ICD-9-CM for Hospitals provides accurate and comprehensive coverage for diagnosis coding and reimbursement. Optum 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 thatís designed to enhance performance in your daily work.
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Highlighted coding instructional informational notes. Recognize important code usage guidance for specific sections more easily with highlighted notes.
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.
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.
Intuitive color-coded symbols and alerts. Identify critical coding and reimbursement issues quickly with alerts on the same page as the code you need.
HIPAA compliance. Comply with HIPAA code set requirements to avoid delayed or denied claims and costly fines for violations.
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