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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Transmittals

Modify Edits in the Fee for Service (FFS) System When a Beneficiary has a Medicare Advantage (MA) Plan R10071CP
National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM) R10073CP_0
Removal of Signature Line from Appeals Page of the Medicare Summary Notice (MSN) and MSN Envelope Correction R10072CP
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2020 Update R10092OTN
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update R10098CP
Update to Medicare Shared Savings Program (SSP) Skilled Nursing Facility (SNF) Affiliates' Requirement to Include Demonstration Code 77 on SNF Waiver Claims R10083OTN
Coding Support for Secure Destruction Program Implemented in Change Request (CR) 11363 R10077OTN
New Codes for Therapist Assistants Providing Maintenance Programs in the Home Health Setting R10086CP
Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent With Current Policy R10095OTN
Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code U0002 and 87635 R10066OTN
Quarterly Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2020 Pricer R10060CP
July 2020 Quarterly Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2020 Pricer R10058CP
Provider Education for Required Prior Authorization (PA) of Hospital Outpatient Department (OPD) Services R10061OTN
Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2020 - Recurring July File Update R10059CP
New Waived Tests mm11747
New Waived Tests R10048CP
Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J-5 A/B MAC) R10055OTN
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update R10054CP
April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1 R10053CP
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update R10052CP
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