Key Features and Benefits
Exclusive 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 schedule.
· Table of
Drugs. Locate both generic and brand-name drugs and their
corresponding codes based on the amount and route of administration.
Glossary of terms. Increase your understanding of HCPCS codes to improve coding
Access 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 codes crosswalk.
Average Payment Table. This Medicare table is included as a baseline for
Snap-in tabs to assist in locating the
various sections of HCPCS Expert.
and all editions include the traditional hallmark features:
Comprehensive code updates.
APC 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.
DMEPOS 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
In-depth illustrations. Enhance
your coding process and accuracy for supplies and services with detailed
Coding Clinic for HCPCS references. Receive
added support with articles on difficult-to-code HCPCS Level II codes or
Color-coded 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.
additional information easily with structured references and excerpts,
including a comprehensive drug table, Pub. 100 references,
acronyms/abbreviations, and modifiers.