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EncoderPro.com Expert

EncoderPro.com Expert
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Publisher: Optum
Experts: Ryan Devey

   Purchase Options

QtyEdition & FormatAvailabilityPrice
Expert Online
IN STOCK $999.95


 Your Price:
single user$999.95
multi userCall for pricing
 


Click here  to see how EncoderPro.com Expert compares to other industry solutions. 

EncoderPro.com Expert
provides online access to a powerful search application for all CPT®, HCPCS Level II, ICD-9-CM, and ICD-10-CM/PCS code sets, as well as Optum360 and Medicare coding guidelines to ensure coding accuracy, improve billing performance, and reduce rejected claims. Complimentary monthly updates let you code confidently throughout the year. Plus, a compliance editor powered by the Optum360 Claims Manager helps you review your code selections, and a fee calculator computes the Medicare reimbursement rate for your region.  
 to see how  provides online access to a powerful search application for all CPT, HCPCS Level II, ICD-9-CM, and ICD-10-CM/PCS code sets, as well as Optum360 and Medicare coding guidelines to ensure coding accuracy, improve billing performance, and reduce rejected claims. Complimentary monthly updates let you code confidently throughout the year. Plus, a compliance editor powered by the Optum360 helps you review your code selections, and a fee calculator computes the Medicare reimbursement rate for your region.   Read more

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   Features and benefits


  • Expert Exclusive—Enhanced claim review (with Optum360’s ClaimsManager rules). Check your work by running your selected codes through an edit check to ensure proper unbundling, correct modifiers, complete diagnoses, and more prior to submittal to a clearinghouse/vendor/payer. Includes a 24-month historical content database for use during claim adjudication. Over 130 coding rules are reviewed.
  • Expert Exclusive—Fee calculator. Calculate the adjusted Medicare reimbursement rate for your area. 
  • ICD-10-CM/-PCS code sets.  Includes mapping content from ICD-9-CM, volume 1, volume 2, and volume 3 codes to ICD10-CM and -PCS codes (as well as backward mapping) using the GEMs (General Equivalency Mappings) and Optum360 MapSelects clinical mapping content. Also includes ICD-10-CM and -PCS searching and Optum360 tabular (ICD10-CM and -PCS books) content.
  • Now available: Multi-year contract pricing. To learn more about this offer or this product, contact your sales rep or customer service at 1-800-464-3649, option 1.

Plus all of the valuable features of EncoderPro.com Professional:

  • Optum360 Edge—Powerful CodeLogic™ search engine technology. Keyword search across all code sets (including ICD-10-CM/-PCS) simultaneously using up to four terms, acronyms, abbreviations, or even misspelled words.
  • Optum360 Edge—Lay descriptions for procedures and HCPCS. Access comprehensive Coders’ Desk Reference descriptions for thousands of procedures and services to enhance your understanding of CPT® and HCPCS code differences.
  • Optum360 Edge—Automatic monthly updates. Real-time application service delivers code changes before implementation and updates Medicare coverage information regularly for coding confidence.
  • Local coverage determinations (LCD) and Medicare’s Pub. 100 access. Check procedures for Medicare coverage instructions and medical necessity edits across all CMS MACs. Understand which ICD-9-CM (and ICD-10-CM) procedures define medical necessity and what the documentation guidelines are for successful claim submission. Gain insight into procedures and services that carry little or discretionary coverage and how to report them.
  • Modifier crosswalk. Choose from a comprehensive array of modifiers for each procedure based on millions of claim scenarios to ensure correct modifier use when billing payers.
  • Cross-coder relationships. Provides valuable content from 12 coding and billing specialty reference books in one powerful solution. Cross-reference procedures to radiology, path/lab, medicine codes, and more.
  • Medicare CCI edits. Understand coding relationships for bundled and mutually exclusive procedures and check your code combinations through a full year of CCI.
  • Color-coded edits. Reduce research time and improve coding accuracy with at-a-glance sex or age edits, Medicare coverage, and bundled procedures.
  • User notes. Easily identify codes or code groups requiring more personal or company information.
  • Notepad. Store your most frequently used codes for easy access and export your codes to Windows programs.
    Great value. Includes the content from more than 30 code and reference books in one powerful solution.

The price of EncoderPro.com Expert does not include add-ons. Add-ons sold separately.
  • I10 Map Manager Add-on (Item WA26) 
  • ASA Crosswalk® Add-on (Item WA24)
  • AHA Coding Clinic for HCPCS Add-on (Item WA03)
  • AHA Coding Clinic for ICD Add-on (Item WA02)
  • Claims Batch Editor Add-on (Item WA16)
  • Coders’ Dictionary Add-on (Item WA05)
  • Coder’s Essential 3-Pack (Item WA22)
  • CPT Assistant Add-on (Item WA01)
  • CPT Changes Add-on (Item WA27)
  • HCPCS D Codes Add-on (Item WA23)
  • Dr. Z's Medical Coding Series: Interventional Radiology (Item WA30 and WA31)
  • DrugReimbursement.com Add-on (Item WA08)
  • Historical Application Content Add-on (Item WA11)
  • Repair Toolkit for Claims Batch Editor Add-on (Item WA18)
  • Stedman’s Dictionary Add-on (Item WA04)

CPT is a registered trademark of the American Medical Association.




   Demo



For a video demo of EncoderPro.com, Click Here.
To hear what others are saying about EncoderPro.com, Click Here.



   Content Experts


Ryan  Devey - Product Manager, EncoderPro.com
Employed at Optum360 for 10 years

Ryan graduated from the University of Utah in healthcare
administration and has worked for multiple commercial payer
organizations in several different roles. Additionally, Ryan
worked as a practice administrator for a physician clinic, where
he implemented an EMR system and a fully electronic coding
and code review process. For the past 10 years, Ryan has
designed and managed medical coding data management
systems, workers compensation rebilling systems and medical
coding/fee schedule software.


 

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