report supplies and services for physician, hospital outpatient, and ASC
settings with the 2018 HCPCS Level II Expert. Use this comprehensive reference
for the HCPCS code set that focuses on management of reimbursement. This
user-friendly book will guide any coder confidently through current modifiers,
code changes, additions and deletions with information as dictated by the
Centers for Medicare and Medicaid Services (CMS).
Features and Benefits
to the Expert edition:
complete HCPCS code set available. Find information on codes from sources that
generate HCPCS codes, including CMS, OPPS addendum B, and the Medicare fee
of Drugs. Locate both generic and brand-name drugs and their corresponding
codes based on the amount and route of administration.
of terms. Increase your understanding of HCPCS codes to improve coding
to Medically Unlikely Edits (MUE). Improve accuracy of claims by ensuring
compliance with the CMS program through easy access to codes and their
associated MUE units.
appendixes. Get additional information with appendixes, such as the deleted
Average Payment Table. This Medicare table is included as a baseline for
tabs to assist in locating the various sections of HCPCS Expert.
and all editions include the traditional hallmark features:
code updates. Access OPPS files for HCPCS Level II, as well as deleted codes.
status indicators and ASC designation symbols. Determine which codes are
payable under OPPS, which codes enable billing using ASC groupings, and how to
accurately use each to help ensure appropriate billing and reimbursement.
icon. Distinguish codes paid under the DMEPOS fee schedule to improve
efficiency when coding for supplies that should be submitted under the system
to durable medical payers.
illustrations. Enhance your coding process and accuracy for supplies and
services with detailed visual references.
Coding Clinic for HCPCS references. Receive added support with articles on
difficult-to-code HCPCS Level II codes or sections.
bars and icons. Spot important information to help reduce inaccurate and denied
claims with informative flags signaling Internet Only Manuals (Pub. 100)
references, age and gender edits, quantity alerts, new/deleted/revised code
changes and government coverage and rules for each code.
appendixes. Navigate additional information easily with structured references
and excerpts, including a comprehensive drug table, Pub. 100 references,
acronyms/abbreviations, and modifiers.
to the Updateable edition (includes all the features of the Expert):
Edge. Quarterly updates with code changes tracked throughout the year.