Coding Resource Center

 

Training and education to ensure accurate inpatient and outpatient documentation and coding following the latest ICD-10-CM, ICD-10-PCS, HCPCS, and CPT codes and regulations.

The Practical Guide to Clinical Trials Billing

 

 

 

This resource provides an array of solutions for every step in the clinical trials billing process, including trial submission and review board approval, charge capture and segregation, and denials management.

 

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JustCoding's Guide to Modifiers

 

Healthcare professionals must stay up-to-date with guidance for reporting modifiers or risk repeated audits and lost revenue. This resource provides detailed information on the latest guidelines surrounding CPT®/HCPCS modifiers.

 

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The Essential Guide to Coding Audits

 

 

This book can be your constant companion and reference throughout the auditrefining process, and is a must have for coding mangers and coders looking to avoid denials and produce the most accurate claims possible.

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The Coder’s Guide to Physician Queries

 

 

Get easy-to-follow strategies for coding departments to improve their query processes and train their coders on developing and executing physician queries. Using the tools in this guide, new and established coders can revise their practices and train staff to meet the challenges of integrating ICD-10-CM/ PCS codes into queries, government payer initiatives, auditor denials, and electronic advances.

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JustCoding’s Practical Guide to Coding Management

 

 

This book gives coding managers new benchmarks, standards, and tips to ensure they’re running an effective coding department. It provides strategies for coder retention, best practices to balance internal and outsourced coders, and tips for managing on-site and remote staff. The book also provides much-needed information for managers on how to educate their teams on coding’s role within the revenue cycle.

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JustCoding’s Emergency Department Coding Handbook

 

This handbook is a quick reference guide for coders in emergency department (ED) settings. It guides coders through assigning visit levels and documentation requirements for a variety of common ED services. The handbook also includes anatomical illustrations for fractures.

 

 

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JustCoding’s Clinical Scenario: 2019 CPT® Edition

 

 

Get strategies for using your QM data to achieve performance improvement, insight into how CMS uses your QM data, and tips on using public reporting to track your quality improvement.

 

 

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JustCoding’s Clinical Scenario: 2019 ICD-10-PCS Edition

 

 

With this workbook, coders will determine the correct ICD-10-CM and ICD-10-PCS codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for MS-DRG capture.

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The Essential Guide to Healthcare Payer Contracting

 

 

This comprehensive book covers a range of payer contracting essentials to ensure it meets the needs of both seasoned professionals and those working on their first contract.

 

 

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The Contemporary Guide to Patient Financial Services

 

 

Go through a patient’s financial journey from pre-registration and scheduling through posting payments, managing collections, and tackling the denials and appeals processes. Plus get downloadable tools, key performance indicators, and performance benchmark strategies.

 

 

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The Chargemaster Essentials Toolkit, Second Edition

 

 

This important resource provides readers with the tools needed to optimize their chargemaster and ensure accurate reimbursement and revenue integrity across their organization. It also includes updated regulatory information throughout all chapters to provide the latest information on topics relevant to chargemaster operations and management.

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Medicare Billing Edits: Solving NCCI and MUEs

 

 

 

 

Resolving edits can be overwhelming, causing staff to work the same edits repeatedly, unless time and resources are spent to identify and fix the root cause of the problem. This book will help readers understand Medicare claims edits and give them practical tools and information to efficiently handle these edits, helping to ensure compliance and protect revenue.

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