Item IYS07 ISBN 1-56337-918-X $93 $74 SOLD OUT Order 2008 The smart ICD-9-CM resource for the claims adjudication process.

Specifically designed for the claims and benefit administration process, the ICD-9-CM Expert for Payers, Volumes 1, 2 & 3, will help you expedite a consistent and reliable claims review process. This unique ICD-9-CM resource contains exclusive components for managing claims payment, providing critical coding edits and rules for physicians, hospitals, long-term care, home health and hospices. All edits, all provider markets — one resource.

Improve Coding Accuracy

• NEW! Major Cardiovascular Condition (MCV) alert
• Clinically-oriented illustrations and definitions
• Check additional digit symbol in disease and procedure indexes and tabular sections
• Manifestation code alert
• AHA Coding Clinic references for official coding advice.
• V code designated use symbols.
• Coding tables for complex coding issues
• Coding tutorial

Effectively Utilize Reimbursement System Edits and Rules

• Inpatient PPS—Color coding and symbols for all major Medicare code edits for the DRG system, resources and alerts to identify diagnoses that affect DRG assignment
• Home Health PPS—Coverage Rules, symbols identifying diagnoses affecting case mix and highlights of the HHA PPS
• Skilled Nursing Facility PPS—Color coding for RUG III classification diagnoses and excerpts from the SNF PPS
• Hospice Care Coverage—Noncancer diagnosis alerts and coverage criteria
• Physician Office Practices—Resources to identify outpatient code edits

Comply with HIPAA Transaction and Code Set Requirements

• Current code set
• Complete official coding guidelines, including those for long term care
• References to official advice

Features for Added Convenience