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EncoderPro.com Professional


EncoderPro.com Professional
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Publisher: Optum360
Experts: Ryan Devey
Sample Pages:  View PDF

   Purchase Options

QtyEdition & FormatAvailabilityPrice
Expert Online
IN STOCK $999.95
Professional Online
IN STOCK $549.95
Online
IN STOCK $299.95


 Your Price:
single user$549.95
multi userCall for pricing
 


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

EncoderPro.com Professional is an online, real-time code look-up application that delivers a higher degree of code detail and reference information on CPT®, HCPCS Level II, and both ICD-10-CM/-PCS and ICD-9-CM codes. Monthly automatic code updates throughout the year will help practices that bill Medicare Part B and private payers reduce rejected claims due to improper coding. The Professional version includes CCI edits as well as Medicare and commercial payment and coding information.  

 Read more

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   Features and benefits


  • Local coverage determinations (LCD) and Medicare’s Pub. 100 access. Check procedures for Medicare coverage instructions and medical necessity edits across all CMS Medicare administrative contractors (MAC). 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.
  • ICD-10-CM/PCS.  Includes mapping content from ICD-9-CM, volume 1, volume 2, and volume 3 codes to ICD-10-CM/PCS codes (as well as backward mapping) using the GEMs (General Equivalency Mappings) and the Optum360 MapSelects clinical mapping content. Also includes ICD-10-CM/PCS searching and Optum360’s tabular (ICD10-CM and ICD-10-PCS books) content.

Plus all of the valuable features of EncoderPro.com:

  • 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.
  • 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 20 code and reference books in one powerful solution. 
The price EncoderPro.com Professional does not include add-ons. Add-ons sold separately.

Click here to view all the available add-on modules

  • AHA Coding Clinic® for HCPCS Add-on (Item WA03 & WA03C)
  • AHA Coding Clinic® for ICD Add-on (Item WA02 & WA02C)
  • AMA CPT® Assistant Add-on (Item WA01)
  • AMA CPT® Changes: An Insider's View Add-on (Item WA27)
  • The AMA CPT® Content Module Add-on (Item WA34)
  • Total CPT® Add-on (Item WA37)
  • The ASA CROSSWALK® Add-on (Item WA24)
  • Clinical Documentation Improvement Add-on (WA35)
  • Coders' Dictionary Add-on (Item WA05)
  • Dental Codes Add-On (Item WA23)
  • Dr. Z’s Medical Coding Series: Interventional Radiology Add-on (Items WA30 & WA31)
  • DrugReimbursement.com Add-on (Item WA08)
  • Historical Application Content Add-on (Item WA11)  
  • Optum360 Specialty Articles Add-on (WA22)
  • Post-acute Care Add-on (Item WA38)
  • Stedman's Medical Dictionary Add-on (Item WA04)

CPT® is a registered trademark of the American Medical Association.




   Demo



To watch the EncoderPro.com product video, 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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