Looking for Data Files?  Click here for CPT, ICD9 and many more.  

Publisher's Price: $149.00

Physicians' Fee Reference 2010

Are your reimbursements poor because you haven’t kept up with the medical marketplace? Third party payers don’t hesitate informing your patients that you’ve exceeded their UCRs... but have your patients ever been told that the doctor is undercharging? Do you have the resources to negotiate contracts with managed care firms (HMOs & PPOs)? Knowing what others charge and what insurance carriers may allow is necessary for the success of your practice. Information is your best resource in today’s competitive marketplace. Since 1983, the PFR has been used by providers, payers, and consultants nationwide for it’s valuable coding and fee information.

• Provides Updated 50th (median), 75th and 90th Percentiles in U.S. Dollars - the Only Fee Reference on the Market with this Data
• Medicare RBRVS Unit Values and Global Fee Periods
• Thousands of CPT^® Coding and Billing Tips, Hints, Alerts, Warnings, and Traps
• Fees for All U.S. 3-digit Zip Code Prefix Geographic Areas
• Full CPT Descriptions with Starred Procedures. 
• Excellent for Negotiating Managed Care Contracts
• Helps Review, Fine-Tune, or Design a Fee Schedule
• The First and Original Physicians' Fee Guide Book Established in 1983 by Dr. Y Wasserman.
• See also Physicians Fee Reference Pricing Program on CD ROM

Physicians' Fee Reference 2009

Publisher's Price: $139.00
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Publisher's Price: $69.00

Also available:

PIR Contact Manager

Physicians' Insurance Reference 2010

The PIR (Book or CD) is your key to maximizing third party reimbursements. Don't waste time and money trying to get through to insurance companies on old disconnected phone numbers. There are many exclusive features not found in other directories such as all state & federal health related agencies, professional organizations email & web sites.

• Private Insurance, BC/BS, HCFA, Medicare
• HMOs, PPOs and Claims Offices
• All Health Related State and Federal Agencies
• Professional Associations, HCFA 1500 Tips and Traps
• FAX and 800 Numbers (more than any other insurance directory)
• The Ultimate One Volume Health Resource Directory - A must for every insurance & billing department
• Find any insurance company in seconds & save money using their 800 numbers to verify coverage and policies
• New!! Thousands of web sites and e-mail listings!!

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Publisher's Price: $69.00

Also available:

HCPCS Level II DataFiles with cross walks and Medicare Status indicators in Excel, Access, dBASE and ASCII 

HCPCS Level II 2010

The HCPCS Level II Code Book and Fee Guide contains all codes and descriptions durable goods DMEPOS, injections (J Codes), supplies and services not covered by CPT. Includes CPT cross reference and Medicare coverage status, government regulations, and comprehensive table of drugs and index. An exclusive feature is a fee reference for new, used and rental costs in US dollars

• NEW!! Fee Information - New/Used/Rental
• All HCPCS Level II Codes for Supplies and Services not included in CPT
• Required for Medicare, Medicaid and most private insurers
• Comprehensive Table of Drugs (Generic Cross Reference)
• Cross Coding to CPT
• Add, Modify and Delete Table for Cross Coding Old Codes
• All updated for 2010

HCPCS Level II 2009

Publisher's Price: $59.00
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CPT 2010 Standard

Stay in compliance with CPT^® code changes each year and increase the accuracy of your claims submission with the AMA's official coding resource for procedural codes, rules and guidelines. This is only resource with official CPT coding rules and guidelines necessary to interpret and report medical procedures and services.

• New! A limited number of anatomical illustrations added to help you better understand CPT code applications
• Summary of additions, deletions and revisions provides a quick reference to 2009 changes without having to refer to previous editions
• Extensive index helps you locate codes by procedure/service, organ/other anatomic site, condition, synonyms/eponyms, and abbreviations
• Softbound, black-and-white format

Available October 2009. 

CPT Changes 2010

An indispensable guide for CPT^® codebook users. This annual title, written by the CPT coding staff, serves as a reference tool to understanding each of the CPT code changes found in CPT 2010 codebook in detail and helps you code CPT accurately. Every new, revised or deleted code, text and guideline change is listed along with a detailed rationale for the change. Key Features:

• Immediately know what's new, what's out and what's changed in CPT for 2010
• Organized by CPT code section and code number, just like the CPT codebook
• Detailed rationales provide an explanation as to why the code change occurred
• "At-a-glance" tabular review of 2010 code, text and guideline changes allows you to easily determine the level to which your particular field has been affected by the changes
• Useful clinical examples, procedural descriptions and illustrations are presented to help you understand the practical application for that code
• Available November 2009.

Also available:

ICD Compact 

ICD Softbound

ICD Hospital with Volume 3 

ICD DataFiles with sex edits in Excel, Access, dBASE and ASCII 

AMA Physician ICD-9-CM Spiral Bound 2010

The AMA's new partnership with Elsevier brings you a superior line of ICD-9-CM products written and designed by medical coding expert, educator and author Carol J. Buck. Our ICD-9-CM 2010 products can be used by coding professionals at all levels of expertise in every practice setting to increase coding speed, accuracy and understanding.
Code more quickly and effectively with the brand new ICD-9-CM Professional Edition codebook. Combining the Official Guidelines for Coding and Reporting (OCGR) with a format designed for coding excellence, this reference and all the features listed below help you easily access the information you need to stay up to date and ensure the most accurate billing for physician practice coding.
New for 2010 edition:

• Exclusive! Full-color Frank Netter anatomical plates—provide a complete visual understanding of the anatomical structures described within ICD-9-CM codes
• Exclusive! "Coding Tips and Notes" boxes—define terms and provide additional coding instruction to aid in understanding difficult terminology, diseases and conditions, or coding in a specific category
• Exclusive! Latest OCGR—includes current critical coding rules listed within the codes for instant reference
• Exclusive! Companion Web site—features access to the latest updates, plus coding tips and links to other coding sites
• Full-color coding tables—ease eye strain and enhance your understanding of diseases and conditions, and specific coding categories
• New highlighted symbol for "Code to Condition"
• More than 200 code-specific color photographs and illustrations found next to each disease—help you code more efficiently and accurately
• Guide to 2010 Updates" section—provides an at-a-glance listing of all new, revised and deleted codes to help reduce denied claims due to outdated codes
• List of three-digit categories and codes—quickly shows if a code is valid for claims submission
• Color-coded annotations—highlight codes that require additional considerations, enhance your understanding of terminology and clarify important coding criteria for various diseases and conditions
• Disease explanations—ensure that you have the correct code
• American Hospital Association's Coding Clinic for ICD-9-CM® references—found throughout resource with applicable codes
• Intuitive fourth-and fifth-digit alert symbol in index and tabular
• Spiral and softbound formats with full-color bleeds—enable easy access to each section
• Compact edition includes all the features of the full-size edition but comes in a convenient smaller size and contains a one-column format
• New apple-flap spine on spiralbound—makes shelving recognition and bookmark capabilities easier
• Classification of drugs by American Hospital Formulary Services (AHFS)—provides the ICD-9-CM diagnosis code for each AHFS list

Coding With Modifiers Third Edition

Don't forget about the modifier. Missing or incorrect usage of modifiers is the most common reason that claims are rejected by payors. Leave off a modifier, or put in the wrong one, and your claim may be denied or paid the wrong amount.

Coding with Modifiers: A Guide to Correct CPT and HCPCS Level II Modifier Usage provides step-by-step guidance for the proper use of CPT and HCPCS modifiers. Also included are specific requirements for modifier usage in both professional service and hospital reporting.

• Information right from the source. The AMA's CPT nomenclature uses modifiers as an integral part of its structure.
• Organized by modifier. Makes learning correct modifier coding easier.
• Contains both CMS and AMA modifier guidelines. Guidelines are designated with a symbol for easy identification and understanding of each interpretation.
• Decision Tree Flow Charts. Lead to determination of the correct code.
• Real-life clinical examples and definitions for each modifier. Helps you know if a modifier is being used correctly.
• Chapter exercises and test-your-knowledge quizzes. Ensure understanding of the material.
• Mid-term and final examinations. Provided in a variety of formats to facilitate learning.
• Coding tips. Provide hints on correct modifier usage.
• Hospital and Ambulatory Surgery Centers reporting requirements. A special section is dedicated to modifiers approved for hospitals and ambulatory surgery centers.
  

Also available:  Principles of ICD9 Coding

Principles of CPT^® Coding Sixth Edition

This new edition is a comprehensive training and educational textbook that provides an in-depth review of the entire CPT codebook. Principles explains the use of the codes and the application of the guidelines in an easy-to-read style, making it broad enough to educate the beginning coder, while still serving as a useful tool for those with more experience:

• More than 200 end-of-chapter exercises, test your understanding of the material
• An extensive review, of all CPT modifiers, complete with examples of appropriate modifier usage
• Coding tips that provide hints on code assignment, bundling and payer policies
• An expanded Outpatient Reporting - Hospital Outpatient Prospective Payment System (OPPS) chapter
• A detailed discussion of the CPT surgical package concept
• Intuitive symbols and color-coded bars highlight all Medicare code edits crucial to correct reimbursement.
• Instructions on how to code from an operative report
• Illustrations and tables

Publisher's Price: $99.00

National Dental Advisory Service 2010

• 2010 Updated Fees Based on new CDT2009-2010  Codes and Nomenclature
• Compare Your Fees with NDAS 40th, 50th, 60th, 70th, 80th, 90th and 95th Percentile Fees
• Geographic Multipliers for all U.S. 3-digit Zip Code Prefixes
• Cross reference coding for major medical billing
• Glossary of Dental Benefit Terminology, Medical Terminology for TMJ and Oral Surgery Billing, and Common Dental Terms.
• Getting Paid For Your Work: Third Party Collections & 10 Reasons For Not Participating in a dental HMO
• HIPAA Checklist for Dental Compliance
• See also 2010 NDAS Pricing Program

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National Dental Advisory Service 2009

Publisher's Price: $99.00
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