Item IHB07 ISBN 1-56337-913-9 $83 $66 SOLD OUT Order 2008 The dependable ICD-9-CM resource for the coding expert.

Code with greater precision and efficiency while reducing claim delays and denials. The ICD-9-CM Professional for Hospitals, Volumes 1, 2 & 3, is both smart and dependable, with critical coding and reimbursement edit alerts on the same page as the code you want.

• NEW! Major cardiovascular condition (MCV). Certain conditions reported as either primary or secondary diagnoses for major cardiovascular surgery cases will dramatically affect reimbursement for the cases. Report patient severity correctly.
• Ingenix Edge—Exclusive color coding and symbols for all critical coding and Medicare code edits. Improve coding accuracy and efficiency with intuitive color coding and symbols that alert you to crucial coding and reimbursement issues.
• Ingenix Edge—CC principal diagnosis exclusions listed right with the CC code. Know at a glance if the CC code you are assigning will affect DRG assignment based upon the established principal diagnosis (PDx) for the case.
• Ingenix Edge—AHA’s Coding Clinic for ICD-9-CM references for official coding advice. AHA's Coding Clinic provides the official coding advice that every coder in every health care setting must follow for ICD-9-CM.
• Ingenix Edge—Additional digit symbol in both tabulars and indexes. Color-coded symbols alert the coder as to whether the code is invalid without a fourth or fifth digit.
• Exclusive—DRG alert symbol. Know if you’re assigning a DRG targeted by the OIG as having potential for "upcoding" — reducing the risk for audits and potential fines.
• Major complication alert and complex diagnosis alert. Optimize reimbursement by knowing which diagnoses are considered major secondary conditions that will change the DRG assignment for acute myocardial infarction and cardiac catheterization cases.
• HIV major related diagnosis code alert. Know when a diagnosis entered as a secondary diagnosis with HIV will group the case to the higher-paying DRG 489, helping to improve reimbursement.
• CC condition symbol. Quickly identify complications and comorbidities that affect DRG assignment — helping improve the accuracy of DRG selection and enhancing reimbursement.
• Current official code set with instructional notes and conventions, and complete official coding guidelines. Be in compliance with HIPAA transaction and code set requirements to avoid delayed or denied claims and costly fines for violation of HIPAA requirements.
• IPPS compliance symbols. Quickly identify all major Medicare code edits (MCE) used to audit claims submitted under the inpatient prospective payment system (IPPS) for diagnoses — unacceptable PDx, nonspecific PDx, questionable admission PDx, age, sex, CC, manifestation codes.
• Procedure Medicare code edit alerts. Improve claim accuracy by being alerted to ALL the major Medicare edits pertaining to procedures: valid OR procedures, noncovered, limited coverage, non-operating room procedures affecting DRG assignment, valid OR procedures, nonspecific OR procedures, bilateral edits and sex edits. New Feature ─ Adjunct Code alert identifies codes that may never be used alone.
• Definitions and illustrations. Verify correct code selection using clinically oriented definitions and illustrations that give the user an in-depth understanding of anatomy and disease processes.
• Manifestation code alert. Clearly identify and properly use codes that represent manifestations of underlying disease, and be alerted when two codes are required, improving coding accuracy and reducing denied claims.
• Age and sex edits. Know which codes have restrictions on their use based on age or sex of the patient — reducing claim delays and denials.
• New and revised code symbols and dated pages. Quickly identify new code information and the date of the most recent change so you can perform accurate retrospective claim audits.