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2016 Complete Hospital Coding Bundle

Product Code: DHMPPHOSPB16

Quick Overview

 
Publication Date Sep 30, 2015

Price: $304.00

2016 Complete Hospital Coding Bundle

Everything you need in one complete Hospital Coding Bundle!

To code claims correctly, you need more than just the code set. You need tools and resources that will guide your code choices—DecisionHealth's 2016 Complete Hospital Coding bundle. The ICD-10-CM Expert for Hospitals and Payers manual is ready for daily use in coding claims, to prevent medical necessity denials and help you secure every reimbursement dollar earned for professional services. The 2016 ICD-10-PCS empowers accurate, complete procedure coding in the hospital setting by putting all valid ICD-10 procedure codes and descriptions at your fingertips. The 2016 Procedural Coding Expert puts all valid CPT® codes and descriptions at your fingertips, and includes guidance on how the codes will be valued and covered for reimbursement purposes. Finally, identify and accurately report HCPCS Level II codes and appropriately submit claims to the DME MAC or Part B MAC with the 2016 HCPCS Level II Expert.

Features & Benefits:

  • 2016 ICD-10-CM Expert for Hospitals and Payers

    • Complete HIPAA-mandated ICD-10-CM code set—all 68,000 ICD-10-CM codes and descriptions, organized across 21 chapters: Infectious and Parasitic diseases through Injuries, including external causes and reasons for visit.

    • UPDATED! ICD-10 MS-DRG reimbursement editsCC and MCC icons alert facility coders to diagnoses that act as both primary and complicating/major complicating conditions. 

    • NEW! EXCLUDES 2 conventionsincluded along with all other coding conventions (Includes, Clarifying Terms, Code First and Use Additional Code Notes, etc.) that you need to accurately code and ensure proper reimbursement for services provided.

    • EXCLUSIVE! Placeholder "x" added to 3, 4 and 5-character codes requiring 7th characterswith a dash in the 7th character position of the code to identify that a 7th character is needed. This eliminates confusion about how many x's to add to the code prior to assigning the 7th character.

    • NEW! Illustrationsmore than 200 code-specific illustrations have been added to allow better interpretation of clinical notes and ensure assignment of the correct code.

    • Color codingincludes color sidebars for easy identification of chapters in the tabular section, gray sidebars for the alphabetic index and black sidebars to distinguish neoplasm and drug tables for easier, faster code selection.

    • NEW! ICD-10 guidelines excerptsembedded in the Tabular at the code level for so that you can quickly access the rules you'll need to code accurately.

    • NEW! Documentation tips—for commonly-miscoded diagnoses due to inaccurate and/or insufficient documentation that will alert you to documentation errors that inevitably lead to coding mistakes.

    • Even More! Medical Term Definitionsclarify diseases and conditions for better code selection.

    • 7th Character IconsIdentifies which codes require a 7th digit to ensure specificity and validity

    • NEW! Manifestation Code Highlightsdon’t miss codes that require pairing to a primary code, plus "Code First" notes are listed in blue print to highlight manifestation codes requiring an etiology code.

    • Updated Tables and IndexesUpdated Neoplasm and Drug and Chemical Tables, and External Causes and Alphabetic Disease Indexes.

    • ICD-10-CM Introduction and Conventionsto familiarize yourself with the coding conventions used in ICD-10-CM.

    • UPDATED! ICD-10 Official Guidelines for Coding and ReportingAuthoritative coding rules provided by CMS and the NCHS giving coding direction and guidance.

    • Official IndexNavigate through the new coding system easily using the index to the tabular section and the index to the external causes.

    • Coding Tips—guide you, raise red flags and help you code correctly to stay in compliance and gain accurate reimbursement.

    • Understanding this Manualexplains how to efficiently use the book and maximize the use of the icons and tabular content.

    • Defining ICD-10-CM—including a background on ICD-10 and its conventions.

  • 2016 ICD-10-PCS

    • All ICD-10-PCS codes and full descriptions—all 70,000+ ICD-10-PCS codes and their official code descriptions are listed sequentially for easy, complete code lookup.

    • All Tables for code selectionorganized in 16 sections from Administration to Substance Abuse Treatment for easy reference, each section contains detailed tables that specify the valid combinations of code values for speedy code selection.

    • Instruction on conventions of ICD-10-PCSapply the new characteristics of this coding system with its unique 7-character structure that is dependent on specific definitions and functions for each character

    • UPDATED! Official ICD-10-PCS Coding Guidelinesensure proper code use with guidelines for assigning codes in the Medical, Surgical and Obstetrics sections.

    • Coverage Iconseasily spot non-covered and limited coverage procedures to avoid claims errors.

    • Alphabetical Indexlook up procedures by keyword.

    • Appendices that enhance code understanding:

      • Definitions

      • Body Parts Key

      • Device Key

      • Comparison of Medical and Surgical Root Operations

      • Components of the Medical and Surgical Approach Definitions

      • Device Aggregation Table

    • ICD-10-PCS Coding Scenariosmore than 100 procedure descriptions to test your use of the alphabetic index and code tables, with answers provided in the appendix.

  • 2016 Procedural Coding Expert

    • All CPT codes and full descriptions and icons—avoid coding confusion and HIPAA compliance with a full list of all valid 2016 CPT® codes, their long code descriptions, and all CPT icons including add-on code, conscious sedation, and modifier 51 and modifier 63 exempt

    • UPDATED! New, Revised and Deleted CPT Codesquickly spot code changes thanks to code change icons. This is the ONLY code book that highlights deleted codes with a strikethrough and cross-reference to the valid replacement code rather than removing deleted codes entirely to boost coder awareness of deleted codes and ease transition confusion.

    • EXCLUSIVE! All codes in numeric sequence—unlike most code books, you never find a CPT code to be out of numeric order in this guide. No more wasted time and confusion hunting foror worse, overlookingcodes.

    • Coding Guidance and Coding Tips—simplify code selection with added clarification.

    • EXCLUSIVE! Documentation Finder – tips highlighting synonyms and/or supporting chart references essential to bridging clinical and coding nomenclature and defending medical necessity for the respective procedure.

    • UPDATED! Best-in-class index—code faster with DecisionHealth’s proprietary index that gives you multiple ways to find a procedure, encounter, test, etc.

    • UPDATED! Deleted codes crosswalkquickly identify new valid codes that have replaced temporary codes and other deleted codes.

    • NEW! National Coverage Determination (NCD) policy citations at the code levelensure compliance with Medicare coverage policy for certain CPT procedures and professional services.

    • UPDATED! Medicare Pub. 100 citationsidentify where to find critical guidance on Medicare coverage.

    • More than 650 illustrationsvisual insight to interpret clinical notes more effectively

    • Five-star introduction—gain essential information such as CPT® coding fundamentals, listing and descriptions of modifiers, common medical abbreviations, prefixes, suffixes and roots, a glossary of coding terms, detailed explanations of all icons and data elements, and multiple summary tables including code additions, deletions and revisions.

    • UPDATED! AMA CPT Assistant citationsidentify where to find critical guidance on CPT codes.

    • UPDATED! Facility and non-facility Relative Value Units (RVUs)—no need to reach for an extra reference to make sequencing decisions when reporting multiple CPT codes. Breakdowns included for technical component (TC) and professional component (PC) codes when applicable.

    • UPDATED! Global Days and MUE Billing Restrictionsno need to reach for an extra reference to check Medical global follow-up days and frequency edits for each code.

    • UPDATED! APC and ASC Payment Iconsquickly identify reimbursement opportunity. Icons identify 23 specific OutPatient Prospective Payment System (OPPS) payment statuses, as well as 18 ASC groupings to improve reimbursement.

    • UPDATED! Medicare Reimbursement iconsModifiers 51, 50, 80 & 62 indications included so that you understand payment adjustments that can occur when billing the procedure.

    • UPDATED! Medicare Pub. 100 informationincluded with associated code and full descriptions in Appendix in the back of the book

    • Age and sex edit iconssee at a glance codes with restrictions based on age or gender of the patient to help reduce claims denials.

    • Maternity Icons

    • UPDATED! APC and ASC Payment Iconsquickly identify reimbursement opportunity. Icons identify 23 specific OutPatient Prospective Payment System (OPPS) payment statuses, as well as 18 ASC groupings to improve reimbursement.

  • 2016 HCPCS Level II Expert

    • UPDATED! New, Revised and Deleted HCPCS Level II Codesquickly spot code changes thanks to code change icons. This is the ONLY code book that strikes through deleted codes versus removing them entirely to boost coder awareness of deleted codes and ease transition confusion.

    • UPDATED! Expanded Alphabetical IndexDecisionHealth’s proprietary index gives you multiple ways to find a drug, device or supply quickly.

    • UPDATED! DMEPOS icons identify reimbursement opportunitiesspot Medicare allowed billing opportunities for certain durable medical equipment, prosthetics, orthotics, and supplies.

    • UDPATED! Deleted codes crosswalkquickly identify new valid codes that have replaced temporary codes and other deleted codes.

    • G Codes for PQRSclarifies requirements for your PQRS reporting program.

    • NEW for 2016! National Coverage Determination (NCD) policy citations at the code levelensure compliance with Medicare coverage policy for certain HCPCS procedures and professional services.

    • UPDATED! Medicare Pub. 100 informationincluded with associated code and full descriptions in Appendix in the back of the book

    • UPDATED! Table of Drugs Appendixfind J codes more quickly with cross- referenced Brand names.

    • Age and sex edit iconssee at a glance codes with restrictions based on age or sex of the patient to help reduce claims denials.

    • UPDATED! APC and ASC Payment Iconsquickly identify reimbursement opportunity. Icons identify 23 specific OutPatient Prospective Payment System (OPPS) payment statuses, as well as 18 ASC groupings to improve reimbursement.

    • UPDATED! AHA Coding Clinic for HCPCSidentify where to find critical guidance on challenging HCPCS Level II codes or sections.

    • Male/Female Coverage Iconsspot gender-specific billing restrictions to prevent denials

    • Icons denote specific payment rulesknow immediately if patients are responsible for non-covered procedures with handy icons noting drugs and services not reimbursed by Medicare, plus icons warning of carrier and/or special policy cover instructions.

    • Illustrationsvisual insight to specific equipment, supplies and services helps you interpret clinical notes more effectively.

    • HCPCS Level II modifiersensure that required modifiers are appended to codes reducing delays and denials