| Features and Benefits |
- Uses the hallmark features and format, making the challenge of accurate diagnosis coding easier
- Contains the complete ICD-10-CM code set with Optum360 coding and reimbursement alerts for SNF and IRF, including color-coding, and symbols identifying diagnoses for components of the Patient-Driven Payment Model and RIC
- Coding tips and definitions of commonly treated conditions specific to these PAC settings are also included
- Detailed color anatomy illustration appendix
- Easy to use tabs fit the spiral binding providing reference index sections, tabular chapters, and appendixes
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- Use this comprehensive reference for the HCPCS Level II code set that focuses on management of reimbursement
- A user-friendly book that guides any coder confidently through current modifiers, code changes, additions, and deletions with information as dictated by the Centers for Medicare and Medicaid Services
- Find information on codes from sources that generate HCPS codes, including CMS, OPPS addendum B, and the Medicare fee schedule
- Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration in the Table of Drugs
- With the glossary of terms, you can increase your understanding of HCPS codes to improve coding accuracy
- In the special appendixes, you will get additional information, such as the deleted codes crosswalk
- Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units (donwloadable)
- Comprehensive code updates
- With the APC status indicators and ASC designation symbols, you can determine which codes are payable under OPPS and which codes enable billing using ASC groupings, as well as how to accurately use each to help ensure appropriate billing and reimbursement
- Using the DMEPOS icons with help distinguish codes paid under the DMPEOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers
- The in-depth illustrations enhance your coding process and accuracy for supplies and services with detailed visual references
- Receive additional support with articles on difficult-to-code HCPS Level II codes or sections
- Color-coded bars and icons will help you spot important information to help reduce inaccurage and denied claims with informative flags signaling Internet Only Manuals (formerly Pub. 100) references, age and gender edits, quantity alerts, new/deleted/revised code changes, and government coverage and rules for each code
- User-friendly appendixes will help you navigate additional information easily with structured references and exerpts including a comprehensive drug table, acronyms/abbreviations, and modifiers
- Snap-in tabs assist in locating the sections
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- Developed specifically to meet the needs of physicians
- Has visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, QPP, and unspecified codes
- Coding tips are reviewed and updated with more new coding tips added to assist in the appropriate code selection
- Clinical definitions have been added for a better understanding of complex ICD-10-CM diagnostic terms
- A list of all 2022 new, revised, and deleted codesto identify at a glance code changes for your specialty
- Also has an ICD-10-CM conversion table from the new and changed codes to the code previously used
- The updated Index to Diseases and Injuries includes vertical shaded guides that show the indent levels for subentries under main terms
- Official Guidelines for Coding and Reporting including chapter-specific coding examples
- Detailed color anatomy illustration appendix, plus many illustrations at the code level identifying specific code-related anatomy
- Easy to use tabs fit the spiral binding providing reference reference index sections, tabular chapters and appendixes
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- Developed specifically to meet the needs of physicians
- Contains the complete ICD-10-CM code set which is the cornerstone for establishing medical necessaity, determining coverage, and ensuring appropriate reimbursement
- Symbols in the tabular section identify codes associated with CMS quality payment program, QPP, measures and CMS hierarchical condition categories, HCC, used in risk adjustment, RA, coding
- Supplementary appendixes available only in the expert edition include: pharmacology listings, Z codes for long-term use of drugs and associated drug names; and Z codes used only as primary diagnosis
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- This complete official code set
- Coding tips are reviewed and updated with more new coding tips added to assist in the appropriate code selection
- Visual alerts, inclucing color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X and more
- Additional coding and reimbursement information covering PPS for SNF and IRF services; Medicare coverage; quality initiatives; and long-term care guidelines and coding examples is located in supplementary appendixes
- More clinical definitions are added for a better understanding of complex ICD-10-CM diagnostic terms
- A list of all 2020 new, revised, and deleted codes to identify at a glance code changes for your speciality
- An ICD-10-CM conversion table from the new and changed codes to the code perviously used
- Official Guidelines for Coding and Reporting including chapter-specific coding examples
- Detailed color anatomy illustration appendix
- Easy to use tabs fit the spiral binding providing reference reference index sections, tabular chapters and appendixes
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