Medical Office, Hospital & Payer - OptumCoding

Medical Office, Hospital & Payer March 2009————————————————————————————————————————————————————————————————

Code Changes now in effeCt!

ICD-10NewsFlash!see page 9for details.

2010 produCts now available on www.shopingenix.Com

See inside for details.

Complete your coding reference library with must-have 2009 editions.

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2009 Billing Companion for OB/GYN Item # 2284 Available: Now

ISBN: 978-1-60151-228-4 $199.95

Table of ContentsP For use by Physicians & Clinics H For use in Hospitals & Facilities

Y For use by Payers CEU Earn CEUs. See below.

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Products contained in this catalog are made in the USA.CPT is a registered trademark of the American Medical Association.

CEU For a complete list of Ingenix products and edition years that qualify for The American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) continuing education units and submission/testing details, visit www.shopingenix.com/continuingeducation, or www.aapc.com/education/ceu-vendors-list.aspx

P H Y N E W P R O D U C T S

1 • • • Billing Companions1 • • • Coders’ Desk Reference: Opthalmology

Diagnoses2 • Expert Briefings: Understanding RACs2 • • • Ingenix Learning: Online Coding Tests

P H Y P R I N T C O D I N G P R O D U C T S3 • • • Current Procedural Coding Expert3 • • • AMA CPT® Standard Edition4 • ICD-9-CM Code Books for Physicians6 • ICD-9-CM Code Books for Hospitals6 • ICD-9-CM Expert for Home Health

Services, Nursing Facilities and Hospices

8 • • HCPCS Level II Code Books

P H Y I N G E N I x E S S E N T I a l S9 • • • Coding, Billing, and Compliance

Conference

P H Y I C D -10 C O R N E R9 • • ICD-10-PCS9 • • • ICD-10-CM

P H Y O N l I N E S O l U T I O N S10 • EncoderPro.com Suite10 • • • IngenixExpert.com11 • • RevenueCyclePro.com11 • ChargemasterAnalyzer.comTM

12 • • • ASCExpert.com12 • • • DrugReimbursement.com

P H Y S P E C I a lT Y C O D I N G 13 • • • Coding Companions®

14 • • • Coding and Payment Guides14 • • • Code Pathways15 • • • Cross Coders15 • • Procedural Cross Coder15 • Coding Guide for Dental Services

P H Y C O D I N G , B I l l I N G a N D PaY M E N T

16 • • • Fast Finders16 • • E/M Fast Finder17 • Encoder Pro Desktop Suite17 • • • Code It Fast I-918 • • • Coders’ Desk Reference for Procedures18 • • • Coders’ Desk Reference for Diagnoses18 • • Coders’ Desk Reference for ICD-9-CM

Procedures19 • • • Coders’ Desk Reference for HCPCS

Level II19 • • Insurance Directory19 • • Physicians’ Guide to Implementing the

Medicare Quality Reporting Initiative20 • • Coders’ Dictionary20 • • • Auditing Tool Kit20 • • • CPT® Changes: An Insider’s View21 • HIPAA Tool Kit21 • Denial Management Tool Kit22 • • DRG Expert22 • DRG Desk Reference23 • • Uniform Billing Editor23 • Outpatient Billing Expert24 • Hospital Professional Billing Editor24 • • Facility Guide for Interventional

Radiology25 • Hospital Chargemaster Guide25 • OPPS Manager

P H Y E D U C aT I O N & T R a I N I N G26 • • • Ingenix Learning: Coding and

Reimbursement Education

P H Y P H Y S I C I a N P R I C I N G 27 • Customized Fee Analyzer27 • FeeAnalyzer.com28 • • RBRVS Plus28 • • • Ingenix Data Files

P H Y M E D I C a R E S E R V I C E S 29 • • Medicare Desk Reference for Hospitals29 • • Medicare Desk Reference for Physicians

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2009 Billing CompanionsThe Billing Companion provides practical guidance for billing professional services

to commercial and public payers. This manual compiles essential billing rules and

demonstrates correct and incorrect claim form entries, reviews potential billing

errors, and explains modifier issues and coverage rules impacting your practice.

» Quickly find specialty-specific billing instructions for surgical, imaging, diagnostic

and E/M services with user-friendly content arrangement.

» Improve claim accuracy and prevent payment delays.

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2009 Billing Companion for OB/GYN Item # 2284 Available: Now

ISBN: 978-1-60151-228-4 $199.95

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2009 Billing Companion for Orthopaedics Item # 2236 Available: Now

ISBN: 978-1-60151-226-0 $199.95

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Quickly find specialty-specific billing instructions.

2009 Coders’ Desk Reference: Ophthalmology DiagnosesBoost coding accuracy with the

new Coders’ Desk Reference:

Ophthalmology Diagnoses.

» Provides detailed clinical data for

more than one hundred of the most

commonly used ophthalmology

diagnoses.

» Optimizes reimbursement through

correct diagnoses coding.

» Supports medical necessity with

clinical background.

ODRD P H Y

2009 Coders’ Desk Reference: Ophthalmology DiagnosesItem # 1279 Available: Now

ISBN: 978-1-60151-246-8 $129.95

New


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Ingenix learning: Coding Knowledge assessmentPartner with Ingenix for an objective and

convenient way to assess new and existing

staff’s coding skills and identify potential

training requirements.

Quantify coding skills quickly and easily.

New

Expert Briefings: Understanding RACsExpert Briefings: Understanding RACs is a set of 75

Microsoft® PowerPoint slides that can be used for

printed handouts or presentations. Be prepared for

audits with information such as typical errors, clinical

cases likely to be reviewed by auditors, and more.

Plus, question & answer slides test audience retention

of the presentation.

Expert Briefings includes:

» Suggested narration and talking points.

» Customizable slides can include your content.

» Official citations for all facts and figures.

EbRAC H

Expert Briefings: Understanding RACs Item # 1554 Available: Now

ISBN: 978-1-60151-248-2 $159.95

New

Online Coding Tests

HP Y

Course Skill Level Item#

Assessment for Diagnosis Coding Novice Z1000Assessment for Evaluation & Management Coding Professional Z1001Assessment for Medical Terminology Novice Z1002Assessment for Guidelines for Coding from the Operative Report Master Z1003Assessment for Medical Coding basics Novice Z1004Assessment for Auditing Physician Services Master Z1005Assessment for Procedure Coding Novice Z1006Assessment for Supplies & Services Coding Novice Z1007Assessment for Understanding and Using Modifiers Professional Z1008Assessment for Denial Management Master Z1009

Available: Online $39.95 per single user*

*Multi-user pricing available.

Ingenix Learning: Coding Knowledge Assessment

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CEC P H Y CEU

2009 Current Procedural Coding Expert (Compact)

Item # CEC09 Available: Now ISBN: 978-1-60151-197-3 $89.95

2009 Current Procedural Coding ExpertThis expert resource includes valuable information and new resources in an easy-to-

navigate, logical format designed for coders by coders.

» Just Added Medically Unlikely Edits (MUEs) Appendix.

» New Format Option! Tab dividers with pre-printed headings help you quickly find frequently

used information.

» New Body system headings on each page and detailed Ingenix subheadings for each section.

» New Includes Medicare global/follow-up days.

» New Identifies brand name vaccinations associated with CPT® codes.

CE P H Y CEU

Over 700 CPT® Code Changes

for 2009!

2009 Current Procedural Coding Expert with Tab Dividers (Spiral)

Item # CET09 Available: Now ISBN: 978-1-60151-196-6 $104.95

2009 CPT® Standard Edition

» Official CPT® products include all 2009

codes and modifiers, so you’re covered for

the coming.

» Sample cases demonstrate how to use and

assign the codes properly.

» Comprehensive index for rapidly finding

the code you need.CbST P H Y

2009 CPT® Standard Edition (Softbound)

Item # CB09 Available: Now ISBN: 978-1-60359-063-1 $74.95

CPT is a registered trademark of the American Medical Association.

We listened. Our 2009 editions have been updated with new valuable, customer recommended features.

2009 Current Procedural Coding Expert (Spiral)

Item # CE09 Available: Now ISBN: 978-1-60151-196-6 $99.95


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» Ingenix edge® Hallmark color coding and

symbols. Identify critical coding and

reimbursement issues, including V code

sequencing restrictions and additional

digit requirements for specificity and

validity.

» Ingenix edge® Code alerts for ‘unspecified’/

’other specified’ diagnosis codes.

» Ingenix edge® Summary of new and revised

codes. Avoid the frustration of searching

for the new and revised codes. Use this

convenient list to locate the codes that

will impact your coding practices.

» Ingenix edge® V Code Alerts. Symbols

identify primary- and secondary-only use

restrictions.

» Manifestation code alert. Know when

two codes are required for reporting.

» Coding efficiency and accuracy.

Definitions, illustrations, hallmark color

coding and intuitive symbols integrate

coding and reimbursement into a single

task.

» Change symbols identify what code

information has changed. Don’t be caught

off guard—know what changed and

when for more efficient coding practices.

» HIPAA code set compliance. Official

code set, complete coding guidelines

and AHA’s Coding Clinic for ICD-9-CM

references.

2009 ICD-9-CM for Physicians, Volumes 1 & 2

Why work harder? Work smarter.

2009 ICD-9-CM Professional for Physicians, Vols 1 & 2 (Compact)

Item # IPC09 Available: NowISBN: 978-1-60151-123-2 $74.95

Softbound Compact (6x9)

IPPC P CEUIPP P CEU

2009 ICD-9-CM Professional for Physicians, Vols 1 & 2 (Softbound)

Item # IPB09 Available: Now ISBN: 978-1-60151-122-5 $86.95

Over 500 ICD-9-CM

code changes for 2009.

When placing your order on www.shopingenix.com, use source code 121739 to ensure your package discount.

See order form for details.

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Why work harder? Work smarter.

Exclusive to the Expert editions:

» New Format Option! Spiral edition with

exclusive tab dividers featuring detailed

clinical information and coding tips

with scenarios for all the new codes by

chapter makes training and referencing

the code changes quick and easy.

» Ingenix edge® Exclusive coding tables

simplify coding for complex diagnoses.

» Ingenix edge® Valid three-digit code list.

Exclusive to the Updateable edition:

» Ingenix edge® Three updates a year included

in a subscription.

» September—Full text update with

new codes and AHA’s Coding Clinic

references and summary of current

topics.

» February—Update with new

illustrations and definitions, plus AHA’s

Coding Clinic references and summary

of current topics.

» July—Code Report 2010, a list of all the

new codes for 2010.

IPET P CEU

2009 ICD-9-CM Expert for Physicians, Vols 1 & 2 with Tab Dividers (Spiral)

Item # IPT09 Available: Now ISBN: 978-1-60151-125-6 $99.95

2009 ICD-9-CM Expert for Physicians,

Vols 1 & 2 (Spiral)Item # IPS09 Available: Now

ISBN: 978-1-60151-124-9 $95.95

IPEU P CEU

ICD-9-CM Expert for Physicians, Vols 1 & 2 (Updateable binder)

Item # 3534 Available: Now$169.95

Also available: ICD-9-CM Expert for Payers.Visit www.shopingenix.com for details.

New Format Option: Spiral edition with Snap-in Tabs places critical new code information and coding tips at your fingertips.


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2009 ICD-9-CM for Hospitals, Volumes 1, 2 & 3New Feature Ingenix Exclusive—Chapter by chapter, detailed clinical and coding

information with coding scenarios for all the new codes adopted for 2009.

IHPCIHP H CEU H CEU

2009 ICD-9-CM Professional for Hospitals, Vols 1 & 2 (Softbound)

Item # IHB09 Available: Now ISBN: 978-1-60151-127-0 $94.95

2009 ICD-9-CM Professional for Hospitals, Vols 1, 2 & 3 (Compact)

Item # IHC09 Available: Now ISBN: 978-1-60151-128-7 $84.95

Softbound Compact (6x9)

2009 ICD-9-CM Expert for Home Health Services, Nursing

Facilities and Hospices, Volumes 1, 2 & 3

Item # IHHS09 Available: Now ISBN: 978-1-60151-133-1 $154.95

» New Feature Ingenix Exclusive—Hospital

acquired condition alerts.

» Ingenix edge® Critical MS-DRG code edits.

» Ingenix edge® CC and MCC condition symbol

with principal diagnosis exclusions.

» Ingenix edge® Includes color-coded symbols

and alerts, illustration and definitions,

and updated AHA’s Coding Clinic

references.

IPHYR H CEU

Comprehensive package option—Spiral Expert edition PLUS a CD packed with additional resources covering coding guidelines, billing requirements for each PPS, documentation, benchmarking data, patient assessment form tips, and quality initiatives specific for each post acute facility. Companion CD may be purchased separately.

2009 Coding, Reporting and Documentation Guidance for Home Health Services, Nursing Facilities

and Hospices CDItem # XIHH09 Available: Now

ISBN: 978-1-60151-134-8 $119.95

Over 500 ICD-9-CM

code changes for 2009.

2009 ICD-9-CM Expert for Home Health Services, Nursing Facilities and Hospices, Volumes 1, 2 & 3 with

Companion CDItem # IHHR09 Available: Now

$229.95

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» New Feature Ingenix Exclusive—

Chapter by chapter, detailed clinical

and coding information with coding

scenarios for all the new codes

adopted for 2009.

» Ingenix edge® Features for home health

agencies include excerpts from the

Home Health PPS, coverage issues

and alerts.

» Ingenix edge® Features for skilled nursing

facility include descriptions of the

RUG-III system.

» Ingenix edge® Features for Hospice

include alerts for noncancer diagnosis.

» Ingenix edge® Email alerts for special

reports.

2009 ICD-9-CM Expert for Home Health Services, Nursing Facilities and Hospices, Volumes 1, 2 & 3

IHEU H CEU

ICD-9-CM Expert for Hospitals, Vols 1, 2 & 3 (Updateable binder)

Item # 3539 Available: Now $174.95

IHES H CEU

2009 ICD-9-CM Expert for Hospitals, Vols 1, 2 & 3 (Spiral)

Item # IHS09 Available: Now ISBN: 978-1-60151-129-4 $99.95

Exclusive to the Updateable edition:» Ingenix edge® Three updates a year included

in a subscription.

» September—Full-text update with new codes, updated edits and updated AHA’s Coding Clinic references with a summary of Coding Clinic topics.

» February—Update with new illustrations and definitions, plus updated AHA’s Coding Clinic references and Medicare code edits.

» July—PPS Alert Newsletter with new code list and summary proposed

changes to the IPPS for 2010.

Exclusive to the Expert editions:

» Ingenix edge® Present on admission indicator

tutorial with source documentation table

and list of POA Exempt codes.

» Ingenix edge® Dx/MDC/DRG list and DRG

mapping.

» Ingenix edge® Valid three-digit code list,

complete CC and MCC code lists and

pharmacological listing.

» Ingenix edge® Email alerts for special

reports.

For use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See table of contents.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See table of contents.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See table of contents.P CEUH Y

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2009 HCPCS level IIPQRI Ready! Icons denoting which HCPCS codes and their denominators are part of the

Physician Quality Reporting Initiative help you get your bonus.

» Ingenix edge® Comprehensive code updates.

» Ingenix edge® Comprehensive table of drugs.

» Ingenix edge® AHA Coding Clinic for HCPCS references.

» Ingenix edge® Reference color-coded icons indicating Pub. 100 references; DMEPOS; age and sex edits; new, deleted or revised code changes; and government coverage and rules.

» Detailed Illustrations.

» APC status indicators and ASC designation symbols.

Expert Advantage:» Appendixes for National Average

Payment, Medically Unlikely Edits (MUEs), Deleted Code Crosswalk and Glossary.

Updateable Advantage:» Easy-to-follow information helps identify

reimbursement based on Medicare and commercial fee data.

» Keep current with the latest codes and regulations through quarterly updates.

HES P H CEU HEC P H CEU HEU P H CEU

2009 HCPCS Level II Expert (Spiral)

Item # HS09 Available: Now ISBN: 978-1-60151-155-3 $99.95

2009 HCPCS Level II Expert (Compact)

Item # HC09 Available: Now ISBN: 978-1-60151-157-7 $86.95

HCPCS Level II Expert (Updateable)

Item # 4524 Available: Now $149.95

Stay on top of the 394 HCPCS changes in 2009.

Also available: HCPCS Expert for Payers.Visit www.shopingenix.com for details.

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2009 HCPCS Level II Professional (Softbound)

Item # HB09 Available: Now ISBN: 978-1-60151-159-1 $72.95

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ICD-10-CM Source Data File

(2007 draft)Item # 1606

Available: Now $119.95

ICD-10-CM: A Preview of the Structure and Conventions

(2007 draft)Item # 3218 Available: Now

ISBN: 978-1-56337-826-3 $89.95

ICD-10-PCS: A Preview of the Structure and Conventions

(2008 draft)Item # 1547 Available: Now

ISBN: 978-1-60151-135-5 $89.95

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ICD-10-PCS: Source Data File

(2008 draft)Item # 1799

Available: Now$119.95

The Department of Health and Human Services published a final rule setting a compliance date of October 1, 2013 for replacing the 30-year-old ICD-9-CM code set with ICD-10-CM and ICD-10-PCS.

For more information on the proposed rule and the Ingenix resources to help guide you through ICD-10, visit http://www.shopingenix.com/content/ICD10/.

ICD-10 Corner

Preview the ICD-10-CM (diagnoses) and ICD-10-PCS (inpatient procedures) classification systems.

» Prepare for the future of coding.

» Familiarize yourself with the structure and conventions of the two coding systems.

» Use the complete official guidelines to apply the coding rules correctly.

» Facilitate code searches with easy to use format in both tabular and index.

New ICD-10 CM and PCS mapping files available. Call for more information 1.800.INGENIX (464.3649), option 1.

Attention all healthcare providers and payers! ICD-�0 News Flash!

Save $��0 when you register before March ��, �00�.

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Ingenix Expert.comEasily locate all the codes you need

with the click of your mouse.

» Use a term search or scroll through

the index to access code book

sections to quickly find the code

you need.

» Get AMA, Ingenix and Medicare

color-coded edits, guidelines and

instructions all in one place!

» View large anatomical illustrations

to help you better understand

procedures and anatomy.

» Access code descriptions and clinical

information that are always current.

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P H Y CEU

Current Procedural Coding Expert.com Item # 1400 Available: Online

$74.95 Single-user. Multi-user pricing available.

ICD-9-CM Expert.com for HospitalsItem # 1403 Available: Online


ICD-9-CM Expert.com for PhysiciansItem # 1402 Available: Online


HCPCS Expert.com Item # 1401 Available: Online


Call for Multi-user pricing.

EncoderPro.comEncoderPro.com is the essential online lookup tool for

CPT®, ICD-9-CM and HCPCS codes.

EncoderPro.com

» Search across all code sets simultaneously.

» Automatic quarterly updates.

EncoderPro.com Professional Includes all the tools found in Encoder Pro.com, plus:» Local coverage

determinations (LCDs) and Medicare’s Pub.100 access.

» Modifier crosswalk.

EncoderPro.com Expert Includes all the tools found in Encoder Pro.com Professional, plus:

» Compliance Editor.

» Fee Calculator.

» New Add-on Claims Batch Editor virtually eliminates the time and cost associated with third party vendors.

XEPRC/XEPRO/XCIFC

�-on-�See website for details.

EncoderPro.com Item # 1137 Available: Online

$299.95 Single-user. Call for Multi-user pricing.

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RevenueCyclePro.comSimplify your coding and claims management while enhancing your compliance efforts

with RevenueCyclePro.com. This enterprise-wide inpatient and outpatient reference

solution compiles content hospitals need to answer questions about coding, billing,

coverage and reimbursement.

» New Feature Includes calculation for Composite APCs.

» New Feature New DRG calculator can improve estimation of expected reimbursement.

» Manage UB-04 updates, POA reporting and MS-DRGs. Updates, references and crosswalks will be available when you need them.

» Quickly access all current CPT® and HCPCS codes, ICD-9-CM codes, DRGs, APCs, fee schedules and wage indexes for inpatient and outpatient services.

» Resolve coding issues with concise descriptions, code book annotations, images and exclusive Ingenix content.

» Use the Outpatient Calculator to find the adjusted Medicare OPPS reimbursement rate for each outpatient procedure.

RevenueCyclePro.com Item # 4790 Available: Now

$2,275.95 Single-user.Call for Multi-user pricing.

UbES H Y

Chargemasteranalyzer.com™Having the right resource for CDM

maintenance can help your facility reduce

rejected claims and compliance risks.

» Integrate your CDM data into the online application and customize your line item record view using the data mapping wizard.

» Update your Chargemaster with the latest codes now. Resolve flags on potential coding and billing errors, missing charges, and compliance problems.

» Compare your charges against Medicare and peers within your area.

» Get monthly updates with the latest codes.

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Automate maintenance of your chargemaster with this easy, online application.




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DrugReimbursement.comUse this online drug coding and reimbursement reference tool to access up-to-date

Medicare coding, billing and reimbursement information for FDA-approved drug codes.

aSCExpert.com Access the billing, coding and payment resources you need to achieve accurate

reimbursement under the Medicare ASC payment system. ASCExpert.com is

continuously updated with freestanding ASC coding, coverage, and reimbursement

changes for 2009.

» Easily search for ICD-9-CM, CPT® codes and HCPCS Level II codes.

» Crosswalks provide quick links from clinical codes to CMS source documentation, billing and reimbursement information.

» Compliance Editor helps you manage the ABN process to reduce denials.

» Directly link to Pub. 100 references, LCD and NCD policies.

» Use the wage-adjusted ASC payment calculator to validate expected reimbursement, identify underpayments, and determine patient co-payment amounts.

DrugReimbursement.com Item # 1022 Available: Now

$499.95 Single-user.Call for Multi-user pricing.

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ASCExpert.com Item # 1373 Available: Now


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» Search by CPT® code, HCPCS Level II

code, NDC, drug name (brand or generic),

ICD-9-CM code or manufacturer.

» Crosswalks of approved NDCs to CMS-

billable drug codes.

» Access current and historical Part B

ASP, APC/OPPS, and AWP drug pricing

information.



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» Organized by CPT® code for easy and

logical lookup.

» Get information faster with crosswalks

to ICD-9-CM diagnosis, procedure and

anesthesia codes.

» Minimize claim denials and help

avoid audits with Medicare Pub. 100

guidelines for follow-up days and

assistant-at-surgery.

» Medicare RVUs for surgery and

diagnostic procedures included.

» Quickly identify newly prohibited coding

and billing combinations and reduce

audit risk with CCI edits delivered to your

desktop via e-mail.

2009 Coding Companions®

Boost your coders’ efficiency with Coding Companions®, specialty-specific books

that offer the most up-to-date coding information in a quick-search format. These

valuable resources contain 2009 CPT® and ICD-9-CM code sets specific to your

specialty. Find all the information you need for each code on a single, illustrated

page: clear, concise descriptions, as well as coding tips, terminology, cross coding,

Medicare RVUs and Pub. 100 references.

AGEN APEDATObAENTP H Y P H Y P H Y P H Y

Simplify coders’ jobs with these quick-find reference guides.


New for 2009

2009 Coding Companions® Title Item No. ISbN Coding Companion® for Cardiology/Cardiothoracic Surgery/Vascular Surgery A1645 978-1-60151-164-5Coding Companion® for Emergency Medicine A1751 978-1-60151-175-1Coding Companion® for ENT/Allergy/Pulmonology A1713 978-1-60151-171-3Coding Companion® for General Surgery/Gastroenterology A1690 978-1-60151-169-0Coding Companion® for Neurosurgery/Neurology A1768 978-1-60151-176-8Coding Companion® for OB/GYN A1621 978-1-60151-162-1Coding Companion® for Oncology/Hematology A1720 978-1-60151-172-0Coding Companion® for Ophthalmology A1638 978-1-60151-163-8Coding Companion® for Orthopaedics—Lower: Hips & Below A1706 978-1-60151-170-6Coding Companion® for Orthopaedics—Upper: Spine & Above A1652 978-1-60151-165-2New Coding Companion® for Pediatrics A2246 978-1-60151-224-6Coding Companion® for Plastics/OMS/Dermatology A1669 978-1-60151-166-9Coding Companion® for Podiatry A1744 978-1-60151-174-4Coding Companion® for Primary Care A1683 978-1-60151-168-3Coding Companion® for Radiology A1676 978-1-60151-167-6Coding Companion® for Urology/Nephrology A1737 978-1-60151-173-7 Available: Now $199.95 each

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New for 2009

2009 Code PathwaysA great supplement to your Coding

Companion®, Code Pathways provides a

time-saving reference tool for quick and

accurate coding of complex procedures.

Specialty-specific, these laminated flip

charts provide guidance and simplify

procedure code selection by mapping out

various options.

» Minimize claim denials with Medicare payer

and Pub. 100 references.

» Access specialty-specific ICD-9-CM,

HCPCS Level II and CPT® code sets.

» CCI edit updates delivered to your desktop

via e-mail.

2009 Coding and Payment GuidesThe 2009 Coding and Payment Guide is a one-stop

coding, billing and documentation resource for

submitting accurate claims.

SPT P H Y

Discount for APTA members

2009 Coding and Payment Guide for the Physical TherapistItem # SPT09 Available: Now

ISBN: 978-160151-182-9 $179.95

SYCH P H Y

2009 Coding and Payment Guide for Behavioral Health Services

Item # SYCH09 Available: Now ISBN: 978-160151-183-6 $179.95


SAP P H Y

2009 Coding and Payment Guide for Anesthesia Services

Item # SAP09 Available: Now ISBN: 978-160151-184-3 $179.95

SlAb P H Y

2009 Coding and Payment Guide for Laboratory Services

Item # SLAB09 Available: Now ISBN: 978-160151-185-0 $179.95

Includes the information

from the Laboratory

Cross Coder on CD

Title ISBN Item#

Code Pathways for Dermatology 978-1-60151-213-0 1715New Code Pathways for ENT/Pulmonology 978-1-60151-223-9 1721Code Pathways for General Surgery 978-1-60151-214-7 1714Code Pathways for OB/GYN 978-1-60151-209-3 1716Code Pathways for Ophthalmology 978-1-60151-210-9 1717Code Pathways for Orthopaedics–Lower Hips & Below 978-1-60151-212-3 1718Code Pathways for Orthopaedics–Upper Spine & Above 978-1-60151-211-6 1719Code Pathways Urology and Nephrology 978-1-60151-215-4 1720

Available: Now $59.95 each

2009 Code Pathways


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» Numerical organization by CPT® code

allows for quick location of diagnosis and

procedure code information.

» Appendix offers a quick reference for

add-on and unlisted codes, along with

CPT® and HCPCS modifiers.

» Referencing clear explanations of CPT®,

ICD-9-CM, and HCPCS Level II codes

help reduce erroneous claim submissions.

» Icons help identify the most accurate use

of ICD-9-CM codes.

2009 Cross CodersBridge the gap between common codes with cross-coding resources that help improve

coding consistency and compliance with essential links from CPT® codes to the

appropriate ICD-9-CM and HCPCS Level II codes.

RCC SCC ACCP P P H YH YH Y

2009 Radiology Cross Coder Item # 1920 Available: Now

ISBN: 978-1-60151-178-2 $174.95

2009 Surgical Cross Coder Item # 1923 Available: Now

ISBN: 978-1-60151-177-5 $174.95

2009 Anesthesia Cross Coder Item # 1921 Available: Now

ISBN: 978-1-60151-180-5 $174.95


2009 Coding Guide for Dental ServicesCode common dental procedures more

efficiently with a comprehensive claims

processing, reimbursement, billing and

fee setting and documentation resource.

Includes definitions and guidelines for

current ICD-9-CM, CPT®, HCPCS Level II

and 2009-2010 CDT codes.

CGDS P

2009 Coding Guide for Dental Services Item # 1896 Available: Now

ISBN: 978-1-60151-186-7 $119.95

2009 Procedural Cross CoderSave time with an ideal tool for

efficiently coding both inpatient and

outpatient procedures. Crosswalks

from ICD-9-CM procedure to HCPCS

Level II and CPT® codes allow you to

complete claims requiring both using

a single resource.

PCC H Y

2009 Procedural Cross Coder Item # 1922 Available: Now

ISBN: 978-1-60151-181-2 $159.95


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2009 Fast FindersMake coding faster and easier with

these double-sided, laminated sheets

each containing approximately 300

commonly reported codes for your

specialty.

» Alphabetically arranged for quick

location.

» Short, functional code descriptions.

2009 E/M Fast FinderAssign the evaluation and management codes that

are part of the 99000 series of the CPT® code set with

the E/M Fast Finder for 2009. It’s the durable, carry-

along reference that enables level, difficulty and other

determinations for each E/M code in the exam room,

lab or office—anywhere you go.

2009 E/M Fast FinderItem # 1254 Available: Now

ISBN: 978-1-60151-201-7 $39.95

EMFF P H CEU

ICD-9-CM Fast Finder 2009

Ob/Gyn

Abortion631 Blighted ovum629.81 Habit abort w/o curr preg632 Missed

Spontaneous634.92 Complete634.91 Incomplete634.90 Unspecified

AIDS and STDsAIDS

V08 HIV, asymptomaticV65.44 HIV, counseling042 HIV, symptomatic078.11 Condyloma acuminatumV01.6 Exposure to STD078.19 Genital warts

Gonococcal infection098.10 Acute, upper GU tract098.11 Cystitis (acute)098.31 Cystitis (chronic)

Herpes054.10 Genital (simplex), NOS054.12 Vulva, ulceration054.11 Vulvovaginitis079.4 Human papilloma virus (HPV)

Syphilis092.0 Early, latent, serological

relapse after tx091.0 Genital chancre (primary)

Breast611.0 Abscess

Abnormal mammogram793.81 Microcalcification793.89 Other

Benign dysplasia610.1 Diffuse cystic mastopathy610.2 Fibroadenosis610.0 Solitary cyst611.6 Galactorrhea (not obstetrical)611.72 Lump/mass611.0 Mastitis611.71 Mastodynia611.79 Nipple inversion/discharge

ContraceptionCounseling/management

V25.03 Emerg contraceptive counselV25.02 Fitting, diaphragmV25.01 Prescription, oralV25.02 Prescription, vaginal agentsV26.4 Procreative, general

Follow-upV25.43 Implantable subdermalV25.42 IUDV25.41 Oral agent prescrip

InsertionV25.5 Implantable subdermal V25.1 IUDV25.2 Sterilization

Diabetes MellitusRequires fifth digit:0 type II or unspec type, not stated as

uncontrolled; assign for type IIregardless of insulin requirement;assign V58.67 for long-term insulin use

1 type I, not stated as uncontrolled 2 type II or unspec type, uncontrolled;

assign for type II regardless of insulinrequirement; assign V58.67 for long-term insulin use

3 type I, uncontrolled250.0_ w/o complication

Diseases of Ovary/FallopianTube/Pelvis/Peritoneum614.8 Oth spec inflam dz of pelvic

organs & tissues614.3 Parametritis/pelvic

cellulitis, acute614.4 Parametritis/pelvic

cellulitis, chronic614.9 PID

Salpingitis and oophoritis614.0 Acute614.1 Chronic614.2 Unspecified

Endometriosis617.2 Fallopian tube617.1 Ovary617.3 Pelvic peritoneum617.0 Uterus/cervix

Estrogen receptor statusV86.1 Negative [ER-]V86.0 Positive [ER+]

Exam/ScreeningOther exam

V26.21 Fertility testingV67.01 Follow-up pap smear after surgV76.11 Mammogram, high riskV72.41 Preg exam, negativeV72.42 Preg exam, positiveV72.40 Preg exam, unconfirmedV72.84 Preoperative, NOSV72.31 Routine gynecologicalV72.32 Smear to confirm recent

norm follow abnorm smear

ScreeningV73.88 Chlamydial disease, specifiedV26.31 Genet dz carrier status, femV26.32 Genet testing, otherV76.19 Neop, breast exam, otherV76.2 Neoplasm cervix, malignantV76.50 Neoplasm, intestineV76.46 Neoplasm, ovaryV76.47 Neoplasm, vaginaV77.0 Thyroid disordersV74.5 Venereal disease

General Signs/SymptomsAbdomen

789.04 Pain, left lower quadrant789.07 Pain, generalized789.03 Pain, right lower quadrant

Anemia280.0 Due to chronic blood loss285.9 Unspecified

Backache724.2 Lumbago V49.84 Bed confinement status626.7 Bleeding, postcoital780.6 Fever784.0 Headache455.6 Hemorrhoids, unspecified

Hypertension, nonpregnant401.1 Benign796.2 Elevated BP w/o HTN dx

Nausea787.02 Alone787.01 w/vomiting278.00 Obesity, unspecified629.89 Oth spec disor, fem gen org625.0 Painful intercourse

Pelvis swelling, mass or lump789.34 Left lower quadrant789.33 Right lower quadrant

Genital mutilation status629.21 Clitorectomy629.22 Clitorec w/excis of lab min629.23 Infibulation629.29 Other629.21 Type I629.22 Type II629.23 Type III

629.29 Type IV629.20 Unspecified

Infertility628.0 Anovulation628.8 Other specified origin628.2 Tubal origin628.9 Unspecified origin

Lab findings, abnormal795.81 Elevated CEA795.82 Elevated CA 125795.89 Other abn tumor markers

Menopause627.4 Artificial stateV49.81 Asymptom, age-rel status

Bleeding627.1 Postmenopausal627.0 Premenopausal627.2 Climacteric states V07.4 Hormone replace therapy256.31 Premature627.3 Vaginal atrophy

Menses626.0 Absence625.3 Dysmenorrhea626.2 Excessive/frequent626.4 Irregularity626.6 Metrorrhagia625.2 Mittelschmerz625.4 Premenst tension syn (PMS)626.1 Scantiness/infrequency626.8 Uterine hemorrhage

NeoplasmBenign

217 Breast221.0 Fallopian tube220 Ovary221.1 Vagina221.2 Vulva

Carcinoma in situ233.0 Breast233.1 Cervix uteri233.3 Genitalia, NOS233.2 Uterus, NOS

Malignant174.6 Breast, axillary tail174.8 Breast, contiguous/other174.4 Breast, upper, outer180.8 Cervix, other site180.9 Cervix uteri, NOS182.0 Corpus uteri, exc isthmus180.0 Endocervix180.1 Exocervix183.2 Fallopian tube182.1 Isthmus184.1 Labia majora184.2 Labia minora183.0 Ovary182.8 Uterine body, other spec184.0 Vagina184.4 Vulva, NOS

3745

Lactiferous ducts

Glandlobules

Pectoralismuscle

Fat

Cervix

Dysplasia is abnormal development of breast tissue; fibroadenosis is a degeneration of gland tissue marked by formation of fibrous nodules

Salpingitis is aninflammation of thefallopian tube whileoophoritis pertains

to the ovary; metritisis an inflammation

of the uterus

Broadligament

Uterus

NippleAreola

Areolarglands

Fallopian tubeUterus

Vaginalcanal

Ovary

IFAST P H Y CEU

2009 ICD-9-CM Fast Finders Available: Now

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2009 HCPCS Level II Fast Finders Available: Now

$27.95

2009 2009 ICD-9-CM HCPCS2009 Fast Finder Description Item# Item#

Allergy and Immunology 2121 behavioral Health 2122 Cardiology 2123 Cardiovascular/Thoracic 2124 Chiropractic Medicine 2125 Dental/OMS 2126 Dermatology 2127 Drug Codes 1561Emergency Medicine 2128 Endocrinology 2129 ENT 2130 External Causes - E Codes 2131 Family Practice 2132 Gastroenterology 2133 General Surgery 2134 Hematology Oncology 2135 Home Health 1562Infectious Diseases 2136 Modifiers 1563Neurology/Neurosurgery 2137 OB/GYN 2138 Ophthalmology/Optometry 2139 Orthopaedics 2140 Orthotics 1564Pain Management 2141 Pediatrics 2142 Physical Medicine/Rehabilitation 2143 Physician Office Supplies 1565Physical Therapy 2144 Plastic and Reconstructive Surgery 2145 Podiatry 2146 Primary Care/Internal Medicine 2147 Prosthetics 1566Signs and Symptoms 2148 Urology/Nephrology 2149 V Codes 2153 Vision and Hearing 1567

Available: Now Now


For use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See table of contents.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See table of contents.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See table of contents.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH YFor use by Physicians & Clinics For use in Hospitals & Facilities For use by Payers Earn CEUs. See page 45.P CEUH Y

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Encoder ProEncoder Pro is the essential lookup tool for CPT®, ICD-9-CM and HCPCS codes.

Encoder Pro

» Search across all code

sets simultaneously.

» Automatic quarterly

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Encoder Pro Professional

Includes tools found in

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» Modifier crosswalk.

Encoder Pro Expert

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Professional, plus:

» Compliance Editor.

» Fee Calculator.


Code It Fast I-9Code It Fast I-9 is a desktop/network application that delivers fast, efficient ICD-9-CM

code lookup in a desktop application. This tool references all Volume 1 diagnosis.

» Use the fast search engine to quickly

look up clinically accurate diagnosis and

procedure codes by term.

» Reduce research time and improve coding

accuracy with handy color-coded edits and

network-shareable notes.

» Quickly reference code selection and its

appropriate diagnosis-related group, using

the DRG crosswalk.

» Quickly reference code selection and its

appropriate diagnosis-related group, using

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2009 Coders’ Desk Reference for ProceduresMaster CPT® codes and details, plus

improve your accuracy for Medicare

code selection with the comprehensive

guide to procedural coding.

» Contains over 8,000 CPT® codes and more than 6,000 lay descriptions of CPT® procedures.

» Anatomical illustrations of body sites described in operative reports.

» Reduce research time and improve accuracy with modifier definitions,

narrative descriptions and rules.

2009 Coders’ Desk Reference for DiagnosesFor clinical, coding and documentation

guidance beyond the ICD-9-CM book,

turn to the Coders’ Desk Reference for

Diagnoses.

» Ingenix edge® Learn about the changes

for 2009 with complete information on

new codes and their impact on coding

practices.

» Select codes using detailed, clinical

explanations, coding tips and scenarios.


CDR P H Y CEU

2009 Coders’ Desk Reference for Procedures

Item # 1329 Available: NowISBN: 978-1-60151-200-0 $134.95

IDR P H Y CEU

2009 Coders’ Desk Reference for Diagnoses

Item # IDR09 Available: NowISBN: 978-1-60151-136-2 $134.95

IDR3 H Y

2009 Coders’ Desk Reference for ICD-9-CM Procedures


2009 Coders’ Desk Reference for ICD-9-CM ProceduresThis reference guide describes all ICD-9-CM

procedures in full detail with complete coding

advice.

» Ingenix edge® Updated to include detailed clinical

information and coding tips with scenarios for all

the new ICD-9-CM procedure codes for 2009.

» Select the right ICD-9-CM code every time

using detailed descriptions, coding advice

and scenarios.

» ICD-9-CM procedural coding instruction. Helps

you understand the conventions and guidelines

of ICD-9-CM procedure coding.


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CDRH P H Y CEU

XID

ID P Y

2009 Insurance Directory Data FileItem # 1582 Available: Now

ISBN: 978-1-60151-195-9 $499.95

2009 Insurance Directory Item # 1581 Available: Now

ISBN: 978-1-60151-194-2 $79.95

2009 Coders’ Desk Reference for HCPCS Level IIItem # 1514 Available: Now

ISBN: 978-1-60151-161-4 $134.95

2009 Coders’ Desk Reference for HCPCS level IISimplify the rules governing HCPCS codes.

» More than 3,000 alphanumerical

HCPCS Level II codes with lay

descriptions for more than 2,000 codes.

» Modifier definitions, diagnosis code

suggestions and usage rules help

you choose mofiferes and E/M codes

accepted by payers.

2009 Insurance DirectoryMost insurance companies have had a

change in their contact information over

the past year. Stay up-to-date with the

Insurance Directory, a complete, updated

resource of insurance company information.

» New Listing of payers capable

of receiving electronic billing and

attachments.

2009 Physicians’ Guide to Implementing the Medicare Quality Reporting InitiativeOwn the information and tools you need to help

capture the bonus payment for quality reporting

to Medicare.

» Gain in-depth understanding with detailed explanations and supporting information on all reporting guidelines and issues.

» Have all 175 quality reporting measures at your fingertips, including 62 new for 2009.

» Now includes two searchable CDs of quality measure codes, cross coding information and flow charts.

» Access code linkage information for ICD-9-CM, CPT® or CPT® Level II/HCPCS codes.

GIR HP

New-CD now contains code linkage information.

2009 Physicians’ Guide to Implementing the Medicare Quality Reporting Initiative

Item # 1645 Available: Mar 2009 ISBN: 978-1-60151-249-9 $229.95


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2009 Coders’ DictionaryUnlike other medical dictionaries, the

Coders’ Dictionary lays the groundwork

for understanding medical terminology

from a coder’s perspective. Ingenix has

developed this dictionary with the specific

needs of medical coders, admitting clerks,

billers and adjudicators in mind.

.

» Updated to include more than 8,000

alphabetic entries and 250 illustrations

for terminology key to code selection.

» Clear, concise definitions for clinical,

coding, billing and reimbursement terms.


TCD P H

2009 Coders’ DictionaryItem # 1517 Available: Now

ISBN: 978-1-60151-199-7 $99.95

ATK P H Y

2009 Auditing Tool KitItem # 1572 Available: Feb 2009ISBN: 978-1-60151-191-1 $199.95

New, convenient softbound format

2009 auditing Tool KitThis resource helps guide your

internal auditing processes

and improve billing and coding

accuracy—so you can comply with

Office of Inspector General (OIG)

standards and the annual work plan.

» Equip yourself with the latest auditing

forms to improve your audits and

processes.

» Quickly access the forms and

terms you are seeking with a

searchable CD with topics

organized in an A-to-Z format.

CPTC P H Y

2009 CPT® Changes: An Insider’s ViewItem # CI09 Available: Now

ISBN: 978-1-60359-059-4 $67.95

2009 CPT® Changes: an Insider’s ViewCPT® Changes: An Insider’s View outlines the

specific changes to the CPT® code set for 2009,

provides the official rationale behind the changes

and explains the impact on reporting and

reimbursement for medical services. It includes

all new, revised and deleted codes.

» Organized by CPT® code section and code

number to easily find codes.

» Illustrations demonstrate how to use new

codes.

» Clinical examples describe how services

included in new CPT® codes are performed.

» Coding and billing tips focus on rules for billing.


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HIPaa Tool Kit

The HIPAA Tool Kit thoroughly explains

HIPAA requirements, and helps you

achieve and maintain compliance.

» Security implementation guidance

provides the latest rules, regulations

and strategies.

» Customizable training presentations in

PowerPoint format are provided in the

eBook.

» Assessment and implementation

guidance and templates help achieve

compliance.

Denial Management Tool KitThe Denial Management Took Kit helps

you understand your denials, better

manage your claims process and learn

what actions to take for a quicker

turnaround time on your reimbursement.

» Understand how to efficiently resolve

denied claims and receive your money

faster.

» Quickly respond to payer inquiries and

take the necessary corrective action.

» Reduce claim denials and delays.

» Simplify your transition to electronic

claim submission.

» Understand what Medicare will cover

as the secondary payer.

» Print templates to help improve your

appeals process.

» Updated twice a year to keep you

informed of the latest Medicare

changes.

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HIPAA Tool Kit eBookItem # 2240 Available: Now

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The all-in-one resource for managing your auditing process.

The complete guide to managing your claims process!

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Denial Management Tool KitItem # 3249 Available: Now

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Power Point Presentation Included


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2009 DRG ExpertImprove reimbursement management with

DRG Expert, a comprehensive resource

for accurate MS-DRG assignment and

validation. DRG Expert is organized by

major diagnostic categories and designed

to follow the logical decision process.

» Ingenix edge® Updated CMS rates for current

relative weight, geometric length of

stay and average length of stay for each

MS-DRG under both the IPPS and LTCH

IPPS.

» Ingenix edge® Current MS-DRG structure.

Diagnosis and procedure codes that

define each DRG are listed.

» Ingenix edge® Ingenix hallmark color coding.

Easily identify CC and MCC restrictions,

PDx and SDx qualifications, special

payment transfer DRGs, surgical/medical

partitioning and other requirements.

» Ingenix edge® Valuable resources are at your

fingertips. Easily find national average

payment, CC and MCC lists, CMS-DRG

to MS-DRG mapping table, surgical

hierarchy tables, transfer DRG lists and

MDC diagnosis lists.

2009 DRG Desk ReferenceAccess crucial information to accurately

guide and improve MS-DRG assignment

and reference advice on clinical

indicators of CC and MCC conditions.

» Updated with over 400 pages of vital

new information containing the latest

MS-DRG optimizing tips.

» Documentation Specificity Tables help

differentiate between non-specific and

specific codes by identifying clinical

indicators and treatment information to

potentially move a non-CC code to

a CC/MCC designation.

» Targeted DRG documentation and

coding advice based on past DRG

auditing activities performed by the OIG.

» New information on RAC program to

help you understand types of reviews,

target strategies, targeted and top

audited DRGs.

» Tutorials demonstrate how to audit

DRGs and document POA.

» Includes list with expanded Hospital

Acquired Conditions (HACs).

» DRG decision trees outline the logic

behind assigning a DRG within an MDC.

DDR H

DDRCD H

2009 DRG Desk ReferenceItem # 1294 Available: Now

ISBN: 978-1-60151-149-2 $199.95

2009 DRG Desk Reference eBook

Item # 1589 Available: NowISBN: 978-1-60151-150-7

$199.95

DRG Y

DRGCD Y

2009 DRG ExpertItem # 1349 Available: Now

ISBN: 978-1-60151-145-4 $119.95

2009 DRG Expert eBookItem # 1361 Available: Now

ISBN: 978-1-60151-146-1 $119.95

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UbE

Uniform Billing EditorAccess detailed information about

Medicare and UB-04 billing rules, as

well as 837i requirements. Use this

tool daily to navigate the requirements

for each billing type and manage the

constant changes to Medicare billing

and reimbursement.

» Quickly link HCPCS and CPT® codes

to applicable revenue codes to

prevent mismatches and rejections.

» Crosswalk from UB-04 to UB-92

and 837i institutional claim data and

billing rules.

» Find topics via field locators, revenue

codes and coding structures—all

fully indexed and tabbed for quick

reference.

» Identify data inconsistencies,

potential rejections and denials

through OCE and MCE edits.


H Y

UbECD H Y

Outpatient Billing ExpertThis reference tool is a one-source guide

for both the free-standing ASCs impacted

by the new ASC payment system and

HOPDs paid under the APC system. The

Outpatient Billing Expert also provides

APC and ASC groups, reimbursement

amounts coverage issues and information

on what is not covered.

» Keep all billing accurate with the most

current code sets, rates and groups.

» Includes comprehensive coverage of

both ASC and APC payment systems.

» Contains information used daily by

HOPD and ASC facilities to resolve

billing and denial issues and establish

payment and audit reimbursement

processes.

» eBook exclusive! APC and ASC

payment finders, OPPS CCI edits, plus

complete coverage of OCE and MCE

editing systems.

» Stay current with regulatory changes

specific to your facility by accessing

updates on our website.

ObE H

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Uniform Billing Editor

Item # 4787 Available: Now

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Outpatient Billing Expert


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Uniform Billing Editor eBook


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Outpatient Billing Expert eBook


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2007 Hospital Professional Billing EditorConquer the coding, billing and reimbursement issues

associated with billing professional services provided

by hospital-based physicians. Understanding the

differences in billing requirements for the professional

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