AMA Bookstore News, Sept. 13, 2012

Instantly search annual CPT changes and official AMA rationales for every code and guideline since 2000 with CPT® Changes Online. This invaluable online library provides you with an easy and efficient way to search every edition of CPT® Changes: An Insider's View for the official interpretation and rationale behind every code and guideline change. Quickly search by keyword, phrase, CPT code number, edition and the CPT® Professional codebook table of contents.

Features include:

• CPT code changes and rationale from the CPT Editorial Panel
• The complete CPT code list since 1990 that includes when a code was added, deleted and/or revised
• Interactive capabilities with CodeManager® Online—while working in the CPT section of CodeManager Online, jump quickly to related data in CPT Changes Online. Links are indicated and a new browser window will open so you don't lose your place in either product
• Simple, intuitive search capabilities that include auto-complete and auto-suggest functionality
• Clinical examples, procedural descriptions and illustrations that help explain the practical application for each new CPT code

In the wake of the Department of Health and Human Services announcement that October 1, 2014, now stands as the official compliance date for ICD-10-CM, the AMA is set to release new ICD-10 resources this month and next.

New resources include a free downloadable action plan practice tool, 13 express reference mapping cards, and codebooks containing the official draft code sets for CM and PCS.

ICD-10 Action Plan: Your 12-Step Transition Plan for ICD-10 is a free downloadable practice tool written by the AMA CPT Medical Informatics Department. Transitioning to ICD-10 needs to begin now despite the implementation delay. This ICD-10 practice tool offers 12 critical steps along with tables and forms to help you make a smooth transition. A short glossary and list of AMA ICD-10 resources are also included. Available now.

ICD-10-CM 2013 Express Reference Mapping Cards highlight 60 to 80 of the most commonly used ICD-9-CM codes and their relevant ICD-10-CM codes for 13 medical specialties. These four-page cards are organized by ICD-9-CM code and indicate seventh digits for ICD-10-CM codes. Refer to these convenient, durable cards as you examine your practice's most frequently used ICD-9-CM codes and transition to ICD-10-CM. Available late September.

ICD-10-CM 2013: The Complete Official Draft Code Set helps you to prepare for the future of diagnostic coding with this latest and comprehensive resource. This codebook presents the complete code set—a total of 21 chapters—in an easy-to-read tabular list of diseases and injuries. Available late September-early October.

ICD-10-PCS 2013: The Complete Official Draft Code Set provides the latest and most comprehensive version of the government draft of the code set. This illustrated codebook features color-coding and symbols for the Medicare Code Edits, code tables, information on ICD-10-PCS structure and conventions, coding scenarios and exercises, and official coding guidelines. Available late September-early October.

Visit our AMA Bookstore to learn about all of the ICD-10-CM books and workshops available now.

On Sept. 1, Texas implemented a new state privacy law that is in ways more stringent than the federal HIPAA-HITECH laws. The law requires immediate and regular privacy training and documentation of that training for anyone who "for commercial, financial, or professional gain, monetary fees, or dues, or on a cooperative, nonprofit, or pro bono basis, engages, in whole or in part, and with real or constructive knowledge, in the practice of assembling, collecting, analyzing, using, evaluating, storing, or transmitting protected health information."

Individuals who fall under this definition include business associates, health care payers, governmental units, information or computer management entities, schools, health researchers, health care facilities, clinics, health care providers, persons who maintains an Internet site, or anyone who serves as an employee, agent, or contractor of one of these entities.

Edward D. Jones, III, AMA author and creator of the Web-based training program AMA HIPAA School, explains the effect that this legislation will have on health care: "Every workforce member of a covered entity as described in HB 300 must receive training on state and federal privacy rules and customized training on (1) the particular policies and procedures of the entity where the workforce member is employed and (2) the particular responsibilities of the workforce member pertaining to PHI.

Legal interpretation is that any business associate outside of Texas handling PHI for a covered entity in Texas would have to adhere to Texas regulations regarding training, which would be captured as a training provision in the business associate agreement.

The more stringent requirements require a specific timeframe for new workforce members to receive training (i.e., 60 days of coming aboard) and for recurring training (i.e., at least once every two years). Texas is going to enforce these provisions and is authorized under the statute to request an OCR compliance audit of a covered entity.

AMA HIPAA School provides comprehensive training on federal HIPAA (regulatory) and HITECH Act (statutory) Privacy Rule provisions. When the Final Privacy, Security, Breach Notification, Enforcement, and CLIA Rules are published in the Federal Register later this summer, the HITECH Act statutory requirements will be amended to regulatory requirements."

AMA HIPAA School offers online training on three main topics: Securing PHI Overview (HIPAA privacy, security, enforcement, and new HITECH Act breach notification rules), HIPAA Privacy Compliance (use, disclosure, access, and administrative standards of the HIPAA privacy rule), and HIPAA Security Compliance (administrative, physical, and technical safeguard standards and new HITECH Act electronic PHI encryption guidance).

As a student of this Web-based training tool you will have access to these features:

• Convenient online training—makes training possible at any time from any location
• Bookmarking—allows you to resume training from where you ended your last training session
• Quick pace learning—each of the three main topics takes, on average, two hours to complete
• Re-test option—take any or all of the three multiple-choice tests repeatedly until you are confident in your understanding of the material
• Accessible test result records—save, print, and send your test results to a designated workplace security official
• Third-party validation and archived test results—proves you are compliant by documenting and maintaining a record of your training and test results for six years
• CME and CEU eligible—meet federal requirements and receive credit for continuing your education through such associations as AMA, AAPC, AHIMA, and PAHCOM
• Benchmarking—offers office managers the opportunity to benchmark workforce training

You need to train for HIPAA. It's the law. AMA wants to make that training more convenient and affordable for you, and we're doing so by lowering prices. Depending on which enrollment package you choose, you may save as much as $350 with our new pricing structure.

AMA also publishes a selection of books on HIPAA and HITECH that serve as authoritative resources:

• HIPAA Plain and Simple, Second Edition
• EHR Implementation, Second Edition
• HIPAA Plain and Simple, Third Edition (available for pre-order)
• Handbook for HIPAA-HITECH Security, Second Edition (available for pre-order)

Hip injection of an anesthetic or steroid under fluoroscopic guidance should not be confused with hip arthrography. When a conventional (radiographic) hip arthrogram is performed, it is reported with an arthrography injection code (code 27093, Injection procedure for hip arthrography; without anesthesia, or code 27095, Injection procedure for hip arthrography; with anesthesia), and the arthrography imaging code 73525, Radiologic examination, hip, arthrography, radiological supervision and interpretation. In this instance, code 77002 is not reported in addition to code 73525 because current imaging practice dictates that fluoroscopy [77002] is considered a component of organ/anatomic-specific radiological supervision and interpretation procedures (ie, 73525).

Subscribe to CPT® Assistant for even more coding tips!

RBRVS DataManager Online includes more than 3,200, AMA-exclusive vignettes. Learn more today!

Vignette: A 75-year-old hypertensive female presents with 1 month of dyspnea and palpitations. An electrocardiogram shows atrial fibrillation. She is started on medications to control the heart rate and anti-coagulation with coumadin. After 4 weeks of therapeutic INR levels, she is scheduled for elective outpatient cardioversion.

Pre-Service: Review medical records and chart.

• Evaluate goals of procedure.
• Evaluate for sedation/anesthesia risks.
• Review prior cardioversion procedures.
• Review current and prior antiarrhythmic therapies and effectiveness.

Intra-Service: Assess new symptoms.

• Assess stability of patient for sedation and potential respiratory rescue.
• Assess heart rate and rhythm on 12 lead ECG or telemetry.
• Answer patient questions for obtaining informed consent.
• Supervise insertion or assess adequacy of the IV access.
• Supervise ECG electrode application and stability of the monitor signal.
• Supervise application of adhesive defibrillation patches or locations for paddle positioning.
• Ensure external defibrillator sensing is synchronized to QRS complex and not T wave.
• Assess whether additional manual pressure to chest defibrillation patch is required and administer if needed.
• Supervise or provide for adequate sedation.
• PerformOrder appropriate energy for cardioversion once sedated adequately with appropriate energy.
• Ensure cardioversion is synchronized to QRS complex and not T wave.
• Assess whether manual pressure to chest is required and administer if needed.
• Evaluate rhythm after each cardioversion attempt.
• Monitor respiratory status for return to the post sedated state.
• Interpret post cardioversion ECG.
• Create or dictate a report for the medical record including whether the procedure was successful or unsuccessful and the resultant rhythm.

Post-Service: Review, edit and sign report.

• Discuss critical abnormal lab values with patient.

Review results of cardioversion and any medication changes with the patient and management plans including follow up if indicated.

• Discuss with referring physician.
• Arrange for outpatient clinic follow-up if clinically indicated.

Coming soon to your doorstep, mailbox, or mailroom: CPT® 2013 Professional Edition. The latest edition of AMA's trusted codebook will ship from our warehouse in mid-September.

The new 2013 edition contains more than 700 changes. Almost 150 of the CPT guidelines have changed as well as 568 codes. In addition, CPT 2013 Professional features a revised and enhanced index that includes a significant increase in the number of pathology and laboratory index entries. A number of redundancies have also been eliminated, resulting in an index that this clearer and quicker to search.

Special to the 2013 edition is an educational article outlining the background, development, structure, and use of the 2013 molecular pathology codes. The molecular pathology subsection of the Pathology and Laboratory section of the codebook has grown exponentially in the past few years and reflects the growing influence of this area on the overall health care field. Let AMA be among the first to help educate you on the significance of this topic.

And as in years past, every direct order of CPT 2013 Professional comes with an updated E/M Express Reference Tables Pocket Guide to help you properly select and validate E/M codes.*

The AMA is the source of the CPT code set and publishes the only CPT codebook with the official CPT guidelines written by the CPT Editorial Panel. If you haven't ordered your CPT codebook yet, do so now and join the other AMA customers who will be receiving their CPT 2013 Professional Edition codebooks in September.

* Not available for wholesalers/resellers. Supplies are limited. The AMA reserves the right to determine order eligibility.

On September 19, the AMA presents a one-day workshop in Chicago on ICD-10-CM coding. Interact with other health care professionals, earn CEUs and receive a free copy of the best-selling Principles of ICD-10-CM Coding as coding expert Robin Linker walks you through the intricacies of ICD-10 implementation and coding.

The venue for this date is the American Medical Association headquarters in downtown Chicago. A limited number of seats are available so don't delay. Register today!

Attendees of past workshops have said the following:

• "Very informative—it took the scary out of ICD-10!" — Glenda McMaster
• "well worth the investment!" — John Link, MBA, CPC
• "Every private practice needs to address the ICD-10 conversion. This is a great workshop for getting started and should be attended by office managers, practice administrators, and managing physicians, not just coders and billers." — Julia M. Pillsbury, DO
• "Ms. Linker was very knowledgeable, detailed and experienced."
• "[Robin] teaches the material in a very easy way to understand."

Prepare now and learn how with the help of the AMA.

Have you heard? Registration for CPT Changes 2013 Workshops has been open since May. Seats are filling for this annual December event hosted in venues throughout the country. Register now and save with early-bird pricing.

Stop by Booth 1414 September 30- October 3 at the 84th Annual AHIMA Convention & Exhibit to participate in live AMA Coding Online demonstrations and save 15% on all one-year subscriptions! Attendees can also take advantage of special offers, including free shipping and discounted pricing on all AMA products! Featured publications include the new, Advanced Anatomy and Physiology for ICD-10-CM/PCS as well as other ICD-10 preparation titles and the 2013 CPT® core coding line.

Can't attend these conferences? Visit amabookstore.com or call (800) 621-8335 to learn more!

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