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. Know the rules all providers must follow. Unlike other resources, this unique tool combines all the coding and reimbursement guidance and exclusive features specific to all healthcare settings. This code book combines all the features of our various ICD-9-CM Expert coding products. Plus, this code book supports HIPAA compliance.Exclusive features help you meet your business goal of ensuring that claims are paid appropriately and in a timely manner. This code book includes symbols, color coding, resources and annotations to help you identify critical coding and reimbursement issues.

• New Feature! All the hallmark features of the Ingenix editions — Plus! Chapter by chapter, detailed clinical and coding information with coding scenarios for all the new codes adopted for 2009 —designed to make training and referencing the code changes a snap.
• Inpatient Services—Severity-adjusted DRG Alerts and Resources. Symbols identify CC and MCC conditions, Listing of Excluded PDx for Each CC and MCC right with the code, updated Dx/MDC/DRG List, DRG Mapping Table, and all Major Medicare Code Edits— each feature designed assist in navigation through the MS-DRG system.
• Inpatient Services— Present on Admission Indicator Tutorial with Source Documentation Table. New resource provides additional explanation and examples to simplify POA and official guidelines regarding use of information in the medical record.
• Home Health Care Services— Expanded Clinical Dimension Categories of the HH PPS. Quickly identify the diagnoses that group to the expanded case mix groups.
• Skilled Nursing Care Services— RUG III Case Mix Group Diagnoses and Procedures. Alerts and resources to identify RUG III Special Care Diagnoses and Procedure Codes, Clinically Complex Diagnoses and Procedures, Rehabilitation Procedure Codes, Extensive Service Procedure Codes that qualify a SNF patient for assignment to a particular clinical category.
• Hospice Care Services— Hospice Non-cancer Dx Codes for Medicare. Alerts and resources identify the code and criteria that may qualify a non-cancer patient for hospice care before submitting a claim.
• Additional Digit Requirement. Symbols in the index and the tabular identify codes as invalid without a fourth or fifth digit.
• Exclusive color-coding identify coding rules such as ‘Manifestation coding’ when two codes are required for reporting.
• Valid Three-digit Code List. Know whether a three-digit code is valid while reviewing claims.
• AHA’s Coding Clinic for ICD-9-CM References. Official ICD-9-CM coding advice all providers must follow.
• 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 a primary or only as an additional diagnosis.
• Definitions and Illustrations. These clinically oriented features facilitate coding reviews.
• A Summary of the Code Changes. Stay current with the latest code changes.
• Earn 1 Continuing Education Unit Per Scenario from the American Academy of Professional Coders.