Review and respond to appeals for denied claims in a more effective and efficient way with a comprehensive ICD-9-CM product specifically designed for you. Unlike other resources, this unique tool combines all the coding and reimbursement guidance and exclusive features of all our ICD-9-CM Expert coding products into a comprehensive ICD-9-CM reference tool. Plus, this code book supports HIPAA compliance. Includes all major Medicare code edits for each prospective payment system. Knowing the edit rules for each of the prospective payment systems that the provider must follow provides that extra advantage in decision making. A summary of the code changes. Stay current with the latest code changes. Additional digit requirement. Symbols in the index and the tabular identify codes as invalid without a fourth or fifth digit. Pharmacological listings. Link drug treatment with disease processes to identify conditions that may affect DRG assignment. CC code list, CC diagnosis alerts, listing of excluded PDx for each CC. Quickly identify complications and comorbidities that affect DRG assignment and know at a glance if the CC code you are assigning will affect DRG assignment based upon the established principal diagnosis (PDx) for the case — helping improve the accuracy of DRG selection and enhance reimbursement. Dx/MDC/DRG list. Save time by conducting quick audits. Valid three-digit code list. Know whether a three-digit code is valid while reviewing claims. Targeted DRG alert symbol. Know if a principal diagnosis that groups to a targeted DRG has been assigned. AHA Coding Clinic references. Browse concise summaries of AHA Coding Clinic topics quickly. List of Unspecified” and “Other” diagnosis codes. Be alerted to codes that should only be used when the medical record documentation does not contain enough information to assign a more specific code or when a more specific code for the diagnosis is not available. Primary and secondary Dx in the clinical dimension of the HHA. Quickly identify primary and secondary diagnoses that group a patient to clinical dimensions, helping to ensure appropriate reimbursement. RUG III special care diagnoses and procedure codes, clinically complex diagnoses and procedures, rehabilitation procedures codes, extensive service procedure codes. Recognize which ICD-9-CM diagnosis and procedure codes qualify a SNF patient for assignment to a particular clinical category under the new reimbursement system for accurate claim submission Hospice noncancer Dx codes for Medicare. At a glance know which diagnosis codes may qualify a noncancer patient for hospice care before submitting a claim. 10 Steps to Correct Coding tutorial. Step-by-step instruction to improve coding audit accuracy. V Code designated use table. Quickly identify when V codes can be used only as primary or only as an additional diagnosis. Definitions and illustrations. These clinically oriented features facilitate coding reviews.