ISBN: 1601516215 | PDF | 14.9 MB | | Optum; 2013 Edition 8.5 x 11 edition (September 7, 2012)
The 2013 ICD-9-CM Professional for Hospitals, Volumes 1, 2 & 3 is loaded with innovative features and content to address regulatory changes and coding challenges. Optum experts study industry changes and trends while seeking feedback from coding professionals to ensure your code book provides accurate and up-to-date information in an easy-to-use, intuitive format. Remain a step ahead with a resource that s designed to enhance performance in your daily work. Key Features and Benefits: ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work. AHA s Coding Clinic and official coding guideline tips. Use citations to link to the official coding advice every coder in every health care setting must follow. Symbols identify MCC and CC conditions. Ensure appropriate reimbursement by reporting patient severity correctly. Know when conditions are considered a complication or comorbidity, as well as which are major CCs that impact MS-DRG assignment. Hospital-acquired condition (HAC) alerts. Know which conditions, when not present upon admission, will not impact DRG assignment. Adjunct procedure code alerts. Learn how to properly use ICD-9-CM procedure codes that provide additional information only and cannot be used alone. Additional digit required symbols. Know when an additional fourth or fifth digit is required for code specificity and validity to avoid invalid code submissions (provided in Index and Tabular Section). Diagnosis and Procedure Medicare Code Edit (MCE) alerts. Color-coding and symbols identify all major Medicare Code Edits (MCE) used to audit claims submitted under the inpatient prospective payment system (IPPS) for diagnosis, including unacceptable PDx, questionable admission PDx, age, sex, CC and MCC, and manifestation codes. Also MCEs related to valid OR procedures, non-covered, limited coverage, non-operating room, bilateral edits and sex edits. Intuitive color-coded symbols and alerts. Identify critical coding and reimbursement issues quickly with alerts on the same page as the code you need. Hallmark page design and features. Locate information quickly with a user-friendly page design, including dictionary-style headers, Quickflip color bleed tabs, and legend keys. Illustrations and definitions. Gain in-depth understanding of anatomy and disease processes in relation to coding with clinically-oriented definitions and illustrations.
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