ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices Volumes 1, 2 & 3 — 2014

  • AUTHOR: Optum360
  • ISBN-13: 9781622540174 
  • Grade(s): 9 | 10 | 11 | 12
  • Spiralbound 
  • 1st Edition
  • ©2014     Published
  • Prices are valid only in the respective region

Overview

About The Product

Let this final edition of the ICD-9-CM EXPERT FOR SKILLED NURSING FACILITIES, INPATIENT REHABILITATION FACILITIES AND HOSPICES, VOLUMES 1, 2 & 3 with the hallmark features and content designed specifically to address the challenges of SNF, IRF, and hospice services help to meet current coding challenges and to function as a solid reference for utilizing valuable legacy ICD-9-CM coded data.

Features

  • NEW FEATURE— AHA’s Coding Clinic topic summaries. Review a summary of coding advice from the latest AHA Coding Clinics.
  • Optum Edge—ICD-10 Spotlight. Preview ICD-10 codes with the most frequently reported ICD-9-CM codes to learn as you work.
  • Optum Edge—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.
  • Optum Edge—Intuitive color-coded symbols and alerts. Identify quickly critical coding and reimbursement issues specific to skilled nursing, inpatient rehabilitation, and hospices with alerts on the same page as the code you need.
  • Optum Edge—”Unspecified” and “Other” code alerts. Find official coding guidance that suggests home health agencies avoid using diagnoses that are unspecified or vague.
  • Optum Edge—V-code symbols. Understand the appropriate use of V-codes that may only be sequenced as first-listed diagnosis for cleaner claim submissions.
  • Optum Edge—Additional digit required symbols. Pinpoint 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).
  • FREE—Case mix quick-pick fast finder for home health, skilled nursing facilities, inpatient rehabilitation facilities, and hospices. Have a quick reference list of codes at your fingertips that impact a case’s mix.
  • Optum Edge—10 Steps to Correct Coding. Receive step-by-step instructions to improve coding accuracy and more effectively use ICD-9-CM conventions.
  • Highlighted coding informational and instructional notes. Recognize important code usage guidance for specific sections more easily with highlighted notes.
  • Expanded postacute coverage. Get essential coding and reimbursement edits and resources specifically for skilled nursing facilities (SNF), inpatient rehabilitation facilities (IRF), and hospices.
  • Manifestation code alert. Properly use codes that represent manifestations of underlying disease by knowing when two codes are required and by knowing alerts to sequencing rules.
  • Wrong surgery edit. Spot cases in which the wrong surgery was performed and are then exempt from reimbursement.
  • Illustrations and definitions. Gain in-depth understanding of anatomy and disease processes with clinically-oriented definitions and illustrations.
  • Code of Federal Regulations 42CFR Parts; Resource Utilization Groups (RUGs). Strengthen reporting and reimbursement by understanding patient classification groups of the new skilled nursing facility (SNF) prospective payment system (PPS).
  • Color-coding for RUG classification. Know the ICD-9-CM diagnosis and procedure codes that may qualify an SNF patient for assignment to a particular clinical category for accurate claim submission under the new reimbursement system.
  • Official coding guidelines specific to long-term care facilities. Ensure compliance with detailed coding guidance.
  • Guidelines for Medicare non-cancer hospice coverage. Understand criteria for a non-cancer patient to be eligible for hospice care to reduce delays and denials of claim submissions.
  • Color-coding for hospice non-cancer diagnosis codes. Know at a glance which diagnosis codes qualify a non-cancer patient for hospice care.
  • Color-coding for CMG classification system. Ensure accurate claim submission by knowing the ICD-9-CM diagnosis that may qualify an IRF patient for assignment to a particular impairment group (RIC) under the reimbursement system.
  • Symbol alerts for CC conditions. Identify when to report a CC when the condition will impact CMG payment.
  • RIC exclusion alert. Know when certain comorbidity and complication diagnoses are excluded as qualifying secondary conditions for specific RICs.
  • Excerpts from the IRF Prospective Payment System Final Rule. Enhance revenue forecasting by understanding the prospective payment system and how it will affect overall reimbursement of home health services.
  • Rehabilitation impairment group list. Get a quick reference to all RICs and the diagnosis code grouped to each.
  • List of RIC comorbid conditions. Use as a quick reference for all diagnosis codes that qualify for payment adjustments along with any specific RIC exclusions.

About the Contributor

AUTHOR
  • Optum360

New to this Edition

  • Optum Edge —ICD-10-CM Coding Proficiency and Documentation Self-Assessment—Test your ICD-10-CM readiness and skills with this 50 question quiz.