Item HY07 ISBN 1-56337-854-X $90 $72 Preorder 2008 Finally! A HCPCS Level II coding resource just for payers.

HCPCS codes are one of the most complex and difficult code sets to master. Now with the HCPCS Level II Expert for Payers you will be able to make more accurate and timely reimbursement and utilization review decisions.

• Exclusive—Listing of high-cost DME.
• Exclusive—HCPCS codes crosswalked to revenue codes.
• Exclusive—Listing of place-of-service and type-of-service codes.
• Exclusive—Review of the use of ambulance modifiers for HCPCS.
• Exclusive—Overview of DMEPOS. Learn about DME for Medicare and commercial payers, working with DMERCs, fraud, abuse and compliance.
• Includes all 2007 HCPCS Level II codes and modifiers. Confidently review claims with the most up-to-date information.
• DMEPOS icons. Distinguish codes paid under the DMEPOS fee schedule.
• APC status indicators. Easily determine which codes are payable under OPPS.
• ASC designation symbols. Quickly determine which codes can be billed using ASC groupings.
• In-depth illustrations. Facilitates the claim review process for various supplies and service charges.
• Color-coded code status icons. Easily identify new, deleted or revised codes.
• National Coverage Manual and Pub 100 references and excerpts. The user-friendly appendix indicates which drugs and services are reimbursed.
• National Medicare and commercial fees for HCPCS Level II codes. Identify and confirm reimbursement based on Medicare and private payer fee data.