Summary: Now enhanced with a new, bolder font to improve readability, the Ingenix ICD-9-CM Standard for Hospitals continues to provide accurate and comprehensive coverage for diagnosis coding and reimbursement. Key Features: New and revised code alerts with dated pages. Know which codes and instructions are new or revised, with dates on the page indicating when the change was made. Synopsis of code changes. Perform accurate retrospective claim audits with n ...show moreew code information for the year. Hallmark page design and features. Locate information quickly with a user-friendly page design, including dictionary-style headers, QuickflipTM color bleed tabs, and legend keys. MCC and CC code list. Improve reimbursement through knowledge of which codes are considered MCC (major complications and comorbidities) and CC (complications and comorbidities) that impact MS-DRG assignment. Highlighted coding instructional and informational notes. Recognize important code usage guidance for specific sections more easily with highlighted notes. Wrong surgery edit. Spot cases in which the wrong surgery was performed and are then exempt from reimbursement. Symbols identify MCC and CC conditions. Ensure appropriate reimbursement by reporting patient severity correctly. Know when conditions are considered a complication or comorbidity, as well as which are major CCs that impact MS-DRG assignment. Hospital-acquired condition (HAC) alerts. Know which conditions, when not present upon admission, will not impact DRG assignment. Adjunct procedure code alert. Learn how to properly use ICD-9-CM procedure codes that provide additional information only and cannot be used alone. MCC and CC codes paired with principal diagnosis exclusions. Identify at a glance if the assigned complication or comorbidity code will impact MS-DRG assignment based on the established principal diagnosis (PDx). HIV major related diagnosis code alert. Understand when a diagnosis entered as a secondary diagnosis with HIV will group the case to a higher-paying MS-DRG 974-976 for improved reimbursement. Additional digit required symbols. Know 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). Diagnosis Medicare Code Edit (MCE) alerts. Color-coding and symbols identify all major Medicare Code Edits (MCE) used to audit claims submitted under the inpatient prospective payment system (IPPS) for diagnosis, including unacceptable PDx, questionable admission PDx, age, sex, CC and MCC, and manifestation codes. Procedure Medicare Code Edit (MCE) alerts. Improve claim accuracy with alerts to all major Medicare edits pertaining to procedures valid OR procedures, non-covered, limited coverage, non-operating room procedures affecting DRG assignment, bilateral edits, and sex edits. HIPAA compliance. Comply with HIPAA code set requirements to avoid delayed or denied claims and costly fines for violations. ...show lessEdition/Copyright: 11
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