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One Resource Customized to the Needs of Payer Organizations
Review and respond to appeals for denied claims in a more effective and efficient way with a comprehensive ICD-9-CM product specifically designed for you. Unlike other resources, this unique tool combines all the coding and reimbursement guidance and exclusive features of all our ICD-9-CM Expert coding products into a comprehensive ICD-9-CM reference tool. Plus, this code book supports HIPAA compliance.
Exclusive features help you meet your business goal of ensuring that claims are paid appropriately and in a timely manner. This code book includes symbols, color coding, resources and annotations to help you identify critical coding and reimbursement issues.
Features and Benefits:
- New Feature! Ingenix Edge — Severity of Illness Alerts. All the new classes of PDx and SDx that will dramatically affect reimbursement under the new DRG system are identified.
- New feature! Ingenix Edge — Present on Admission Indicators. New resource provides additional explanation and examples to simplify POA.
- Ingenix Edge — Includes All Major Medicare Code Edits for Each Prospective Payment System. Knowing the edit rules for each of the prospective payment systems that the provider must follow provides that extra advantage in decision making.
- Ingenix Edge — Additional Digit Requirement. Symbols in the index and the tabular identify codes as invalid without a fourth or fifth digit.
- Ingenix Edge — Pharmacological Listings. Link drug treatment with disease processes to identify conditions that may affect DRG assignment.
- Ingenix Edge — CC Code List, CC Diagnosis Alerts, Listing of Excluded PDx for Each CC. Quickly identify complications and comorbidities that affect DRG assignment and know at a glance if the CC code you are assigning will affect DRG assignment based upon the established principal diagnosis (PDx) for the case—helping improve the accuracy of DRG selection and enhance reimbursement.
- Ingenix Edge — Dx/MDC/DRG List. Save time by conducting quick audits.
- Ingenix Edge — Valid Three-digit Code List. Know whether a three-digit code is valid while reviewing claims.
- Ingenix Edge — AHA Coding Clinic References. Browse concise summaries of AHA Coding Clinic topics quickly.
- Targeted DRG Alert Symbol. Know if a principal diagnosis that groups to a targeted DRG has been assigned.
- List of ‘Unspecified” and “Other” Diagnosis Codes. Be alerted to codes that should be used only when the medical record documentation does not contain enough information to assign a more specific code or when a more specific code for the diagnosis is not available.
- Primary and Secondary Dx in the Clinical Dimension of the HHA. Quickly identify primary and secondary diagnoses that group a patient to clinical dimensions, helping to ensure appropriate reimbursement.
- RUG III Special Care Diagnoses and Procedure Codes, Clinically Complex Diagnoses and Procedures, Rehabilitation Procedure Codes, Extensive Service Procedure Codes. Recognize which ICD-9-CM diagnosis and procedure codes qualify a SNF patient for assignment to a particular clinical category under the new reimbursement system for accurate claim submission
- Hospice Noncancer Dx Codes for Medicare. At a glance know which diagnosis codes may qualify a noncancer patient for hospice care before submitting a claim.
- 10 Steps to Correct Coding Tutorial. Step-by-step instruction to improve coding audit accuracy.
- V Code Designated Use Table. Quickly identify when V codes can be used only as a primary or only as an additional diagnosis.
- Definitions and Illustrations. These clinically oriented features facilitate coding reviews.
- A Summary of the Code Changes. Stay current with the latest code changes.
- Earn 1 Continuing Education Unit Per Scenario from the American Academy of Professional Coders.
