|
- Provides efficient and effective ways to choose and validate appropriate HCPCS/CPT® and diagnosis codes, as well as to identify proper APC groupings. Enables validation of codes on charge forms and claims to ensure that codes are current, accurate, and match HCPCS/CPT form descriptors. Also lists Medicare’s code criteria for unacceptable, questionable, and non-covered codes.
- Identifies and explains all Medicare Outpatient Code Editor (OCE) edits, including modifiers and unit edits. Enables providers to "fix" OCE rejections before claims are sent to the fiscal intermediary, and empowers payers to explain why an edit occurred. Shows how HCPCS codes payment status indicators have changed within the APCs for the preceding five quarters.
-
Provides searchable access to all Medicare regulations and program memoranda. Includes links to proprietary documentation and references produced by Ingenix regulatory experts describing and interpreting OPPS, APCs and the OCE.
-
Interact with Ingenix experts or your peers about APCs, OCE issues or other topics of interest.
- Specifies OCE edit changes, additions and deletions of HCPCS/CCI edit pairs, transitional pass-through codes, unit edits, and modifier applications along with other changes.
Read Testimonials
Request More Information
|
