Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Optum HCPCS Level II Expert. 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).
Exclusive to the Expert Edition:
Optum Edge—Medically Unlikely Edits (MUEs) appendix. Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units.
Optum Edge—Medicare average payment tables. Access information to improve claim accuracy and ensure proper reimbursement.
Optum Edge—Expanded index. Ease code look-up with additional ways to locate codes.
Optum Edge—Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy.
Optum Edge—Special appendixes. 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.
Most complete HCPCS code set available. Find information on codes from sources that generates HCPCS codes, including CMS, OPPS addendum B, and the Medicare fee schedule.
Table of Drugs. Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration.
Also includes Ingenix Hallmark Features such as:
PQRI icons. Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting Initiative.
Comprehensive code updates. Access all 2012 HCPCS, MPFS, and OPPS files for HCPCS Level II, as well as deleted codes.
APC status indicators and ASC designation symbols. 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.
Also Available: HCPCS Codebook by Wasserman Medical Publishers, only $59.
Spiralbound, 8.5" x 11", 380 pages
List Price $99.95
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