HCPCS Level II Expert - 2015

HCPCS Level II Expert - 2015

Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Ingenix <b>HCPCS Level II Expert.</b> Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. This user-friendly book will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).<P> <b>Key Features and Benefits:</b><P> Exclusive to the <b>Expert</b> edition:<P> <b>Optum Edge Medically Unlikely Edits (MUEs) appendix.</b> Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units.<P> <b>Optum Edge Medicare average payment tables.</b> Access information to improve claim accuracy and ensure proper reimbursement.<P> <b>Optum Edge Expanded index.</b> Ease code look-up with additional ways to locate codes.<P> <b>Optum Edge Glossary of terms.</b> Increase your understanding of HCPCS codes to improve coding accuracy.<P> <b>Optum Edge Special appendixes.</b> Get additional information with appendixes for the Medicare Average Payment Table for HCPCS and MUEs; listing of PQRS codes; also includes an appendix with a deleted codes crosswalk.<P> <b>Most complete HCPCS code set available.</b> Find information on codes from sources that generates HCPCS codes, including CMS, OPPS addendum B, and the Medicare fee schedule.<P> <b>Table of Drugs.</b> Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration.<P> With traditional hallmark features:<P> <b>PQRS icons.</b> Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting System.<P> <b>Comprehensive code updates.</b> Access 2015 OPPS files for HCPCS Level II, as well as deleted codes.<P> <b>APC status indicators and ASC designation symbols.</b> Determine which codes are payable under OPPS, which codes enable billing using ASC groupings and how to accurately use each to help ensure appropriate billing and reimbursement.<P> <b>DMEPOS icon.</b> Distinguish codes paid under the DMEPOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers.<P> <b>In-depth illustrations.</b> Enhance your coding process and accuracy for supplies and services with detailed visual references.<P> <b>AHA Coding Clinic for HCPCS references.</b> Receive added support with articles on difficult-to-code HCPCS Level II codes or sections.<P> <b>Color-coded bars and icons.</b> Spot important information to help reduce inaccurate and denied claims with informative flags signaling Pub. 100 references, age and gender edits, quantity alerts, new/deleted/revised code changes and government coverage and rules for each code.<P> <b>User-friendly appendixes.</b> Navigate additional information easily with structured references and excerpts, including Pub. 100 references.