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Medical Terminology, Documentation, and Coding

Medical Terminology, Documentation, and Coding
Author: Anne P. Stich
Publisher: Routledge
Total Pages: 822
Release: 2018-01-12
Genre: Medical
ISBN: 1351812459

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Giving students the strongest possible baseline in medical terminology, along with the how and why it is used in documentation and basic coding, this is a vital text for all students taking courses in the area. It allows readers to use their knowledge immediately in any medical setting (including being a patient), in their workplaces, and in the journey to future careers. Using a body systems approach to medical terminology, this textbook supports students to: Recognize words by constructing medical terms based on root words, prefixes, linking forms, and suffixes. Define, spell, pronounce, and use medical terms, acronyms, and abbreviations in the context of patient care with appropriate documentation and coding examples. Identify anatomical directions, fundamental anatomical terminology, basic physiologic functions, and common pathology of all major organ systems with related medical investigation tools, procedures, and pharmaceuticals. Relate the use of medical language and medical record-keeping to the SOAP format, common medical reports, and coding tools, along with their impact on patient care. Accompanied by plentiful color illustrations and activities, as well as a companion website with resources for both instructors and students, this is a fresh and readable textbook.


Medical Terminology & Anatomy for Coding - E-Book

Medical Terminology & Anatomy for Coding - E-Book
Author: Betsy J. Shiland
Publisher: Elsevier Health Sciences
Total Pages: 2223
Release: 2024-06-19
Genre: Medical
ISBN: 0443111944

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Master the terminology you need to succeed in ICD-10 and CPT coding! Using small learning segments or “chunks,” Medical Terminology & Anatomy for Coding, 5th Edition makes it easy to learn anatomy, physiology, and medical terminology. Concepts and terms are introduced and then immediately followed by exercises that reinforce and assess your understanding of the material. In addition, the book discusses word parts and the rules for building medical terms, building knowledge that may be applied to coding for all body systems and procedures. Written by respected educator Betsy Shiland, this book includes an Evolve website with medical animations, labeling activities, quizzes and exams, flashcards, and more. NEW! Updated content provides the latest on ICD-10 terminology and categorization. NEW! Summary list of CPT-4 and HCPCS codes at the beginning of each chapter introduces the appearance of different coding systems with chapter-appropriate examples. NEW! Context Matters! boxes help you avoid potentially embarrassing and costly coding errors by pointing out word parts, terms, and abbreviations that are spelled the same but have completely different meanings. NEW! CDI Alert! boxes offer a preview of how the Clinical Documentation Improvement process is related to specific medical terminology in a given body system. NEW! Expanded information on subcellular structures explains how gene editing may be used to treat congenital diseases. UNIQUE! Combination of A&P coverage with the latest medical terminology provides everything you need to know to code in ICD-10-CM, ICD-10-PCS, and CPT. More than 400 illustrations bring medical terminology to life with anatomic, pathologic, and procedural images. Pathology terms are organized by ICD-10 disease and disorder categories, allowing you to learn terms in the same order they are presented in the coding manual. Body Part Key provides a complete list of body parts and how they should be coded in ICD-10. Sample electronic medical records present terminology as you will encounter it on the job. Summary tables show procedural suffixes and their corresponding ICD-10 root operations. Practical appendices cover topics such as pharmacology, oncology, and infectious disease, providing the basic information coders need to be able to understand these ICD-10 subjects and to code them correctly. Evolve website provides practice and review with medical animations, labeling activities, quizzes and exams, flashcards, and the Body Spectrum electronic coloring book.


Medical Terminology & Anatomy for ICD-10 Coding - E-Book

Medical Terminology & Anatomy for ICD-10 Coding - E-Book
Author: Betsy J. Shiland
Publisher: Elsevier Health Sciences
Total Pages: 790
Release: 2014-09-18
Genre: Medical
ISBN: 0323290787

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NEW! Pharmacology in each body system and a Pharmacology Basics appendix help you recognize drugs and medications in medical reports. NEW! More than 50 new images bring terminology to life. NEW! Additional procedural terms supply a more complete picture of the number and kind of procedures you will encounter on medical reports. NEW! Normal Lab Values appendix familiarizes you with normal and abnormal lab values so you know when to search a medical record for possible additional diagnoses. NEW! Tablet and mobile-optimized Evolve activities offer an easily accessible source for extra interactive practice and learning.


Medical Terminology for Insurance and Coding

Medical Terminology for Insurance and Coding
Author: Marie A Moisio
Publisher: Cengage Learning
Total Pages: 400
Release: 2009-04-08
Genre: Business & Economics
ISBN: 9781428304260

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Learn medical terminology side-by-side with insurance and coding principles using this unique book. Each chapter is organized by body system and includes a review of the structures and functions, as well as commonly identified diseases and procedures for that system. Whether you are learning these concepts for the first time or reviewing them in preparation for an exam, this book provides plenty of practice on both medical terminology and coding using real-world medical documents. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.


ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)
Author: Department Of Health And Human Services
Publisher: Lulu.com
Total Pages: 128
Release: 2020-09-06
Genre: Medical
ISBN: 9781716599989

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These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.


Basic Current Procedural Terminology and HCPCS Coding Exercises

Basic Current Procedural Terminology and HCPCS Coding Exercises
Author: Gail I. Smith
Publisher:
Total Pages: 0
Release: 2016
Genre: Medical records
ISBN: 9781584264613

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"Basic Current Procedural Terminology and HCPCS Coding Exercises strengthens beginning and intermediate students' coding knowledge with skill-building drills and real-world case studies. Students can expect exercises that test knowledge of medical terminology, anatomy, and clinical concepts through instruction designed to bridge the gap between clinical documentation and coding. An assortment of in-depth case studies includes questions that encourage students to extract information to determine index terms that will lead them to the correct code assignment. Also includes student practice for identifying key documentation elements to support coding decisions." --publisher description.