Complete Guide to Medicare Coverage Issues

Please note: This loose-leaf binder and CD-ROM set is updateable. It will contain up-to-date information when you purchase it and you can insert updates on an ongoing basis.

Loose Leaf Binder, 12" x 12"
Ingenix / Medicode
ISBN 1563379422
978-1-56337-942-0
Always current - updateable
AAPC CEU Credits: 6 CEUs
(click below for the very best available price for this updateable binder edition)

eBook on CD-ROM
Ingenix / Medicode
ISBN 1563379031
978-1-56337-903-1
Always current - updateable
AAPC CEU Credits: 6 CEUs
(click below for the very best available price for this updateable CD-ROM edition)

This is your comprehensive easy-to-use guide to Medicare questions.

Easy-to-use and well-organized, the Complete Guide to Medicare Coverage Issues makes it easy for facilities and physicians to determine the coverage status of a service under national Medicare guidelines and to improve management of denials.

This updateable resource follows a simple layout to guide you through the extensive changes Medicare has made to its coverage manual and process for communicating coverage issues. View sample pages. Save time and minimize billing errors:

Stay compliant with Advance Beneficiary Notice (ABN) requirement, and protect Medicare reimbursement. Icons indicate the coverage status of each item or procedure.
Keep up with changes to national laboratory policies. Quickly determine the ICD-9-CM codes that meet the medical necessity criteria for specific laboratory services.
Track and prepare for pending national decisions. Proactively manage national coverage issues, all available in one resource, that affect Part A and Part B services.
Easily identify coverage issues by CPT® or HCPCS Level II code. Crosswalk CPT codes and HCPCS codes assigned to national issues.
Quickly locate the item or service you seek. Fully indexed and organized with crosswalks from new Internet-only manuals (IOMs) to old print manuals.
Regular updates keep you up-to-date on all new national Medicare coverage policies and revisions to existing policies.
Coverage alert newsletter. Newsletter includes a synopsis of the changes that have taken place with each update so you can see changes at a glance.
Pending national decisions. Proactively manage national coverage issues that affect Part B and Part A services by more effectively tracking pending national decisions with one resource.
Fully indexed and organized with crosswalks between the new Internet-only manuals (IOMs) and the old print manuals. Quickly and easily locate the item or service you are looking for with both crosswalks from new to old manuals and an alphabetic index.
Earn CEUs from the American Academy of Professional Coders (AAPC).

The eBook includes all of the above plus these exclusive benefits:

Table of Contents instantly links the user to any chapter.
PDF features allow the user to move back and forth between views quickly.

Ingenix offers practical results-oriented services for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who help write the books other consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice. Start benefiting from 100+ years of combined experience and expertise. CPT is a registered trademark of the American Medical Association.

Lauri Gray, RHIT, CPC, has over 20 years of experience in health information management. She began her career as a medical records supervisor in a multispecialty clinic and then shifted to the managed care industry, where she was employed as a contracting and coding specialist for a major HMO. Ms. Gray has extensive experience in fee schedule development and analysis, which includes an in-depth knowledge of risk contracting and the development of capitation rates. Ms. Gray has been a technical editor for Ingenix since 1998.

Please remember that the government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

You may also be interested in combining this important book with the complete CodeManager software and coding data files.

(information provided by the publisher)

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