JustCoding’s Clinical Scenario Workbook: 2018 CPT® Edition

Real-world coding simulation to sharpen your coding skills

JustCoding’s Clinical Scenario Workbook: 2018 CPT® Edition provides an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Coders will determine the correct CPT and ICD-10-CM codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for Hierarchical Condition Category capture. The book also includes labeled illustrations for select cases to help coders by highlighting important anatomic details.

A full answer key with coding rationale for each case allows coders to self-audit and find immediate answers to their questions. When applicable, cases will also include references to guidance from CPT Assistant, Coding Clinic, the ICD-10 and CPT guidelines, and the NCCI Manual.

These 52 case scenarios let coders practice real-world coding without risking actual revenue. Coders can practice on their own or as a group, with enough cases for coding teams to complete one each week together for a full year.

Clinical scenarios include:

• Cardiovascular
• Digestive
• Endocrine
• Integumentary
• Musculoskeletal
• Nervous
• Renal/Urinary
• Reproductive
• Respiratory

This book will help coders by:

• Simulating real-world coding by actively reporting ICD-10-CM and CPT codes for each case scenario
• Providing answers for every case with rationales from experts who explain why certain codes should or should not be reported
• Giving a refresher on certain standards, bundling policies, and coding guidelines necessary for compliance

About the Authors:

Contributors

• Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, president and senior consultant at RadRx in Stuart, Florida
• Yvette DeVay, MHA, CPMA, CPC, CIC, CPC-I, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Laura Legg, RHIT, CCS, CDIP, director of HIM optimization at Healthcare Resource Group in Spokane Valley, Washington
• Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM and coding at HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Lori-Lynne Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, coding, compliance, data charge entry, and HIPAA privacy specialist in Melba, Idaho

Reviewers

• Peggy Blue, MPH, CCS, CPC, CCS-P, CEMC, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Yvette DeVay, MHA, CPMA, CPC, CIC, CPC-I, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
• Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM and coding at HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts

Published: 12/27/2017

Page Count: 338
Dimensions: 8.5 x 11
ISBN: 978-1-68308-679-6