Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Optum360 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).
Professional edition includes the traditional hallmark features:
PQRS icons. Recognize potential for Medicare quality reporting bonus payments with icons denoting which HCPCS codes fall under the Physician Quality Reporting System.
Comprehensive code updates. Access 2016 OPPS files for HCPCS Level II, as well as deleted codes.
APC status indicators and ASC designation symbols. Determine which codes are payable under OPPS, which codes enable billing using ASC groupings and 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 added 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 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, Pub. 100 references, acronyms/abbreviations, and modifiers.