Now enhanced with a new, bolder font to improve readability, the Ingenix ICD-9-CM for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices helps ensure you stay current with a comprehensive resource designed specifically to address the challenges of SNF, IRF, and hospice services. Loaded with innovative features and content to address regulatory changes and challenges, this resource incorporates critical coding and reimbursement edit alerts designed specifically for these types of facilities for increased coding precision and efficiency.
Key Features and Benefits:
- IngenixEdge — ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work.
- IngenixEdge — Highlighted coding informational and instructional notes. Recognize important code usage guidance for specific sections more easily with highlighted notes.
- IngenixEdge — ICD-9-CM Code Changes: An Insider's View. Find detailed, chapter-by-chapter clinical and coding tips for new 2012 codes in a single resource.
- 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 — Intuitive color-coded symbols and alerts. Identify critical coding and reimbursement issues specific to skilled nursing, inpatient rehabilitation, and hospices with alerts on the same page as the code you need.
- IngenixEdge — "Unspecified" and "Other" code alerts. Find official coding guidance that suggests home health agencies avoid using diagnoses that are unspecified or vague.
- IngenixEdge — V-code symbols. Understand the appropriate use of V-codes that may only be sequenced as first-listed diagnosis for cleaner claim submissions.
- IngenixEdge — 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).
- IngenixEdge — Adjunct procedure code alert. Learn how to properly use ICD-9-CM procedure codes that provide additional information only and cannot be used alone.
- IngenixEdge — 10 Steps to Correct Coding. Receive step-by-step instructions to improve coding accuracy and more effectively use ICD-9-CM conventions.
- Expanded postacute coverage. Get essential coding and reimbursement edits and resources specifically for skilled nursing facilities (SNF), inpatient rehabilitation facilities (IRF), and hospices.
- 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.
- Wrong surgery edit. Identify cases in which the wrong surgery was performed and are then exempt from reimbursement.
- Illustrations and definitions. Gain in-depth understanding of anatomy and disease processes with clinically-oriented definitions and illustrations.
Also includes these traditional Ingenix hallmark features:
- 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.
Exclusive Skilled Nursing Facility features:
- Code of Federal Regulations 42CFR Parts; Resource Utilization Groups (RUGs). Strengthen reporting and reimbursement by understanding patient classification groups of the new skilled nursing facility (SNF) prospective payment system (PPS).
- Color-coding for RUG classification. Know the ICD-9-CM diagnosis and procedure codes that may qualify an SNF patient for assignment to a particular clinical category for accurate claim submission under the new reimbursement system.
- Official coding guidelines specific to long-term care facilities. Ensure compliance with detailed coding guidance.
- Exclusive Hospice Services features:
- Guidelines for Medicare non-cancer hospice coverage. Understand criteria for a non-cancer patient to be eligible for hospice care to reduce delays and denials of claim submissions.
- Color-coding for hospice non-cancer diagnosis codes. Know at a glance which diagnosis codes qualify a non-cancer patient for hospice care.
- Exclusive Inpatient Rehabilitation Facilities features:
- Color-coding for CMG classification system. Ensure accurate claim submission by knowing the ICD-9-CM diagnosis that may qualify an IRF patient for assignment to a particular impairment group (RIC) under the reimbursement system.
- Symbol alerts for CC conditions. Identify when to report a CC when the condition will impact CMG payment.
- RIC exclusion alert. Know when certain comorbidity and complication diagnoses are excluded as qualifying secondary conditions for specific RICs.
- Excerpts from the IRF Prospective Payment System Final Rule. Enhance revenue forecasting by understanding the prospective payment system and how it will affect overall reimbursement of home health services.
- Rehabilitation impairment group list. Get a quick reference to all RICs and the diagnosis code grouped to each.
- List of RIC comorbid conditions. Use as a quick reference for all diagnosis codes that qualify for payment adjustments along with any specific RIC exclusions.
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