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.