New for 2012 — Hospice non-cancer diagnosis alerts for those home health agencies that also support hospice services. Now enhanced with a new, bolder font to improve readability, turn to the most comprehensive resource that addresses the specific challenges of diagnosis coding for the Home Health Agency — the Ingenix ICD-9-CM Expert for Home Health. Loaded with innovative features and content, this resource helps you comply with HIPAA code set regulations in a format that facilitates more precise and accurate coding.
Key Features and Benefits:
- NEW — Color-coding for hospice non-cancer diagnosis codes. Know at a glance which diagnosis codes qualify a non-cancer patient for hospice care.
- IngenixEdge — ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work.
- IngenixEdge — Chapter coding insights. Get tips on coding conventions and guidelines for every chapter with case scenarios — including OASIS code assignment tips.
- IngenixEdge — ICD-9-CM Code Changes: An Insider's View. Find detailed, chapter-by-chapter clinical and coding tips for new 2012 codes for training at your fingertips all year.
- IngenixEdge — AHA's Coding Clinic and official coding guideline tips. Use citations to link to the official coding advice every coder in every health care setting must follow for ICD-9-CM and find official coding tips with the codes.
- IngenixEdge — Highlighted coding instructional and informational notes. Recognize important code usage guidance for specific sections more easily with highlighted notes.
- IngenixEdge — "Unspecified" and "Other" code alerts. Find official coding guidance that suggests home health agencies avoid using diagnoses that are unspecified or vague.
- IngenixEdge — Color-coding and symbols specific to the home health PPS. Quickly identify coding and reimbursement issues specific to home health for improved coding accuracy and work efficiency.
- Notations for diagnoses that group to clinical dimension. Expedite identification of diagnoses that group a patient to expanded clinical dimensions case mix groups to ensure appropriate reimbursement.
- Non-Routine Supply (NRS) diagnosis alert. Every condition that may qualify to receive non-routine supply reimbursement adjustment is identified.
- Manifestation code alert. Properly use codes that represent manifestations of underlying disease by knowing when two codes are required and by knowing alerts to sequencing rules.
- Clinical dimensions case-mix group lists. Access comprehensive coverage and edits for newly expanded clinical dimensions case mix groups effective January 1, 2009 (Tabular Sections).
- Medicare Home Health Manual Chapter 7. Improve overall coverage decisions with quick access to coverage information and qualifications for home health services.
- Updated excerpts from the Home Health Prospective Payment System Final Rule. Forecast revenue more proficiently with increased understanding of the prospective payment system and how it will affect overall reimbursement for home health services.
- Case mix adjustment variables and scores table. Access a quick reference for the three dimensions of case mix.
- Selection and assignment of OASIS diagnosis tutorial. Receive instructions that include easy-to-follow flow diagrams for selecting the appropriate primary and secondary diagnoses.
- Diagnosis categories for non-routine supplies case mix adjustment table. Refer to a listing of the main categories with ICD-9-CM codes, manifestation alert, and short code description for quick reference.
- FREE — Case mix quick-pick fast finder for home health, skilled nursing facilities, inpatient rehabilitation facilities, and hospices. Have a quick reference list of codes at your fingertips that impact a case's mix.
Also includes these traditional Ingenix hallmark features:
- V-code symbols. Understand the appropriate use of V-codes that may only be sequenced as first-listed diagnosis for cleaner claim submissions.
- Additional digit required symbols. Pinpoint when an additional fourth or fifth digit is required for code specificity and validity to avoid invalid code submissions (provided in Index and Tabular Section).
- Illustrations and definitions. Gain in-depth understanding of anatomy and disease processes with clinically-oriented definitions and illustrations.
- Adjunct procedure code alert. Learn how to properly use ICD-9-CM procedure codes that provide additional information only and cannot be used alone.
- Wrong surgery edit. Identify cases in which the wrong surgery was performed and are then exempt from reimbursement
- 10 Steps to Correct Coding. Receive step-by-step instructions to improve coding accuracy and more effectively use ICD-9-CM conventions.
- New and revised code alerts with dated pages. Know which codes and instructions are new or revised, with dates on the page indicating when the change was made.
- Synopsis of code changes. Perform accurate retrospective claim audits with new code information for the year.
- Hallmark page design and features. Locate information quickly with a user-friendly page design, including dictionary-style headers, Quickflip TM color bleed tabs, and legend keys.
- HIPAA compliance. Comply with HIPAA transaction and code set requirements to avoid delayed or denied claims and costly fines for violations.
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