Pricing and Subscription Options

• CDT^® Code and Nomenclature, as well as Chapter/Section Notes
• CDT^® Glossary - definitions of terms from the code's description
• CDT^® FAQs - Frequently Asked Questions linked to each specific code
• Fully Searchable - right from the Search Page

• CROSSWALKs from CPT Anesthesia codes (00100-01999) to Surgery and Procedure Codes
• REVERSE CROSSWALKs (Surgery/Procedure to Anesthesia codes)
• CMS Base units
• ASA Base Units

Rules-based maps relating CPT® codes to and from SNOMED CT® clinical concepts.  Forward and backward mapping allows for easy transition between code sets. Map-A-Code crosswalk tool easily crosswalks multiple codes between the code sets.

• View definitions and illustrations from automatically detected keywords in every code description
• Pronunciations, definitions, illustrations
• Definitions/explanations for over 100,000 medical terms
• PLUS: Jablonski's Dictionary of Medical Acronyms and Abbreviations^®

Simple access to specific CPT historical data for the previous 10 years to research data based on the rules current at that specific time. 

Simple access to specific CPT historical data for the previous 5 years to help you adjudicate older claims properly based on the rules current at that specific time. 

• Code mappings from ABC codes to CPT®, HCPCS, and ICD-10-PCS
• Note: ABC Code mappings are included in the SuperBill Builder add-on

Test information includes:

• LOINC codes
• diseases the test is often used to detect or monitor
• overview of the test
• utility - when/why/how the test is used
• specimen collection methods/procedures
• testing methodology
• usual turnaround time
• interpretation of test results
• reference ranges for test results (normal, abnormal, etc.)
• diagnosis and billing codes
  • ICD-10-CM
  • ICD-9-CM
  • CPT
• additional or related tests
• references - more information about the tests
• web resources - additional online information about the test
• search by test name, synonym, LOINC code, disease or CPT/ICD code
• filter by Methodology or Specimen Type
• auto-suggest search terms

This product also includes Laboratory Decision System (LDS) rankings. LDS uses a proprietary ranking system that enables healthcare providers to correctly select and order the most relevant tests based on diseases, symptoms, and ICD-10 codes.

Our LDS system scores over 10,000 test-disease/condition pairs, assigns a rank from 1 to 10 and displays the ranks as a simple color coded indicator of clinical relevance, medical necessity and testing indication.

Using these Rankings:

• Ensures reimbursement by meeting medical necessity standards
• Helps meet Medicare and insurance compliance
• Arms you with the information you need to support testing decisions
• Avoids liability, malpractice and lawsuits
• Decreases healthcare costs by reducing over-utilization
• Shortens the time from diagnosis to treatment - leading to a reduction in procedures and admissions
• Reduces the number of tests sent to reference laboratories

• Expand your medical terminology
• Terms referenced directly from each code's description
• Over 100,000 terms, with pronunciations and illustrations
• "The best words in medicine™"

Access Usual, Customary, and Reasonable (UCR) and Workers Compensation fees!  National Unadjusted fees, as well as rates for your geographic area, are displayed. Quickly view fees displayed in a table and as a graph for comparison using Medicare billed, Medicare allowed and UCR Fees. 

UCR fees are available for Hospital (DRG's), Dental, and Physician charges.

InnoviHealth's Acupuncture Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Acupuncture-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Acupuncture-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Behavioral Health Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Behavioral Health-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Behavioral Health-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

This guide was created for healthcare practitioners and suppliers to save time and assure compliance. It provides accurate and informative instructions to complete the new 1500 health insurance claim form. You can rest assured knowing you are completing a clean claim which will result in fewer claim denials and rejections. This handy guide contains:

• Official 1500 Claim Form Instructions (NUCC combined with Medicare)
• Sample Data for Every Field on the new 1500 Claim Form
• Frequently Asked Questions about the new 1500 Claim Form

Complete & Easy HIPAA Compliance is a simple and practical guide containing all you need to implement and maintain a compliance program for HIPAA, HITECH, and the Omnibus 2013 Final Rule components. This book is a must for every covered entity, business associate, or compliance officer and includes additional guidance for cloud computing, and cyber-security.

CPT® 2024 Professional Edition is the definitive American Medical Association (AMA)-authored resource to help health care professionals correctly report and bill medical procedures and services. Health care professionals want accurate reporting of services rendered and reimbursement. Payers want efficient claims processing. Correct reporting and billing of medical procedures and services begins with CPT® 2024 Professional Edition.

Prepare for the upcoming coding year with detailed information regarding what CPT® codes changed and why - explanations of how to adapt, clinical examples illustrating how to use the new and revised codes. Your CPT® Changes subscription on Find-A-Code also includes historical changes back to 2000.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Insurance Billing Compliance.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — CT Scanning.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Endodontics.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Implants.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Oral & Maxillofacial Surgery.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sleep Disorders.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sedation & Anesthesia. 

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sleep Apnea.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing - TMD

InnoviHealth's Dentistry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Dentistry-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Dentistry-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

Dr. Z's Cardiothoracic Surgery Coding Reference, written by physicians who are both clinicians and coding experts, is a comprehensive manual that guides the user through the appropriate coding of these complex operations involving the heart and chest. Open surgical as well as transcatheter procedures are covered. Some examples of the areas covered include: procedures of the lungs, coronary artery bypass surgery, valvular surgery, transplant surgery, ablations, TAVR's, pacer-defibrillators, aneurysm repair, congenital heart repairs and many more.

The book simplifies coding by presenting illustrations and corresponding explanations, as well as coding guidelines. Clinical examples and references are also included.

Dr. Z's Diagnostic & Interventional Cardiovascular Coding Reference, written by physicians who are both clinicians and coding experts in this specialty area, is a comprehensive guide that directs the user through the appropriate coding and charging for complex cardiology procedures.  It includes coding guidelines ranging from the simplest procedures, such as echocardiography, to highly complex procedures involving multiple coronary artery interventions and electrophysiology. 

This extensive manual contains anatomical drawings, comprehensive coding and charging guidelines, as well as case examples to demonstrate how physician terminology translates to procedure codes.  It also covers non-invasive and invasive procedures that may be performed by a cardiologist or in a cardiology department.  Additionally, this cardiology coding book details coding guidelines for peripheral angiography and when it is combined with cardiac catheterization.

Dr. Z’s Diagnostic Radiology Coding Reference, written by Ruth Broek and Dr. Z, is a comprehensive manual that provides guidelines for the appropriate coding and charging of diagnostic radiology procedures. These include procedures performed in the disciplines of x-ray, fluoroscopy (except interventional radiology), mammography, ultrasound, CT, MRI, nuclear medicine, and non-invasive vascular testing. Although the hardcopy is printed in black/white, the eBook version is full color.

Procedures are grouped by discipline and then by anatomical area for convenience of use. This manual combines guidelines from multiple sources into one easy-to-use reference, including: the American Medical Association, the American College of Radiology, the American Hospital Association, the Centers for Medicare and Medicaid Services, the Society of Nuclear Medicine, and other reputable medical societies.

Dr. Z's Interventional Radiology Coding Reference, written by physicians who are also coding experts in this specialty area, is a comprehensive manual that details the appropriate coding and charging of these highly complex procedures. This book addresses both vascular and non-vascular procedures.

The information is conveniently laid out by procedure type and anatomical site. This book details extensive instructions about the components included in each procedure, as defined by the coding rules for the appropriate CPT or HCPCS code. Dr. Z’s Interventional Radiology book also discusses coding rules for both physicians and hospitals while pointing out differences in the rules (where applicable). Each section contains procedure examples to demonstrate the terminology that may be encountered in a report and how that is translated into selecting the correct procedure codes.

Dr. Z’s Pain Management Coding Reference, written by Ruth Broek and Dr. Z, is a comprehensive manual that details the appropriate coding and/or charging for the many different types of pain procedures performed in a variety of settings. It discusses injection procedures to treat spasticity and other conditions that require injections of steroids, anesthetics, neurolytics, and chemodenervation agents. There are specific chapters covering injection procedures, neurolysis and chemodenervation, pain pump implantation and management, and neurostimulator implantation and management. There is also a section on anatomy to aid in determining the type of nerve involved so the appropriate code can be reported.  It is laid out in a similar format to the other ZHealth reference manuals.

Procedures are grouped by procedure type (e.g., nerve blocks, neurolysis, neurostimulators) and by anatomical area for convenience of use. This manual combines guidelines from multiple sources into one easy-to-use reference, including: the American Medical Association, the American College of Radiology, the American Hospital Association, the Centers for Medicare and Medicaid Services, the Society of Nuclear Medicine, and other reputable medical societies.

Dr. Z's Vascular & Endovascular Surgery Coding Reference, written by physicians who are both clinicians and coding experts in this specialty area, is a comprehensive manual that guides the user through the appropriate coding and charging for these highly complex procedures. Transcatheter and open surgical procedures are covered, as well as hybrid procedures that combine them. 

This book simplifies coding by presenting illustrations and corresponding explanations. The manual is also conveniently laid out by type of procedure, giving comprehensive coding guidelines for each type.  Lastly, each section contains procedure examples to demonstrate the terminology that may be encountered in a report and how that is translated into selecting the correct procedure codes.

The ICD-10-PCS Coding Companion for Interventional Radiology is intended to be used as a companion resource, providing ICD-10-PCS coding guidance for interventional radiology procedures. Every effort has been made to align each chapter in this reference manual in format and content with the Interventional Radiology Coding Reference from Dr. Z’s Medical Coding Series.

The CPT® E/M Companion 2023 booklet is intended as a supplement to the Current Procedural Terminology (CPT®) 2023 codebook to help users understand the changes to certain evaluation and management (E/M) services, how to report these new and revised or consolidated codes, and how to apply the revised and new guidelines effective January 1, 2023. For the complete guidelines, code descriptors, and tables in the E/M section, refer to the CPT® 2023 codebook.

The Evaluation & Management Comprehensive Guide — 3rd Edition continues the innoviHealth tradition of providing helpful tools and resources for healthcare providers. As Evaluation & Management coding undergoes the most significant changes in decades, our credentialed subject matter experts provide the keys to understanding the changes, how they should be documented and reported, and how to ensure your organization is prepared for them.

The ICD-10-CM and ICD-10-PCS Coding Handbook content reflects revisions of the Official Guidelines for Coding and Reporting as well as AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS content published through June 2023. The handbook’s format and style of presentation follows that of previous editions inspired by the Faye Brown approach to coding instruction. The text leads students to logical answers and provides primary supporting sources. This logical approach has enabled the Handbook to become the most popular textbook for hospital and physician office coder training.

Don't be intimidated by the ever-changing coding and billing requirements for breast imaging, interventional services and bone density procedures! This one-stop resource delivers the latest guidance, actionable solutions, and answers to your questions.

One easy-to-follow resource offers a proven solution for CRM, deciphering complex physician documentation and resolving the confusion around common problem areas.

Get comprehensive coding and billing help with a full range of breast imaging and bone density procedures, including mammography, breast interventions, DEXA/DXA and imaging guidance. This one-stop resource delivers the latest guidance, actionable solutions, and answers to your questions.

This unique resource will guide you through charge capture and coding, while helping to avoid noncompliant practices, for a full range of respiratory therapy, pulmonary function testing and sleep study services.

From guiding you quickly and easily to the correct codes for a full range of CT, CTA, and MRI procedures, to answering tough questions about frequently mis-coded services and more, this is your one-stop resource for complete and compliant CT/MR coding and billing!

Fast track code selection for a full range of ultrasound services — without compromising compliance. Also, put an end to the coding, billing and documentation struggles that lead to missed revenues.

Guidance through coding and documentation for a full range of nuclear medicine and PET procedures, including SPECT, PET, PET/CT, planar imaging, integrated imaging and therapeutic treatments and more.

This unique resource will guide you through charge capture and coding, while helping to avoid noncompliant practices, for a full range of respiratory therapy, pulmonary function testing and sleep study services.

Fast track code selection for a full range of ultrasound services — without compromising compliance. Also, put an end to the coding, billing and documentation struggles that lead to missed revenues.

InnoviHealth's Neurology Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Neurology-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Neurology-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Obstetrics & Gynecology Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Obstetrics & Gynecology-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Obstetrics & Gynecology-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Ophthalmology & Optometry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Ophthalmology & Optometry-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Ophthalmology & Optometry-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Oral & Maxillofacial Surgery Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Oral & Maxillofacial Surgery-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Oral & Maxillofacial Surgery-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Pain Management Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Pain Management-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Pain Management-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Physical Therapy Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Physical Therapy-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Physical Therapy-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Podiatry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Podiatry-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Podiatry-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

The Risk Adjustment HCC Edition continues the innoviHealth tradition of providing helpful tools and resources for healthcare providers. This unique compilation of coding essentials makes it easier to get the job done. When used properly, this book can not only save valuable staff and doctor time, but it can also build confidence and compliance in your practice’s coding, documentation, reimbursement, and more.

• The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
• Current newsletters added each quarter
• Full Archives - over 3100 articles
• ALL years/issues back to 1984 organized by year and issue
• Includes ICD-10-CM/PCS Articles since 2013
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• View all the articles associated with any code, right from the code page!

• The official AHA publication for Level I HCPCS (CPT-4 codes) for hospital providers
• Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
• Current newsletters added each quarter
• Full Archives - over 850 articles
• ALL years/issues back to 2001 organized by year and issue
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• View all the articles associated with any code, right from the code page!

• CPT® Assistant, the official newsletter on CPT® coding, published by the AMA. This add-on gives you access to all the CPT® Assistant newsletters since 1990, fully searchable and linked to related codes.
• CPT® Knowledge Base, a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts.
• CPT® Vignettes - illustrate code use through sample patient examples. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Where appropriate, there are also Pre- and Post-service descriptions.
• Learn More

• Official newsletter published by the AMA
• "The" guideline source for CPT^® coding
• Current newsletters added each month
• Complete archives - over 3300 articles
• ALL year/issues since 1990 organized by year and month
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• Search by year, month, filter by age
• Learn More

BC Advantage is an industry magazine and online CEU Center providing low-cost educational resources for medical office professionals. A must-read resource for physicians, practice managers, office managers, billers, coders, consultants and anyone involved in medical documentation, coding, billing and reimbursement. With this add-on, you get:

• One full year of BC Advantage magazine
• Access to over 30 CEUs and webinars (updated monthly)
• A searchable database with over 1300 articles on medical billing and coding topics, and much more
• CEUs approved for the following associations:

  AAPC AHCAE AHIMA

  AIHC APMBA ARHCP

  HBMA MAB MED-C

  NHCLA PAHCOM PMI

  PMRNC POMAA QPRO

• Official DecisionHealth Newsletter Archives
• Timely news and guidance vital for your practice
• Includes over 25,000 articles from:
  • Coder Pink Sheets
  • Part B News
  • Answer Books newsletters
• Current newsletters added each quarter
• ALL years/issues since 1995 organized by year and issue
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• Save yourself tons of research time, find everything in one place!

Stay current, keep learning, and advance your career with the JustCoding Newsletter archives from HC Pro. These archives include JustCoding weekly articles since 2015 (over 1100 articles) covering topics such as:

• Hospital Inpatient
• Hospital Outpatient
• CDI
• Management
• Physician Practice
• Anatomy and Terminology
• and more!

Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

• Current newsletters added each month
• Fully searchable archives - over 500 articles
• ALL years/issues back to 2013 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

• Current newsletters added each month
• Fully searchable archives - over 2100 articles
• ALL years/issues back to 1998 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

• Current newsletters added each month
• Fully searchable archives - over 2100 articles
• ALL years/issues back to 1999 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

• Current newsletters added each month
• Fully searchable archives - over 4200 articles
• ALL years/issues back to 2003 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

Scrub-A-Claim™ is a compliance auditor, conduct a claims audit prior to submission. Scrub-A-Claim helps you follow the rules to avoid non-compliance resulting in denials and rejections.

Checks and Validates:

• Diagnosis Validation - highest specificity, valid codes, valid for date of service
• Procedure Validation - valid codes, valid for date of service
• Modifier Validation - valid codes, valid for date of service
• Modifier/Procedure Validation - proper use of modifiers
• Place Of Service/Procedure Validation - valid code, appropriate place of service for procedure
• Medical Necessity Validation - correct pairing of diagnosis and procedure codes based on NCDs and LCDs
• Correct Coding Initiative Validation - component and mutually exclusive edits, allowed modifiers
• Usage Validation - diagnosis and procedure age and gender edits
• Medically Unlikely Edit Testing - checks for acceptable number of service units
• National Provider Identifier (NPI) Validation - valid codes
• Plus more checks and validations will be added in the near future

Multiple User Accounts:

• No per-person charges and no per-physician or per-provider charges
• You may give all people in your account access with a single membership
• You may also restrict permission to specific people
• 250 claim-scrubs per month are included in your subscription
• Additional scrubs are assessed as described in the table below:

Scrub-A-Claim™ is a compliance auditor, conduct a claims audit prior to submission. Scrub-A-Claim helps you follow the rules to avoid non-compliance resulting in denials and rejections.

Checks and Validates:

• Diagnosis Validation - highest specificity, valid codes, valid for date of service
• Procedure Validation - valid codes, valid for date of service
• Modifier Validation - valid codes, valid for date of service
• Modifier/Procedure Validation - proper use of modifiers
• Place Of Service/Procedure Validation - valid code, appropriate place of service for procedure
• Medical Necessity Validation - correct pairing of diagnosis and procedure codes based on NCDs and LCDs
• Correct Coding Initiative Validation - component and mutually exclusive edits, allowed modifiers
• Usage Validation - diagnosis and procedure age and gender edits
• Medically Unlikely Edit Testing - checks for acceptable number of service units
• National Provider Identifier (NPI) Validation - valid codes
• Plus more checks and validations will be added in the near future

Multiple User Accounts:

• No per-person charges and no per-physician or per-provider charges
• You may give all people in your account access with a single membership
• You may also restrict permission to specific people
• 50 claim-scrubs per month are included in your subscription
• Additional scrubs are assessed as described in the table below:

HCC Risk Adjustment Batch Scoring is available on an Account-basis starting at $25.00/month or $250.00/year if purchased annually. Up to 250 risk scores may be calculated each month. If you need more than 250, you will be assessed a per calculation fee according to the schedule below:

You may designate the people in your account who may submit risk scores to be calculated. There are NO per person charges and NO per physician/provider charges.

The PDGM Calculator provides home health payment rates in accordance with existing statutory and regulatory requirements for Medicare home health agencies. The OASIS assessment is used to reflect the diagnosis (up to 24) and the patient's functional level to develop the plan of care.

• Organize and assemble CPT®/HCPCS/ICD-10-CM codes into SuperBills
• Create and manage multiple SuperBills by specialty and name
• Customize SuperBills with practice name, provider name, NPIs and more
• Easily look up Provider Taxonomy codes
• Automatically verify codes and check for deleted codes
• Copy existing SuperBills to quickly create new ones
• Print/create as a PDF file, edit/update anytime
• ABC codes are automatically crosswalked to their CPT® counterparts
• Note: CPT® to ABC code mappings are also included in the SuperBill Builder Add-On product

If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Unlimited Fee Reports™ tool.

• Create UNLIMITED Specialty Fee reports - for ALL your localities, ALL your specialties
• See fees for ALL localities (all ZIP codes) as well as National fees
• Load UNLIMITED Fee Schedules with your fees or fees from your payers
  • Enter codes/fees by text
  • Select codes from one of your Find-A-Code lists
  • Select codes from one of our many specialty lists
  • Load codes/fees from a spreadsheet file
• Create customized Fee Comparison Reports
  • Compare fees from different localities (ZIP codes)
  • Compare fees from different years (2009-current)
  • Compare different fee schedules you've loaded (ex. yours vs. payer 1 vs. payer 2)
  • Adjust fee schedules up or down by any percentage (ex. 150% of Medicare or 90% of UCR)
  • Set order of the data columns in the report
  • Choose to show or hide code descriptions
• Choose to compare fees (national or adjusted for your locality) from these data sets:
  • Medicare Allowed amounts - what Medicare pays
  • Medicare Billed amounts - what providers bill Medicare
  • Workers Compensation Amounts
    - as established by the U.S. Department of Labor
  • UCR (Usual, Customary, Reasonable) amounts
    - as established by the U.S. Department of Veterans Affairs
• Print the schedules and reports anytime
• All people in your account will have access to the schedules
• Plus you will see locality specific fees and the fees from your entered Fee Schedules on each code information page in a "Fee Schedules" subsection under the "Fees" pop-open section

• CDT^® Code and Nomenclature, as well as Chapter/Section Notes
• CDT^® Glossary - definitions of terms from the code's description
• CDT^® FAQs - Frequently Asked Questions linked to each specific code
• Fully Searchable - right from the Search Page

• CROSSWALKs from CPT Anesthesia codes (00100-01999) to Surgery and Procedure Codes
• REVERSE CROSSWALKs (Surgery/Procedure to Anesthesia codes)
• CMS Base units
• ASA Base Units

• Commercial Payer Policies from over 85 commercial payers
• Instantly search through over 34,000 payer policies for codes or keywords
• Code information pages show all relevant policies for the code
• Save and annotate policies
• Instant access to the last 30 policies you viewed

Rules-based maps relating CPT® codes to and from SNOMED CT® clinical concepts.  Forward and backward mapping allows for easy transition between code sets. Map-A-Code crosswalk tool easily crosswalks multiple codes between the code sets.

• View definitions and illustrations from automatically detected keywords in every code description
• Pronunciations, definitions, illustrations
• Definitions/explanations for over 100,000 medical terms
• PLUS: Jablonski's Dictionary of Medical Acronyms and Abbreviations^®

Simple access to specific CPT historical data for the previous 10 years to research data based on the rules current at that specific time. 

Simple access to specific CPT historical data for the previous 5 years to help you adjudicate older claims properly based on the rules current at that specific time. 

• Code mappings from ABC codes to CPT®, HCPCS, and ICD-10-PCS
• Note: ABC Code mappings are included in the SuperBill Builder add-on

Test information includes:

• LOINC codes
• diseases the test is often used to detect or monitor
• overview of the test
• utility - when/why/how the test is used
• specimen collection methods/procedures
• testing methodology
• usual turnaround time
• interpretation of test results
• reference ranges for test results (normal, abnormal, etc.)
• diagnosis and billing codes
  • ICD-10-CM
  • ICD-9-CM
  • CPT
• additional or related tests
• references - more information about the tests
• web resources - additional online information about the test
• search by test name, synonym, LOINC code, disease or CPT/ICD code
• filter by Methodology or Specimen Type
• auto-suggest search terms

This product also includes Laboratory Decision System (LDS) rankings. LDS uses a proprietary ranking system that enables healthcare providers to correctly select and order the most relevant tests based on diseases, symptoms, and ICD-10 codes.

Our LDS system scores over 10,000 test-disease/condition pairs, assigns a rank from 1 to 10 and displays the ranks as a simple color coded indicator of clinical relevance, medical necessity and testing indication.

Using these Rankings:

• Ensures reimbursement by meeting medical necessity standards
• Helps meet Medicare and insurance compliance
• Arms you with the information you need to support testing decisions
• Avoids liability, malpractice and lawsuits
• Decreases healthcare costs by reducing over-utilization
• Shortens the time from diagnosis to treatment - leading to a reduction in procedures and admissions
• Reduces the number of tests sent to reference laboratories

Provider Documentation Guides or PDGs are designed to provide a quick reference for all aspects of diagnosing a particular condition so that a highest specificity code can be easily determined by a coder.

Proper documentation is the foundation of CDI. These PDGs are an ideal way to illustrate the information that needs to appear in the patient's chart.  They are a great teaching tool and a handy reminder.

Print single PDGs (or save as PDFs) or use our grouping tool to enter a set of codes and combine PDGs into a custom bundle for your practice or physician.

Find-A-Code's 2200+ PDGs cover over 38,000 ICD-10-CM codes.

• Expand your medical terminology
• Terms referenced directly from each code's description
• Over 100,000 terms, with pronunciations and illustrations
• "The best words in medicine™"

Access Usual, Customary, and Reasonable (UCR) and Workers Compensation fees!  National Unadjusted fees, as well as rates for your geographic area, are displayed. Quickly view fees displayed in a table and as a graph for comparison using Medicare billed, Medicare allowed and UCR Fees. 

UCR fees are available for Hospital (DRG's), Dental, and Physician charges.

InnoviHealth's Acupuncture Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Acupuncture-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Acupuncture-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Behavioral Health Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Behavioral Health-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Behavioral Health-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

This guide was created for healthcare practitioners and suppliers to save time and assure compliance. It provides accurate and informative instructions to complete the new 1500 health insurance claim form. You can rest assured knowing you are completing a clean claim which will result in fewer claim denials and rejections. This handy guide contains:

• Official 1500 Claim Form Instructions (NUCC combined with Medicare)
• Sample Data for Every Field on the new 1500 Claim Form
• Frequently Asked Questions about the new 1500 Claim Form

Complete & Easy HIPAA Compliance is a simple and practical guide containing all you need to implement and maintain a compliance program for HIPAA, HITECH, and the Omnibus 2013 Final Rule components. This book is a must for every covered entity, business associate, or compliance officer and includes additional guidance for cloud computing, and cyber-security.

CPT® 2024 Professional Edition is the definitive American Medical Association (AMA)-authored resource to help health care professionals correctly report and bill medical procedures and services. Health care professionals want accurate reporting of services rendered and reimbursement. Payers want efficient claims processing. Correct reporting and billing of medical procedures and services begins with CPT® 2024 Professional Edition.

Prepare for the upcoming coding year with detailed information regarding what CPT® codes changed and why - explanations of how to adapt, clinical examples illustrating how to use the new and revised codes. Your CPT® Changes subscription on Find-A-Code also includes historical changes back to 2000.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Insurance Billing Compliance.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — CT Scanning.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Endodontics.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Implants.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Oral & Maxillofacial Surgery.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sleep Disorders.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sedation & Anesthesia. 

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sleep Apnea.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing - TMD

InnoviHealth's Dentistry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Dentistry-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Dentistry-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

Dr. Z's Cardiothoracic Surgery Coding Reference, written by physicians who are both clinicians and coding experts, is a comprehensive manual that guides the user through the appropriate coding of these complex operations involving the heart and chest. Open surgical as well as transcatheter procedures are covered. Some examples of the areas covered include: procedures of the lungs, coronary artery bypass surgery, valvular surgery, transplant surgery, ablations, TAVR's, pacer-defibrillators, aneurysm repair, congenital heart repairs and many more.

The book simplifies coding by presenting illustrations and corresponding explanations, as well as coding guidelines. Clinical examples and references are also included.

Dr. Z's Diagnostic & Interventional Cardiovascular Coding Reference, written by physicians who are both clinicians and coding experts in this specialty area, is a comprehensive guide that directs the user through the appropriate coding and charging for complex cardiology procedures.  It includes coding guidelines ranging from the simplest procedures, such as echocardiography, to highly complex procedures involving multiple coronary artery interventions and electrophysiology. 

This extensive manual contains anatomical drawings, comprehensive coding and charging guidelines, as well as case examples to demonstrate how physician terminology translates to procedure codes.  It also covers non-invasive and invasive procedures that may be performed by a cardiologist or in a cardiology department.  Additionally, this cardiology coding book details coding guidelines for peripheral angiography and when it is combined with cardiac catheterization.

Dr. Z’s Diagnostic Radiology Coding Reference, written by Ruth Broek and Dr. Z, is a comprehensive manual that provides guidelines for the appropriate coding and charging of diagnostic radiology procedures. These include procedures performed in the disciplines of x-ray, fluoroscopy (except interventional radiology), mammography, ultrasound, CT, MRI, nuclear medicine, and non-invasive vascular testing. Although the hardcopy is printed in black/white, the eBook version is full color.

Procedures are grouped by discipline and then by anatomical area for convenience of use. This manual combines guidelines from multiple sources into one easy-to-use reference, including: the American Medical Association, the American College of Radiology, the American Hospital Association, the Centers for Medicare and Medicaid Services, the Society of Nuclear Medicine, and other reputable medical societies.

Dr. Z's Interventional Radiology Coding Reference, written by physicians who are also coding experts in this specialty area, is a comprehensive manual that details the appropriate coding and charging of these highly complex procedures. This book addresses both vascular and non-vascular procedures.

The information is conveniently laid out by procedure type and anatomical site. This book details extensive instructions about the components included in each procedure, as defined by the coding rules for the appropriate CPT or HCPCS code. Dr. Z’s Interventional Radiology book also discusses coding rules for both physicians and hospitals while pointing out differences in the rules (where applicable). Each section contains procedure examples to demonstrate the terminology that may be encountered in a report and how that is translated into selecting the correct procedure codes.

Dr. Z’s Pain Management Coding Reference, written by Ruth Broek and Dr. Z, is a comprehensive manual that details the appropriate coding and/or charging for the many different types of pain procedures performed in a variety of settings. It discusses injection procedures to treat spasticity and other conditions that require injections of steroids, anesthetics, neurolytics, and chemodenervation agents. There are specific chapters covering injection procedures, neurolysis and chemodenervation, pain pump implantation and management, and neurostimulator implantation and management. There is also a section on anatomy to aid in determining the type of nerve involved so the appropriate code can be reported.  It is laid out in a similar format to the other ZHealth reference manuals.

Procedures are grouped by procedure type (e.g., nerve blocks, neurolysis, neurostimulators) and by anatomical area for convenience of use. This manual combines guidelines from multiple sources into one easy-to-use reference, including: the American Medical Association, the American College of Radiology, the American Hospital Association, the Centers for Medicare and Medicaid Services, the Society of Nuclear Medicine, and other reputable medical societies.

Dr. Z's Vascular & Endovascular Surgery Coding Reference, written by physicians who are both clinicians and coding experts in this specialty area, is a comprehensive manual that guides the user through the appropriate coding and charging for these highly complex procedures. Transcatheter and open surgical procedures are covered, as well as hybrid procedures that combine them. 

This book simplifies coding by presenting illustrations and corresponding explanations. The manual is also conveniently laid out by type of procedure, giving comprehensive coding guidelines for each type.  Lastly, each section contains procedure examples to demonstrate the terminology that may be encountered in a report and how that is translated into selecting the correct procedure codes.

The ICD-10-PCS Coding Companion for Interventional Radiology is intended to be used as a companion resource, providing ICD-10-PCS coding guidance for interventional radiology procedures. Every effort has been made to align each chapter in this reference manual in format and content with the Interventional Radiology Coding Reference from Dr. Z’s Medical Coding Series.

The CPT® E/M Companion 2023 booklet is intended as a supplement to the Current Procedural Terminology (CPT®) 2023 codebook to help users understand the changes to certain evaluation and management (E/M) services, how to report these new and revised or consolidated codes, and how to apply the revised and new guidelines effective January 1, 2023. For the complete guidelines, code descriptors, and tables in the E/M section, refer to the CPT® 2023 codebook.

The Evaluation & Management Comprehensive Guide — 3rd Edition continues the innoviHealth tradition of providing helpful tools and resources for healthcare providers. As Evaluation & Management coding undergoes the most significant changes in decades, our credentialed subject matter experts provide the keys to understanding the changes, how they should be documented and reported, and how to ensure your organization is prepared for them.

The ICD-10-CM and ICD-10-PCS Coding Handbook content reflects revisions of the Official Guidelines for Coding and Reporting as well as AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS content published through June 2023. The handbook’s format and style of presentation follows that of previous editions inspired by the Faye Brown approach to coding instruction. The text leads students to logical answers and provides primary supporting sources. This logical approach has enabled the Handbook to become the most popular textbook for hospital and physician office coder training.

Don't be intimidated by the ever-changing coding and billing requirements for breast imaging, interventional services and bone density procedures! This one-stop resource delivers the latest guidance, actionable solutions, and answers to your questions.

One easy-to-follow resource offers a proven solution for CRM, deciphering complex physician documentation and resolving the confusion around common problem areas.

Get comprehensive coding and billing help with a full range of breast imaging and bone density procedures, including mammography, breast interventions, DEXA/DXA and imaging guidance. This one-stop resource delivers the latest guidance, actionable solutions, and answers to your questions.

This unique resource will guide you through charge capture and coding, while helping to avoid noncompliant practices, for a full range of respiratory therapy, pulmonary function testing and sleep study services.

From guiding you quickly and easily to the correct codes for a full range of CT, CTA, and MRI procedures, to answering tough questions about frequently mis-coded services and more, this is your one-stop resource for complete and compliant CT/MR coding and billing!

Fast track code selection for a full range of ultrasound services — without compromising compliance. Also, put an end to the coding, billing and documentation struggles that lead to missed revenues.

Guidance through coding and documentation for a full range of nuclear medicine and PET procedures, including SPECT, PET, PET/CT, planar imaging, integrated imaging and therapeutic treatments and more.

This unique resource will guide you through charge capture and coding, while helping to avoid noncompliant practices, for a full range of respiratory therapy, pulmonary function testing and sleep study services.

Fast track code selection for a full range of ultrasound services — without compromising compliance. Also, put an end to the coding, billing and documentation struggles that lead to missed revenues.

InnoviHealth's Neurology Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Neurology-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Neurology-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Obstetrics & Gynecology Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Obstetrics & Gynecology-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Obstetrics & Gynecology-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Ophthalmology & Optometry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Ophthalmology & Optometry-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Ophthalmology & Optometry-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Oral & Maxillofacial Surgery Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Oral & Maxillofacial Surgery-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Oral & Maxillofacial Surgery-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Pain Management Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Pain Management-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Pain Management-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Physical Therapy Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Physical Therapy-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Physical Therapy-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Podiatry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Podiatry-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Podiatry-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

The Risk Adjustment HCC Edition continues the innoviHealth tradition of providing helpful tools and resources for healthcare providers. This unique compilation of coding essentials makes it easier to get the job done. When used properly, this book can not only save valuable staff and doctor time, but it can also build confidence and compliance in your practice’s coding, documentation, reimbursement, and more.

• The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
• Current newsletters added each quarter
• Full Archives - over 3100 articles
• ALL years/issues back to 1984 organized by year and issue
• Includes ICD-10-CM/PCS Articles since 2013
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• View all the articles associated with any code, right from the code page!

• The official AHA publication for Level I HCPCS (CPT-4 codes) for hospital providers
• Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
• Current newsletters added each quarter
• Full Archives - over 850 articles
• ALL years/issues back to 2001 organized by year and issue
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• View all the articles associated with any code, right from the code page!

• CPT® Assistant, the official newsletter on CPT® coding, published by the AMA. This add-on gives you access to all the CPT® Assistant newsletters since 1990, fully searchable and linked to related codes.
• CPT® Knowledge Base, a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts.
• CPT® Vignettes - illustrate code use through sample patient examples. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Where appropriate, there are also Pre- and Post-service descriptions.
• Learn More

• Official newsletter published by the AMA
• "The" guideline source for CPT^® coding
• Current newsletters added each month
• Complete archives - over 3300 articles
• ALL year/issues since 1990 organized by year and month
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• Search by year, month, filter by age
• Learn More

BC Advantage is an industry magazine and online CEU Center providing low-cost educational resources for medical office professionals. A must-read resource for physicians, practice managers, office managers, billers, coders, consultants and anyone involved in medical documentation, coding, billing and reimbursement. With this add-on, you get:

• One full year of BC Advantage magazine
• Access to over 30 CEUs and webinars (updated monthly)
• A searchable database with over 1300 articles on medical billing and coding topics, and much more
• CEUs approved for the following associations:

  AAPC AHCAE AHIMA

  AIHC APMBA ARHCP

  HBMA MAB MED-C

  NHCLA PAHCOM PMI

  PMRNC POMAA QPRO

• Official DecisionHealth Newsletter Archives
• Timely news and guidance vital for your practice
• Includes over 25,000 articles from:
  • Coder Pink Sheets
  • Part B News
  • Answer Books newsletters
• Current newsletters added each quarter
• ALL years/issues since 1995 organized by year and issue
• Fully searchable through Find-A-Code's Comprehensive Search
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles
• Save yourself tons of research time, find everything in one place!

Stay current, keep learning, and advance your career with the JustCoding Newsletter archives from HC Pro. These archives include JustCoding weekly articles since 2015 (over 1100 articles) covering topics such as:

• Hospital Inpatient
• Hospital Outpatient
• CDI
• Management
• Physician Practice
• Anatomy and Terminology
• and more!

Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

• Current newsletters added each month
• Fully searchable archives - over 500 articles
• ALL years/issues back to 2013 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

• Current newsletters added each month
• Fully searchable archives - over 2100 articles
• ALL years/issues back to 1998 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

• Current newsletters added each month
• Fully searchable archives - over 2100 articles
• ALL years/issues back to 1999 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

• Current newsletters added each month
• Fully searchable archives - over 4200 articles
• ALL years/issues back to 2003 organized by year and issue
• Codes mentioned in articles are linked to Code Information pages
• Code Information pages link back to related articles

Scrub-A-Claim™ is a compliance auditor, conduct a claims audit prior to submission. Scrub-A-Claim helps you follow the rules to avoid non-compliance resulting in denials and rejections.

Checks and Validates:

• Diagnosis Validation - highest specificity, valid codes, valid for date of service
• Procedure Validation - valid codes, valid for date of service
• Modifier Validation - valid codes, valid for date of service
• Modifier/Procedure Validation - proper use of modifiers
• Place Of Service/Procedure Validation - valid code, appropriate place of service for procedure
• Medical Necessity Validation - correct pairing of diagnosis and procedure codes based on NCDs and LCDs
• Correct Coding Initiative Validation - component and mutually exclusive edits, allowed modifiers
• Usage Validation - diagnosis and procedure age and gender edits
• Medically Unlikely Edit Testing - checks for acceptable number of service units
• National Provider Identifier (NPI) Validation - valid codes
• Plus more checks and validations will be added in the near future

Multiple User Accounts:

• No per-person charges and no per-physician or per-provider charges
• You may give all people in your account access with a single membership
• You may also restrict permission to specific people
• 250 claim-scrubs per month are included in your subscription
• Additional scrubs are assessed as described in the table below:

Scrub-A-Claim™ is a compliance auditor, conduct a claims audit prior to submission. Scrub-A-Claim helps you follow the rules to avoid non-compliance resulting in denials and rejections.

Checks and Validates:

• Diagnosis Validation - highest specificity, valid codes, valid for date of service
• Procedure Validation - valid codes, valid for date of service
• Modifier Validation - valid codes, valid for date of service
• Modifier/Procedure Validation - proper use of modifiers
• Place Of Service/Procedure Validation - valid code, appropriate place of service for procedure
• Medical Necessity Validation - correct pairing of diagnosis and procedure codes based on NCDs and LCDs
• Correct Coding Initiative Validation - component and mutually exclusive edits, allowed modifiers
• Usage Validation - diagnosis and procedure age and gender edits
• Medically Unlikely Edit Testing - checks for acceptable number of service units
• National Provider Identifier (NPI) Validation - valid codes
• Plus more checks and validations will be added in the near future

Multiple User Accounts:

• No per-person charges and no per-physician or per-provider charges
• You may give all people in your account access with a single membership
• You may also restrict permission to specific people
• 50 claim-scrubs per month are included in your subscription
• Additional scrubs are assessed as described in the table below:

The PDGM Calculator provides home health payment rates in accordance with existing statutory and regulatory requirements for Medicare home health agencies. The OASIS assessment is used to reflect the diagnosis (up to 24) and the patient's functional level to develop the plan of care.

• Organize and assemble CPT®/HCPCS/ICD-10-CM codes into SuperBills
• Create and manage multiple SuperBills by specialty and name
• Customize SuperBills with practice name, provider name, NPIs and more
• Easily look up Provider Taxonomy codes
• Automatically verify codes and check for deleted codes
• Copy existing SuperBills to quickly create new ones
• Print/create as a PDF file, edit/update anytime
• ABC codes are automatically crosswalked to their CPT® counterparts
• Note: CPT® to ABC code mappings are also included in the SuperBill Builder Add-On product

If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Unlimited Fee Reports™ tool.

• Create UNLIMITED Specialty Fee reports - for ALL your localities, ALL your specialties
• See fees for ALL localities (all ZIP codes) as well as National fees
• Load UNLIMITED Fee Schedules with your fees or fees from your payers
  • Enter codes/fees by text
  • Select codes from one of your Find-A-Code lists
  • Select codes from one of our many specialty lists
  • Load codes/fees from a spreadsheet file
• Create customized Fee Comparison Reports
  • Compare fees from different localities (ZIP codes)
  • Compare fees from different years (2009-current)
  • Compare different fee schedules you've loaded (ex. yours vs. payer 1 vs. payer 2)
  • Adjust fee schedules up or down by any percentage (ex. 150% of Medicare or 90% of UCR)
  • Set order of the data columns in the report
  • Choose to show or hide code descriptions
• Choose to compare fees (national or adjusted for your locality) from these data sets:
  • Medicare Allowed amounts - what Medicare pays
  • Medicare Billed amounts - what providers bill Medicare
  • Workers Compensation Amounts
    - as established by the U.S. Department of Labor
  • UCR (Usual, Customary, Reasonable) amounts
    - as established by the U.S. Department of Veterans Affairs
• Print the schedules and reports anytime
• All people in your account will have access to the schedules
• Plus you will see locality specific fees and the fees from your entered Fee Schedules on each code information page in a "Fee Schedules" subsection under the "Fees" pop-open section

• CDT^® Code and Nomenclature, as well as Chapter/Section Notes
• CDT^® Glossary - definitions of terms from the code's description
• CDT^® FAQs - Frequently Asked Questions linked to each specific code
• Fully Searchable - right from the Search Page

Images exclusive to Find-A-Code! Our anatomical illustrations are a great source to assist with coding and education or simply strengthen your knowledge. Alleviate confusion using anatomy images making it easier to locate the nearest relevant anatomical location for a more accurate code selection. To simplify ICD-10-CM selection images are marked with an asterisk referring to common coding terminology.

• See high-quality anatomical images for CPT and ICD-10-CM codes!
• Keywords used with ICD-10-CM on images
• Detailed illustrations to accurately code correct anatomical areas
• Great educational tool 

• CROSSWALKs from CPT Anesthesia codes (00100-01999) to Surgery and Procedure Codes
• REVERSE CROSSWALKs (Surgery/Procedure to Anesthesia codes)
• CMS Base units
• ASA Base Units

• Commercial Payer Policies from over 85 commercial payers
• Instantly search through over 34,000 payer policies for codes or keywords
• Code information pages show all relevant policies for the code
• Save and annotate policies
• Instant access to the last 30 policies you viewed

• Ensure you are coding the correct procedures with Common Language Descriptions for Procedure Codes (CPT^®)
• Beneficial to new and experienced coders alike
• Compare wording on operative notes and medical records with these descriptions
• Descriptions for over 8,500 codes.

Rules-based maps relating CPT® codes to and from SNOMED CT® clinical concepts.  Forward and backward mapping allows for easy transition between code sets. Map-A-Code crosswalk tool easily crosswalks multiple codes between the code sets.

• View definitions and illustrations from automatically detected keywords in every code description
• Pronunciations, definitions, illustrations
• Definitions/explanations for over 100,000 medical terms
• PLUS: Jablonski's Dictionary of Medical Acronyms and Abbreviations^®

• Ensure you are coding the correct HCPCS procedure or supply code using Common Language Descriptions
• Beneficial to new and experienced coders alike
• Compare wording on the encounter, presentation, diagnosis notes, and medical records
• Descriptions for over 2,800 codes

Simple access to specific CPT historical data for the previous 10 years to research data based on the rules current at that specific time. 

Simple access to specific CPT historical data for the previous 2 years to help you adjudicate older claims properly based on the rules current at that specific time.

Simple access to specific CPT historical data for the previous 5 years to help you adjudicate older claims properly based on the rules current at that specific time. 

• Ensure you are coding the correct diagnosis with ICD-10 using Common Language Descriptions
• Beneficial to new and experienced coders alike
• Compare wording on the encounter, presentation, diagnosis notes, and medical records
• Descriptions for over 51,200 codes

• Code mappings from ABC codes to CPT®, HCPCS, and ICD-10-PCS
• Note: ABC Code mappings are included in the SuperBill Builder add-on

Test information includes:

• LOINC codes
• diseases the test is often used to detect or monitor
• overview of the test
• utility - when/why/how the test is used
• specimen collection methods/procedures
• testing methodology
• usual turnaround time
• interpretation of test results
• reference ranges for test results (normal, abnormal, etc.)
• diagnosis and billing codes
  • ICD-10-CM
  • ICD-9-CM
  • CPT
• additional or related tests
• references - more information about the tests
• web resources - additional online information about the test
• search by test name, synonym, LOINC code, disease or CPT/ICD code
• filter by Methodology or Specimen Type
• auto-suggest search terms

This product also includes Laboratory Decision System (LDS) rankings. LDS uses a proprietary ranking system that enables healthcare providers to correctly select and order the most relevant tests based on diseases, symptoms, and ICD-10 codes.

Our LDS system scores over 10,000 test-disease/condition pairs, assigns a rank from 1 to 10 and displays the ranks as a simple color coded indicator of clinical relevance, medical necessity and testing indication.

Using these Rankings:

• Ensures reimbursement by meeting medical necessity standards
• Helps meet Medicare and insurance compliance
• Arms you with the information you need to support testing decisions
• Avoids liability, malpractice and lawsuits
• Decreases healthcare costs by reducing over-utilization
• Shortens the time from diagnosis to treatment - leading to a reduction in procedures and admissions
• Reduces the number of tests sent to reference laboratories

Enhance your Essentials subscription with Medicare-based fees and graphs, as well as the ability set your own fees.

Calculate and view the NCCI Edit codes for comprehensive, component and mutually exclusive codes. View code incompatibilities.

Provider Documentation Guides or PDGs are designed to provide a quick reference for all aspects of diagnosing a particular condition so that a highest specificity code can be easily determined by a coder.

Proper documentation is the foundation of CDI. These PDGs are an ideal way to illustrate the information that needs to appear in the patient's chart.  They are a great teaching tool and a handy reminder.

Print single PDGs (or save as PDFs) or use our grouping tool to enter a set of codes and combine PDGs into a custom bundle for your practice or physician.

Find-A-Code's 2200+ PDGs cover over 38,000 ICD-10-CM codes.

• Expand your medical terminology
• Terms referenced directly from each code's description
• Over 100,000 terms, with pronunciations and illustrations
• "The best words in medicine™"

Access Usual, Customary, and Reasonable (UCR) and Workers Compensation fees!  National Unadjusted fees, as well as rates for your geographic area, are displayed. Quickly view fees displayed in a table and as a graph for comparison using Medicare billed, Medicare allowed and UCR Fees. 

UCR fees are available for Hospital (DRG's), Dental, and Physician charges.

Learn more about drugs and pharmaceuticals that can be used to detect, treat, or monitor diseases, as well as assist in medical procedures with the WK Drug Database by Wolters Kluwer.

Search by keywords or codes, click on an index letter to see drugs by name, or drill down through the GPI hierarchy.

Drug information includes:

• Name
• Trade Names
• Associated Codes (ICD-10-CM/PCS, HCPCS, CPT)
• Package pricing, average wholesale pricing (AWP), etc.
• Generic Product Identifier (GPI)
• GPI Lineage/Hierarchy
• NDCs
• Indications/Diseases
• Labeler/Manufacturer
• Active Ingredient
• Common dosages
• Dosage Form
• Format (pill, liquid, gas, etc.)
• Strength
• Package types & descriptions
• Route of Administration
• Controlled Substance (DEA) Status
• Efficacy
• Maintenance Drug status
• Availability
• Sources
• Bioequivalences
• Patient Information
• and more...

InnoviHealth's Acupuncture Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Acupuncture-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Acupuncture-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

InnoviHealth's Behavioral Health Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include:

• Behavioral Health-specific CPT and HCPCS code lists and common categories of ICD-10-CM
• Insider’s secrets to avoiding denials and getting paid
• A selection of Behavioral Health-specific Provider Documentation Guides, an exclusive InnoviHealth clinical documentation improvement tool for teaching ICD-10 in 10 minutes
• Updates on risk adjustment (e.g., HCC) and value-based reimbursement (e.g., MACRA)
• Evaluation & Management instructions from an auditor's perspective
• And more!

This guide was created for healthcare practitioners and suppliers to save time and assure compliance. It provides accurate and informative instructions to complete the new 1500 health insurance claim form. You can rest assured knowing you are completing a clean claim which will result in fewer claim denials and rejections. This handy guide contains:

• Official 1500 Claim Form Instructions (NUCC combined with Medicare)
• Sample Data for Every Field on the new 1500 Claim Form
• Frequently Asked Questions about the new 1500 Claim Form

Complete & Easy HIPAA Compliance is a simple and practical guide containing all you need to implement and maintain a compliance program for HIPAA, HITECH, and the Omnibus 2013 Final Rule components. This book is a must for every covered entity, business associate, or compliance officer and includes additional guidance for cloud computing, and cyber-security.

CPT® 2024 Professional Edition is the definitive American Medical Association (AMA)-authored resource to help health care professionals correctly report and bill medical procedures and services. Health care professionals want accurate reporting of services rendered and reimbursement. Payers want efficient claims processing. Correct reporting and billing of medical procedures and services begins with CPT® 2024 Professional Edition.

Prepare for the upcoming coding year with detailed information regarding what CPT® codes changed and why - explanations of how to adapt, clinical examples illustrating how to use the new and revised codes. Your CPT® Changes subscription on Find-A-Code also includes historical changes back to 2000.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Insurance Billing Compliance.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — CT Scanning.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Endodontics.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Implants.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Oral & Maxillofacial Surgery.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sleep Disorders.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sedation & Anesthesia. 

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing — Sleep Apnea.

The information provided in this book is meant to inform and educate on the insurance rules and regulations for The Dentist’s Guide to Medical Billing - TMD

InnoviHealth's Dentistry Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it. With input from customers, coders, and auditors, we have combined all these needs into one great resource for professional services. These books include: