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You are here > Home > Reading Lists > Coding Books > ICD-9-CM and POA Coding Mentor: A Learning Tool for Interpreting Health Records

ICD-9-CM and POA Coding Mentor: A Learning Tool for Interpreting Health Records
American Hospital Association,
Patricia Bower-Jernigan, RHIA

With Answer Key, for self-study & reference
Softbound: 8.5" x 11" + bonus CD-ROM 
ISBN 155648366X
978-1556483660
AHA Press / Health Forum
November 2009

Without Answer Key, for classroom use
Softbound: 8.5" x 11" + bonus CD-ROM 
ISBN 1556483678
978-1556483677
AHA Press / Health Forum
November 2009

Designed for:

  • individual coder self-development

  • coding managers & trainers

  • academic instructors & students

Real World Practice For Improving “Critical Thinking” Skills

 

ICD-9-CM and POA Coding Mentor offers a new way to understand the “thought process” behind the work of master coders. Using 75 actual (not “cleaned up”) medical records, it illustrates the path a coding expert follows to evaluate inpatient charts, clarify incomplete and often ambiguous information, and reach conclusions for appropriate code assignments. Patient charts provide a comprehensive mix of documentation (e.g., lab results, radiology reports, progress notes, consults, surgeries, etc.) to give coders “real world” experience on basic through complex cases.

Coding Mentor reveals the “traps” that can lead to unacceptable coding and provides rationales that support coding which will pass audit reviews. Coders at different skill levels are each presented with cases designed to test their thinking and their assignment of ICD-9-CM codes, POA indicators and MS-DRGs. This book will improve quality audits and reimbursement results for coding departments by strengthening staff competence and independence.

Three Levels of Complexity To Test Your “Art of Coding”


Coding Mentor supports busy managers whose staff desire a mentoring hand and serves novice, intermediate, advanced students of coding who wish to advance their proficiency in the “art of coding” and prepare for higher coder certifications. The 75 medical records are organized in parallel to the 25 chapters of the workbook, with three records for each chapter ranging in complexity from novice to advanced.

A Workbook That Coaches and Guides
 

The clear delivery of information, and the increasing complexity of patient conditions reflected in each health record, helps build clinical knowledge and enables coders to understand what is happening to a patient suffering from common conditions or diseases over time. These illustrate the logic behind coder decisions as readers advance from easier to the more complex charts. The book offers “detective-like” hints for finding pertinent data, structuring effective physician queries, weighing alternatives, or building a logical case for code assignments from health records that are incomplete or contain ambiguous information. Appendixes include flow charts, decision aids, sample queries, and a comprehensive list of acronyms and initialisms used throughout the Workbook.

Unique Tools Accelerate Seasoned Insights

  • The Clinical Workflow Process Tools
    Contain information that may be useful when a specific diagnosis should be confirmed by the physician or other qualified health care provider (QHCP). The tools help guide the coder to determine when a query may appropriately be initiated.

  • Common Diagnosis Resource Indicators
    A reference for detailed descriptions of high volume diagnoses. The resource helps the coder understand the necessary clinical components when formulating a query, and leads to the greatest specificity of a diagnosis.

  • QHCP Query Guidelines and Tools
    Straightforward guidance for writing an effective query to a physician or other QHCP, taking into consideration clinical lab findings, radiology reports, and other documentation, as well as a patient's condition.

Patricia Bower-Jernigan, RHIA, is the Director of System Wide Hospital Coding at the Allina Hospitals and Clinics, based in Minneapolis, MN. She has extensive experience in planning, coordinating, and facilitating inpatient and outpatient coding and coding education. She is a member of the AHA Central Office on ICD-9-CM Coding Clinic editorial advisory board and active in many associations.

Please remember: The government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

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