With the implementation of ICD-10 codes in October 2015, the 2019 DRG Desk Reference (ICD-10-CM) gives access to crucial information to improve MS-DRG assignment practices, guidance on how to accurately assign DRGs under the MS-DRG system, and focuses on the Optimizing section of the DRG Desk Reference based on ICD-10 codes.
 The DRG Desk Reference (ICD-10-CM) is designed to work hand-in-hand with DRG Expert and the Guide to Clinical Validation, Documentation and Coding, which is the clinical section from the DRG Desk Reference based on ICD-9 codes. This product is needed to answer all your DRG questions for all inpatient stays starting after October 1, 2018, as those claims will use the MS-DRG methodology based on ICD-10-CM.
 Key Features and Benefits:
 Optimizing tips. Know the major factors involved in moving a patient from a lower-paying MS-DRG to a higher one to receive optimal payment while staying in compliance. 
 Recovery Audit Contractor (RAC) program resource. Understand the types of reviews, target strategies, and targeted and top-audited DRGs.
 Most commonly missed CC and MCC references. Perform accurate audits by knowing the most commonly missed CCs in the medical record. 
 ICD-10-CM codes for common diagnoses and procedures. Quickly identify the key diagnosis or procedure by ICD-10-CM code.
 Case mix index section. Discusses the importance of calculating and tracking case mix on a regular basis as well as tips for documenting case mix index changes and their causes. 
 Complete CC and MCC list. Know how codes considered MCCs and CCs will affect DRG assignment helping to legitimately improve reimbursement. 
 Relative weights of every valid DRG. A quick reference of the relative weights of all DRGs presented as options for optimizing. 
 List of ICD-10 codes driving MS-DRG assignment.

DRG Desk Reference 2019

Medical Books

Optum360º

Allied Health Professions

The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for more than 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2018.

DRG Expert 2019

HCPCS 2019 Level II ExpertAccurately report supplies and services for physician, hospital outpatient, and ASC settings with the 2019 HCPCS Level II Expert. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. This user-friendly book will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).
 Key Features and Benefits: Exclusive to the Expert edition:
 Most complete HCPCS code set available. Find information on codes from sources that generate HCPCS codes, including CMS, OPPS addendum B, and the Medicare fee schedule.
 Table of Drugs. Locate both generic and brand-name drugs and their corresponding codes based on the amount and route of administration.
 Glossary of terms. Increase your understanding of HCPCS codes to improve coding accuracy.
 Access to Medically Unlikely Edits (MUE). Improve accuracy of claims by ensuring compliance with the CMS program through easy access to codes and their associated MUE units.
 Special appendixes. Get additional information, such as the deleted codes crosswalk.
 Medicare Average Payment Table. Access this Medicare table online for a baseline for payment rates.
 Professional and all editions include the traditional hallmark features:
 Comprehensive code updates. 
 APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS and which codes enable billing using ASC groupings, as well as how to accurately use each to help ensure appropriate billing and reimbursement.
 DMEPOS icon. Distinguish codes paid under the DMEPOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers.
 In-depth illustrations. Enhance your coding process and accuracy for supplies and services with detailed visual references.
 AHA Coding Clinic for HCPCS references. Receive additional support with articles on difficult to code HCPCS Level II codes or sections.
 Color-coded bars and icons. Spot important information to help reduce inaccurate and denied claims with informative flags signaling Internet Only Manuals (IOM, formerly Pub. 100) references, age and gender edits, quantity alerts, new/deleted/revised code changes and government coverage and rules for each code.
 User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including a comprehensive drug table, IOM references, acronyms/abbreviations, and modifiers.

HCPCS 2019 Level II Expert Spiral (HCPCS Level II Expert (Spiral))

HCPCS 2019 Level II ProfessionalAccurately report supplies and services for physician, hospital outpatient, and ASC settings with the 2019 HCPCS Level II Professional. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. This user-friendly book will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).
 Key Features and Benefits:
 Comprehensive code updates. 
 APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS and which codes enable billing using ASC groupings, as well as how to accurately use each to help ensure appropriate billing and reimbursement.
 DMEPOS icon. Distinguish codes paid under the DMEPOS fee schedule to improve efficiency when coding for supplies that should be submitted under the system to durable medical payers.
 In-depth illustrations. Enhance your coding process and accuracy for supplies and services with detailed visual references.
 AHA Coding Clinic for HCPCS references. Receive additional support with articles on difficult to code HCPCS Level II codes or sections.
 Color-coded bars and icons. Spot important information to help reduce inaccurate and denied claims with informative flags signaling Internet Only Manuals (IOM, formerly Pub. 100) references, age and gender edits, quantity alerts, new/deleted/revised code changes and government coverage and rules for each code.
 User-friendly appendixes. Navigate additional information easily with structured references and excerpts, including a comprehensive drug table, IOM references, acronyms/abbreviations, and modifiers.

HCPCS 2019 Level II Professional

Clinical documentation improvement (CDI) is not about how to code in ICD-10-CM or CPT; CDI is knowing what to look for in medical records, as well as how to ask for clarification and get ongoing changes to the notes and comments provided by physicians. 
 Important Note: The greater number of ICD-10-CM diagnostic codes means an even bigger need for detailed clinical documentation. Making the right code selection requires having adequate clinical detail and, under ICD-10-CM, clinician's documentation will more than ever translate into reimbursement gained or lost.
 Key Features and Benefits: 
 Get 5 CEUs from AAPC and our certificate of CDI Skills Proficiency when you pass the online exam. 
 Diagnoses and Procedures Covers documentation for CPT, HCPCS, and ICD-10-CM coding. Enhance your code selections with documentation requirements for all three coding systems. 
 Optum360 Edge The Clinicians Checklist for ICD-10-CM. Make copies of this handy tri-fold, pocketsize card for every clinician. Provides powerful documentation tips for the 5 most important chronic and acute conditions. 
 Optum360 Edge HCC and QPP icon alerts added at the code level to aid in coding. 
 Optum360 Edge A list of medications is noted for codes that are deemed applicable. 
 Terminology Translator. This unique feature is now included at the code level. 
 Physician Documentation Training. Show physicians what they need to document. Includes 21 detailed documentation checklists for the most common and complex medical conditions. 
 Don t teach your clinicians to code ICD-10-CM. Instead show them what you need for optimal code assignment. 
 See key terms. Confirm accurate code selection for every chapter of ICD-10-CM. 
 Know when ICD-10-CM differs dramatically from ICD-9-CM. Alerts and warnings in the text of this book call your attention to situations where ICD-10-CM coding protocols are different from ICD-9-CM and significantly affect code choices. 
 Streamline the query process. Show physicians which medical terms are essential to assigning codes in ICD-10-CM. Includes best practice query forms that get results without unduly influencing clinicians. 
 CPT is a registered trademark of the American Medical Association

Clinical Documentation Improvement Desk Reference for ICD-10-CM & Procedure Coding 2019

Health, Fitness & Dieting

ICD-10-CM 2019 Expert for Physicians with our hallmark features and format makes facing the challenge of accurate diagnosis coding easier. Developed specifically to meet the needs of physicians, the Optum360 codebook contains the complete ICD-10-CM code set which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement. Now with a new symbol in the tabular for codes associated with CMS quality payment program (QPP) measures and a symbol to identify codes associated with CMS hierarchical condition categories (HCC) used in risk adjustment (RA) coding. Supplementary appendixes available only in the expert edition include: pharmacology listings, Z codes for long-term use of drugs and associated drug names; and Z codes used only as primary diagnosis. Key Features and Benefits:
<ul>
<li>
QPP measures. Introducing a new symbol in the tabular to identify diagnosis codes associated with QPP measures.</li>
<li>
Coding Tips. Specific coding tips for physician and outpatient settings.</li>
<li>
More Definitions. More diagnostic terms are defined.</li>
<li>
Complete list of code changes. All 2019 new, revised, and deleted codes listed in the front of the book.</li>
<li>
Intuitive features and format. With all of our visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, placeholder X, Medicare Code Edits (MCE), manifestation codes, HCCs, and unspecified codes. Please note: This edition contains the updated 2019 Coding Guidelines.
</li>
</ul>

ICD-10-CM 2019 for Physicians Expert 2019 with Guidelines

ICD-10-CM for Hospitals 2019 Professional with our hallmark features and format makes facing the challenge of accurate diagnosis coding easier. This edition contains the complete ICD-10-CM code set, Medicare Code Edits (MCE), and ICD-10 MS-DRG edits with symbols identifying codes for comorbidities/complications (CC), major CC (MCC), and principal diagnoses (PDx) that function as their own CC/MCC. Also identified are Hospital Acquired Conditions (HAC), CMS Hierarchical Condition Categories (HCC). Key Features and Benefits:
 Coding Tips. Specific coding tips for acute care hospitals.
 More Definitions. More diagnostic terms are defined.
 Complete list of code changes. All 2019 new, revised, and deleted codes listed in the front of the book.
 Intuitive features and format. Includes all of the Optum360 visual alerts, including our hallmark color-coding and symbols that identify coding notes and instructions, additional character requirements, MCEs, CCs, MCCs, PDx as its own CC/MCC, CC/MCC exclusions, HACs, HCCs and manifestation codes.

ICD-10-CM for Hospitals 2019 Professional With Guidelines

The ICD-10-CM Expert for SNF, IRF and Inpatient Hospice with our hallmark features and format makes facing the challenge of accurate diagnosis coding easier. Use the code book that contains the complete ICD-10-CM code set and the familiar Optum360 coding and reimbursement alerts for SNF, IRF and hospice including: color-coding and symbols identifying diagnoses for RUG IV, IRF RIC, hospice non-cancer conditions and non-routine supplies.

ICD-10 Expert for Snf, Irf and Hospice 2019 With Guidelines

ICD-10-CM for Home Health and Hospice 2019 Expert,with our hallmark features and format makes facing the challenge of accurate diagnosis coding easier. Use the codebook that contains the complete ICD-10-CM code set and the familiar Optum360 coding and reimbursement alerts for home health and hospice including color bars and symbols that identify diagnosis codes for case mix, non-routine supplies and non-cancer hospice diagnoses. Now with coding tips and definitions specific to home health and hospice. Key Features and Benefit
 Complete list of code changes. All 2019 new, revised, and deleted codes listed in the front of the book.
 Coding Tips. Specific coding tips for home health and hospice care.
 Definitions. Terms for conditions treated in these settings are defined.
 Supplementary Appendixes. Additional information covering home health and hospice prospective payment systems, quality initiatives, OASIS-C1, and case mix groups. 
 Case Mix Quick Pick Cards. These handy 8.5 x 11 inch laminated cards identify case mix diagnoses, non-routine supply diagnoses, and non-cancer hospice diagnoses.

ICD-10 for Home Health and Hospice 2019 Expert with Guidelines

The Coders Desk Reference for ICD-10-PCS Procedures addresses the challenge of translating common procedural nomenclature used by providers to the corresponding ICD-10-PCS coding terminology. Because provider documentation often does not reflect the precise terminology found in ICD-10-PCS, correct procedure coding is dependent on the ability of the coder to translate common procedural terminology to the appropriate procedural terminology of ICD-10-PCS.
 This resource is organized by common procedural nomenclature used in the hospital setting and then linked to the related root operation table(s); the procedure is described in layman s terms, translated to ICD-10-PCS root operation terminology, and the corresponding root operation table(s) is identified.
 Key Features and Benefits:
 Lay description. Lay descriptions are provided for the most commonly performed inpatient procedures. Corresponding ICD-10-PCS root operations are identified and defined.
 Clinical focus points. When more than one root operation may apply, key procedural terms differentiating the root operations are highlighted in focus points to ensure that the correct root operation is selected.
 Illustrations at the code level. Illustrations of pertinent anatomy and surgical procedures are included to enhance understanding.
 Ease of use. Developed to work hand-in-hand with your Optum360 ICD-10-PCS codebook.
 Enhance understanding of ICD-10-PCS. The lay descriptions were developed to enhance understanding of the ICD-10-PCS terminology and definitions of root operations, body parts, approaches, devices, and qualifiers.
 Designed for both novices and seasoned coders. The lay descriptions, illustrations, and other supplemental resources contained in this resource are designed for coders of all skill levels.

Coders' Desk Reference for Procedures ICD-10-PCS 2019

See the best price to sell, buy, or rent books by Optum360º. BookScouter helps to compare book prices from 25+ online bookstores and 30+ buyback vendors with a single search.

Books by Optum360º