Chapter 1: Medical Coding in History
The Black Death
William Farr and the Cholera Studies
International List of Causes of Death
Beyond Death
Modern Times
Reflection of Society
What About ICD-10?

Chapter 2: Diagnosis Coding
What is a Diagnosis?
Deducing the Diagnosis – History
Deducing the Diagnosis – Exam
Reality Check
Deducing the Diagnosis – Medical Decision-Making
Documenting the Diagnosis
What Number is My Diagnosis?
How Hard Can This Be?
What are the Rules?
General Coding Guidelines
What is the Structure of the Diagnosis Codes?
Which Diagnosis is Listed First?
Outpatient and Physician Office
What’s in Each Diagnosis Chapter?
  Infectious and Parasitic Diseases
  Neoplasms
  Endocrine, Nutritional and Metabolic
  Blood and Blood-Forming Organs
  Mental Disorders
  Nervous System and Sense Organs
  Circulatory System
  Respiratory System
  Digestive System
  Genitourinary System
  Complications of Pregnancy, Childbirth and the Puerperium
  Skin and Subcutaneous Tissue
  Musculoskeletal System and Connective Tissue
  Congenital Anomalies
  Perinatal Period
  Symptoms, Signs and Ill-Defined Conditions
  Injury and Poisoning
  External Causes of Injury and Poisoning
  Factors Influencing Health Status
How Can You Code Your Conditions?
Misdiagnosis: the Wrong Path

Chapter 3: Procedure Coding
Coding Paths Diverge
Hospital Procedures vs. Doctor’s Procedures
Why the Difference?
  Hospital Procedure Coding
  Physician Procedure Coding
What About HCPCS?
Where It’s At
ICD-9-CM Procedure Coding Guidelines
  Principal Procedure
  Other Procedures
  How to Locate a Procedure
CPT Procedure Coding
CPT Modifiers
Additional CPT Guidelines
  Anesthesia
  Surgery
  Radiology
  Pathology and Laboratory
  Evaluation and Management
Procedure Coding Summarized

Chapter 4: How Codes are Used for Reimbursement
The Price is Right
Staking a Claim
  CMS-1500
  UB-92
Claims Submission
Claims Processing and Adjudication
The Rejection Puzzle
Medical Necessity
Payment Methodologies
  Fee for Service
  Cost-Based
  Prospective Payment – Inpatient
  Prospective Payment –ASC
  Prospective Payment – SNF
  Prospective Payment –HHA
  Prospective Payment –Outpatient
The Effect of Payment Methods on Coding

Chapter 5: Coding for Dollars
Healthcare Fraud and Abuse
 OIG Compliance Guidance
 What Does This Have to Do With Coding?
Preventive Measures

Chapter 6: Solving Your Healthcare Coding Problems
Get a Life
For the Record
How do Coding Errors Occur?
When EOB = No

Chapter 7: Coding as a Career
Is it Right for You?
Where to Start?

Appendix A:  ICD-9-CM
3-Digit Diagnosis Categories

Appendix B: ICD-9-CM
2-Digit Procedure Categories

Appendix C:  AHIMA Code of Ethics

Appendix D:  Uniform Billing Revenue Codes

Appendix E:  Remittance Advice Remarks Codes

Appendix F:  Payment System Reference

Appendix G: Useful Websites

Appendix H: Uniform Hospital Discharge Data Set