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Book details
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Author : Optum360
Pages : 350 pages
Publisher : Ingenix 201509-18
Language : English
ISBN-10 : 1622540204
ISBN-13 :
9781622540204
Book Synopsis
**New 2017 Edition will be
available September 2016**
The 2016 ICD-10-PCS with
our hallmark features and
format including the
Medicare Code Edits (MCE)
for the new ICD-10 MSDRG reimbursement system.
This resource contains the
HIPAA-mandated ICD-10PCS code set, plus the
familiar Optum360 coding
and reimbursement alerts you
have come to rely upon. Set
the standard for coding
accuracy, the cornerstone of
health care analytics and
revenue cycle management,
with the confidence only an
Optum360 product can
deliver. Key Features and
Benefits New Optum360
Edge New productivity tools.
Body part definitions table
and root operation conversion
table. Optum360 Edge
Intuitive features and format.
Ease into the new
classification system using
these handy code tables to
build the code through
character value selections
that reflect the procedure
performed. Optum360 Edge
Color-coding and symbols
for the Medicare Code Edits.
This edition includes all our
hallmark color-coding and
symbols for the most
comprehensive coverage of
ICD10 MS-DRG MCEs for
procedures including;
Noncovered procedures
Limited coverage procedures
Combination only procedures
Non-operating room
procedures affecting MSDRG assignment Nonoperating room procedures
NOT affecting MS-DRG
assignment Hospital acquired
condition (HAC)-related
procedures Optum360 Edge
Procedure combination
tables. Identify ICD-10-PCS
code combination
requirements needed to
satisfy certain MS-DRG
requirements. Illustrations.
Featuring anatomy and
terminology included in the
ICD-10-PCS classification
system. Detailed information
on structure and conventions
of ICD-10-PCS. Learn the
new coding system with its
unique structure of specific
definition and functions for
each character. Complete set
of ICD-10-PCS codes. View
all 16 sections of tables by
general procedure type from
medical/surgical to substance
abuse 30 tables in the
medical surgical section
alone covering procedures on
all body systems. Valuable
resources to enhance
productivity. Receive
additional resources to help
guide the user, including:
Root operation definition
table for medical/surgical
section Root operation for
medical/surgical section
grouped by objective
Operation/Type definition
tables for other ICD-10-PCS
sections Body part definitions
and body part key for
accurate identification of
correct body part character
Device key and device
aggregation tables Approach
definitions Substance key
Official coding guidelines.
Learn how to use the code set
appropriately following the
guidelines specific for each
section. Basic tutorial with
coding scenarios. Find stepby-step instructions in a wellorganized format for
developing basic coding
proficiency of the new code
set and implementing it in
your facility. Coding
exercises. Facilitate training
by completing sample
exercises using the ICD-10PCS code set. HIPAA
compliance. Comply with
HIPAA transaction and code
set requirements to avoid
delayed or denied claims and
costly fines for violations.