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You are here > Home > Reading Lists > Coding Books > Medicare Correct Coding Guide

Medicare Correct Coding Guide
Ingenix

Please note: This loose-leaf binder and CD-ROM are updateable. Your Guide will contain the most up-to-date information when you purchase it and you can insert your updates on an ongoing basis. You receive free quarterly updates for one full year in January, April, July & October, beginning with the month of your purchase. Updates beyond your first year will also be available and you may update this manual and CD-ROM for many years to come.

Updateable
ISBN 1601511116
978-1601511119
Ingenix
Always current
(click below for the very best available price for this updateable ring-binder & updates)

With this "always current" manual, its companion CD-ROM and the quarterly updates, you will avoid improper coding that may trigger an audit. The most comprehensive and current manual of rules, payment restrictions, and claim submission edits, Medicare Correct Coding Guide is critical for correctly reporting Part B procedures and services.

Easily calculate payments based on your locality. Includes Medicare Reimbursement Pro fee calculator. Instantly know why a code combination will not be paid seperately. Unique Medicare edit icons are included.

  • Stay current as CMS implements changes. Free quarterly updates for one full year!

  • Easily calculate payments, determine CCI edits and more. Includes Medicare Reimbursement Pro fee calculator. Free Medicare Reimbursement Pro CD. Use this CD for both facility and physician office settings based on your geographic area.

  • Know what the OIG is looking for. Overview of CMS’s campaign against fraud and abuse.

  • Gain a better understanding of claim denials. General correct coding policies help you understand coding methodologies.

  • Become more efficient and effective at coding claims. Complete list of CPT® and HCPCS Level II codes helps you code correctly for reimbursement of Medicare-covered services and supplies.

  • Get help with billing and payment projection. Medicare physician fee schedule includes status indicators, global periods, supply codes, and more.

  • Complete RVUs and GCPIs. So you can adjust fees for your geographic area, evaluate managed care contracts, and check code selection and sequencing for each service.

  • Unique Medicare edit icons - Quickly identify edit definitions for each code - eliminating confusion, reducing time, and preventing claims denials. Current CCI edits with policy icons help you understand the policy that determines the edit.

  • Summary of changes table. Identify changes to your most frequently used codes

  • Save time. Transition practice expense RVU adjustments. This information helps you calculate your payments quickly and accurately according to your setting.

  • Review CCI edit changes prior to the effective date. CCI email alerts and Web updates included.

  • Gauge pricing. National average payment allows you to gauge individual pricing standards against national Medicare standards.

  • Stay current as CMS implements changes. Quarterly updates for one full year.

With the eBook version (on CD-ROM) you will receive these additional benefits:

  • Access all of the information included in the Medicare Correct Coding Guide with the click of your mouse!

  • Just like the manual, the Medicare Correct Coding Guide eBook contains Medicare rules, payment restrictions and claim submission edits, only now you can retrieve this information even faster and with greater ease.

  • Receive your updates weeks ahead of the manual updates. Stay current as CMS implements changes. Quarterly updates for one full year.

  • Quickly and easily find the information you seek. Search by code or by section saving you time flipping through pages of information.

  • Easily calculate payments based on your locality. Complimentary Medicare Reimbursement Pro CD with software is included with your eBook.

View sample pages of a previous version of this resource.

Karen Kachur, RN, CPC is a clinical/technical editor for Ingenix with expertise in CPT/HCPCS and ICD-9-CM coding, in addition to physician billing, compliance, and fraud and abuse. Prior to joining Ingenix, she worked for many years as a staff RN in a variety of clinical settings including medicine, surgery, intensive care, psychiatry, and geriatrics. Ms. Kachur has served as assistant director of a hospital utilization management and quality assurance department. She also has extensive experience as a nurse reviewer for Blue Cross/Blue Shield. She is an active member of the American Academy of Professional Coders.

Catherine A. Hopkins, CPC is a technical editor for Ingenix. Ms. Hopkins has more than 15 years of experience in the health care field. Her experience includes six years as an office manager for a large multi-specialty practice. Ms. Hopkins has written several physician coding manuals and newsletters and has taught seminars on Physicians' Current Procedural Terminology (CPT®)/HCPCS and ICD-9-CM coding. She also serves as technical support for various software products.

Ingenix, the publisher, offers practical results-oriented resources for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who write the books consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice.

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.

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