Resource Development with a specialization in health and safety management from Indiana State University.

Robin Linker, Robin Linker & Associates, Inc.

Robin Linker, CHCA, CHCAS, CPC-I, CPC, CPC-H, CCS-P, MCS-P, CPC-P, CHC, COC, is Executive Director of Operations and Auditing for the Association of Health Care Auditors and Educators (AHCAE) and CEO of Robin Linker & Associates, Inc. Considered a leading expert with more than 30 years in health care, Ms. Linker has provided consulting and education in most areas of health care coding and billing. Ms. Linker is the past Director of Education and Technical Development for the American Academy of Professional Coders (AAPC), where she wrote and presented numerous specialty related coding and training programs nationwide. She has been a frequent guest speaker for AHIMA, AAPC, HFMA, HCCA, as well as for numerous medical societies and healthcare organizations. Ms. Linker is also a past member of the Provider Outreach and Education Advisory Group for CMS and is the current President of the Northern Colorado Health Information Management Association (NCHIMA). She assists various professional health care groups, including attorneys, providers and facility managers, in the areas of coding, auditing, fraud and abuse assistance, and has served as an expert case witness on behalf of physicians. She is an experienced IRO assisting providers and organizations under mandated OIG Corporate Integrity Agreements. As a speaker, author, and educator for the American Medical Association, she provides annual CPT updates and ICD-10-CM trainings for the AMA. She first started teaching ICD-10 in 2002. As a true advocate in the health care industry, Ms. Linker has dedicated her career to her clients by increasing industry awareness and contributing to systems improvement. She is a member of the National Speakers Association and has provided thousands of educational and keynote presentations throughout the United States and on occasion, internationally, during the past 20 years
  • UPDATES THROUGHOUT REFLECT THE LATEST ICD-10-CM. All content and exercises correspond with the industry’s shift to ICD-10-CM. This edition not only incorporates ICD-10-CM, but also explains its history. All CMS-1500 forms are now updated with the 02/12 version to support submission of ICD-10-CM codes.
  • NEW AND UPDATED CONTENT HIGHLIGHTS THE MOST RECENT INFORMATION AND INDUSTRY DEVELOPMENTS. Updates present the most recent information on topics, such as HIPAA and PQRS. This edition also examines new legislation, such as the Affordable Care Act and updated Medicare content.
  • NEW MINDTAP® OFFERS STUDENTS A FULLY ONLINE PERSONAL LEARNING EXPERIENCE. This personalized, comprehensive online resource offers an interactive eBook with highlighting and note-taking, as well as coding exercises and case studies to allow real-world coding experience.
  • UPDATED TIPS, EXAMPLES, TABLES, CHARTS, FIGURES, AND PHOTOS CLARIFY THE PRESENTATION. Memorable examples and visuals help students master the material while reflecting the latest updates in today’s medical coding.
  • COMPREHENSIVE CONTENT ADDRESSES ALL ASPECTS OF OUTPATIENT AND PHYSICIAN CODING AND BILLING PROCESSES. Students learn to master coding and billing as well as reimbursement and collections issues, from accurate code selection to the collection of delinquent accounts. This edition’s trusted and thorough content ensures your students are prepared to work in any medical billing setting.
  • STEP-BY-STEP INSTRUCTIONS CAREFULLY GUIDE STUDENTS THROUGH KEY PROCESSES. This edition directs students in completing claim form submission for various insurance carriers with the revised CMS-1500 form (02/12 version) to accommodate ICD-10-CM codes.
  • SPECIAL FEATURES AND ICONS REINFORCE AND DRAW ATTENTION TO CRITICAL INFORMATION THROUGHOUT THE TEXT. The authors effectively integrate highlights, Coding Tips, Official Coding Guidelines, Official CPT Guidelines, and HIPAA alert icons throughout the book for additional instructional support.
  • PRACTICAL EXERCISES ENSURE UNDERSTANDING AND PROVIDE IMPORTANT HANDS-ON PRACTICE. Exercises strategically positioned throughout the book provide opportunities to test student knowledge and provide learners with important hands-on coding practice.
  • ENCODER SOFTWARE PROVIDES PROFESSIONAL-LEVEL, HANDS-ON PRATICE: A 59-day trial version of Encoder Pro.com Expert™ from Optum enables students to look up codes and descriptions quickly and with greater accuracy.
Preface.
1. Introduction to Coding.
2. ICD-10-CM.
3. HCPCS Level II.
4. Current Procedural Terminology (CPT) Basics.
5. Evaluation and Management.
6. Anesthesia and General Surgery.
7. Integumentary System.
8. Orthopedics.
9. Cardiology and the Cardiovascular System.
10. OB/GYN.
11. Radiology, Pathology, and Laboratory.
12. Medicine.
13. Modifiers: A Practical Understanding.
14. Billing and Collections.
15. Filing the Claim Form.
16. Payment for Professional Health Care Services, Auditing, and Appeals.
Glossary.
Index.
MindTap
Each MindTap product offers the full, mobile-ready textbook combined with superior and proven learning tools at one affordable price. Students who purchase digital access can add a print option at any time when a print option is available for their course.

This Cengage solution can be seamlessly integrated into most Learning Management Systems (Blackboard, Brightspace by D2L, Canvas, Moodle, and more) but does require a different ISBN for access codes. Please work with your Cengage Learning Consultant to ensure the proper course set up and ordering information. For additional information, please visit the LMS Integration site.

Standalone Digital Access — Ultimate Value

Recommended and most popular

  • ISBN-10: 1305666569
  • ISBN-13: 9781305666566
  • Bookstore Wholesale Price $149.00
  • RETAIL $149.00

Digital Access + Print — Flexible Value

Recommended and most popular

  • ISBN-10: 1337192139
  • ISBN-13: 9781337192132
  • Bookstore Wholesale Price $154.25
  • RETAIL $204.95

Textbook Only Options

Traditional eBook and Print Options

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  • ISBN-10: 1337339849
  • ISBN-13: 9781337339841
  • STARTING AT $31.99

  • ISBN-10: 1305666151
  • ISBN-13: 9781305666153
  • Bookstore Wholesale Price $144.25
  • RETAIL $191.95

  • ISBN-10: 1305666127
  • ISBN-13: 9781305666122
  • Bookstore Wholesale Price $144.25
  • RETAIL $191.95

“Understanding Medical Coding is a great textbook that breaks down the coding material and provides valuable examples”

Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.

FOR INSTRUCTORS

Instructor’s Companion Web Site

ISBN: 9781305666146
Find everything you need for your course in one place. This collection of product-specific lecture and class tools is available online via the instructor resource center at www.cengage.com/login. You'll be able to access and download materials such as PowerPoint® presentations, an instructor’s manual, and chapter test banks.

Cengage Learning Testing, powered by Cognero®, Instant Access

ISBN: 9781305666504
Cengage Learning Testing, powered by Cognero®, is a flexible, online system that allows you to import, edit, and manipulate content from the text’s test bank or elsewhere, including your own favorite test questions. Create multiple test versions in an instant and deliver tests from your LMS, your classroom, or wherever you want.