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AAPC Coder Complete
AAPC Coder Complete provides all the coding and reimbursement tools needed for inpatient coders, outpatient coders and CDI experts. Quickly view the OPPS fee schedules for freestanding ASCs and hospital based outpatient services in one place. For each CPT® code, you can identify the applicable modifiers, status indicators and payment indicators. For procedures that require devices, you can view if there is a credit adjustment policy for the device. Avoid bundling and determine proper modifier use by using the Medicare OPPS CCI checker for up to 25 codes at one time. The cross-reference tools allow you to forward and backward map CPT® to ICD-9-CM Volume 1 and 3, ICD-9-CM Volume 1 to ICD-10-CM and ICD-9-CM Volume 1 to the appropriate DRG options. Easily identity the DRG options, including CC and MCC, for each ICD-9-CM Volume 1 code.

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APC look up provides necessary detail on one page including long descriptor, payment and coverage info and more.

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CPT Assistant
CPT® Assistant is the official word from the AMA on proper CPT® code usage. AAPC Coder's Code Connect add-on allows you to search all CPT® Assistant articles from 1990 to present by CPT® code to narrow the options to only related articles for quick coding guidance.

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Coding Clinic
The HCPCS Coding Clinic delivers the official guidance published quarterly by the American Hospital Association (AHA) Central Office on correct HCPCS level II code usage. Each issue offers consistent and accurate advice for the proper use of HCPCS and includes information on HCPCS reporting for hospitals HCPCS Level 1 (CPT®) and Level II codes, the latest code assignments from emerging technologies, and real examples.

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Claims Processing Manuals

Inpatient Hospital Billing clm104c03
Inpatient Part A Billing and SNF Consolidated Billing clm104c06
Ambulance clm104c15
Processing Hospice Claims clm104c11
Rural Health Clinics/ Federally Qualified Health Centers clm104c09
Emergency Preparedness Fee-For-Service Guidance clm104c38
Part B Hospital-Including Inpatient Hospital Part B and OPPS clm104c04
Laboratory Services clm104c16
Indian Health Services clm104c19
General Billing Requirements clm104c01
General EDI and EDI Support Requirements, Electronic Claims and Coordination of Benefits Requirements, Mandatory Electronic Filing of Medicare Claims clm104c24
Appeals of Claims Decisions clm104c29
Billing Requirements for Special Services clm104c32
Drugs and Biologicals clm104c17
Part B Outpatient Rehabilitation and CORF/OPT Services clm104c05
Radiology Services and Other Diagnostic Procedures clm104c13
Completing and Processing Form CMS-1500 Data Set clm104c26
Fee Schedule Administration and Coding Requirements clm104c23
Physicians/Nonphysician Practitioners clm104c12
Coordination With Medigap, Medicaid, and Other Complementary Insurers clm104c28
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