20
2018-2019 Editions Books
2018-2019 Editions
Books
2 CPT® copyright 2018 American Medical Association. All rights reserved.
www.codinginstitute.com E-mail: [email protected] Phone: 800-508-2582
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.
Risk Adjustment Primer 2018 �����������������������������������������������������$149�00
If 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.
Clinical Documentation Sourcebook 2018 ����������������������������������$129�00
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, the 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.
TOP SELLERS
3CPT® copyright 2018 American Medical Association. All rights reserved.
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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 the widely growing field of telemedicine. Get up to speed on telemedicine today.
MACRA Quality Measures Guide 2018 ��������������������������������������$249�00
If 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 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�00
With 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�00
Evaluation 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.
4 CPT® copyright 2018 American Medical Association. All rights reserved.
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2019 ICD-10-CM for Physicians & Hospitals ��������������������������������$99�95
Nail down correct diagnosis coding with ease in this comprehensive 2019 ICD‑10‑CM for Physicians & Hospitals that includes coding tips and definitions of medical terms throughout the Tabular List. New chapters are included to introduce you to Risk Adjustment and Hierarchical Condition Categories (HCCs) and MACRA: MIPS and APMs. You can easily prepare for coding certification exams with the expert exam prep tips included in the book, along with 60 stick-on tabs to mark specific sections of the book, making page navigation quick and easy.
***ICD-10-CM Official Guidelines for Coding and Reporting 2019 are in the front of the book for fast reference and also include flow charts for assigning the correct codes.***
You’ll find colored symbols for Medicare coding, billing, and reimbursement alerts for both physician and hospital coding in the Tabular List and Indexes. The highlighted vertical lines for indented terms in the Alphabetic Index and Index to External Causes of Injuries help you to easily cross-reference codes to the Tabular List. Highlighted additional character symbols in the Indexes, extra pages for notes, and colors and highlights on codes that are unspecified, other specified, or used for MACRA tracking take this book beyond the basics to reel in your revenue.
2019 ICD‑10‑CM for Physicians & Hospitals includes enhanced and detailed anatomical illustrations, a new/revised/deleted codes list as a separate file, and Guideline Tips to walk you through the 2019 Official Guidelines changes in language that is easy to read and understand. You’ll also find extension X alerts, icons for new codes, revised text, and HCC codes, symbols for 7-character codes and Code first notes, and highlights for Includes, Excludes1, and Excludes2 notes. Symbols throughout the Tabular List identify Medicare reimbursement and edits for specific diagnoses – unacceptable principal diagnosis, questionable admission, Z codes as the first-listed diagnosis, age, sex, CC/MCC exclusions, and many more.
If you teach medical coding, you’ll receive a free student newsletter, The Coding Scoop, with the purchase of each ICD-10-CM book for students. The Coding Scoop is filled with creative and fun articles and activities that teach coding. Use it as a supplement to your curriculum to keep students engaged!
AHIMA-approved manual for CCA®, CCS®, and CCS-P® examinations from May 1, 2019
AAPC approves this book for the following certification exams:CPC®, CIC™, COC™, CPB™, CPMA®, CPC-I®, CRC™, CDEO®, CASCC™, CANPC™, CCC™, CCVTV™, CPCD™, CEDC™, CEMC™, CFPC™, CGIC™, CGSC™, CHONC™, COBGC™, COSC™, CPEDC™, CRHC™, CUC™, COPC™�
2019 MEDICAL CODING BOOKS
Student Medical Coding
Newsletter FREE with Purchase!
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.
5CPT® copyright 2018 American Medical Association. All rights reserved.
www.codinginstitute.com E-mail: [email protected] Phone: 800-508-2582
2019 ICD-10-PCS Complete Code Set �������������������������������������� $99�95 The 2019 ICD‑10‑PCS Complete Code Set makes ICD-10-PCS coding a breeze with highlighted vertical lines in the Alphabetic Index for indented terms to help you easily cross-reference codes to the Tables. The 2019 ICD‑10‑PCS Complete Code Set also includes 30% more anatomical illustrations. Additional features include Official Conventions and additional conventions – Medicare code edit symbols for limited coverage and noncovered procedures – plus the 2019 Official Guidelines for Coding and Reporting, 60 stick-on tabs to mark specific sections, making page navigation quick and easy, and a certification exam prep chapter to ace the national coding exam.
You’ll learn the seven approaches with a handy Approach Table that provides full definitions and examples. Bonus features include colored tabs on Tables pages for quick navigation and appendixes for Root Operations Definitions, Body Part Key, Device Key, Device Aggregation Table, Character Meaning, Substance Key, and Combination Clusters. New and revised text is easily identified with orange font, and symbols throughout the tables determine if a non-OR procedure affects MS-DRG assignment, if a procedure is HAC-associated, has limited coverage or is noncovered, is part of a combination cluster, or is male or female only.
AHIMA-approved manual for CCA® and CCS® examinations from May 1, 2019
AAPC allows this book to be used for the CIC™ exam.
2019 HCPCS Level II Advisor �������������������������������������������������������$99�95
Walk through HCPCS coding easily with features of the 2019 HCPCS Level II Advisor that save valuable time with a customized, easy-to-use index that includes hundreds of customized entries and an icon showing each new entry to quickly locate codes. New chapters are included to introduce you to Risk Adjustment and Hierarchical Condition Categories (HCCs) and MACRA: MIPS and APMs. A comprehensive list of HCPCS modifiers also provides modifier lay descriptions for quick interpretation and assignment. You can easily prepare for coding certification exams with the expert exam prep tips included in the book, along with 60 stick-on tabs to mark specific sections of your book, making page navigation quick and easy.
A fold-out front cover that includes all CPT® and HCPCS Level II modifiers gives you quick access to key modifiers you’ll need to code correctly. A tutorial on HCPCS coding, improved and enhanced anatomical illustrations, and comprehensive list of new/revised/deleted codes for 2019 make coding a snap.
The Tabular List includes coding tips, G codes to CPT® codes crosswalk, icons for new and revised codes, ASC payments, APC status, DME payment status, age, sex, and HCC tracking that arms you with the Medicare reimbursement knowledge you need to code HCPCS on a daily basis. 2019 HCPCS Level II Advisor also identifies MIPS codes and includes special appendixes for place of service and type of service lists, CCI edits, Pub 100 references, and much more!
AHIMA-approved manual for CCS-P® examination preparation from May 1, 2019
AAPC approves this book for the following certification exams:CPC®,, COC™, CPB™, CPMA®, CPC-I®, CDEO®, CASCC™, CANPC™, CCC™, CCVTV™, CPCD™, CEDC™, CEMC™, CFPC™, CGIC™, CGSC™, CHONC™, COBGC™, COSC™, CPEDC™, CRHC™, CUC™, COPC™, CIRCC®
NEW FOR 2019: Coding Certification Exam Prep
Tips!
NEW FOR 2019: Risk
Adjustment and MACRA
Tutorials!
6 CPT® copyright 2018 American Medical Association. All rights reserved.
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2019 Procedural Coding Advisor ��������������������������������������������������$99�95
Make the crucial connection between assigning codes and understanding how Medicare will reimburse them with the 2019 Procedural Coding Advisor. This companion to the CPT® manual includes the complete CPT® code set for 2019 with a customized index that speeds coding by virtually eliminating “See” cross-references. New features for 2019 include an introduction to MACRA: MIPS and APMs, 60 stick-on tabs to mark specific sections of the book, 30% more anatomical illustrations, and master lists of ASC payment indicators and APC status indicators.
You’ll learn the meaning behind 2019 code changes with expert coding advice for applying new and revised codes, plus a handy crosswalk for deleted codes. A fold-out front cover includes all CPT® and HCPCS Level II modifiers so you can quickly access key modifiers for correct coding. Coding is simplified with sections on E/M Coding Advice and expertly written articles for coding with new codes. Chapters include G code crosswalks for CPT® codes, and symbols identify new, revised, add-on, and resequenced codes, plus modifier 51 and 63 exempt, FDA approval pending, HCC, sex, maternity, and telemedicine codes, plus guidelines for Medicare reimbursement.
2019 Procedural Reference Guide for Coders ���������������������������$139�95
Don’t waste time trying to understand the differences between code families and the nuances of complex or ambiguous procedures. Let the 2019 Procedural Reference Guide for Coders do the work for you. This book spells out each procedure step-by-step with lay term descriptions for 11,000+ CPT® codes across specialties plus expert tips for assigning the codes.
Plus – You’ll also get a glossary of thousands of medical terms with definitions so you don’t have to consult a separate reference book to better understand procedures. An Introduction to Surgical Coding and Surgical Terms and Evaluation and Management Survival Guide give you the go-to tools you need to code accurately and obtain optimal, ethical reimbursement.
Master correct coding with expert features, including a comprehensive list of procedure eponyms, basic types of anesthesia with explanations, normal lab values and vital signs, glossary of billing, coding, and reimbursement terms, 60 stick-on tabs to mark specific sections of the book, 30% more anatomical illustrations, and the G code crosswalk applicable to specific CPT® codes.
AMA CPT® 2019 Professional Edition ����������������������������������������$116�95
Get up to speed in 2019 with coding procedures and services using the official AMA CPT® 2019 Professional Edition including guidelines for assigning codes from each chapter and within specific sections of chapters, including all parenthetical notes. This edition also includes a summary of new and revised 2019 CPT® codes, and cross-references from CPT® Assistant, CPT® Changes, and Clinical Examples in Radiology®.
Vibrant illustrations enhance your understanding of anatomy to code procedures accurately. Invaluable coding tips in every section help clear up coding confusion. The book also provides essential insight on modifiers, add-on codes, clinical examples, vascular families, and expansive information of multianalyte assays with algorithmic analyses that leads you to the right code to save time and increase coding accuracy.
NEW FOR 2019: MACRA
tutorial!
NEW FOR 2019:
Bonus illustrations!
7CPT® copyright 2018 American Medical Association. All rights reserved.
www.codinginstitute.com E-mail: [email protected] Phone: 800-508-2582
2019 CODING BOOK BUNDLES
Take advantage of discount pricing with 2019 Coding Bundles. Please contact us to discuss the best pricing options.
2019 Physician Coding Bundle
• 2019 ICD-10-CM for Physicians & Hospitals
• 2019 HCPCS Level II Advisor
• 2019 Procedural Coding Advisor
2019 Physician Bundle 1
• 2019 ICD-10-CM for Physicians & Hospitals
• AMA CPT® 2019 Professional Edition
• 2019 HCPCS Level II Advisor
2019 ICD-10 Bundle
• 2019 ICD-10-CM for Physicians & Hospitals
• 2019 ICD-10-PCS Complete Code Set
8 CPT® copyright 2018 American Medical Association. All rights reserved.
www.codinginstitute.com E-mail: [email protected] Phone: 800-508-2582
2019 Complete Facility Coding Bundle
• AMA CPT® 2019 Professional Edition
• 2019 ICD-10-CM for Physicians & Hospitals
• 2019 ICD-10-PCS Complete Code Set
• 2019 HCPCS Level II Advisor
2019 AMA Coding Bundle
• AMA CPT® 2019 Professional Edition
• 2019 ICD-10-CM for Physicians & Hospitals
Coders’ Specialty Guides 2019 ��������������������������������������������������$189�95
No 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 2019 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—the lay description of every code, ICD-10 cross references for medical necessity, facility, non-facility, and total RVUs, CCI edits, hundreds of procedure illustrations, Medicare fee schedules for facility and non-facility, pre-op, intra-op, and post-op indicators, global periods, radiology/diagnostic test indicators, code status, PC/TC indicators, endoscopic base codes, MUEs, BETOS codes and descriptors, and coding tips from industry veterans. Plus, we included HCPCS codes with their lay descriptions, and HCPCS coding tips for your specialty.
2019 ILLUSTRATED SERIES – IN 22 SPECIALTIES
9CPT® copyright 2018 American Medical Association. All rights reserved.
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Master the 2019 CPT® and HCPCS code changes with the illustrated Coders’ Specialty Guide 2019 for your specialty—and keep your revenue flowing:
Coders’ Specialty Guide 2019: Cardiology/Cardiothoracic Surgery
Coders’ Specialty Guide 2019: Dermatology/Plastics
Coders’ Specialty Guide 2019: Emergency Medicine
Coders’ Specialty Guide 2019: Family Practice/Primary Care
Coders’ Specialty Guide 2019: Gastroenterology
Coders’ Specialty Guide 2019: General Surgery, Vol 1&2*
Coders’ Specialty Guide 2019: Internal Medicine/Endocrinology/Wound Care
Coders’ Specialty Guide 2019: Neurology/Neurosurgery
Coders’ Specialty Guide 2019: Obstetrics & Gynecology
Coders’ Specialty Guide 2019: Oncology/Hematology
Coders’ Specialty Guide 2019: Ophthalmology/Optometry
Coders’ Specialty Guide 2019: Orthopedics, Vol 1&2*
Coders’ Specialty Guide 2019: Otolaryngology/Allergy
Coders’ Specialty Guide 2019: Pain Management
Coders’ Specialty Guide 2019: Pathology/Laboratory
Coders’ Specialty Guide 2019: Pediatrics
Coders’ Specialty Guide 2019: Physical/Occupational/Speech Therapy
Coders’ Specialty Guide 2019: Podiatry
Coders’ Specialty Guide 2019: Pulmonology
Coders’ Specialty Guide 2019: Radiology
Coders’ Specialty Guide 2019: Urology/Nephrology Coders’ Specialty Guide 2019: Vascular Surgery
*The price for double-volume sets in this series is $229.95
2019 ICD-10-CM Specialty-Specific Coding Manuals ����������������$129�00
The 2019 ICD‑10‑CM Specialty‑Specific Coding Manuals from Find-A-Code are your comprehensive resource to understanding and using the ICD-10-CM codes you see on a day-to-day basis. In addition to a specialty-specific Alphabetic Index and Tabular List, this book also includes:
• A selection of specialty-specific Provider Documentation Guides — an exclusiveclinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Large, easy-to-read font and custom-shortened code descriptions
• Over a dozen code indicators, alerting you to HCC codes, HAC codes, manifestationcodes, and more!
Choose from 17 specialties:
2019 ICD-10-CM Coding for Cardiovascular 2019 ICD-10-CM Coding for Dermatology 2019 ICD-10-CM Coding for Endocrinology
10 CPT® copyright 2018 American Medical Association. All rights reserved.
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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.
2019 ICD-10-CM Coding for Gastroenterology 2019 ICD-10-CM Coding for Hospice & Home Health Services 2019 ICD-10-CM Coding for Neurology 2019 ICD-10-CM Coding for Obstetrics & Gynecology 2019 ICD-10-CM Coding for Oncology & Hematology 2019 ICD-10-CM Coding for Ophthalmology & Optometry 2019 ICD-10-CM Coding for Orthopedics 2019 ICD-10-CM Coding for Otolaryngology 2019 ICD-10-CM Coding for Pain Management 2019 ICD-10-CM Coding for Pediatrics 2019 ICD-10-CM Coding for Physical Therapy 2019 ICD-10-CM Coding for Podiatry 2019 ICD-10-CM Coding for Pulmonology 2019 ICD-10-CM Coding for Urology & Nephrology
11CPT® copyright 2018 American Medical Association. All rights reserved.
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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�00
What 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�00
Do 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�00
Having 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.
12 CPT® copyright 2018 American Medical Association. All rights reserved.
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Master Denials Management & Appeals 2018 ���������������������������$149�00
In 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�00
In 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�00
Unfortunately, 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.
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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.
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.
PROVIDER CONTRACTING
Secrets of Successful Provider Contracting 2018 ����������������������$149�00
Get 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.
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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 ��������������������������������������������������������������������$149�00
Let’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.
PRACTICE MANAGEMENT
Physician Practice Team Management Demystified �������������������$169�00
People 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.
15CPT® copyright 2018 American Medical Association. All rights reserved.
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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.
The 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 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.
16 CPT® copyright 2018 American Medical Association. All rights reserved.
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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�00
The 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
2019 Multi-Specialty Provider Documentation Guidebook ���������$159�00Find-A-Code’s comprehensive 2019 Multi‑Specialty Provider Documentation GuideBook contains an exclusive clinical documentation improvement tool, Provider Documentation Guides (PDGs), which train providers and their office staff to become ICD-10-CM documentation experts. This book includes PDGs for Emergency Medicine, Family Practice, Pathology/Laboratory, Radiology, Internal Medicine, General Surgery, and Interventional Radiology.
Provider Documentation Guides teach “ICD-10 in 10 minutes.” Each PDG covers a common diagnosis — giving you the documentation and coding requirements for the diagnoses your team treats every day. Avoid unnecessary meetings and lengthy training sessions and ensure the financial security of your practice with this quick, intuitive resource.
17CPT® copyright 2018 American Medical Association. All rights reserved.
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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.
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.
18 CPT® copyright 2018 American Medical Association. All rights reserved.
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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�00
Get 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�00
If “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 takesyou behind the hiring manager’s desk so that you can ace every question thrownat you. This essential resource is loaded with the tools you need—including the topcoding and billing interview questions and how to answer them, even answers for thetough “Gotcha!” questions. Learn how to create a social media presence that getsresults, how to gain work experience, how to streamline your job search, and so muchmore. This empowering resource is the only interview book exclusively for new andexperienced medical coders and billers.
19CPT® copyright 2018 American Medical Association. All rights reserved.
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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
Mailing Address:The Coding Institute LLC 2222 Sedwick Road Durham, NC 27713
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