Do you bill for durable medical equipment (DME), injections, Medicare services and other medical supplies? Using updated information is essential to complying with HIPAA, reducing claim denials and getting paid quickly. Don’t settle for less reimbursement than you deserve.
- NEW! DMEPOS icons – along with associated code — lets you know what HCPCS Level II codes are paid by DME MACs
- NEW! Integrated illustrations throughout the book — provides greater insight to specific procedures and helps you interpret clinical notes more effectively
- G Codes for PQRI – complete listing of G codes to help with your PQRI program
- Full tabular and alphabetical code lists of all valid 2009 HCPCS Level II codes and modifiers — gives you multiple ways to find a drug, device, or supply quickly
- HCPCS Level II modifiers, and a Deleted Codes Crosswalk — helps you code more appropriately to reduce delays and denials
- Medicare Pub. 100 information — reference included with associated code and full descriptions in Appendix in the back of the book
- Table of Drugs Appendix — includes information cross-referencing Brand names with generic names of drugs to help find codes more quickly in the J code section
- Age and Sex edit icons — see at a glance codes with restrictions based on age or sex of the patient to help reduce claims denials
- APC and ASC edits — determine quickly which codes are payable under Outpatient Prospective Payment System (OPPS) and which codes can use ASC groupings to improve reimbursement
- Key references and excerpts from the National Coverage Determinations Manual — find out the regulations and guidelines for Medicare’s covered services
- AHA Coding Clinic for HCPCS — identifies where to find critical guidance on challenging HCPCS Level II codes or sections
- Icons denote specific payment and coverage rules relating to drugs and services not reimbursed by Medicare — know quickly if patient is responsible for non-covered procedures
