High-quality clinical documentation plays an essential role in getting paid correctly and improving patient outcomes. Our clinical documentation integrity (CDI) book measures up to this critical function.

From familiar names to root operations

In ICD-10-PCS code descriptions, eponyms are not included in the index, yet coders will continue to see eponyms used by physicians in the clinical documentation. This resource will assist you in translating eponyms to root operations.

Get a faster start to finding the right code

While you might not be able to memorize every ICD-10-CM code, this tool uses mnemonics to help you connect the first letter of a code with the corresponding ICD-10-CM chapter.

Developed specifically to meet the needs of physicians, the Optum360 codebook contains the complete ICD-10-CM code set which is the cornerstone for establishing medical necessity, determining coverage, and ensuring appropriate reimbursement.

Intuitively organized into 17 sections of code tables with supplementary definitions tables and device and body part keys, the Optum360 ICD-10-PCS codebook sets the standard for coding accuracy which is the cornerstone of healthcare analytics and revenue cycle management.

This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on ICD-10-CM methodology, which goes into effect October 1, 2018.

Now there is a unique new resource that provides the clinical criteria necessary for code assignment. This new tool also describes the clinical documentation needed for determining if the condition is a complication, or when a medical condition should be coded as an additional diagnosis.

Clinical documentation improvement (CDI) is not about how to code in ICD-10-CM or CPT^®; CDI is knowing what to look for in medical records, as well as how to ask for clarification and get ongoing changes to the notes and comments provided by physicians.

For a better understanding of the latest revisions to the CPT^® code set, rely on the best-selling CPT^® Changes 2019: An Insider's View. Find the meaning behind all of the changes included in the AMA's CPT^® Professional Edition codebook. Invest in this annual publication and get the insider's perspective into the CPT code set directly from the source—the American Medical Association.

ICD-10-PCS 2019: The Complete Official Codebook contains the complete ICD-10-PCS code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders.

ICD-10-CM 2019: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement.

Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT^® code set is a dynamic, ever- changing standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT^® 2019 Professional Edition.

Risk-adjustment practices consider chronic diseases as predictors of future healthcare needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment.

CPT^® Coding Essentials optimizes both CPT and ICD-10 code selection with helpful CPT-to-ICD-10-CM crosswalks and detailed explanations of anatomy, physiology and documentation. Other than the AMA CPT^® Professional Edition codebook, this is the only book in the market with verbatim CPT-panel–approved guidelines and parenthetical information specific to anesthesiology and pain management.

Optimized for medical necessity and reimbursement understanding, this all-in-one resource focuses on the most important CPT and HCPCS codes for urology and nephrology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity.