Your guide to Medicare's National Level II codes for DME, drugs, and other medical supplies. Contains the mandated changes and new codes for 2003. -- All HCPCS 2003 codes and modifiers, including deleted codes for 2003 -- Easy-to-use color-coded bars, icons and tabs to help you know which codes are governed by which Medicare coding rules -- Medicare Carriers Manual and Coverage Issues Manual excerpts that indicate drugs and services that are not reimbursed -- 2003 deleted codes conveniently integrated with current codes, with strikeouts that help you finish claims from last year -- Modifier information identifies which modifiers are appropriate for each HCPCS code -- Detailed annotations and coding advice make code selection easier and more accurate -- QuickFlip color-coded tabs help you find the right code quickly and easily -- Payers Appendix. Know which payers accept HCPCS Level II codes so you can file claims with confidence. -- Expanded Front Index. Allows you to easily locate the code needed and also references many of the brand name DME supplies, like wheelchairs, by which these items are known.
Elsevier and the American Medical Association have partnered to co-publish this HCPCS Level II reference by Carol J. Buck! For quick, accurate, and efficient coding, choose 2014 HCPCS Level II, Professional Edition. In an easy-to-use, spiral-bound format, this full-color reference presents the latest HCPCS codes to help you comply with coding regulations, confidently locate specific codes, manage reimbursement for supplies, report patient data, code Medicare cases, and more. This professional edition includes such features as Netter's Anatomy illustrations, dental codes, and ASC (Ambulatory Surgical Center) payment and status indicators. - At-a-glance code listings highlight all new, revised, reinstated, and deleted codes for 2014. - UNIQUE! Full-color Netter's Anatomy illustrations clarify complex anatomic information and show how it affects coding. - American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place. - Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. - Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers. - Special coverage information provides alerts when codes have specific coverage instructions, are not covered or valid by Medicare, or may be paid at the carrier's discretion. - Jurisdiction information shows the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers, and Medicare Administrative Contractors submitting for DMEPOS services provided. - Color-coded Table of Drugs makes it easy to find specific drug information. - Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other FDA approved drugs. - The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. - Age/Sex edits identify codes for use only with patients of a specific age or sex. - Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. - Codingupdates.com companion website includes changes to ICD codes, and provides the opportunity to sign up for automatic e-mail notifications. - UPDATED codes help you maintain compliance with current Healthcare Common Procedure Coding System (HCPCS) standards.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
For quick, accurate, and efficient coding, pick this best-selling HCPCS professional reference! From coding expert Carol J. Buck, 2016 HCPCS Level II, Professional Edition provides a spiral-bound, easy-to-use guide to the latest Healthcare Common Procedure Coding System codes. It helps you locate specific codes, comply with coding regulations, optimize reimbursement, report patient data, code Medicare cases, master ICD-10 coding, and more. This professional edition features a full-color design, Netter's Anatomy illustrations, dental codes, and ASC (Ambulatory Surgical Center) payment and status indicators. At-a-glance code listings and distinctive symbols identify all new, revised, and deleted codes for 2016. UNIQUE! Full-color Netter's Anatomy illustrations clarify complex anatomic information and how it affects coding. The American Hospital Association Coding Clinic? for HCPCS citations provide a reference point for information about specific codes and their usage. Colorful design with color-coded tables makes locating and identifying codes faster and easier. American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place. Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs. Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers. Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. Information on coverage provides alerts when codes have special instructions, are not valid or covered by Medicare, or may be paid at the carrier's discretion. Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers, and Medicare administrative contractors submitting for DMEPOS services provided. Age/Sex edits identify codes for use only with patients of a specific age or sex. Physician Quality Reporting System icon identifies codes that are specific to PQRS measures. Spiral binding allows you to lay the book flat for convenient access in practice settings. Codingupdates.com website includes quarterly updates to HCPCS codes and content, and the opportunity to sign up for e-mail notifications of the newest updates. UPDATED 2016 official code set ensures compliance with current HCPCS standards, for fast and accurate coding.
Elsevier and the American Medical Association have partnered to co-publish this professional HCPCS Level II reference by Carol J. Buck! Code more quickly, accurately, and efficiently, and optimize reimbursement with 2013 HCPCS Level II, Professional Edition. With spiral binding and an easy-to-use format, this full-color reference presents the latest Healthcare Common Procedure Coding System (HCPCS) codes to help you comply with coding regulations and confidently locate information on specific codes, manage reimbursement for supplies, report patient data, code Medicare cases, and more. Keep current with HCPCS codes with this professional medical billing reference from coding expert Carol J. Buck! - UNIQUE! Full-color Netter's Anatomy illustrations clarify complex anatomic information and how it affects coding. - UNIQUE! Color-coded Table of Drugs makes it easier to find specific drug information. - Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs. - Distinctive symbols identify new, revised, reinstated, and deleted codes. - American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place. - Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. - Age/Sex edits identify codes for use only with patients of a specific age or sex. - Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers. - Coding Clinics drawn from the American Hospital Association HCPCS citations provide sources for information about specific codes and their usage. - Codingupdates.com companion website keeps you informed of changes to ICD codes, and provides the opportunity to sign up for automatic e-mail notifications. - UPDATED! At-a-glance code listings highlight all new, revised, reinstated, and deleted codes for 2013. - UPDATED Internet Only Manual (IOM) ensures coding accuracy with essential information on carrier-specific and Medicare-specific regulations.
Organized for quick and accurate coding, HCPCS Level II 2021 Professional Edition codebook includes the most current Healthcare Common Procedure Coding System (HCPCS) codes and regulations, which are essential references needed for accurate medical billing and maximum permissible reimbursement. This professional edition includes such features as Netter's Anatomy illustrations, dental codes, and Ambulatory Surgical Center (ASC) payment and status indicators. FEATURES AND BENEFITS Full-color Netter's Anatomy illustrations clarify complex anatomic information and how it affects coding. At-a-glance code listings and distinctive symbols identify all new, revised, reinstated and deleted codes for 2021. The American Hospital Association Coding Clinic® for HCPCS citations provides sources for information about specific codes and their usage. Convenient spiral binding provides easy access in practice settings. Quantity feature highlights units of service allowable per patient, per day, as listed in the Medically Unlikely Edits (MUEs) for enhanced accuracy on claims. Drug code annotations identify brand-name drugs as well as drugs that appear on the National Drug Class (NDC) directory and other Food and Drug Administration (FDA) approved drugs. Color-codedTable of Drugs makes it easier to find specific drug information. Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) indicators clearly identify supplies to report to durable medical third-party payers. Ambulatory Surgery Center (ASC) payment and status indicators show which codes are payable in the Hospital Outpatient Prospective Payment System. American Dental Association (ADA) Current Dental Terminology code sets offer access to all dental codes in one place. Jurisdiction symbols show the appropriate contractor to be billed for suppliers submitting claims to Medicare contractors, Part B carriers and Medicare administrative contractors for DMEPOS services. Special coverage information provides alerts when codes have specific coverage instructions, are not valid or covered by Medicare or may be paid at the carrier's discretion. Age/Sex edits identify codes for use only with patients of a specific age or sex.