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Optum360 (Optum360)

255 products found

2022 Guide to Clinical Validation

and Documentation Improvement for Coding - (Softbound)
Retail:
ISBN: 9781622547517
Optum360 (Dec 2021)

2022 Guide to Clinical Validation

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This is a concise, reliable, and easy-to-follow tool for those problematic diagnoses and PCS inpatient procedures that are most often questioned by payers. This unique resource provides the extensive clinical criteria and associated documentation necessary for code assignment. This tool also describes the clinical documentation needed for determining if the condition is a complication or when a medical condition qualifies as an additional diagnosis. Also included is an introduction to the query process and how DRGs, CCs, MCCs, POAs, and HACs affect reimbursement. CDI staff, coders, utilization review staff, and HIM managers can use this to systematically evaluate the clinical criteria that influence code assignments and patient care.

Auditors' Desk Reference 2022 Softbound

Retail:
ISBN: 9781622547135
Optum360 (Dec 2021)

Auditors' Desk Reference 2022 Softbound

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This unique manual shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services and procedures. It provides coders and anyone concerned about coding with an auditor’s perspective on the clinical detail, regulatory instructions, and coding protocol needed for code assignment. Avoid the devastating effects of outside audits and reviews with this detailed coding tool.

Auditors' Desk Reference-Fast Finder

(Softbound)
Retail:
ISBN: 9781622548989
Optum360

Auditors' Desk Reference-Fast Finder

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This unique manual shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services and procedures. It provides coders and anyone concerned about coding with an auditor’s perspective on the clinical detail, regulatory instructions, and coding protocol needed for code assignment. Avoid the devastating effects of outside audits and reviews with this detailed coding tool.

Key Features and Benefits

• Optum Edge — Get online access to customizable audit worksheets. Protect your revenuecritical services and procedures.

• Conduct skilled internal audits. Ensure proper reimbursement.

• Differentiate between similar procedures. Compare and contrast seemingly similar, but different, procedures.

• Completely updated for 2023 code set and regulatory changes.

• Increase Revenue. Learn the appropriate way to report telehealth services.

• Provides coders with an auditor’s perspective. Know the clinical detail, regulatory instructions, and coding best practices needed for code assignment.

• Know what information needs to be in the medical record and on the claim form to capture appropriate reimbursement.

• Know the key terms that need to be mentioned in the medical record to support code assignment.

• See the medical conditions that are indicated for diagnostic, therapeutic, and surgical purposes.

• Gain valuable code intelligence. Confirm correct code assignment.

• Train your staff. This resource is thorough and can easily be used to train staff how to assign codes appropriately.

• Correct modifier assignment. Modifier decision-making trees assist with assigning correct modifiers.

• Supports Best Practices.

Behavioral Health 2022

Retail:
ISBN: 19015
Optum360 (Sept 2021)

Behavioral Health 2022

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The ICD-10-CM Fast Finders utilize our Optum360 Xpress Coding Matrix with ICD-10-CM codes presented by specialty and updated with the 2022 valid ICD-10-CM codes, in an easy-touse table format that maximizes the number of codes contained in the fast finder and also simplifies code selection. These convenient and reliable coding tools provide complete and valid code selections at your fingertips.

Use this coding tool to determine the most specific ICD-10-CM codes for your specialty – codes that accurately identify the patient condition and level of severity as well as support medical necessity.

Behavioral Health Fast Finder

2023 ICD-10-CM Fast Finder® Sheets
Retail:
ISBN: 19030
Optum360 (October 2022)

Behavioral Health Fast Finder

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The ICD-10-CM Fast Finders utilize our Optum Xpress Coding Matrix with ICD-10-CM codes presented by specialty and updated with the 2023 valid ICD-10-CM codes, in an easy-to-use table format that maximizes the number of codes contained in the fast finder and also simplifies code selection. These convenient and reliable coding tools provide complete and valid code selections at your fingertips. 

Use this coding tool to determine the most specific ICD-10-CM codes for your specialty – codes that accurately identify the patient condition and level of severity as well as support medical necessity.

 

  • Optum Edge — Optum Xpress Coding Matrix (designed and used exclusively by Optum). Our easy-to-use, streamlined tables present valid code options for each condition.
  • Optum Edge — Compact 6” x 9” accordion format. More codes, less space in our compact accordion format which provides 8–10 pages of specialty specific codes.
  • Optum Edge — Alphabetically organized tables. Body systems and main diagnostic terms are organized alphabetically in tables that contain a comprehensive list of valid out to the 4th, 5th, 6th or 7th characters. 
  • Complete and comprehensive coverage by specialty. The Fast Finders provide commonly used ICD-10-CM codes for each specialty as well a comprehensive list of valid codes within diagnostic categories for your specialty. 
  • Valid codes. Updated with ICD-10-CM codes for 2023, code directly from the tables contained in the Optum Xpress Coding Matrix with confidence. 
  • Coding Instructions. Code first, use additional code and other coding instructions are included in the tables to ensure correct sequencing of all relevant codes.
  • Productivity tool. The logical look-up format makes finding the right code easier.

Convenient work flow coding tool. Rely on one at every workstation. 

C&P Guide 2022 Behavioral Health Srv

Retail:
ISBN: 9781622547234
Optum360 (Dec 2021)

C&P Guide 2022 Behavioral Health Srv

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The Coding and Payment Guide for Behavioral Health Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for behavioral health. This comprehensive and easy-to-use guide is updated for 2022 and organized by specialty-specific CPT® codes. Each CPT® code includes its official description and lay description, coding tip, Medicare edits, and relative value units and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.

C&P Guide 2022 for Dental Services

Retail:
ISBN: 9781622547241
Optum360 (Dec 2021)

C&P Guide 2022 for Dental Services

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The Coding and Payment Guide for Dental Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for dental practices. This comprehensive and easy-to-use guide is updated for 2022 and organized by specialty-specific CDT and CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, RVUs and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.

C&P Guide 2022 for Physical Therapist

Retail:
ISBN: 9781622547289
Optum360 (Dec 2021)

C&P Guide 2022 for Physical Therapist

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The Coding and Payment Guide for the Physical Therapist is your one-stop coding, reimbursement, and documentation resource developed exclusively for physical therapy. Co-produced with the American Physical Therapy Association, this comprehensive and easy-to-use guide is updated for 2022 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tips, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.

C&P Guide 2022 Medical Oncology

/Hematology Services
Retail:
ISBN: 9781622547265
Optum360 (Dec 2021)

C&P Guide 2022 Medical Oncology

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Our Coding and Payment Guide for Medical Oncology/Hematology Services is your one-stop coding, reimbursement, and documentation resource developed exclusively for oncology and hematology medical services. This comprehensive and easy-to-use guide is updated for 2022 and organized by specialty-specific CPT® codes. Each code includes its official description and lay description, coding tip, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.

C&P Guide for OMS 2022

Retail:
ISBN: 9781622547418
Optum360 (Dec 2021)

C&P Guide for OMS 2022

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The Coding Guide for OMS is your one-stop coding, reimbursement, and documentation resource developed exclusively for OMS. Co-produced with the American Association of Oral and Maxillofacial Surgeons (AAOMS), this comprehensive and easy-to-use guide is updated for 2022 and organized by specialty-specific CDT and CPT® codes. Each code includes its official description and lay description, coding tips, documentation and reimbursement tips, Medicare edits, and is cross-coded to common ICD10-CM diagnosis codes to complete the coding process. Getting to the code information you need has never been so easy.

Cardiology/Cardiothoracic/Vascular 2022

Retail:
ISBN: 19016
Optum360 (Sept 2021)

Cardiology/Cardiothoracic/Vascular 2022

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The ICD-10-CM Fast Finders utilize our Optum360 Xpress Coding Matrix with ICD-10-CM codes presented by specialty and updated with the 2022 valid ICD-10-CM codes, in an easy-touse table format that maximizes the number of codes contained in the fast finder and also simplifies code selection. These convenient and reliable coding tools provide complete and valid code selections at your fingertips.

Use this coding tool to determine the most specific ICD-10-CM codes for your specialty – codes that accurately identify the patient condition and level of severity as well as support medical necessity.

Cardiology/Cardiothoracic/Vascular FF

Fast Finder
Retail:
ISBN: 19031
Optum360

Cardiology/Cardiothoracic/Vascular FF

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The ICD-10-CM Fast Finders utilize our Optum Xpress Coding Matrix with ICD-10-CM codes presented by specialty and updated with the 2023 valid ICD-10-CM codes, in an easy-to-use table format that maximizes the number of codes contained in the fast finder and also simplifies code selection. These convenient and reliable coding tools provide complete and valid code selections at your fingertips. Use this coding tool to determine the most specific ICD-10-CM codes for your specialty – codes that accurately identify the patient condition and level of severity as well as support medical necessity.

Key Features and Benefits

• Optum Edge — Optum Xpress Coding Matrix (designed and used exclusively by Optum). Our easy-to-use, streamlined tables present valid code options for each condition.

• Optum Edge — Compact 6” x 9” accordion format. More codes, less space in our compact accordion format which provides 8–10 pages of specialty specific codes.

• Optum Edge — Alphabetically organized tables. Body systems and main diagnostic terms are organized alphabetically in tables that contain a comprehensive list of valid out to the 4th, 5th, 6th or 7th characters.

• Complete and comprehensive coverage by specialty. The Fast Finders provide commonly used ICD-10-CM codes for each specialty as well a comprehensive list of valid codes within diagnostic categories for your specialty.

• Valid codes. Updated with ICD-10-CM codes for 2023, code directly from the tables contained in the Optum Xpress Coding Matrix with confidence.

• Coding Instructions. Code first, use additional code and other coding instructions are included in the tables to ensure correct sequencing of all relevant codes.

• Productivity tool. The logical look-up format makes finding the right code easier.

• Convenient work flow coding tool. Rely on one at every workstation. 

Clinical Document Improvement Desk Ref

for ICD-10-CM & Procedure Coding
Retail:
ISBN: 9781622549016
Optum360

Clinical Document Improvement Desk Ref

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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. Important Note: The greater number of ICD-10-CM diagnostic codes means an even bigger need for detailed clinical documentation. Making the right code selection requires having adequate clinical detail and, under ICD-10-CM, clinician's documentation will more than ever translate into reimbursement gained or lost. Key

Features and Benefits

• Optum Edge —HCC and QPP icon alerts added at the code level to aid in coding.

• Optum Edge —A list of medications is noted for codes that are deemed applicable.

• Optum Edge —The “Clinician’s Checklist for ICD-10-CM.” Make copies of this handy trifold, pocketsize card for every clinician. Provides powerful documentation tips for the 5 most important chronic and acute conditions.

• Diagnoses and Procedures — Covers documentation for CPT®, HCPCS, and ICD-10-CM coding. Enhance your code selections with documentation requirements for all three coding systems.

• Physician Documentation Training. Show physicians what they need to document. Includes 21 detailed documentation checklists for the most common and complex medical conditions.

• Don’t teach your clinicians to code ICD-10-CM. Instead show them what you need for optimal code assignment.

• See key terms. Confirm accurate code selection for every chapter of ICD-10-CM.

• Know when ICD-10-CM differs dramatically from ICD-9-CM. Alerts and warnings in the text of this book call your attention to situations where ICD-10-CM coding protocols are different from ICD-9-CM and significantly affect code choices.

• Terminology Translator. This unique feature is now included at the code level.

• Streamline the query process. Show physicians which medical terms are essential to assigning codes in ICD-10-CM. Includes best practice query forms that get results without unduly influencing clinicians.

Clinical Documentation Improvement Desk

Ref for ICD-10-CM & Procedure Coding 2022
Retail:
ISBN: 9781622547593
Optum360 (Nov 2021)

Clinical Documentation Improvement Desk

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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.

Important Note: The greater number of ICD-10-CM diagnostic codes means an even bigger need for detailed clinical documentation. Making the right code selection requires having adequate clinical detail and, under ICD-10-CM, clinician documentation will more than ever translate into reimbursement gained or lost.

Coders Desk Ref 2022 for Diagnoses

(ICD-10-CM) - (Compact, 6x9)
Retail:
ISBN: 9781622547142
Optum360 (Nov 2021)

Coders Desk Ref 2022 for Diagnoses

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The Coders’ Desk Reference for ICD-10-CM Diagnoses provides thousands of clinical descriptions of diseases, disease processes, injuries, poisonings, and other conditions to help both novices and seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most specific ICD-10-CM diagnosis code for each documented condition.

With these clinical definitions and focus points, you can reduce coding errors and improve coding confidence by gaining a better understanding of the clinical meanings behind the codes.

Coders Desk Ref 2022 for HCPCS Level II

(Compact, 6x9)
Retail:
ISBN: 9781622547166
Optum360 (Dec 2021)

Coders Desk Ref 2022 for HCPCS Level II

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Coders at all experience levels may have questions when the 2022 HCPCS code changes go into effect, and the Coders’ Desk Reference for HCPCS Level II is the book to keep close by to find the answers needed.

With this one-of-a-kind, comprehensive resource on all the codes for 2022, users can reduce coding errors and improve coding confidence by referencing more than 3,000 HCPCS codes with 2,000 lay descriptions, find answers to frequently asked questions, and obtain other helpful guidance before assigning a code.

Coders Desk Ref 2022 for Procedures

(Compact, 6x9)
Retail:
ISBN: 9781622547197
Optum360 (Dec 2021)

Coders Desk Ref 2022 for Procedures

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The Coders’ Desk Reference for Procedures is a comprehensive resource for all 2022 CPT® codes. This all-inclusive tool helps identify the minute differences between, and components of, similar CPT® codes.

You will code more accurately from operative reports and produce cleaner claims the first time by improving your understanding of the clinical meanings behind the codes and checking billing and coding information for Medicare.

Coders Desk Ref 2022 for Procedures

(ICD-10-PCS) - (Compact, 6x9)
Retail:
ISBN: 9781622547173
Optum360 (Oct 2021)

Coders Desk Ref 2022 for Procedures

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The Coders’ Desk Reference for ICD-10-PCS Procedures addresses the challenge of translating common procedural nomenclature used by providers to the corresponding ICD-10-PCS coding terminology. Correct procedure coding is dependent on the ability of the coder to translate the terminology in provider documentation to the appropriate procedural terminology of ICD-10-PCS.

This resource is organized by common procedural nomenclature used in the hospital setting and linked to the related root operation table(s); the procedure is described in layman’s terms, translated to ICD-10-PCS root operation terminology, and the corresponding root operation table(s) is identified.

Coders' DR Diagnoses (ICD-10-CM)

Desk Reference (Compact, 6x9)
Retail:
ISBN: 9781622547913
Optum360

Coders' DR Diagnoses (ICD-10-CM)

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The Coders’ Desk Reference for ICD-10-CM Diagnoses provides thousands of clinical descriptions of diseases, disease processes, injuries, poisonings, and other conditions to help both novices and seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most specific ICD-10-CM diagnosis code for each documented condition. With these clinical definitions and focus points, you can reduce coding errors and improve coding confidence by gaining a better understanding of the clinical meanings behind the codes.

Key Features and Benefits

• Optum Edge — More clinical descriptions and focus points. Expanded with clinical descriptions and focus points for new and changed 2023 codes as well as existing ICD-10-CM codes.

• Optum Edge — Illustrations at the code level. Often an illustration is needed to enhance understanding. Illustrations of pertinent anatomy and pathological changes related to the disease process are included as a visual aid.

• Optum Edge — Code level clinical description. Code level descriptions are provided for select diseases, injuries, symptoms, other factors influencing health status, and other reasons for contact with healthcare providers.

• Optum Edge — Clinical focus points. Improve overall coding accuracy with additional information for complex diagnoses and injuries that require an understanding of related codes and conditions that might better describe the documented condition.

• Alphanumeric organization by ICD-10-CM code. Locate codes quickly with a resource developed to work hand-in-hand with your Optum ICD-10-CM codebook.

• Enhance understanding of ICD-10-CM. Understanding the clinical condition captured by each code is essential to correct code assignment, and this resource is designed to explain and highlight differences between codes that may appear similar at first glance.

• Designed for both novices and seasoned coders. Coders of every skill level find that these clinical descriptions enhance understanding of ICD-10-CM.

Coders DR Diagnoses (ICD-10-CM) - eBook

Retail:
ISBN: 9781622547159
Optum360 (Nov 2021)

Coders DR Diagnoses (ICD-10-CM) - eBook

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The Coders’ Desk Reference for ICD-10-CM Diagnoses provides thousands of clinical descriptions of diseases, disease processes, injuries, poisonings, and other conditions to help both novices and seasoned coders attain the knowledge and skill necessary to accurately identify and assign the most specific ICD-10-CM diagnosis code for each documented condition.

With these clinical definitions and focus points, you can reduce coding errors and improve coding confidence by gaining a better understanding of the clinical meanings behind the codes.

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