Now enhanced with a new, bolder font to improve readability, the Ingenix ICD-9-CM Expert for Hospitals and Payers continues to provide accurate and comprehensive coverage for diagnosis coding and reimbursement. Loaded with innovative features and content to address regulatory changes and coding challenges, Ingenix experts study industry changes and trends while seeking feedback from coding professionals to ensure your code book provides accurate and up-to-date information in an easy-to-use, intuitive format. Remain a step ahead with a resource that's designed to enhance performance in your daily work.
Exclusive to the Expert edition:
- IngenixEdge — ICD-9-CM Code Changes: An Insider's View. Find detailed, chapter-by-chapter clinical and coding tips for new 2011 codes in a single resource.
- IngenixEdge — ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work.
- IngenixEdge — Present on admission (POA) indicator tutorial with source documentation table. Access additional explanation and examples to help simplify POA, plus official guidelines regarding use of information in the medical record.
- IngenixEdge — Dx/MDC/DRG list. Enhance overall reimbursement and reduce potential fine risks with information concerning the MDC and MS-DRG that a specific principal Dx group is under in the new MS-DRG system.
- IngenixEdge — 10 Steps to Correct Coding. Receive step-by-step instructions to improve coding accuracy and more effectively use ICD-9-CM conventions.
- IngenixEdge — Intuitive color-coded symbols and alerts. Identify critical coding and reimbursement issues quickly with alerts on the same page as the code you need.
- IngenixEdge — 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.
- IngenixEdge — Synopsis of code changes. Perform accurate retrospective claim audits with new code information for the year.
- IngenixEdge — 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.
- MCC and CC code list. Improve reimbursement through knowledge of which codes are considered MCC (major complications and comorbidities) and CC (complications and comorbidities) that impact MS-DRG assignment.
- Valid three-digit code list. See at a glance whether a code is valid for claim submission to prevent denied claims due to invalid code usage.
With traditional Ingenix hallmark features:
- Highlighted coding instructional and informational notes. Recognize important code usage guidance for specific sections more easily with highlighted notes.
- 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.
- Wrong surgery edit. Spot cases in which the wrong surgery was performed and are then exempt from reimbursement.
- Symbols identify MCC and CC conditions. Ensure appropriate reimbursement by reporting patient severity correctly. Know when conditions are considered a complication or comorbidity, as well as which are major CCs that impact MS-DRG assignment.
- Hospital-acquired condition (HAC) alerts. Know which conditions, when not present upon admission, will not impact DRG assignment.
- Adjunct procedure code alert. Learn how to properly use ICD-9-CM procedure codes that provide additional information only and cannot be used alone.
- MCC and CC codes paired with principal diagnosis exclusions. Identify at a glance if the assigned complication or comorbidity code will impact MS-DRG assignment based on the established principal diagnosis (PDx).
- HIV major related diagnosis code alert. Understand when a diagnosis entered as a secondary diagnosis with HIV will group the case to a higher-paying MS-DRG 974-976 for improved reimbursement.
- Additional digit required symbols. Know 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).
- Diagnosis Medicare Code Edit (MCE) alerts. Color-coding and symbols identify all major Medicare Code Edits (MCE) used to audit claims submitted under the inpatient prospective payment system (IPPS) for diagnosis, including unacceptable PDx, questionable admission PDx, age, sex, CC and MCC, and manifestation codes.
- Procedure Medicare Code Edit (MCE) alerts. Improve claim accuracy with alerts to all major Medicare edits pertaining to procedures — valid OR procedures, non-covered, limited coverage, non-operating room procedures affecting DRG assignment, bilateral edits, and sex edits.
- Illustrations and definitions. Gain in-depth understanding of anatomy and disease processes in relation to coding with clinically-oriented definitions and illustrations.
- HIPAA compliance. Comply with HIPAA code set requirements to avoid delayed or denied claims and costly fines for violations.
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