Get ready for the changes ahead.
Transcription
Get ready for the changes ahead.
Medical Coding, Billing & Reimbursement Spring/Summer 2010 Catalog Electronic Products Pages 2-11 New Look for ICD-9-CM Pages 12-16 CPT®, HCPCS & DRG Pages 18-22 ICD-10 &Training Pages 42-43 New Products Page 45 Get ready for the changes ahead. NEW Solutions for 2011 code changes, ICD-10 preparation, and electronic coding. >> Introducing 2011 editions—save 15% >> Up to 45% off 2010 resources >> Budget-friendly book and eSolution packages Order Online Save an additional 5% on 2011 editions How would you like to reduce your denial rate by 50%? Learn how one eSolutions client did just that in less than 3 months.* The future is now Make the switch to eSolutions 2010 is the year to transition to eSolutions. As the health care system shifts to using sophisticated technology, Ingenix continues to keep pace with industry evolutions by offering essential coding resources online. Switching to eSolutions is quick and easy with almost instant benefits, including: »D ecreased A/R days and improved cash flow. » Reduced denials. » Improved reimbursement. » Simplified ICD-10 transition. *Turn to page 5 for the full story. Sign up for a FREE product demo today! demo Choose from a select group of Ingenix online resources appearing within the eSolutions section. Upon signing up, you will be contacted by an Ingenix e-Solutions Specialist for a custom product demonstration. Visit www.shopingenix.com/demo3 to sign up. 1 800 (464 3649), option 1 Mention your source code for discounts Table of Contents P For use by Physicians & Clinics P H For use in Hospitals & Facilities A For use by Postacute Services H A Y B E S T P A C K A G E D E A L S 3 •• • Print and Electronic Solutions 44•••• Create Your Own Package P H A Y 2 •• • 4 • 5 •• • 6 • 6 • 7 •• 8 • 8 • 8 • 9 •• • 9 • 10•••• 11 •• • P H A Y 12 • • 14 • • 16 •• 16 ••• 17 ••• 17 ••• 17 ••• 18•• • 20•• • 22 • • P P ESSENTIAL CODING ICD-9-CM Code Books for Physicians ICD-9-CM Code Books for Hospitals ICD-9-CM Expert for Home Health Services ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, and Hospices OASIS Editor MDS Editor Coding, Reporting, and Documentation Guidance for Postacute Facilities (CD) CPT® Coding Books HCPCS Level II Code Books DRG Resources H A Y 23•••• 24•• • 24•• • 25•• • 26•• • 26•• • 27•• • 27• eSOLUTIONS IngenixExpert.com EncoderPro.com Referential Add-ons EncoderPro.com for Payers Encoder Pro Desktop Caretracker RevenueCyclePro.com FacilityCoder.com Expert ASCExpert.com DrugReimbursement.com ChargemasterExpert.com Real-time eContent Ingenix Data Files DESK R E F E R E N C E MedicalReferenceEngine.com Coders’ Desk References E/M Fast Finder Comprehensive ICD-9-CM Table of Drugs and Chemicals Insurance Directory CPT® Changes: An Insider’s View Coders’ Dictionary Physician’s Compliance Guide H A Y SPECIALTY R E F E R E N C E 28•• • 30•• • 30• 31•• • Coding Companion ® Specialty Guides Coding and Payment Guides Coding and Payment Guide for Dental Services Cross Coders Products contained in this catalog are made in the USA. CPT is a registered trademark of the American Medical Association. P Y For use by Payers Available for download online H A Y SPECIALTY R E F E R E N C E ( cont. ) 32•• • Fast Finder ® Sheets 33•• • Coders’ Desk References for Specialties 33•• • Billing Companion for OB/GYN P H A Y 34• • 34• • 35• 36• 36• • 36• P H A Y 37•• • 37 • • 38 • • 38 • • 39• 39•• • P P • • • C O D I N G , B I L L I N G , A N D P AY M E N T Complete Guide for Interventional Radiology Hospital Compliance Desk Reference Uniform Billing Editor Outpatient Billing Expert HIPAA Tool Kit Auditing and Denial Management Tool Kit H A Y 40• 40•• 40•• 41 •• PRICING AND COST The Essential RBRVS RBRVS Plus Customized Fee Analyzer National Fee Analyzer Relative Values for Physicians HCPCS Fee Analyzer MEDICARE REFERENCE Medicare Correct Coding Guide Complete Guide to Medicare Coverage Issues Physicians’ Guide to Medicare Quality Reporting Medicare Desk References H A Y TRAINING 42•••• Coder Education Book Series 42•••• Ingenix Essentials Conference 43•••• ICD-10 Prepared P H A Y N E W P R O D U C T S 10•••• 23•••• 37 • • 45•• • 45•• • Real-time eContent MedicalReferenceEngine.com Hospital Compliance Desk Reference 2010 ICD-10-CM Mappings 2010 Clinical Documentation Guide for the Musculoskeletal System 45•• • 2010 Evaluation and Management Coding Advisor .com eSolutions 2 www.shop Going Electronic—First Steps Ease into the transition. Maybe you’d prefer to start going electronic with just one code set. Our IngenixExpert.com products provide electronic code reference for the code set of your choice. You and your staff can learn how easy it is to perform electronic code look-ups, gain confidence, and submit cleaner claims. IngenixExpert.com lets you start with one code set at a time. Ingenix Expert.com instructions. Avoid thumbing Gain direct access to every code, through multiple code books description, guideline, and instruction searching for information. found in your Expert code book. It’s easy with IngenixExpert.com. Its 1-on-1 demo See inside cover for details »Always current code descriptions and clinical information. Code more powerful search engine helps you confidently knowing that you are maximize coding confidence and XEIMD/XEIHP/XEHBK/XECPT accessing up-to-date extensive submit cleaner claims. Plus, it’s appendixes, commonly miscoded always up-to-date with the latest HIPAA-compliant information. Use it alongside your coding book—or as a standalone solution. Current Procedural Coding Expert.com Item # 1400 Available: Online $74.95 Single-user. Multi-user pricing available. procedures, Medicare requirements, and glossaries with a simple click of ICD-9-CM Expert.com for Hospitals Item # 1403 Available: Online $89.95 Single-user. Multi-user pricing available. the mouse. »Anatomical illustrations. Large »Faster, easier searches. Locate the displays of anatomical illustrations code you need with a term search, on your screen help you better or scroll through the index to access understand procedures and sections from the code book. anatomy so you can select the ICD-9-CM Expert.com for Physicians Item # 1402 Available: Online $79.95 Single-user. Multi-user pricing available. HCPCS Expert.com Item # 1401 Available: Online $69.95 Single-user. Multi-user pricing available. best possible codes. »Immediate guidance from user- Call for Multi-user pricing. friendly AMA, Ingenix, and Medicare color-coded edits, guidelines, and P H Y *See opposite page for savings on EncoderPro.com, Expert.com, and coding book packages. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 (464 3649), option 1 Mention your source code for discounts 3 Save 40% on packages Take the first step with book and eSolution packages that let you keep your books while you learn how to become a whiz with your electronic products. 2011 Future of Coding Spiral Package › 2011 ICD-9-CM Expert for Physicians › 2011 Current Procedural Coding Expert › 2011 HCPCS Level II Expert › EncoderPro.com Standard 2011 Future of Coding Spiral Package Item # P1689 Available: Now Regular Price: $599.80 Package Price: $359.88 Turn page to learn more 2011 Future of Coding Compact Package › 2011 ICD-9-CM Standard for Physicians › 2011 Current Procedural Coding Expert › 2011 HCPCS Level II Expert › EncoderPro.com Standard 2011 Future of Coding Compact Package Item # P1688 Available: Now Regular Price: $551.80 Package Price: $331.08 Turn page to learn more 2011 ICD-9-CM Physician Expert Package Item # P1690 Available: Now Regular Price: $175.90 Package Price: $107.94 2011 ICD-9-CM Physician Expert Package › 2011 ICD-9-CM Expert for Physicians › ICD-9-CM Expert.com 2011 Current Procedural Coding Expert Package Item # P1691 Available: Now Regular Price: $174.90 Package Price: $104.94 2011 Current Procedural Coding Expert Package › 2011 Current Procedural Coding Expert › Current Procedural Coding Expert.com 2011 HCPCS Expert Coding Package Item # P1692 Available: Now Regular Price: $169.90 Package Price: $101.94 2011 HCPCS Expert Coding Package › 2011 HCPCS Level II Expert › HCPCS Expert.com Medallion customers and Partner Accounts are not eligible for the above package offers. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online eSolutions Ingenix makes the transition cost effective with budget-friendly code book and eSolution packages. .com eSolutions 4 www.shop Electronic coding processes: Faster, easier, and up to a 1,000% initial return on investment.* The industry is switching to electronic coding and billing solutions. Make sure you stay ahead of the curve with EncoderPro.com, our premier online coding and billing tool that provides: » Increased accuracy, fewer denials, and timely reimbursement » Easier transition to ICD-10 and improved regulatory compliance » Expert content from 37 code books and data files updated in real time Access the content of more than 37 Ingenix code books in one EncoderPro.com subscription. XCIFC/ XEPRO/XEPRC P Assess your needs Which EncoderPro.com fits your needs and budget? EncoderPro.com Item # 1137 $299.95 EncoderPro.com Professional Item # 1221 $549.95 EncoderPro.com Expert Item # 1127 $999.95 CodeLogicTM Search Engine – Search across all three code sets simultaneously • • • Color Code Edits • • • Coders’ Desk Reference Lay Descriptions • • • Deleted Code Crosswalk • • • Automatic Monthly Updates • • • Local Coverage Determinations (LCDs) and Medicare’s Pub. 100 Access • • Modifier Crosswalk • • Medicare CCI Edits • • Cross-coder relationships from 12 coding and billing specialty reference books • • features Enhanced Compliance Editor – Check your work by running selected codes through an edit check prior to submittal to a clearinghouse/vendor/payer. Includes an 18-month historical content database. • Fee Calculator – Calculate the adjusted Medicare reimbursement rate for your area. • Complete LCD/NCD Policy View – Reference all of the local and national coverage guidelines in addition to the code edits for Part B policies issued by your carrier. • Claims scrubbing and repair available • NEW • ICD-10 Mapping Tool – Crosswalk from ICD-9-CM codes to the appropriate ICD-10 code quickly and easily. Our newest feature for EncoderPro.com Expert, it will help you: » Quickly link ICD-9 codes to the new ICD-10 codes » Learn the code set as you code » Access reimbursement mapping information » Receive the payment you deserve *Indian Stream Health Center realized a 1,000% return on their EncoderPro.com investment in the first month of use. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 (464 3649), option 1 Mention your source code for discounts 5 Claims Batch Editor and the Repair Toolkit for EncoderPro.com Expert create a complete, end-to-end physician revenue cycle workflow solution for your office. Claims Batch Editor Claims Batch Editor Repair Toolkit This powerful, yet easy-to-use, scrubber for physician claims Boost your scrubbing capabilities with the Repair Toolkit tools to automatically checks for errors prior to submission, so you streamline the workflow to review coding issues and repair these submit clean claims the first time. issues — prior to submittal to a payer. Claims Batch Editor Repair Toolkit Item # WA18 Available: Online $250.00 per physician, per year Claims Batch Editor Item # WA16 Available: Online $500.00 per physician, per year Supplement your online subscriptions with valuable, referential add-ons. Add-on prices are per user, per year unless otherwise specified. CPT ® Assistant Add-on Item # WA01 $250.00 FeeAnalyzer.com Professional Add-on Item # WA14 $1,250.00 Patient Encounter Plus Add-on Item # WA15 $279.99 Stedman’s Medical Dictionary Add-on Item # WA04 $125.00 Ingenix Coders’ Dictionary Add-on Item # WA05 $75.00 CEU Add-on Item # WA17 $250.00 per 10 CEUs AHA Coding Clinic for ICD-9-CM Add-on Item # WA02 $250.00 DrugReimbursement.com Add-on Item # WA08 $499.95 Historical Application Content Add-On Item # WA11 $149.00 For more details on add-ons, please visit ShopIngenix.com and type in the key word “add-on.” Customer Spotlight Sun Radiology Reduces Claims Denial Rates by 50 Percent with EncoderPro.com Expert “Encoder Pro and Claims Batch Editor have helped improve our productivity, reduced denial rates, and given us a significant financial benefit … In the long run, that means that we’ll be able to provide better services to our patients.” —Sharon Hicks, Sun Radiology Billing Supervisor Encoder Pro and Claims Batch Editor have helped Sun Radiology accelerate its revenue cycle, increase revenues and maximize resources at a significant value: Reduced A/R days by 14 days Reduced denial rate by 50 percent Achieved a return on investment of 812 percent Significantly reduced clearinghouse fees Call 800 INGENIX (464 3649), option 1, to learn how you can reduce your denial rates. Or visit shopingenix.com/transition. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online eSolutions Increase Revenue and Reduce Denial Rates & A/R Days .com eSolutions 6 www.shop EncoderPro.com for Payers EncoderPro.com for Payers is designed specifically for payer 1-on-1 demo organizations to search for CPT® procedures, HCPCS supplies and See inside cover for details services, and ICD-9-CM diagnosis and procedures codes based on descriptions on the provider and hospital claim forms. »Includes Coders’ Desk Reference lay descriptions. »Color code edits. Determine charges allowed by Medicare for capitation, fee-for-service, outpatient and inpatient hospital services, and provider payments. Y xepay/xepap EncoderPro.com for Payers Item # 1145 Available: Online $999.95 Single-user. Call for Multi-user pricing. »Medicare secondary payer coordination of benefits. Access the entire MSP Manual and understand assigning responsibility for first and second payer. Encoder Pro Desktop Code lookup is fast and simple with Encoder Pro, the coder’s essential CPT®, ICD9-CM, and HCPCS code reference software, that lets you simultaneously search thousands of codes using up to four terms. »Compliance editor. Check for coding EPRC » IngenixEdge ® Powerful CodeLogic™ accuracy and review your code search engine technology. Keyword selections for CCI unbundle edits, search across all code sets ICD-9-CM specificity, age, medical simultaneously using up to four terms, necessity, and gender. acronyms, abbreviations, or even »Fee calculator. Helps you calculate the Medicare reimbursement rate for your area. » IngenixEdge ® Access local coverage determinations (LCDs) and Medicare’s Pub. 100. Check procedures for Medicare coverage instructions and medical necessity edits. coding confidence. Lay descriptions for »Crosswalking. Links procedure codes procedures and HCPCS. Access to corresponding diagnosis and supply Coders’ Desk Reference descriptions codes immediately and guides you to for thousands of procedures and the correct modifiers. services to better understand CPT® »Color code edits. Reduce research and HCPCS differences. » Web-based version available—see page 4. IngenixEdge ® Encoder Pro Desktop Item # 3460 Available: Now $999.95 Single-user. Call for Multi-user pricing. coverage information regularly for misspelled terms. » P IngenixEdge ® time and improve coding accuracy Automatic quarterly updates. with at-a-glance sex and age edits, Delivers code changes before Medicare coverage, and bundled implementation and updates Medicare procedures. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 (464 3649), option 1 Mention your source code for discounts 7 Exclusive Offer: Get CareTracker now with no money out of pocket. Call (877) EHR.0845. eSolutions Turn our deep claims knowledge into reimbursement speed. All you need is the web to get a powerful, yet practical, PM/EHR solution. » Monthly subscription-based pricing; no hidden fees, hardware, or maintenance costs. » Automatic claims clearing and status checking to more than 1,000 payers. » Powerful embedded claims editing solution delivers up to 97% + pay-at-first pass rates. » Fully integrated CCHIT®-certified EMR. » Automatic prioritized task list generation through interactive dashboards. » Web-based technology, accessible from anywhere in the world 24/7/365. » Automated eligibility verification and coding compliance tools. For more information about CareTracker, call (877) EHR.0845 or visit www.ingenix.com/ehr and sign up for a free online demo. Ingenix CareTracker EMR Software Version 6.2, is a CCHIT Certified ® 2007 Ambulatory EHR P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com eSolutions 8 www.shop Optimize your facility’s revenue cycle with eSolutions. RevenueCyclePro.com H Improve revenue cycle performance indicators RevenueCyclePro.com is a comprehensive, online, problem-solving tool that compiles references and data that hospitals depend on to increase efficiency across the entire revenue cycle. » NEW ICD-10 Mapping Tool. » Get quick access to data and medical code sets you need to capture outpatient and inpatient reimbursement. » Answer questions about coding, billing, coverage, and reimbursement. » Resolve edits, problems, and issues related to the codes and other data reported on the claim to minimize noncompliance exposure. RevenueCyclePro.com Item # 4790 Price: $2,275.95 FacilityCoder.com Expert H FacilityCoder.com Expert delivers HIM coders the most up-to-date coding content, reference data, edits and optimization tips, no matter where they are located. Plus, access the information from our top selling Ingenix DRG code books. FacilityCoder.com Expert Item # 1152 Price: $899.95 Single-user. Call for Multi-user pricing. ASCExpert.com H Achieve accurate reimbursement under the new Medicare ASC payment system ASCExpert.com, designed specifically for ASCs, provides a complete set of resources and tools for ASC office managers, coding and billing specialists, and ASC Administrators and allows you to: » Search across all ICD-9-CM, CPT ® codes and HCPCS Level II codes. » Access a listing of CPT ® and HCPCS Level II codes that an ASC can and cannot use and codes identified as unlisted, inpatient-only, and packaged and nonreportable. » View code details, lay descriptions, color icons, edits, and modifiers. P For use by Physicians & Clinics H For use in Hospitals & Facilities A » List medical necessity and compliance edits with ABN generation. » Identify CCI claim edits. » View a quarterly snapshot of Historical data dating back to CY 2008. » Identify CPT ® code and HCPCS Level II codes linked with detailed revenue codes for UB-04 billing to payers other than Medicare. » HCPCS & CPT ® codes assigned to 16 new payment status indicators. ASCExpert.com Item # 1373 Price: $1,099.95 For use by Postacute Services Y For use by Payers Available for download online 1 800 (464 3649), option 1 Mention your source code for discounts 9 eSolutions 1-on-1 demo See inside cover for details P H Y drc New DrugReimbursement.com Item # 1022 Available: Now $499.95 Single-user. Call for Multi-user pricing. CME H ChargemasterExpert.com Item # 1782 Available: Now Call for pricing DrugReimbursement.com DrugReimbursement.com is an online drug coding and reimbursement reference tool and database that provides up-to-date Medicare coding, billing, and reimbursement ChargemasterExpert.com information for FDA-approved drug codes. ChargemasterExpert.com is a robust, user-friendly online application that helps your hospital maintain a complete, »Provides complete listing of HCPCS Level II and CPT® up-to-date chargemaster for Medicare billing and compliance. codes with full descriptions linked to NDC codes for billing drugs, biologicals, and vaccines under Medicare Part B »Review your charge description master (CDM) automatically. (hospital and physician). »Implement code changes by the effective date. »Save research time. Provides complete, up-to-date »Maintain chargemaster accuracy at a detail level. crosswalk of approved national drug codes (NDCs) to »Improve revenue capture by ensuring accurate and CMS-billable drug codes under Part B and current AWP and Medicare Part B payment rates. competitive pricing, identifying missing procedures, and »Simplify drug searches. Flexible search capabilities allow identifying cross-coding opportunities. you to quickly search for drugs by CPT® code, HCPCS Use the multi-hospital features to: Level II code, NDC, drug name (brand or generic), ICD-9-CM »Create a corporate standard chargemaster. code, and by manufacturer. »View and evaluate multiple chargemasters simultaneously. »Improve billing and chargemaster accuracy. Detailed drug data identifies packaging and billable units, related NDCs, product packaging, strength, ingredients, therapeutic class, »Pinpoint and easily convert and map line items that are not in compliance with the corporate standard. and other details. Special icons alert you to new, revised, or deleted codes and quality issues. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 10 www.shop Empower your business Your Software Application Your systems might include… » Data (e.g. medical codes) » Practice management eSolutions Data Services WEb services Call » Billing software » Features (e.g. medical code searching) » EMR/EHR » Medical documentation » Or any other kind of system requiring Ingenix data, features or functionality Returned Data » Functionality (e.g. claim compliance review) Integrate Ingenix data, features, and functionality into your existing workflow. Real-Time eContent Available: Now Call for pricing. Real-Time eContent Improve your revenue and workflow with real-time access to proprietary data, Ingenix expertise in code searching and code compliance editing, and Ingenix software features and functionality—all from within the program you’re already using. You don’t need to build and maintain complex health care management tools or spend time managing, maintaining, or updating data. We do it all for you. We have been publishing some of the most trusted coding resources, coding search engines, and compliance review editing tools in the industry since 1984. Ingenix Real-Time eContent provides access to the raw health care data and logic needed to use, manage, maintain, and update data. The information you or your clients need is delivered to your desktop, in real-time, when you need it, in the format you need it to help you: »Save time and money while gaining a competitive edge. »Search across ICD-9, HCPCS, and CPT® medical code sets. »Reduce and/or eliminate IT time spent on updating, »Integrate claim compliance review functionality into your managing, and testing the data. existing practice management application. »Decrease claims denials with access to accurate code data from one of the largest health care databases in the industry. »Incorporate a seamless, easy-to-use interface into your software application. »Leverage Ingenix expertise in code searching and code compliance editing to improve both the quality of data and operational processes. Available data, features, and functionality: » Powerful code searching capabilities through Ingenix » Medicare correct coding initiative (CCI) edits CodeLogic™ search engine » Cross-coder relationships » The content of 37 printed coding resources and proprietary data compiled into an online service Pub. 100 access » Compliance edits from a leading coding and referential » Comprehensive support and virtual storage look-up tool P For use by Physicians & Clinics » Local coverage determinations (LCDs) and Medicare’s » Customizable services H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 (464 3649), option 1 Mention your source code for discounts 11 with Ingenix data. Data Services The success of your practice depends heavily on your practice management system. However, your system is only as good as the data that goes into it. Keeping it up-to-date with accurate coding, billing, and fee data is essential to profitability. Trust Ingenix to provide you with the most reliable, precise code and fee data. Ingenix data files supply you with rigorously reviewed data, valuable proprietary information, and frequent updates to maximize your system’s capabilities. »Get the content you need. Code sets, relative values, »Stay current with subscriptions (available for most products). Medicare fee schedules, Medicare carrier-based fees, Frequent updates keep your systems up-to-date as important commercial fee benchmarks, and much more. changes are made. »Depend on Ingenix clinicians. Our staff is dedicated to »Find the descriptions you need. Code set data files contain all reviewing and maintaining data so that you can be confident current codes and full descriptions, as well as clinically that it’s accurate and reliable. abbreviated (not truncated) short and medium descriptions. Download your data updates via the Online Data Access System. As soon as updates are available, you will be alerted via email and will have access to download your updated files immediately. Title Item No. Code Set Data ICD-9-CM Vol. 1 and Vol. 3 (subscription) Price Title Item No. Price 4826 4824 4831 4833 4834 4835 4836 4838 $4,999.95 $899.95 $899.95 $899.95 $899.95 $899.95 $899.95 $899.95 Reference Data ICD-9-CM Vol. 1 and Vol. 3 (annual)* Current Procedure Codes with RVUs (subscription) 7826 4883 7825 Current Procedure Codes with RVUs (annual)** HCPCS Level II (subscription) HCPCS Level II (annual)** DRG (subscription) DRG (annual)** 2010 ICD-10-CM 2010 ICD-10-PCS 2010 ICD-10-CM Mapping 2010 ICD-10-PCS Mapping Revenue Codes (subscription) 4859 7827 4861 7828 4858 4902 4903 4889 4904 5099 $299.95 Cross Coder Data Files $139.95 Complete $199.95 Anesthesia $89.95 HCPCS $299.95 Lab/Path $89.95 Medical Svcs $399.95 Procedural $109.95 Radiology $119.95 Surgical $119.95 $119.95 $119.95 $699.95 Fee Data Physician Fee Data See pages 37-38 for details Medicare Professional Fee Data Please call for pricing & product details NEW! Medicare Carrier Pricing Data Please call for pricing & product details Workers Compensation Fee Schedules Please call for pricing & product details Available: Now *Available: Sept 2010 ** Available: Dec 2010 Additional Data Resources NCCI (subscription) Hospital Outpatient NCCI (subscription) Revenue Code Crosswalk (subscription) Revenue Code Crosswalk Plus (subscription) 2011 UB-04* 2010 UB-04 Insurance Directory Medical Necessity Data (LCD, LMRP, NCD) Available: Now *Available: Feb 2011 2976 $399.95 1251 $749.95 2012 $1,495.95 4012 $5,500.00 4887 $429.95 4886 $429.95 1558 $499.95 Please call for pricing & product details For more information on any of these data sets or to customize data to your specifications, please call 1.800.Ingenix (464-3649), option 1, or visit www.shopingenix.com/dataservices. *Pricing is only for single user licenses. Multi-license pricing is available, please call for details. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online eSolutions Ingenix Data Files .com 12 www.shop Essential Coding Change is Good You asked. We listened. 2011 ICD-9-CM code books have changes you’re going to like. We’re your partner today and tomorrow. An integral part of any partnership is communication. So, based on feedback from our clients, we’ve updated the 2011 editions of ICD-9-CM code books to better meet your needs. The updated editions feature: Modified font to increase readability Enhanced, more vibrant colors and printing New highlighted coding informational notes Snap-in, tab dividers (Expert spiral editions only) More official coding tips Additional ICD-10 Spotlight codes 2011 ICD-9-CM for Physicians, Volumes 1 & 2 A new look for 2011—Now enhanced with a new, bolder look to improve 2011 ICD-9-CM Standard for Physicians, Vols 1 & 2 (Compact) Item # IPC11 Available: Sep 2010 ISBN: 978-1-60151-387-8 $74.95 readability, Ingenix ICD-9-CM resources continue to provide accurate diagnosis coding and comprehensive reimbursement alerts. Loaded with innovative features and content to address regulatory changes and coding challenges, Ingenix experts study industry changes and trends while 2010 Edition Item # IPC10 Available: Now ISBN: 978-1-60151-260-4 $74.95 $41.22 seeking feedback from our customers and other coding professionals to ensure your code book is easy to use with accurate and up-to-date » NEW » Bold, fresh colors and updated, easier to read print. Requested by our customers, all ICD-9-CM code books will NEW IngenixEdge ® IngenixEdge ® primary diagnosis »“Unspecified” and “Other specified” code alerts. Know Highlighted Coding Instructional Note. Identify which codes should be used with caution. when important coding instruction applies to a specific code. » IngenixEdge ® Hallmark color-coded symbols and alerts. Identify on the same page as the code you need. »V code symbols. Understand appropriate use of V codes as Section Notes Alerts. Learn correct code usage with alerts on important guidance for specific sections. » IngenixEdge ® critical coding and reimbursement issues quickly, with alerts feature a great new look for the 2011 editions. » P ippC information to help enhance performance in your daily work. » Additional Digit Required Symbols. Know when an IngenixEdge ® Hallmark Page Design. Includes QuickFlip™ Color Bleed Tabs, Dictionary Headers, and Symbol Keys. additional 4th or 5th digit is required for code specificity and validity to avoid invalid code submissions. Additional Features with our Professional edition 2011 ICD-9-CM Professional for Physicians, Vols 1 & 2 (Softbound) Item # IPB11 Available: Sep 2010 ISBN: 978-1-60151-386-1 $86.95 » ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work. » 2010 Edition Item # IPB10 Available: Now ISBN: 978-1-60151-259-8 $86.95 $47.82 IPP IngenixEdge ® IngenixEdge ® Coding Clinic and Official Coding Guideline Tips. Now featuring official coding tips with the codes. »Includes illustrations and definitions. P P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 3649) option 1 (464 3649), Mention your source code for discounts 13 Essential Coding Take a peek at enhancements to our 2011 Expert Edition. P IPES Physician Sample.fm Page 1 Wednesday, March 24, 2010 3:48 PM Tabular List Endocrine, Nutritional and Metabolic Diseases, and Immunity 3. Endocrine, Nutritional and Metabolic Diseases, and ImmunityPhysician Disorders(240-279) Sample.fm Page 1 2010 Edition Item # IPS10 Available: Now ISBN: 978-1-60151-261-1 $95.95 $52.77 Tabs not available Hypothalamus Wednesday, March 24, 2010 Pituitary3:48 PM (Hypophysis) gland Thyroid gland 2 NOTE 240–244.9 The Endocrine System endocrine and metabolic disturbances specific to the fetus and newborn (775.0-775.9) All neoplasms, whether functionally active or not, are classified in Chapter 2. Codes in Chapter 3 (i.e., 242.8, 246.0, 251-253, 255-259) may be used to identify such functional activity associated with any neoplasm, or by ectopic endocrine tissue. Pineal gland Parathyoid glands Thymus gland Tabular List Endocrine, Nutritional and Metabolic Diseases, and Immu Disorders of Thyroid Gland (240-246) Adrenal (Suprarenal) glands Pancreas 3. Endocrine, Nutritional and Metabolic Diseases, Ovaries b 240 Simple and unspecified goiter DEF: An enlarged thyroid gland often caused by an inadequate dietary intake of iodine. and Immunity Disorders(240-279) 240.0 Goiter, specified as simple Any condition classifiable to 240.9, specified as simple Testes 2 240.9 Goiter, unspecified Enlargement of thyroid NOTE Goiter or struma: NOS diffuse colloid endemic hyperplastic nontoxic (diffuse) parenchymatous sporadic 2 congenital (dyshormonogenic) goiter (246.1) Expert Edition Exclusives: NEW Section Note Alerts Get all the features of our Standard and Professional editions—and more! » NEW FREE Snap-in tab dividers—only 2 IngenixEdge ® chapter, detailed clinical information b 242 diagnosis codes. IngenixEdge ® Coding Tables. Reduce time 0 without mention of thyrotoxic crisis or storm 1 with mention of thyrotoxic crisis or storm241 b § § additional research and steps (includes c 242.0 Toxic diffuse goiter [0-1] c 242.1 Toxic uninodular goiter [0-1] claim submission. »E-mail alerts for special reports. Thyroid nodule Uninodular goiter toxic or with hyperthyroidism [0-1] IngenixEdge® Additional Digit Required Symbols Secondary thyroid hyperplasia Unspecified Code AHA:commonly J-A, ‘85, 9 DEF: Enlarged thyroid, due to decreased thyroid Other Specified Code Adenomatous goiter E03.9 Hypothyroidism unspecified Nodular goiter (nontoxic) NOS Struma nodosa (simplex) Manifestation Code wx Revised Text b 242 Thyrotoxicosis with or without goiter Sample page from 2011 ICD-9-CM Expert for Physicians, Volumes 1 & 2 § l New Code s Revised Code Title Volume 1 – 1 neonatal thyrotoxicosis (775.3) c 242.0 Toxic diffuse goiter Basedow's disease Exophthalmic or toxic goiter NOS Graves' disease Primary thyroid hyperplasia DEF: Diffuse thyroid enlargement accompanied by hyperthyroidism, bulging eyes, and dermopathy. P For use by Physicians & Clinics H For use in Hospitals & Facilities A § c Y242.1 Toxic goiter For use by Postacute Services For use byuninodular Payers Available for download online [0-1] Thyroid nodule § c 242.3 Toxic nodu [0-1] Adenom Nodular Struma n Any cond hyp § c 242.4 Thyrotoxic § c 242.8 Thyrotoxic [0-1] [0-1] Overprod Thyrotox factitia Use addi 243 Congenital hypo Congenital thyro Cretinism (athyr Use additional c 2 conge DEF: Underproduc I-10 DEF: A condition caused by excess quantities of thyroid hormones being introduced into the tissues The following fifth-digit subclassification is for use with categories 242: 0 without mention of thyrotoxic crisis or storm 1 with mention of thyrotoxic crisis or storm [0-1] Ovaries E05.90 Thy I-10 Unspecified hypothyroidism DEF: Symptomatic hyperthyroidism with multiple nodules on the production with 244.9multiple nodules; no clinical hypothyroidism. enlarged thyroid gland. Abrupt onset of symptoms; including Hypothyroidism primary or NOS extreme nervousness, insomnia, weight loss, tremors,241.9 and psychosis Myxedema Unspecified nontoxic nodular goiter or coma. AHA: 3Q, ‘99, 19; 4Q, ‘96, 29 b c Additional Digit Required 2011 ICD-9-CM Thymus gland IngenixEdge® § c 242.9 Thyrotoxic [0-1] cause ICD-10 Hyperthy Spotlight Thyrotox acidto [PAS] DEF: Enlarged thyroid, P-aminosalicylic commonly due decreased thyroid Phenylbutazone production, with single nodule; no clinical hypothyroidism. Resorcinol 2 Includes our ICD-10 Spotlight and Coding Tips features! I-10 Multinodular goiter (nontoxic) Secondary hypothyroidism NEC c 242.2 Toxic multinodular goiter »Valid three-digit code list. See at a glance whether a code is valid for Basedow's disease Exophthalmic or toxic goiter NOS Graves' disease Primary thyroid hyperplasia E89.0 Postprocedural hypothyroidism DEF: Symptomatic hyperthyroidism with a single nodule on the E04.1 Nontoxic singleIatrogenic thyroidhypothyroidism nodule NOS enlarged thyroid gland. Abrupt onset of symptoms; including Use additional E code to identify drug extreme nervousness, insomnia, weight loss, tremors,241.1 and psychosis Nontoxic multinodular goiter or coma. 244.8 Other specified acquired hypothyroidism § I-10 Nontoxic nodular goiter 244.1 Other postablative hypothyroidism Hypothyroidism 2 adenoma of thyroid (226) following therapy, such as irradiation 244.2 Iodine hypothyroidism cystadenoma ofHypothyroidism thyroid (226) resulting from administration or ingestion of iodide 241.0 Nontoxic uninodular goiter Use additional E code to identify drug DEF: Diffuse thyroid enlargement accompanied by hyperthyroidism,Thyroid nodule Other iatrogenic hypothyroidism bulging eyes, and dermopathy. Uninodular 244.3 goiter Hypothyroidism (nontoxic) resulting from: exclusive table covering Personal/ Family history code assignment). [0-1] cause 240.0 Goiter, specified asHyperthyroidism simple NOS Thyrotoxicosis Any condition classifiable to NOS 240.9, specified as simple E05.90 Thyrotoxicosis uns w/o thyrotoxic crisis or storm Goiter, unspecified 243 Congenital hypothyroidism I-10 thyroid insufficiency Enlargement Congenital of thyroid 241.1 Nontoxic multinodular goiter Cretinism (athyrotic) (endemic) Multinodular goiter (nontoxic) Goiter or struma: Use additional code to identify associated mental retardation DEF: Enlarged thyroid, commonly due to decreased thyroid NOS 2 congenital (dyshormonogenic) goiter (246.1) production with multiple nodules; no clinical hypothyroidism. DEF: Underproduction of thyroid hormone present from birth. diffuse colloid 241.9 Unspecified nontoxic nodular goiter Adenomatous goiter b 244 Acquired hypothyroidism endemic Nodular goiter (nontoxic) NOS 1 athyroidism (acquired) hyperplastic Struma nodosa (simplex) (acquired) nontoxic (diffuse) hypothyroidism myxedema (adult) (juvenile) Thyrotoxicosis with or without goiter thyroid (gland) insufficiency (acquired) parenchymatous 2 neonatal thyrotoxicosis (775.3) sporadic 244.0 Postsurgical hypothyroidism DEF: A condition caused by excess quantities of thyroid hormones being introduced into the tissues DEF: Underproduction of thyroid hormone due to surgical removal of goiter (246.1) all or (dyshormonogenic) part of the thyroid gland. The following fifth-digit subclassification is for use with categories 242: 2 congenital spent on code selection for complex diagnoses that typically require Overproduction of thyroid-stimulating hormone [TSH] Th Hypothalamus Pituitary (Hypophysis) gland Thyroid gland 240–244.9 ICD-9-CM Code Changes: and coding tips for all new 2011 [0-1] DEF: An enlarged thyroid gland caused an inadequate dietary intake Use often additional E codeby to identify cause, if drug-induced of iodine. § c 242.9 Thyrotoxicosis without mention of goiter or other DEF: Enlarged thyroid, commonly due to decreased thyroid production, with single nodule; no clinical hypothyroidism. 240.9 E04.1 Nontoxic single thyroid nodule An Insider’s View. Find chapter- by- » [0-1] Thyrotoxicosis: b 240 Simple and unspecified goiter factitia from ingestion of excessive thyroid material adenoma of thyroid (226) cystadenoma of thyroid (226) 241.0 Nontoxic uninodular goiter Thyroid nodule Uninodular goiter (nontoxic) when you buy directly from Ingenix. » endocrine andToxic metabolic disturbances specific to the fetus nodular goiter, unspecified § c 242.3 and newborn (775.0-775.9) [0-1] Adenomatous goiter Nodular goiter toxic or with All neoplasms, whether functionally active orhyperthyroidism not, are classified Struma nodosa in Chapter 2. CodesAny in Chapter 3 (i.e., 242.8, 246.0, 251-253, condition classifiable to 241.9 specified as toxic or with 255-259) may be used to identify such functional activity hyperthyroidism associated neoplasm, orectopic by ectopic tissue. § cwith 242.4any Thyrotoxicosis from thyroid endocrine nodule Thyrotoxicosis of other specified origin c 242.8 Disorders§ of Thyroid Gland (240-246) b 241 Nontoxic nodular goiter Endocrine, Nutritional and Metabolic Diseases, and Immunity 2011 ICD-9-CM Expert for Physicians, Vols 1 & 2 (Spiral) Item # IPS11 Available: Sep 2010 ISBN: 978-1-60151-388-5 $99.95 b 244 Acquired hypoth 1 athyr hypo myxe thyro 244.0 Postsurgic DEF: Unde all or part E89.0 Post 244.1 Other post Hypothy 244.2 Iodine hyp Hypothy iod Use addi 244.3 Other iatro Hypothy P-amin Pheny 14 www.shop Essential Coding 2011 ICD-9-CM Standard for Hospitals, Vols 1, 2 & 3 (Compact) Item # IHC11 Available: Sep 2010 ISBN: 978-1-60151-391-5 $84.95 A great companion to your ICD-9-CM: Comprehensive ICD-9-CM Table of Drugs and Chemicals. See page 25 for details. 2010 Edition Item # IHC10 Available: Now ISBN: 978-1-60151-264-2 $84.95 $46.72 H Y ihpc 2011 ICD-9-CM for Hospitals, Vols 1, 2 & 3 New look for 2011 editions. Ingenix ICD-9-CM code books will not only include a new font for increased readability—you’ll also get more vibrant colors, feature enhancements, and key content additions to further support efficient and precise professional coding. By listening to our customers and leaning on the experience of coding experts, Ingenix designs easy-to-use coding resources that help address critical changes that support the challenges and needs of your daily work. From the Standard book with compact, pure and simple information, to the updateable Expert with three yearly updates, select the format that fits your coding needs and budget. Hallmark Features for all editions: » » NEW IngenixEdge ® » Section Notes Alerts. Learn correct Adjunct procedure code alert. 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H Y ihp P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 Over 37 Ingenix code books for the price of 5, including ICD-9-CM 15 e 3649) option 1 (464 3649), Mention your source code for discounts Take your coding electronic—see page 4 for more information Check out our new look— download a sample page at ShopIngenix.com/icd9for2011. H Y ihes 2011 ICD-9-CM Expert for Hospitals, Vols 1, 2 & 3 (Spiral) Item # IHS11 Available: Sep 2010 ISBN: 978-1-60151-392-2 $103.95 2010 Edition Item # IHS10 Available: Now ISBN: 978-1-60151-265-9 $99.95 $54.97 Tabs not available Expert Edition Exclusives: » NEW » FREE Snap-in tab dividers—only when you buy IngenixEdge ® system by understanding which MDC and DRG a specific ICD-9-CM Code Changes: An Insider’s View. principal Dx group falls under. Find chapter-by-chapter, detailed clinical information » MCC and CC code list. Know which MCC (major and coding tips for all the new 2011 diagnosis and complications and comorbidities) and CC (complications procedure codes. » IngenixEdge ® and comorbidities) codes impact DRG assignment. Resources: Diagnosis to MS-DRG Crosswalk, » E-mail alerts for special reports. Stay current on the Present on Admission (POA) Tutorial with Documentation Table, CMS-DRG to MS-DRG Mapping, CC and MCC Lists, and the Pharmacological Listing. Link treatment to diagnoses. » IngenixEdge ® Dx/MDC/DRG list. Enhance reimbursement and reduce the risk of fines under the new MS-DRG directly from Ingenix. » IngenixEdge ® POA indicator tutorial with source documentation table. Receive additional explanation and examples to latest regulatory and ICD-9-CM code changes. Plus, get all the features of our Standard and Professional editions—and more. simplify POA, plus official guidelines on using medical record information. Updateable ICD-9-CM Expert Options for Physicians & Hospitals Stay current with three yearly updates. » September—Full text update with new codes and updated AHA’s Coding Clinic reference and code edits. » February—New illustrations, definitions, AHA’s Coding Clinic reference, and updated coding edits. » July—Hospitals: PPS Alert with the new codes and changes to the DRG system. iheu IPEU H Y ICD-9-CM Expert for Hospitals, Vols 1, 2 & 3 (Updateable binder) Item # 3539 Available: Now Price $179.95 P For use by Physicians & Clinics P Y ICD-9-CM Expert for Physicians, Vols 1 & 2 (Updateable binder) Item # 3534 Available: Now $179.95 H For use in Hospitals & Facilities A Physicians: ICD-9-CM New Codes Special Report » Summary of AHA’s Coding Clinic Topics. Review a summary of the latest official coding advice. Plus, all the features of our Expert editions. 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IHHA 2011 ICD-9-CM Expert for Home Health Services, Vols 1, 2 & 3 (Spiral) Item # IHA11 Available: Sep 2010 ISBN: 978-1-60151-395-8 $159.95 IPAC H A Y H A Y 2011 ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices, Vols 1, 2 & 3 (Spiral) Item # ISN11 Available: Sep 2010 ISBN: 978-1-60151-397-7 $159.95 2010 Edition Item # IHA10 Available: Now ISBN: 978-1-60151-267-3 $154.95 $85.22 Tabs not available 2010 Edition Item # ISN10 Available: Now ISBN: 978-1-60151-328-1 $154.95 $85.22 Tabs not available Get to know our Postacute resources. 2011 ICD-9-CM for Postacute Facilities Get the resources designed specifically for postacute services—with hallmark IngenixEdge ® features, including intuitive color-coded symbols and alerts, V Code & Additional Digit symbols, 10 Steps to Correct Coding, e-mail alerts, New & Revised Code alerts, Synopsis of Code Changes, and much more. » NEW FREE Snap-in tab dividers—only when you buy directly » from Ingenix. » NEW IngenixEdge ® IngenixEdge ® Highlighted Coding Instructional Note. Avoid overlooking important coding instructions. Section Notes Alerts. Learn correct code usage with alerts on important guidance for specific sections. » IngenixEdge ® » IngenixEdge ® ICD-9-CM Code Changes: An Insider’s View. Find detailed, chapter-by-chapter clinical and coding tips for all the ICD-10 Spotlight. Preview ICD-10-CM codes with the new codes in 2011. most frequently reported ICD-9-CM codes to learn as you work. 2011 ICD-9-CM Expert for Home Health Services, 2011 ICD-9-CM Expert for Skilled Nursing Facilities, Vols 1, 2 & 3 Inpatient Rehabilitation Facilities and Hospices, Places a special focus on the professional challenges of the Vols 1, 2 & 3 home health agency. Provides expanded postacute coverage and specifically » IngenixEdge ® addresses coding needs of skilled nursing facilities (SNF), Chapter Coding Insights. 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P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 3649) option 1 (464 3649), Mention your source code for discounts 17 OHBIL MDSE H A Y 2011 OASIS Editor Item # OHBIL11 Available: Nov 2010 ISBN: 978-1-601651-407-3 $139.95 2010 Edition Item # 2248 Available: Now ISBN: 978-1-601651-337-3 $139.95 $76.97 2011 MDS Editor Item # MDSE11 Available: Nov 2010 ISBN: 978-1-60151-408-0 $139.95 H A Y 2010 Edition Item # 2249 Available: Now ISBN: 978-1-60151-341-0 $139.95 $76.97 2011 OASIS Editor 2011 MDS Editor The OASIS Editor provides strategies to master OASIS Learn how to enhance MDS documentation techniques and documentation and improve ICD-9-CM coding practices, improve ICD-9-CM coding practices with the MDS Editor—our both of which are critical to capture reimbursement and newest resource designed to help SNFs assure appropriate comply with coverage and participation regulations. payments. » Understand the OASIS data element conventions and » Improve the accuracy and completeness of MDS reporting definitions for complete and accurate reporting. with an enhanced understanding of the data element » Know the best strategies for full reimbursement based on conventions and definitions. » Earn full reimbursement using practical data capture strategies patient OASIS scoring and case assignment to the Clinical Dimensions under the Home Health Resource Groups based upon patient MDS reporting and case assignment to (HHRG). the clinical categories under the Resource Utilization Groups. » Review clinical information, documentation advice, and » Get valuable guidance on ICD-9-CM coding and clinical official coding guidance concerning diagnosis categories for documentation that may change patient RUG assignment. case mix adjustment variables. 2011 Coding, Reporting, and Documentation Guidance for Postacute Facilities (CD) Comprehensive Package Option Complete coverage for all postacute facilities—home health agencies, 2011 Home Health Package Item # IHAP11 Available: Sep 2010 $239.95 nursing facilities, inpatient rehabilitation facilities, inpatient psychiatric facilities, hospice, and long-term care hospitals. Comprehensive Package Option. Purchase the 2011 Companion CD separately or with a Postacute ICD-9-CM code book. IPHYCD For use by Physicians & Clinics 2011 Postacute Package Item # ISNP11 Available: Sep 2010 $239.95 2010 Edition Item # XIHH10 Available: Now ISBN: 978-1-60151-268-0 $119.95 $65.97 H A Y P IHHP 2011 Coding, Reporting, and Documentation Guidance for Postacute Facilities (CD) Item # XIHH11 Available: Sep 2010 ISBN: 978-1-60151-399-1 $139.95 H For use in Hospitals & Facilities A For use by Postacute Services IPACP Y For use by Payers Available for download online Essential Coding Current RUG system and MDS form coverage OASIS-C coverage .com 18 www.shop Essential Coding Pre-printed, stick-on code range tabs— only available directly from Ingenix. P H Y ce P H Y ceT cec P H Y 2011 Current Procedural Coding Expert (Spiral) Item # CE11 Available: Dec 2010 ISBN: 978-1-60151-409-7 $99.95 2011 Current Procedural Coding Expert with Tab Dividers (Spiral) Item # CET11 Available: Dec 2010 ISBN: 978-1-60151-409-7 $104.95 2011 Current Procedural Coding Expert (Compact) Item # CEC11 Available: Dec 2010 ISBN: 978-1-60151-410-3 $89.95 2010 Edition Item # CE10 Available: Now ISBN: 978-1-60151-283-3 $99.95 $54.97 2010 Edition Item # CET10 Available: Now ISBN: 978-1-60151-283-3 $104.95 $57.72 2010 Edition Item # CEC10 Available: Now ISBN: 978-1-60151-284-0 $89.95 $49.47 2011 Current Procedural Coding Expert Turn to the CPT® coding resource that goes beyond basic coding and is designed for a coder’s daily work—not the classroom. 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Also available… New cbpo cbST P H Y P H Y 2011 CPT® Professional Edition Item # CS11 Available: Nov 2010 ISBN 978-1-60359-217-8 $107.95 2011 CPT® Standard Edition Item # CB11 Available: Nov 2010 ISBN 978-1-60359-216-1 $84.95 2010 Edition Item # CS10 Available: Now ISBN 978-1-60359-119-5 $107.95 2010 Edition Item # CB10 Available: Now ISBN 978-1-60359-118-8 $79.95 CPTH P H Y CPT® Handbook for Office-based Coding: AMA and CMS Perspectives Item # 1573 Available: Now ISBN 978-1-60359-197-3 $124.95 CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 19 e 3649) option 1 (464 3649), Mention your source code for discounts Over 37 Ingenix code books for the price of 5, including Current Procedural Coding Expert Take your coding electronic—see page 4 for more information Sample page from the Current Procedural Coding Expert Reimbursement and Coding Icons Facility and Non-Facility RVUs and Global Follow-Up Days IngenixEdge® Resequenced Code Alert P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online Essential Coding Did you know … the American Medical Association’s CPT® code books don’t include reimbursement information? www.shop 20 HCPCS DRUGS ADMINISTERED OTHER THAN ORAL METHOD J0704 Injection, betamethasone sodium phosphate, per 4 mg q N @ J0706 Injection, caffeine citrate, 5 mg Use this code for Cafcit. J1060 K @ J0881 Injection, darbepoetin alfa, 1 mcg (non-ESRD use) n Use this code for Aranesp. A @ J0882 Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis) Use this code for Aranesp. MED: 100-2,15,50 MED: 100-2,6,10; 100-4,4,240 q AHA: 2Q,'02,8 N @ J0710 Injection, cephapirin sodium, up to 1 g N @ MED: 100-2,6,10; 100-4,4,240 q MED: 100-2,15,50 K @ J0713 Injection, ceftazidime, per 500 mg Use this code for Ceptax, Fortaz, Tazicef q Essential Coding J0715 Injection, ceftizoxime sodium, per 500 mg Use this code for Cefizox. q A @ MED: 100-2,15,50 N @ J0720 Injection, chloramphenicol sodium succinate, up to 1 g q Use this code for Chlormycetin. MED: 100-2,15,50 N @ J0725 Injection, chorionic gonadotropin, per 1,000 USP units N @ J0895 Injection, deferoxamine mesylate, 500 mg q Take your coding Use this code for Desferal. J0900 Injection, testosterone enanthate and estradiol valerate, up to 1 cc q P H Y J0740 Injection, cidofovir, mg Level II Professional 2011375 HCPCS Use this code for Vistide. (Softbound) MED: 100-2,15,50 Item # HB11 Available: Dec 2010 ISBN: 978-1-60151-415-8 $72.95 N @ J0743 Injection, cilastatin sodium; imipenem, per 250 mg Use this HCPCS Level II code for Primaxin I.M., Primaxin I.V. electronic – see page 4 for more information MED: 100-2,15,50 N @ K @ Over 37 Ingenix code J0894 Injection, decitabine, 1books mg for the price ofn5, Use this code for Dacogen. including HCPCS Level II n MED: 100-2,15,50 2011 MED: 100-2,6,10; 100-4,4,240 , K @ N @ J0735 Injection, clonidine HCl, 1 mg hp Iopidine Use this code for Clorpres, Duraclon, J0886 Injection, epoetin alfa, 1000 units (for ESRD on dialysis) Use this code for Epogen/Procrit. q MED: 100-2,15,50 K @ n MED: 100-2,6,10; 100-2,15,50; 100-4,4,240 MED: 100-2,15,50 N @ e J0885 Injection, epoetin alfa, (for non-ESRD use), 1000 units Use this code for Epogen/Procrit. , MED: 100-2,15,50 J0945 Injection, brompheniramine maleate, per 10 mg MED: 100-2,15,50 n Drugs Administered Other Than Oral Method N @ .com q 2010Injection, Edition estradiol valerate, up to 40 mg N @ J0970 q Item # HB10 Use Available: Now this code for Clinagen LA, Clinagen, LA-10, Clinagen LA-20, Clinagen LA-40, Delestrogen ISBN: 978-1-60151-288-8 $72.95 $40.12 MED: 100-2,15,50 q J1000 Injection, depo-estradiol cypionate, up to 5 mg q MED: 100-2,15,50 Use this code for depGynogen, Depogen, Estradiol Over 200 changes went into effect for 2010—be prepared to effectively manage more HCPCS coding and reimbursement Cypionate N @ J0744 Injection, ciprofloxacin for intravenous infusion, 200 changes come 2011mg in physician, hospital outpatient, and ASC settings. You’ll get the complete 2011 code set with information MED: 100-2,15,50 q Use this code for Cipro. N @ J1020 Injection, q from every HCPCS source—CMS, OPPS addendum B, and the physician fee schedule.methylprednisolone acetate, 20 mg Use this code for Depo-Medrol. N @ J0745 Injection, codeine phosphate, per 30 mg q N @ q MED: 100-2,15,50 Medicare quality reporting bonus payments. N @ J0770 Injection, colistimethate sodium, up to 150 mg q Use this code for Coly-Mycin M.2011 HCPCS, » Comprehensive code updates. Access all N @ J1030 icons. Injection, methylprednisolone acetate, 40 mg » DMEPOS Use this code for DepoMedalone40, Depo-Medrol, Sano-Drol » AHA Coding Clinic for HCPCS references. Receive added MED: 100-2,15,50; 100-4,4,240 with articles on difficult-to-code II N support @ J1040 Injection, methylprednisolone acetate,HCPCS 80 mg Level q MED: 100-2,15,50 MPFS, and OPPS files and deleted codes for HCPCS Level II. J0780 Injection, prochlorperazine, up to 10 mg Use this code for Compazine, Cotranzine, Compa-Z, » OPPS status indicators and ASC payment indicators. Ultrazine-10. N @ K @ J0795 Injection, corticorelin ovine triflutate, 1 mcg Use this code for Acthrel. J0800 Injection, corticotropin, up to 40 units Use this code for H.P. Acthar gel K @ J0835 Injection, cosyntropin, per 0.25 mg Payment Indicators Use this code for Cortrosyn. K @ J0850 Injection, cytomegalovirus immune globulin intravenous (human), per vial Use this code for Cytogam. MED: 100-2,15,50 MED: 100-2,15,50; 100-4,4,240 N @ J1051 Injection, medroxyprogesterone acetate, 50 mg Use this code for Depo-Provera. E J1055 Injection, medroxyprogesterone acetate for contraceptive use, 150 mg Use this code for Depo-Provera. ; J1056 Injection, medroxyprogesterone acetate/estradiol cypionate, 5 mg/25 mg Use this code for Lunelle monthly contraceptive. ; n n ASC E n N @ n J1060 Injection, testosterone cypionate and estradiol cypionate, up to 1 ml q Use this code for Depo-Testadiol, Duo-Span, Duo-Span II. Special Coverage Instruction MED: 100-2,15,50; 100-4,4,240 K @ 2009 HCPCS P MED: 100-2,15,50 J0878 Injection, daptomycin, 1 mg Use this code for Cubicin. Special Coverage Instructions Noncovered by Medicare g-w ASC Payment Indicators For use by Physicians & Clinics H ;q MED: 100-2,15,50 MED: 100-2,15,50 OPPS Status Indicators 80, Depo-Medrol, Duro Cort, Methylcotolone, Pri-Methylate, Sano-Drol » Plus, color-coded bars and icons with user-friendly icons. MED: 100-2,15,50 K @ Use this code for Cortimed, DepMedalone, DepoMedalone codes or sections. q MED: 100-2,15,50 » In-depth illustrations. q n Carrier Discretion @ Quantity Alert l New Code MED: Pub 100/NCD References 7 DMEPOS Paid For use in Hospitals & Facilities A J0704 — J1060 MED: 100-2,15,50; 100-4,4,240 MED: 100-2,15,50 » PQRINicons. @ J0760 Injection, colchicine, per 1with mg potential for Recognize HCPCS codes For use by Postacute Services m Recycled/Reinstated , SNF Excluded Y For use by Payers t PQRI s Revised Code J Codes — 75 Available for download online 1 800 3649) option 1 (464 3649), Mention your source code for discounts 21 Essential Coding hec P H Y hes P H Y 2011 HCPCS Level II Expert (Spiral) Item # HS11 Available: Dec 2010 ISBN: 978-1-60151-413-4 $99.95 2011 HCPCS Level II Expert (Compact) Item # HC11 Available: Dec 2010 ISBN: 978-1-60151-414-1 $86.95 2010 Edition Item # HS10 Available: Now ISBN: 978-1-0151-285-7 $99.95 $54.97 2010 Edition Item # HC10 Available: Now ISBN: 978-1-0151-286-4 $86.95 Sold Out! 2011 HCPCS Level II Expert Get everything from our professional version, plus even more valuable features. » IngenixEdge ® Medically Unlikely Edits (MUEs) appendix. » IngenixEdge ® Glossary of terms. » IngenixEdge ® National Average Payment Tables. » IngenixEdge ® Deleted Codes Crosswalk Appendix. » IngenixEdge ® Expanded index. » Table of Drugs. 2011 HCPCS Level II Expert Updateable For those who need to stay apprised of the numerous HCPCS code changes throughout the year. Get quarterly updates for: » All changes, additions, and deletions in the HCPCS Level II Ideal for payers! code system. » Appendixes for the National Average Payment Tables, MUEs, and Deleted Codes Crosswalk. P H Y heu » Plus, all the features of our Expert edition. HCPCS Level II Expert (Updateable) Item # 4524 Available: Now $149.95 P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com Essential Coding 22 www.shop H Y DRG H DDR 2011 DRG Expert (Spiral) Item # DRG11 Available: Sep 2010 ISBN: 978-1-60151-378-6 $119.95 2011 DRG Expert eBook Item # 6089 Available: Sep 2010 ISBN: 978-1-60151-379-3 $119.95 2011 DRG Desk Reference Item # DDR11 Available: Sep 2010 ISBN: 978-1-60151-376-2 $209.95 2010 Edition Item # 5069 Available: Now ISBN: 978-1-60151-293-2 $119.95 $65.97 2010 Edition Item # 5358 Available: Now ISBN: 978-1-60151-294-9 $119.95 $65.97 2011 DRG Desk Reference eBook Item # 5197 Available: Sep 2010 ISBN: 978-1-60151-377-9 $209.95 2010 Edition Low Inventory 2010 Edition Item # 5038 Available: Now Item # 5054 Available: Now ISBN: 978-1-60151-295-6 $209.95 $115.47 ISBN: 978-1-60151-296-3 $209.95 $115.47 2011 DRG Expert 2011 DRG Desk Reference Trusted over 25 years, the DRG Expert is organized by MDC so Access crucial information to improve MS-DRG assignment you can follow the logical MS-DRG decision process. This is a practices, guidance on how to accurately assign DRGs under must-have reference for those who need to verify DRG information the MS-DRG system, and advice on clinical indicators of CC and accurately assign MS-DRGs concurrently or retrospectively. and MCC conditions. » IngenixEdge » Ingenix Exclusive Optimizing tips identify major factors involved in ® Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment moving a patient from a lower-paying MS-DRG to a higher status, transfer DRG status, surgical/medical partitioning, one while staying in compliance. and other requirements. » IngenixEdge ® » Ingenix Exclusive RAC program resource helps you understand Relative weight (RW), geometric mean length of stay (GMLOS) and arithmetic mean length of stay (AMLOS), and average national payment is provided for each MS-DRG under IPPS. » IngenixEdge ® » IngenixEdge audited DRGs. » IngenixEdge ® DRG decision trees help you clearly understand the logic behind assigning a DRG within an MDC. Every diagnosis and procedure code that defines each DRG is listed. ® the types of reviews, target strategies, targeted, and top- Download your eBook content immediately via the Ingenix Data Vault. MDC diagnosis list names mutually exclusive diagnoses that define each MDC. Download your eBook content immediately via the Ingenix Data Vault. 2011 DRG Documentation Deck Item # 6016 Available: Sep 2010 ISBN: 978-1-60151-385-4 $49.95 2011 DRG Documentation Deck This set of 50 DRG reminder cards is small enough to fit in your pocket so physicians and coders can understand documentation 2010 Edition Item # 5054 Available: Now ISBN: 978-1-60151-296-3 $49.95 $27.47 requirements for key medical conditions—on the spot. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 3649) option 1 (464 3649), Mention your source code for discounts 23 Desk Reference Comprehensive medical reference information at your fingertips MedicalReferenceEngine.com—coming soon Trying to find the information you need to code correctly and understand complicated regulatory information is cumbersome and time consuming—especially when you have to sift through multiple government sites. That’s why we are creating an innovative, intuitive new tool that makes searching narrative terms quick and easy. Ingenix MedicalReferenceEngine.com compiles local and national Medicare policy information as well as proprietary Ingenix coding, compliance, and billing content into one searchable database. Its enhanced search and bookmark capabilities as well as sophisticated filters and cross-indexed search results means you can navigate the application with ease and: • • • Search these features with ease: Reduce research time and enhance productivity Conduct multiple term searches in a single location Maintain compliance with access to up-to-date rules and regulations With links from public information to proprietary Ingenix content, all the critical information you need is consolidated into one, comprehensive site. So you find what you need, faster. Ingenix MedicalReferenceEngine.com will be here late 2010 In the meantime, learn more about this exciting new solution: Be a beta user. We’re testing the application in advance of its release. Be part of its development. Share your thoughts. We welcome your suggestions and input. Sign up to get updates on development and release. Visit www.shopingenix.com/MRE P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers CMS Transmittals OIG Workplan CIAs Advisory Opinions Fraud Alerts MLN Matters Proposed and Final Rules CMS Pub 100 RAC Audit Code of Federal Regulations Open Door Forum Call Archives and Transcripts Fee Schedules LCD/NCD Policies Internet Only Manuals CMS Press Releases PQRI ICD-10 Available for download online Desk Reference 24 www.shop P H Y CDR 2011 Coders’ Desk Reference for Procedures Item # CDR11 Available: Dec 2010 ISBN: 978-1-60151-412-7 $139.95 CDRH 2010 Edition Item # 1335 Available: Now ISBN: 978-1-60151-290-1 $139.95 $76.97 2011 Coders’ Desk Reference for HCPCS Level II Item # CDRH11 Available: Dec 2010 ISBN: 978-1-60151-417-2 $139.95 P H Y 2010 Edition Item # 1549 Available: Now ISBN: 978-1-60151-291-8 $139.95 $76.97 2011 Coders’ Desk Reference for Procedures 2011 Coders’ Desk Reference for HCPCS Level II Identify the minute differences between, and components Our one-of-a-kind, comprehensive resource on the 2011 of, similar CPT codes and answer questions with this HCPCS code set helps you reduce coding errors, check comprehensive resource for all 2011 CPT® codes. coding and billing for Medicare, improve coding confidence, ® and distinguish between HCPCS codes. » Ingenix Exclusive Chart of new, revised, and deleted codes with crosswalk. See all code changes at a glance and know which code to reference. »Over 3,000 HCPCS Level II codes and 2,000 lay descriptions. »Comprehensive CPT® code listing with more than 8,000 CPT codes and 6,000 lay descriptions. »Modifier definitions, diagnosis code suggestions, and usage rules. Choose appropriate modifiers and E/M codes ® accepted by payers. »Anatomical illustrations of body sites described in » Coding and billing instructions to reduce research time. operative reports. »Surgical terms chapter defines the components » Additional chapters for documentation, durable medical of surgical procedures. equipment (DME), fraud and abuse, compliance, and HIPAA. »Procedure crosswalk links eponyms to codes. Access E/M codes anytime, anywhere See our NEW E/M Coding Advisor–page 45 2011 E/M Fast Finder Quickly assign the evaluation and management (E/M) codes 2011 E/M Fast Finder Item # EMFF11 Available: Dec 2010 ISBN: 978-1-60151-396-0 $39.95 emff P h Y from the 99000 series of the CPT® code set with the Ingenix E/M Fast Finder. Durable and small enough to be carried in a lab coat pocket, this carry along reference enables level, difficulty, 2010 Edition Item # 1305 Available: Now ISBN: 978-1-60151-292-5 $39.95 $21.97 and other determinations for each E/M code in the exam room, lab, or office—anywhere you go. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 3649) option 1 (464 3649), Mention your source code for discounts 25 Now Available Specialty Coders’ Desk References (see pg. 33) Ophthalmology Cardiology Pediatrics 2011 Coders’ Desk Reference for Diagnoses Item # IDR11 Available: Sep 2010 ISBN: 978-1-60151-404-2 $139.95 H Y IDR3 2011 Coders’ Desk Reference for ICD-9-CM Procedures Item # IDR311 Available: Sep 2010 ISBN: 978-1-60151-405-9 $139.95 2010 Edition Item # IDR10 Available: Now ISBN: 978-1-60151-270-3 $139.95 $76.97 2010 Edition Item # 4744 Available: Now ISBN: 978-1-60151-271-0 $139.95 $76.97 2011 Coders’ Desk Reference for Diagnoses 2011 Coders’ Desk Reference for ICD-9-CM Procedures When the code book and coding guidelines do not have This reference guide describes all ICD-9-CM the answer to your specific coding question, the Ingenix procedures in full detail with complete coding advice. Coders’ Desk Reference for Diagnoses does. » » IngenixEdge ® » documentation tips for all the diagnosis codes. IngenixEdge ® Detailed procedure descriptions. Find procedures described using terminology found in the medical record. Detailed clinical descriptions. Access comprehensive clinical information, with coding and » IngenixEdge ® IngenixEdge ® Numerical organization by ICD-9-CM code. »Chapter-by-chapter 2011 new code summary and highlights Numerical organization by code. This resource is designed to work hand-in-hand with your Ingenix ICD-9-CM and ICD-9-CM instructional chapter. »Helpful coding tips and scenarios. code book. »Follow the official coding advice found in AHA’s Coding Clinic. »Chapter-by-chapter 2010 new code summary and highlights, ICD-9-CM instructional chapter, and helpful »Easily assign the proper code for procedures identified by coding tips and scenarios. eponyms and common names. »Syndrome chapter. »Relevant terminology and detailed illustrations. 2011 Comprehensive ICD-9-CM Table of Drugs and Chemicals How often do you look up a drug or chemical in your ICD-9-CM code book, and it’s not in the Table of Drugs and Chemicals, or research the therapeutic class or generic equivalent of drug in order to correctly assign Includes over 10,000 drugs and chemicals an E code? Look no further. »The Official Table of Drugs and P H Y CDCT 2011 Comprehensive ICD-9-CM Table of Drugs and Chemicals Item # CDCT11 Available: June 2010 ISBN: 978-1-60151-406-6 $89.95 Chemicals, plus thousands of with dependence risk or that are instruction pertaining to additional brand name drug regulated under the Controlled poisoning, adverse effects, and entries. Substance Act (CSA). toxic effects. »Therapeutic Class for each drug. »ICD-9-CM AHFS Therapeutic »Brand names crosswalked to 2010 Edition Item # 2243 Available: Now generic names. ISBN: 978-1-60151-345-8 $89.95 $49.47 P »DEA class identification of drugs »Official ICD-9-CM coding For use by Physicians & Clinics H For use in Hospitals & Facilities »Website updated with new Classification fills in the gaps pharmaceuticals approved by when researching drugs that are the FDA. not included in the official table. A For use by Postacute Services Y For use by Payers Available for download online Desk Reference P H Y IDR Desk Reference 26 www.shop ID P H Y 2011 Insurance Directory Item # 1586 Available: Oct 2010 ISBN: 978-1-60151-371-7 $79.95 2010 Edition Item # 1519 Available: Now ISBN: 978-1-60151-257-4 $79.95 $43.97 P H Y CPTC Cut the time you spend updating insurance information in half. 2011 CPT ® Changes: An Insider’s View Item # CI11 Available: Dec 2010 ISBN: 978-1-60359-218-5 71.95 2011 Insurance Directory 2010 Edition Item # CI10 Available: Nov 2009 ISBN: 978-1-60359-120-1 $69.95 Many insurance companies have changed their addresses, phone or fax numbers, or websites in the past year. Ingenix verifies the accuracy of the Insurance Directory by calling each insurance company listed to provide you with the 2011 CPT® Changes: An Insider’s View information you need to process claims with confidence. This annual title serves as a reference tool to »Get timely and accurate data on all US health insurers and understanding each of the CPT® code changes third-party administrators—commercial and government. found in the CPT® 2011 code book. Every new, revised, or deleted code, text, and guideline »Includes details that are hard to find when calling or change is listed along with a detailed rationale searching the Internet. for the change. »Quickly access helpful contact information for state »Organized by CPT® code section and code workers’ compensation boards and state departments number, just like the CPT® code book. of insurance. »Detailed rationales provide an explanation as to »Own the directory that has been the industry standard why the code change occurred. reference for many years. »“At-a-glance” tabular review of 2011 code, text, and guideline changes. »Useful clinical examples, procedural descriptions, and illustrations throughout. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 3649) option 1 (464 3649), Mention your source code for discounts 27 Desk Reference The only dictionary that meets the unique needs of coders and billers. 2011 Coders’ Dictionary Understand medical terminology from a coder’s perspective with the Coders’ Dictionary. Ingenix has developed this dictionary with the specific needs of medical coders, admitting clerks, billers, and adjudicators in mind. »Get clinical terms with definitions and ICD-9-CM, CPT® and HCPCS code assignments. TCD »Improve your coding accuracy with more than 7,500 alphabetic entries and 250 P H Y illustrations describing medical terminology, eponyms, new technology, and acronyms. 2011 Coders’ Dictionary Item # 1583 Available: Dec 2010 ISBN: 978-1-60151-370-0 $99.95 »Includes clear, concise definitions for clinical, coding, billing, and reimbursement terms. »Medical terminology, where applicable, is accompanied by illustrations to improve understanding of the definition. »Definitions are cross-referenced and tabbed to make searching fast and easy. 2010 Edition Item # 1546 Available: Now ISBN: 978-1-60151-256-7 $99.95 $54.97 2011 Physician’s Compliance Guide Prepare for increased scrutiny from Medicare by understanding what RACs, OIG, and MACs are looking for. »Identify the work flow processes that »Provides case studies and easy-to-understand are contributing to compliance errors examples of errors and non-compliance. and omissions. »Identifies the agency or contractor »Learn how to reduce or eliminate problems conducting the investigation and explains the official purpose of the review. PCG by establishing coding policies, educating staff, reviewing billing policies, or »Discusses what the agency is expecting to P renegotiating contracts. find, such as coding errors, inappropriate 2011 Physician’s Compliance Guide Item # PCG11 Available: Dec 2010 ISBN: 978-1-60151-358-8 $169.95 »Stay current throughout the year with business relations, Stark violations, and balance billing violations. 2010 Edition Item # 3325 Available: Now ISBN: 978-1-60151-348-9 $169.95 $93.47 online updates. »Gives techniques, formulas, and benchmarks to determine risk and estimate potential liability. Wondering what the RAC will uncover when auditing your practice? P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com Specialty Reference 28 www.shop Co-published with AAO-HNS—Discount for members P H Y AGEN aent P H Y P H Y atob 2011 Coding Companion® Specialty Guides Boost your coders’ efficiency with Coding Companion ® specialty guides. These valuable resources offer the most up-to-date CPT® and ICD-9-CM code sets, specific to your specialty, in a quick-search format. And with descriptions, illustrations, and other relevant references aPED P H Y Illustrated pages capture specialty-specific coding essentials in easy-to-read format listed on a single page for each code, coders can quickly find the information they need. » NEW » Find all the information you need for each CPT® code Now includes Medicare Modifiers, MUEs, and on a single page: clear, concise descriptions, as well status indicators. » Get information faster with essential procedures for each specialty listed by CPT® code and crosswalks to ICD-9-CM as illustrations, coding tips, terminology, cross coding, Medicare RVUs, and Pub. 100 guidelines. » Receive quarterly updates via e-mail. Includes CCI Edits diagnosis and procedure, and anesthesia codes. along with updates to RVUs and MUEs. » Includes Medicare RVUs, follow-up days, and assistant-at-surgery indicators. 2011 Coding Companion ® Specialty Guides Title Coding Companion® for Cardiology/Cardiothoracic Surgery/Vascular Surgery Coding Companion® for Emergency Medicine Coding Companion® for ENT/Allergy/Pulmonology Coding Companion® for General Surgery/Gastroenterology Coding Companion® for Neurosurgery/Neurology Coding Companion® for OB/GYN Coding Companion® for Oncology/Hematology Coding Companion® for Ophthalmology Coding Companion® for Orthopaedics—Lower: Hips & Below Coding Companion® for Orthopaedics—Upper: Spine & Above Coding Companion® for Pediatrics Coding Companion® for Plastics/OMS/Dermatology Coding Companion® for Podiatry Coding Companion® for Primary Care Coding Companion® for Radiology Coding Companion® for Urology/Nephrology Item No. ATCR11 ASECT11 AENT11 AGEN11 ATNN11 ATOB11 ATHO11 ATEY11 ATLE11 ATUE11 APED11 ATPR11 ASPOD11 ASPC11 ASRA11 ATUN11 Available: December 2010 ISBN 978-1-60151-438-7 978-1-60151-434-9 978-1-60151-431-8 978-1-60151-432-5 978-1-60151-442-4 978-1-60151-443-1 978-1-60151-440-0 978-1-60151-439-4 978-1-60151-441-7 978-1-60151-445-5 978-1-60151-433-2 978-1-60151-444-8 978-1-60151-436-3 978-1-60151-435-6 978-1-60151-437-0 978-1-60151-446-2 $199.95 each Simplify coders’ jobs with this quick-find reference guide. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online 1 800 3649) option 1 (464 3649), Mention your source code for discounts 29 Trust the first specialty resource to feature an illustration for every CPT® code for 16 specialties. 27327 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm 27328 Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm 27337 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater 27339 Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Coding Tips Terms To Know Codes 27337 and 27339 are new for 2010. They are resequenced codes and will not display in numeric order. Codes 27327 and 27328 have been revised for 2010 in the official CPT description. An excisional biopsy is not reported separately when a therapeutic excision is performed during the same surgical session. Local anesthesia is included in this service. However, this procedure may be performed under general anesthesia, depending on the age and/or condition of the patient. graft. Tissue implant from another part of the body or another person. Specialty Reference 27327-27328 [27337, 27339] lymphangioma. Benign, malformed lymph channels. soft tissue. Nonepithelial tissues outside of the skeleton that includes subcutaneous adipose tissue, fibrous tissue, fascia, muscles, blood and lymph vessels, and peripheral nervous system tissue. CCI Version 15.3 01250, 01320, 10060, 10140, 10160, 20610, 27306-27307, 27306-27310v, 29445, 83.31 Excision of lesion of tendon sheath 29870-29871, 29871, 29874, 29876-29883, 83.32 Excision of lesion of muscle Detailed 29885-29887, 36000, 36400-36410, illustrations 36420-36430, 36440, 36600, 36640, 37202, 83.39 Excision of lesion of other soft tissue for each code 43752, 51701-51703, 62310-62319, or code set 83.49 Other excision of soft tissue 64400-64435, 64445-64450, 64470, 64475, 86.3 Other local excision or destruction of 64479, 64483, 64505-64530, 69990, lesion or tissue of skin and 93000-93010, 93040-93042, 93318, 94002, Detailed subcutaneous tissue illustrations 94200, 94250, 94680-94690, 94770, 95812-95816, 95819, 95822, 95829, 95955, 86.4 Radical excision of skin lesion 96360, 96365, 96372, 96374-96376, 99148-99149, 99150 Anesthesia Also not with 27327: 11011-11012v, 27327 00400 12001-12007, 12020-12037, 13120-13121, 27328 01320 27323-27325, 27340-27345, 38500, J2001 27337 00400 Also not with 27328: 11012v, 11401, 11404, 27339 01320 12001-12007, 12020-12037, 13120-13121, 20680, 27325, 27327, 27340-27345, 27372, ICD-9-CM Diagnostic 64712 171.3 Malignant neoplasm of connective Note: These CCI edits are used for Medicare. and other soft tissue of lower limb, Other payers may reimburse on codes listed CCI and CCI and Medicare including hip Easy-toabove. Medicare edits understand at your 172.7 Malignant melanoma of edits skin of lower at your fingertips explanations Easy-tofingertips Medicare Edits limb, including hip understand of codes Fac Non-Fac Explanation 173.7 Other malignant neoplasm of skin of explanations RVU RVU FUD Assist codes The physician removes a tumor of from the soft lower limb, including hip 8.46 11.82 90 27327 N/A tissue of the thigh or knee area that is located 195.5 Malignant neoplasm of lower limb 16.2 16.2 90 27328 N/A in the subcutaneous tissue in 27327 and 198.89 Secondary malignant neoplasm of d 27337 and in the deep soft tissue, below the 11.32 11.32 90 27337 other specified sites d fascial plane, or within the muscle in 27328 20.39 20.39 90 27339 2010 Companions and Coding 27339. With the proper anesthesia 209.34 Merkel cell carcinoma of the lower Medicare References: 100-2,15,260; administered, the physician makes an incision Title Item No. ISBN 100-4,14,10 100-4,12,30; 100-4,12,90.3; limb ® the mass and dissects to in theCompanion skin overlying Coding for Cardiology/Cardiothoracic209.75 Surgery/Vascular Surgery 978-1-60151-317-5 Secondary Merkel cell carcinoma A3175 the tumor. The extent of the tumor is Coding Companion® for Emergency Medicine A3137 978-1-60151-313-7 214.1 Lipoma of other skin and identified and a dissection is undertaken all ® Coding Companion ENT/Allergy/Pulmonology A3106 978-1-60151-310-6 subcutaneous tissue the way around thefor tumor. A portion of ® Coding Companion for General A3113 978-1-60151-311-3 neighboring soft tissue may alsoSurgery/Gastroenterology be removed 214.8 Lipoma of other specified sites ® removal of all tumor tissue. to ensure adequate Coding Companion for Neurosurgery/Neurology 215.3 Other benign neoplasm of connective A3212 978-1-60151-321-2 A drain may be inserted and the incision is ® Coding Companion for OB/GYN 978-1-60151-322-9 and other soft tissue of lower limb,A3229 repaired with layers of sutures, staples, or Coding Companion® for Oncology/Hematology A3199 978-1-60151-319-9 including hip Steri-strips. Report 27327 for excision of a ® Coding Companion forwhose Ophthalmology A3182 978-1-60151-318-2 228.1 Lymphangioma, any site subcutaneous tumor resected area is ® Coding Companion for Orthopaedics—Lower: Hips & Below 978-1-60151-320-5 less than 3 cm, and 27337 for excision of a 238.1 Neoplasm of uncertain behavior ofA3205 ® subcutaneous tumor is 3 cm or greater. Spine & Above Coding Companion forthat Orthopaedics—Upper: 978-1-60151-324-3 connective and other soft tissue A3243 Report 27328 for®excision of a subfascial or Coding Companion for Pediatrics 978-1-60151-312-0 239.2 Neoplasms of unspecified nature ofA3120 intramuscular tumor whose resected area is ® bone, soft tissue, and skin Coding Companion Plastics/OMS/Dermatology A3236 978-1-60151-323-6 less than 5 cm, andfor 27339 for excision of a ® Coding Companion for Podiatry 978-1-60151-315-1 782.2 Localized superficial swelling, mass,A3151 subfascial or intramuscular tumor that is 5 cm or lump or greater. Coding Companion® for Primary Care A3144 978-1-60151-314-4 ICD-9-CM Procedural A3168 A3250 Available: Now Coding Companion for Orthopaedics - Lower: Hips & Below Femur/Knee Coding Companion® for Radiology ® Coding Companion for Medical Urology/Nephrology CPT only © 2009 American Association. All Rights Reserved. 978-1-60151-316-8 978-1-60151-325-0 © 2009 Ingenix $199.95 Femur/Knee $109.97 each — 189 CPT is a registered trademark of the American Medical Association. P H For use&inClinics A For use Y For use CEU HP & P For Y For For use by Physicians & use Clinics Hospitals Facilities by Postacute Services by Earn Payers Available for download online by Physicians For use in Hospitals & Facilities use by Payers CEUs. See page 45. .com 30 www.shop Specialty Reference Co-published with APTA—Discount for members View all the CPT® code information you need, all on one page. P H Y spt cgCS P Coding resources as specialized as you are. 2010 Coding and Payment Guides Title Item No. Coding and Payment Guide for the Physical Therapist SPT10 Coding and Payment Guide for Behavioral Health Services SYCH10 Coding and Payment Guide for Anesthesia Services SAP10 Coding and Payment Guide for Laboratory Services SLAB10 Coding and Payment Guide for Chiropractic Services 5357 Price: $179.95 $98.97 2011 Coding and Payment Guides The 2011 Coding and Payment Guides provide valuable coding, billing, and documentation resources in one handy location. Updated annually, you’ll get the latest specialtyspecific ICD-9-CM, HCPCS Level II, and CPT® code sets along with Medicare payer information, CCI edits, helpful code descriptions, and clinical definitions. Current information and practical organization helps you submit claims precisely so you are reimbursed in a timely manner. » NEW 2011 Coding and Payment Guides Title Item No. Coding and Payment Guide for the Physical Therapist SPT11 Coding and Payment Guide for Behavioral Health Services SYCH11 Coding and Payment Guide for Anesthesia Services SAP11 Coding and Payment Guide for Laboratory Services SLAB11 Coding and Payment Guide for Chiropractic Services CGCS11 Price: $179.95 ISBN 978-1-60151-451-6 978-1-60151-452-3 978-1-60151-449-3 978-1-60151-450-9 978-1-60151-453-0 Available: Dec 2010 ISBN 978-1-60151-304-5 978-1-60151-305-2 978-1-60151-302-1 978-1-60151-303-8 978-1-60151-300-7 Available: Now »Receive quarterly updates via e-mail that include CCI Edits Now includes Medicare Modifiers, MUEs, and along with updates to RVUs and MUEs to help you identify status indicators. newly prohibited coding and billing combinations and reduce »Specialty-specific CPT® code sets with clear, concise audit risk. definitions, coding tips, terminology, crosswalks to ICD- »Medicare payer information with RVUs and Pub 100 9-CM and HCPCS Level II codes, and other relevant information in a one-page format for quick and easy look-up. »Separate chapters on reimbursement, documentation, and guidelines can help you prevent claim denials by using the most current information available. claims processing can help you improve accuracy before submission and prevent claim denials. Introducing the NEW Coding and Payment Guide for Dental Services 2011 Coding and Payment Guide for Dental Services New! Code common dental procedures more efficiently with this comprehensive claims processing, reimbursement, billing and fee setting, and documentation resource, including definitions and guidelines for current ICD-9-CM, 2010 Coding Guide for Dental Services Item # 5209 Available: Now ISBN: 978-160151-301-4 $119.95 $65.97 CPT®, HCPCS Level II, and 2010-2011CDT codes. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities 2011 Coding and Payment Guide for Dental Services Item # CGDS11 Available: Dec 2010 ISBN: 978-160151-448-6 $179.95 A For use by Postacute Services Y For use by Payers cgds Available for download online P 1 800 3649) option 1 (464 3649), Mention your source code for discounts 31 P H Y scc acc P H Y P H Y 2011 Radiology Cross Coder Item # RCC11 Available: Dec 2010 ISBN: 978-1-60151-455-4 $174.95 2011 Surgical Cross Coder Item # SCC11 Available: Dec 2010 ISBN: 978-1-60151-456-1 $174.95 2011 Anesthesia Cross Coder Item # ACC11 Available: Dec 2010 ISBN: 978-1-60151-454-7 $174.95 2010 Edition Item # 1911 Available: Now ISBN: 978-1-60151-307-6 $174.95 $96.22 2010 Edition Item # 1912 Available: Now ISBN: 978-1-60151-308-3 $174.95 $96.22 2010 Edition Item # 1910 Available: Now ISBN: 978-1-60151-306-9 $174.95 $96.22 2011 Cross Coders Simplify and speed coding with the one-stop, cross-coding resources developed for those who work for physicians, hospitals, or payers. These easy-to-use manuals provide essential links from CPT® codes to the appropriate ICD-9-CM and HCPCS Level II codes. »Numerical organization by CPT® code allows for quick location of diagnosis and procedure code information. »Appendix offers a complete listing of add-on and unlisted codes, as well as CPT® and HCPCS modifiers. »Positively impact reimbursement, data quality, and coding compliance. »Icons help identify the most accurate use of ICD-9-CM codes. »Help ensure consistency among coding staff. 2011 Procedural Cross Coder The Procedural Cross Coder is designed for coding both inpatient and outpatient procedures. This all-in-one resource crosswalks ICD-9-CM procedure codes to CPT® and HCPCS codes, enabling you to analyze data across coding systems. »Links ICD-9-CM procedure codes with corresponding CPT® and HCPCS codes; ideal for training inpatient coders in outpatient coding methodologies. »Includes all procedural HCPCS codes required by CMS for hospital use. »Quickly find definitions for common billing and reimbursement terminology. pcc 2011 Procedural Cross Coder Item # PCC11 Available: Dec 2010 ISBN: 978-1-60151-457-8 $159.95 H Y 2010 Edition Item # 1913 Available: Now ISBN: 978-1-60151-309-0 $159.95 $87.97 CPT is a registered trademark of the American Medical Association. P H For use&inClinics A For use Y For use CEU HP & P For Y For For use by Physicians & use Clinics Hospitals Facilities by Postacute Services by Earn Payers Available for download online by Physicians For use in Hospitals & Facilities use by Payers CEUs. See page 45. Specialty Reference rcc .com 32 www.shop Specialty Reference Hundreds of the most commonly used codes for each specialty at your fingertips. P H Y IFAST 2011 ICD-9-CM Fast Finder ® Sheets Available: Sep 2010 $24.95 2010 Edition Available: Now $24.95 $13.72 2011 HCPCS Level II Fast Finder ® Sheets Available: Dec 2010 $24.95 2010 Edition Available: Now $24.95 $13.72 2011 Fast Finder Description 2011 2010 2011 ICD-9-CM ICD-9-CM HCPCS Item# Item# Item# Allergy and Immunology 18001 16214 Behavioral Health 18002 16215 Cardiology 18003 16216 Cardiovascular/Thoracic Surgery 18004 16217 Chemotherapy Drugs 7160 1769 7154 1762 7153 1763 7155 1764 7156 1765 7157 1766 7158 1767 Vision and Hearing 7159 1768 Available: Dec 2010 Now Chiropractic Medicine 18005 16218 Dental/OMS 18006 16219 Dermatology 18007 16220 Drug Codes Emergency Medicine 18008 16221 2011 Fast Finder ® Sheets Endocrinology 18009 16222 Fast Finder sheets include approximately 300 of the ENT 18010 16223 most commonly reported codes and descriptions for External Causes E Codes 18011 16224 each specialty. These double-sided, laminated quick Family Practice 18012 16225 reference sheets help you increase the speed and Gastroenterology 18013 16226 General Surgery 18014 16227 Hematology/Oncology 18015 16228 Home Health 18016 16229 Infectious Diseases 18017 16230 ® efficiency of coding. »Arranged alphabetically by main terms so you can quickly locate codes by common diagnosis or procedural categories. »Contains 200–300 codes with shortened descriptions based on actual frequencies for each specialty. »More than 30 common specialties code sets are available. »Code sets cover appropriate anatomy underlying diseases and manifestations specific for each specialty. »Updated annually by experts who follow the regulatory and code set changes. »Convenient and affordable enough to order multiple copies of a single specialty or multiple resources for Modifiers Neurology/Neurosurgery 18018 16231 OB/GYN 18019 16232 Ophthalmology/Optometry 18020 16233 Orthopaedics 18021 16234 Orthotics Pain Management 18022 16235 Pediatrics 18023 16236 Physical Medicine/Rehabilitation 18024 16237 Physician Office Supplies Physical Therapy 18025 16238 Plastic and Reconstructive Surgery 18026 16239 Podiatry 18027 16240 Primary Care/ Internal Medicine 18028 16241 Prosthetics multi-specialty practices or hospitals, without breaking Signs and Symptoms 18029 16242 the budget. Skilled Nursing Facilities 18030 16243 Urolology/Nephrology 18031 16244 V Codes 18032 16245 P For use by Physicians & Clinics H For use in Hospitals & Facilities 2010 HCPCS Item# A For use by Postacute Services Sept 2010 Y For use by Payers Now Available for download online 1 800 3649) option 1 (464 3649), Mention your source code for discounts 33 P h Y ODRD P h Y 2011 Coders’ Desk Reference: Cardiology Diagnoses Item # CADR11 Available: Dec 2010 ISBN: 978-1-60151-458-5 $129.95 2011 Coders’ Desk Reference: Pediatric Diagnoses Item # PEDR11 Available: Dec 2010 ISBN: 978-1-60151-459-2 $129.95 2011 Coders’ Desk Reference: Ophthalmology Diagnoses Item # ODRD11 Available: Dec 2010 ISBN: 978-1-60151-460-8 $129.95 2010 Edition Item # 1472 Available: Now ISBN: 978-1-60151-333-5 $129.95 $71.47 2010 Edition Item # 1471 Available: Now ISBN: 978-1-60151-332-8 $129.95 $71.47 2010 Edition Item # 1423 Available: Now ISBN: 978-1-60151-329-8 $129.95 $71.47 Understand the why behind diagnostic codes 2011 Coders’ Desk References for Specialties In order to accurately code for specialty services, you need to understand the clinical background of diseases, medical procedures, and anatomy. To help you boost coding accuracy and save time, we’ve compiled this vital information into one, comprehensive specialty-specific resource. No matter what your skill level, this book will provide the foundation for correct diagnosis coding and help you support medical necessity with clinical background. »Get easy-to-understand descriptions of common specialty »Understand how anatomy symptoms and complicating conditions are represented by diagnosis codes to provide diagnoses, including those that are typically denied and vital education for staff in preparation of the ICD-10 transition. included in RAC and OIG audits. »Recognize what to look for in clinical documentation so you »Ensure that you are appropriately representing the level can fine tune physician queries and improve communication of severity and reporting medical necessity to support between physicians and coding and billing staff. accurate reimbursement. »Know the key commonalities between codes in similar »Identify the general symptoms associated with diseases so classifications to ensure accurate, precise coding and billing. 2011 Billing Companion for OB/GYN Item # BOGY11 Available: Dec 2010 ISBN: 978-1-60151-447-9 $199.95 2010 Edition Item # 2230 Available: Now ISBN: 978-1-60151-299-4 $199.95 $109.97 BOGY P P h Y that you know what should and should not be coded. An essential billing resource for OB/GYN practices. Finally—billing guidance for OB/GYN services. Access essential billing rules, examples of claim form entries, reviews of potential errors, and explanations for modifier issues and coverage rules. Topics are located based on procedure codes, coverage issues, or terminology so you can quickly find OB/GYN-specific billing instructions for surgical, imaging, diagnostic, or E/M services. You won’t have to second-guess yourself again; this comprehensive resource will verify what specific information needs to be indicated on the CMS-1500 claim form for coverage. H For use&inClinics A For use Y For use CEU HP & P For Y For For use by Physicians & use Clinics Hospitals Facilities by Postacute Services by Earn Payers Available for download online by Physicians For use in Hospitals & Facilities use by Payers CEUs. See page 45. Specialty Reference PEDR P h Y CADR Pricing & Cost 34 www.shop The Essential RBRVS Book (Updateable) Item # 1761 Available: Now $279.95 The Essential RBRVS Updateable Data File Item # 1120 Available: Now $899.95 Call for multi-user pricing 2011 The Essential RBRVS Book (Annual) Item # 1786 Available: Dec 2010 ISBN: 978-1-60151-465-3 $199.95 2011 The Essential RBRVS Annual Data File Item # 4823 Available: Dec 2010 $599.95 Call for multi-user pricing 2010 Edition Item # 1703 Available: Now ISBN: 978-1-60151-352-6 $199.95 $109.97 P Y RBRCD P Y RBRC 2010 Edition Item # 4801 Available: Now $599.95 $329.97 Call for multi-user pricing 2011 The Essential RBRVS RBRVS Plus Item # 4627 Available: Now $299.95 Stay on top of Medicare changes with quarterly updates. RBRVS Plus Unlike competing products, The Essential RBRVS products RBRVS Plus software allows you to simply and easily perform provide a complete scale of relative values from the RBRVS calculations with the click of a mouse. Model new Medicare Physician Fee Schedule as well as gap values for the codes not valued by Medicare, including HCPCS Level II. »Easily identify values for different code sets. Organized by CPT® and HCPCS codes. conversion factors, see what providers in other geographical areas are receiving as Medicare reimbursement, and determine your fees using RBRVS. »Quarterly updates that include Medicare’s most recent »Evaluate and analyze the costs associated with a service, providing a more complete picture of your reimbursement and productivity. Total values and components for each code—including work, malpractice, practice expense, and changes and updated gap values. »Medicare localities and pinpointed counties within localities. Simplify your GPCI-adjusted calculations. »Ingenix gap codes. Includes relative values for those total RVUs. services not valued for Medicare—same data used by many »Additional data points commonly used for Medicare and insurance companies. commercial claims help in fee development. Medicare’s »Includes RBRVS relative value units for nearly all CPT® modifier and payment indicator tables are included. »E-mail alerts and Web updates included to keep you informed on the most current CMS changes and updated gap codes. and HCPCS codes. Easily establish fees for Medicare and non-Medicare services. »Print or export fees or ranges of fees. Model fees, build D ownload your eBook content immediately via the spreadsheets, and populate billing systems with your data. Ingenix Data Vault. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 (464 3649), option 1 Mention your source code for discounts 35 2011 Customized Fee Analyzer Competitive fee schedules are key to financial success. Even a few incorrectly set P CFA 2011 Customized Fee Analyzer One Specialty Item# 1790 $299.95 Two Specialties Item# 1791 $399.95 Item# 1792 $449.95 All CPT® Codes Available: Dec 2010 2011 Customized Fee Analyzer Data File One Specialty Item# 1795 $549.95* Two Specialties Item# 1796 $599.95* Item# 1739 $649.95* All CPT® Codes Available: Dec 2010 2011 Dental Customized Fee Analyzer One Specialty Item# 1793 $299.95 Two Specialties Item# 1794 $399.95 Available: Dec 2010 2011 Dental Customized Fee Analyzer Data File One Specialty Item# 1802 $549.95* Two Specialties Item# 1803 $599.95* Available: Dec 2010 Also available: 2010 Customized Fee Analyzer One Specialty Item# 1626 $299.95 Two Specialties Item# 1627 $399.95 Item# 1628 $449.95 All CPT® Codes Available: Now 2010 Customized Fee Analyzer Data File One Specialty Item# 1694 $509.95* Two Specialties Item# 1695 $599.95* Item# 1696 $649.95* All CPT® Codes Available: Now 2010 Dental Customized Fee Analyzer One Specialty Item# 1682 $299.95 Two Specialties Item# 1683 $399.95 Available: Now 2010 Dental Customized Fee Analyzer Data File One Specialty Item# 1697 $549.95* Two Specialties Item# 1698 $599.95* Available: Now Indicate specialty and zip code when ordering. *Call for Multi-user pricing. low charges could cost you thousands of dollars each year. The Customized Fee Analyzer can help you better understand physician fees in your market and negotiate optimal reimbursement rates with payers. These customized reports provide physicians with the CPT® codes most frequently used in their specialty and geographic area. »Benchmark your fees with a nationally recognized database of nearly one billion real-life charge records. »More charge records than the competition. Support your fee development and contract negotiations with seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th) based on your area. »Stay on top of charge adjustments from year to year with the most current CPT® codes and charge data. »Maintain your fees at a competitive level. Customized reports provide relative and actual charge data for the codes most commonly used in your specialty. The Customized Fee Analyzer is available for these specialties in all areas of the country. Allergy/Immunology Anesthesia/Pain Management Cardiology Cardiovascular Surgery Chiropractic Services Dental* Dermatology Family Practice Gastroenterology General Practice General Surgery Hand Surgery Hematology Internal Medicine Laboratory Neonatology Nephrology Neurology Neurosurgery OB/GYN Oncology Ophthalmology/Optometry Oral and Maxillofacial Surgery* Orthopedic Surgery Otolaryngology Pathology Pediatric Medicine Physical Medicine and Rehabilitation Physical Therapy Plastic/Reconstructive Surgery Podiatry Psychiatry Pulmonary Medicine Radiation Oncology Radiology Rheumatology Thoracic Surgery Urology * Dental and OMS reports are sold as Dental Fee Analyzers. Visit www.shopingenix.com/feeanalyzers to see our full line of custom fee resources and view sample pages. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online Pricing & Cost Set your fees competitively for your area and get the reimbursements you deserve. Pricing & Cost 36 www.shop NFA P P y RVP HPFA p 2011 National Fee Analyzer Item # 1788 Available: Dec 2010 ISBN: 978-1-60151-469-1 $159.95 2011 Relative Values for Physicians Item # 1787 Available: Dec 2010 ISBN: 978-1-60151-467-7 $329.95 2011 HCPCS Fee Analyzer Item # 1804 Available: Jan 2011 $249.95 2010 Edition Item # 1699 Available: Now ISBN: 978-1-60151-395-1 $159.95 $87.97 2010 Edition Item # 1751 Available: Now ISBN: 978-1-60151-349-6 $329.95 $181.47 2010 Edition Item # 1629 Available: Now $249.95 $137.47 2011 Relative Values for Physicians Data File Item # 1777 Available: Dec 2010 ISBN: 978-1-60151-468-4 $699.95 Call for Multi-user pricing. 2011 HCPCS Fee Analyzer Data File Item # 1749 Available: Jan 2011 $499.95 Call for Multi-user pricing. 2010 Edition Item # 1752 Available: Now ISBN: 978-1-60151-305-2 $699.95 $384.97 Call for Multi-user pricing. 2011 National Fee Analyzer 2010 Edition Item # 1642 Available: Now $499.95 $274.97 Call for Multi-user pricing. 2011 Relative Values for Physicians 2011 HCPCS Fee Analyzer National Fee Analyzer provides practices with charge data for fee schedule Relative Values for Physicians is customized report that includes evaluation and competitive analysis for a complete relative value system percentiles of national charge data contracting purposes. This comprehensive established by surveys of physicians in as well as locality-specific Medicare tool can help you estimate competitive all specialties, nationally. With this tool allowables for HCPCS codes. Revise fees and reimbursement for all areas of you can establish, defend, and negotiate your current fee schedule, negotiate a the country. fees for medical and surgical procedures contract, or conduct competitive analysis with the same relative values used by for a specific geographic location. »Nearly 1 billion transactions updated HCPCS Fee Analyzer provides a many insurance companies. fully for 2011 help ensure that you have an accurate and comprehensive picture of charges nationwide. »National 50 th and 75th percentile charge data. »Negotiate contracts more effectively with charge information by CPT® code. »Perform competitive analyses with »This tool is free from government confidence and make more accurate budgetary influence. The relative adjustments of charges. Four value scale is based on physician reference points of charge data survey data. (25th, 50 th, 75th, 85th percentiles). »Relative values are based on the »Unique database of HCPCS charges actual clinical work performed. compiled from more than 350 million charge records. Download your eBook content immediately via the Ingenix D ownload your eBook content Data Vault. immediately via the Ingenix Data Vault. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 3649) option 1 (464 3649), Mention your source code for discounts 37 25% off New H Y DHRC 2011 Complete Guide for Interventional Radiology Item # FIR11 Available: Dec 2010 ISBN: 978-1-60151-380-9 $199.95 2011 Hospital Compliance Desk Reference Item # DRHC11 Available: Sep 2010 ISBN: 978-1-60151-474-5 $199.95 $149.96 2010 Edition Item # 1643 Available: Now ISBN: 978-1-60151-297-0 $199.95 $109.97 2011 Complete Guide for Interventional Radiology 2011 Hospital Compliance Desk Reference This new resource addresses the full spectrum of Developed to simplify coding for imaging-assisted audits stemming from recovery audit contractors (RACs), surgical services, this guide provides current CPT Medicare administrative contractors (MACs), Medicaid ® and Medicare reporting guidelines along with specific independent contractors (MICs), and the Zone program direction for coding complex interventional procedures. integrity contractors (ZIPCS). This is a must-have reference for every hospital, payer, and consultant. » NEW Now includes guidelines for both physicians »Understand the types of reviews, target strategies, and facility-based institutions. » IngenixEdge ® targeted and top-audited DRGs. Save time by reviewing only the »Get insights to where the RACs are most likely to find ICD-9-CM, CPT,® and HCPCS Level II codes related to interventional procedures. erroneous claims—and the resulting overpayments from Medicare. »Make the most appropriate code selection for »Present-on-admission tutorial with source interventional procedures with the most up-to-date information, codes, reimbursement guidance, and tips. documentation table. »Optimize revenue with detailed data on often- »Stay abreast of regulatory changes posted on our overlooked codes while capturing all charges possible and allowable. customers-only Web site. »Complete CC and MCC list. Know how »Anatomical diagrams distinguish among common codes considered MCCs and CCs will affect interventional radiology and cardiology procedures DRG assignment—helping to legitimately with illustrations. improve reimbursement. »Medicare CCI edits delivered quarterly via email. »Case examples. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online Coding, Billing, & Payment P h y FIR Coding, Billing, & Payment 38 www.shop H y UBE Uniform Billing Editor eBook Item # 1086 Available: Now $299.95 Uniform Billing Editor Item # 4787 Available: Now $299.95 H y OBE Outpatient Billing Expert eBook Item # 3883 Available: Now $199.95 Outpatient Billing Expert Item # 4709 Available: Now $199.95 Uniform Billing Editor Outpatient Billing Expert Access detailed, accurate, and timely information about This reference tool is a one-source guide for both hospital Medicare and UB-04 billing rules and 837i requirements outpatient departments (HOPD) and free-standing that will have to be met in the future. ambulatory surgical centers (ASC) billing outpatient claims. »Easily locate topics based on field locators, revenue » NEW Now includes OPPS Manager CD-ROM. Provides codes, or coding structures. This easy-to-use format is narrative explanations for OPPS regulatory requirements, fully indexed and tabbed with icons for quick reference. direct links to the original CMS source documents, and operational strategy for management, auditing, and »Quickly link HCPCS and CPT® codes to applicable consulting. Now you can access the entire history, original revenue codes and prevent the most common reasons for rejections—mismatched revenue codes and CPT® or source documents, and the intent of OPPS in a single place. »Comprehensive coverage of both ASC and APC payment HCPCS codes. systems will help your facility establish the right payment »Provides links to 837i, 4010 and 5010 data elements and audit reimbursement processes. and any applicable billing rules—facilitating easier »Keep all billing current and accurate with the most recent transition to the 837i. code sets and information from CMS and other industry »Coding and billing tips with quick access to official sources. sources to help you submit claims to Medicare »Resolve billing and denial issues and establish payment accurately the first time. and audit reimbursement processes in your HOPD or »Identify data inconsistencies, potential rejections, and your ASC facility. denials through OCE and MCE edits. »Includes fees, formulas, and tables to determine Download your eBook content immediately via the appropriate APC or ASC reimbursement. Ingenix Data Vault. »Non-OPPS payment fee schedule provides the name of the fee schedule that applies to non-OPPS payments. Download your eBook content immediately via the Ingenix Data Vault. Manage the constant changes to billing and reimbursement rules. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 3649) option 1 (464 3649), Mention your source code for discounts 39 P HIPAA Tool Kit Item # 2228 Available: Now $259.95 ADMTK P H Y 2011 Auditing and Denial Management Tool Kit Item # ADMTK11 Available: May 2011 ISBN: 978-1-60151-471-4 $199.95 HIPAA Tool Kit eBook Item # 2240 Available: Now $259.95 2010 Edition Item # 1737 Available: Jun 2010 ISBN: 978-1-60151-470-7 $199.95 $109.97 HIPAA Tool Kit 2011 Auditing and Denial Management Tool Kit Perform ongoing HIPAA compliance assessments or create a Understand your denials, better manage your claims process, new compliance program. and audit claims and administrative procedures to identify any underlying problems that can lead to denials. From appropriate »Time-saving A-to-Z reference. Quickly locate key terms and management, appeals, and auditing—you’ll submit the right find answers written in plain English. » NEW data collection and claims submission to payer inquiries, denial Web updates page. Carries summaries of latest rules and official guidance, such as the new Breach Notification information up front, and you’ll know exactly how to correct denied claims so you can improve the revenue cycle process. rules. » NEW Skills tests included to help users quantify their level of understanding of HIPAA topics. » IngenixEdge ® Understand how to efficiently resolve denied claims, decrease “at risk” claim filing procedures, limit liability, or correct and appeal claims and receive your money faster. »Security implementation guidance. Get the latest in security and submission rules, regulations, and strategies. »Policy and procedure development guidance templates. » IngenixEdge ® Quickly respond to payer inquiries, understand and address the various types of remittance advice codes utilized by payers. Detailed explanations of the top denials codes are Over 200+ templates for privacy, security, transaction provided with examples and action alerts. policies, and forms that can be customized to expedite the development of policies. »Identify the root cause of denials and take action to prevent delayed or denied payment or at risk behavior. Understand the »Customizable assessment and implementation templates. processes necessary to audit and review existing claim and Systematically assess current operations for HIPAA readiness, work flow to optimize “best practices” and minimize revenue and easily translate the findings into action plans. cycle pitfalls. Download your eBook content immediately via the »Understand how to efficiently resolve denied claims. Ingenix Data Vault. Reduce potential liability from erroneously submitted claims, effectively utilize the appeals process to ensure the best possible outcome, and implement techniques to assess and audit existing revenue cycle processes. »Includes searchable CD—Easy access to printable templates to help improve your appeal and resubmission processes. Simply search the contents of the manual for key topics. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online Coding, Billing, & Payment HTKT Medicare Reference 40 www.shop P Y MCCPCD P y MCCp Medicare Correct Coding Guide (Includes Medicare Reimbursement Pro CD) Item # 3024 Available: Now $259.95 Medicare Correct Coding Guide eBook (Includes Medicare Reimbursement Pro CD) Item # 3676 Available: Now $239.95 P H Y MCM Complete Guide to Medicare Coverage Issues Item # 3036 Available: Now $299.95 Complete Guide to Medicare Coverage Issues eBook Item # 1084 Available: Now $299.95 Medicare Correct Coding Guide Complete Guide to Medicare Coverage Issues Now you can access all of the information included in the Determine the coverage status of a service under national Medicare Correct Coding Guide with the click of your mouse! Medicare guidelines and improve management of denials. View Just like the manual, the Medicare Correct Coding Guide the extensive changes Medicare has made to its coverage eBook contains Medicare Physician Fee Schedule (MPFS) manual and process for communicating coverage issues. RVUs, correct coding policies, payment restrictions, and »Icons highlight status of National Coverage Determination CCI edits that can be retrieved faster with greater ease. (NCD) policies. Now includes medically unlikely edits (MUEs). » Exclusive »Fully indexed and organized with crosswalks between the Instantly know why a code combination will not be paid separately with Ingenix edit icons for each CCI edit. » Exclusive Easily calculate payments based on your locality. Includes Medicare Reimbursement Pro fee calculator. Internet-only Manuals (IOMs) and print manuals. »Coverage alert newsletter. View a synopsis of the changes at a glance. Download your eBook content immediately via the »Stay current with quarterly MPFS and CCI changes. Ingenix Data Vault. Stay current with CMS changes. 2011 Physicians’ Guide to Medicare Quality Reporting The Physicians’ Guide to Medicare Quality Reporting provides the information and tools you need to accurately report quality measures to Medicare. Take advantage of Ingenix-exclusive information with the first print product designed to simplify quality reporting and help you capture the bonus payment. »Searchable CD hosts tools, templates, »Access detailed data and code sets for GIR P H 2011 Physicians’ Guide to Medicare Quality Reporting Item # 4906 Available: Apr 2011 ISBN: 978-1-60151-398-4 $229.95 For use by Physicians & Clinics and data collection worksheets to simplify revised measures. quality reporting. »Includes quality measure codes, cross 2010 Edition Item # 1669 Available: Now ISBN: 978-1-60151-255-0 $299.95 $126.47 P all quality measures, including new and »Get expert guidance for getting started, coding information, and flow charts used plus strategies for simplifying the to track the care provided to patients, reporting process. based on published Clinical Guidelines. H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 3649) option 1 (464 3649), Mention your source code for discounts 41 BCP H Y Medicare Desk Reference for Hospitals eBook Item # 1085 Available: Now $289.95 Medicare Desk Reference for Hospitals Item # 2446 Available: Now $289.95 p Y Medicare Desk Reference for Physicians Item # 3023 Available: Now $279.95 Improve management of Medicare coverage, billing, and payment policies for Medicare Part A and Part B services. Medicare Desk Reference for Hospitals Medicare Desk Reference for Physicians Simplify your day-to-day operations with answers the most The Medicare Desk Reference for Physicians is a frequent and vital questions about the Medicare program and comprehensive guide providing easy-to-understand its impact on your revenue cycle. Ingenix experts actively explanations for Medicare’s Part B billing and payment and vigilantly track and analyze changing Medicare rules and rules. You’ll find complete answers to your coverage regulations and consolidate them into this robust reference and reimbursement questions without wasting so that you can make the best decisions for your facility. valuable time researching through multiple resources. »Access the most up-to-date information concerning » Ingenix Edge File accurate Medicare Part B claims based on Medicare Part A and Part B services for hospitals. the most current requirements the first time. Minimize the »A-to-Z desk reference format allows you to quickly locate answers to your most imperative billing and compliance potential exposure to fraud and abuse allegations. »Get fast answers to Medicare coverage and policy questions and information about the rules affecting issues by topic—improving efficiency in coding and Medicare inpatient and outpatient services. documentation. »In-depth guidance directed at Medicare’s billing and »Topics are organized in an A-to-Z format making crucial fraud issues. topics easy to find. »Icons identify services that fall under medical review »Alert icons. Know at a glance which topics have specific policies or fraud alerts, as well as common claims coding or billing requirements necessitating additional processing issues. documentation. Download your eBook content immediately via the Ingenix Data Vault. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online Medicare Reference BCG 42 www.shop Coder Education Designed to help you understand and improve your coding skills, our training series equips you and your staff with the Training knowledge to stay compliant amidst unpredictable changes in coding sets and rules. 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ITenCD ITPCCD P H Y ITen ICD-10-CM: The Complete Official Draft Code Set Item # ITEN10 Available: Now ISBN: 978-1-60151-400-4 $99.95 ITPC ICD-10-CM: The Complete Official Draft Code Set (CD) Item # 1780 Available: Now ISBN: 978-1-60151-401-1 $119.95 ICD-10-PCS: The Complete Official Draft Code Set Item # ITPC10 Available: Now ISBN: 978-1-60151-402-8 $99.95 H Y ICD-10-PCS: The Complete Official Draft Code Set (CD) Item # 1781 Available: Now ISBN: 978-1-60151-403-5 $119.95 NEW ICD-10-CM Mappings book—see page 45 for details. 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Evaluation and Management Coding Advisor Electronic Solutions *Single user pricing only—please call for multi-user pricing. › Encoder Pro Desktop › Code It Fast I-9 › The Essential RBRVS (Annual Data File) › Relative Values for Physicians (Data File) › IngenixExpert.com(ICD-9-Cm, CPT®, or HCPCS codes) › FeeAnalyzer.com › EncoderPro.com (all versions) › RevenueCyclePro.com › ChargemasterExpert.com › DrugReimbursement.com › FacilityCoder.com › ASCExpert.com To create and order your own package: Visit ShopIngenix.com/package or, Call (800) INGENIX (464.3649), option 1, and reference source code 133698. *Products ordered through the Create Your Own Package program do not qualify for discount through the current catalog offer or other Ingenix promotions. Medallion customers and Partner Accounts are not eligible for this program. CPT is a registered trademark of the American Medical Association. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online .com 1 800 (464 3649), option 1 Mention your source code for discounts 45 25% off New Products Just like your business needs, our products are always evolving. Since Ingenix began publishing coding resources in 1984, we’ve earned a reputation as one of the most innovative companies in the health care coding industry. That’s because we listen to our customers and develop new products that meet your needs today—and tomorrow. New Products ITCM P H Y P H Y DGMS 2010 ICD-10-CM Mappings Item # ITCM10 Available: Aug 2010 ISBN: 978-1-60151-475-2 $129.95 $97.46 2010 ICD-10-CM Mappings emca 2010 Clinical Documentation Guide for the Musculoskeletal System Item # 8501 Available: Aug 2010 ISBN: 978-1-60151-472-1 $199.95 $149.96 P 2010 Evaluation and Management Coding Advisor Item # EMCA10 Available: Jul 2010 ISBN: 978-1-60151-473-8 $129.95 $97.46 2010 Evaluation and Management Coding Advisor when it comes to the transition to 2010 Clinical Documentation Guide for the Musculoskeletal System ICD-10. The higher degree of specificity Determine if the codes submitted is notoriously difficult, mainly because in the ICD-10-CM code set is going to for payment are supported by coders have trouble accurately selecting require more documentation and more documentation in the medical record. a code from among a range of seemingly Preparation is the name of the game Evaluation and management (E/M) coding coding precision. The task of preparing for this monumental change may seem appropriate choices. Consequently, »Describes what providers must providers make more mistakes with E/M overwhelming. This book was created to document in the medical record coding than coding for any other item or simplify matters and get your office or for services performed upon the service. This new resource offers detailed facility ready for future documentation musculoskeletal system. and advanced guidance on selecting the and coding needs. appropriate E/M codes. »Helps providers improve a long »Links ICD-9-CM codes to all valid ICD10-CM alternatives. »Convenient look-up tool for verifying coding practices using the new standing claims problem—poor documentation in the medical record. »Review of the E/M rules and protocols. »E/M template examples for EMRs »Explains the difference between with guidelines for using templates to similar procedures. avoid over-coding. code system. NEW »Essential for documentation improvement in preparation for ICD-10. Medicare is no longer accepting “Consultation »Must-have resource to update or validate super bills, forms, reports, and EHRs/PHRs. 2 010 Consultation Codes Fast Finder® Sheet 2010 Consultation Codes Item #1998 Available: May 2010 $24.95 $18.71 Codes”. Use this quick reference for guidance on how to crosswalk from consultation codes to acceptable replacement codes and modifiers. Visit ShopIngenix.com and check out the “New Products” category for more information on our new products. P For use by Physicians & Clinics H For use in Hospitals & Facilities A For use by Postacute Services Y For use by Payers Available for download online www.shop .com Presorted Standard U.S. Postage 2525 Lake Park Blvd. Salt Lake City, UT 84120 Paid Customer Number E. Greenville, PA Permit No. 618 Contact Number Source Code Introducing 2011 Editions O u r C o m m i t m e n t to Acc u r ac y Ingenix is committed to producing accurate and reliable materials. To report corrections please visit www.shopingenix.com/accuracy or email [email protected]. You can also reach Customer Service by calling (800) INGENIX (464-3649), option 1. See what’s new and improved at Ingenix. 2011 ICD-9-CM book enhancements Based on customer feedback, we’ve added a new modified font, more vibrant colors, and other feature enhancements to help improve readability and daily coding process. New electronic book options Electronic solutions Now you can access the content of your favorite code books online. Download Ingenix eBooks and code set data from the Web with the Ingenix Data Vault and our new MedicalReferenceEngine.com. From EncoderPro.com to the new ChargemasterExpert.com, our electronic coding solutions can help increase productivity and reimbursement for physicians and facilities. Pg 12 Pgs 11 and 23 ICD-10 preparation Pg 4 New products Check out our improved 2010 Draft ICD-10 books, now designed like an ICD-9 code book. Plus, ICD-10 mapping tools are now available with the ICD-10-CM Mappings guide, EncoderPro.com Expert, and RevenueCyclePro.com. Pg 43 We’ve expanded our solutions; see the latest additions to the Ingenix family. 10th Annual Ingenix Essentials Conference Score a perfect 10 at our annual coding and billing conference in Las Vegas, November 29– December 1. Pg 42 Pg 45