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Optum360 EncoderPro.com comparison chart

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  Optum360 EncoderPro.com  
  Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
  Optum360 EncoderPro.com  
Pricing* Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
             
12 month single user price $1495.95 $999.95 $549.95 $299.95 $399 ($349 for AAPC members) base price. Additional modules available at an additional cost. Standard: $199.95
Professional: $599.95
Expert: $995.95
$99.95 - $399.95 base price.
Additional modules available at an additional cost.
Multi-user price      
Multi-year price      
*Pricing and product comparisons are for reference only and can change at any moment. It is important that you review the product packages with each company to ensure accuracy. Add-on modules may be packaged and sold differently among companies.
 
  Optum360 EncoderPro.com  
Code Searching Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 11 Possible Features
11 11 11 11 8 5 8
Term Searching
(1 Feature)
Acronym Searching
(1 Feature)
Related Condition Searching (1 Feature)  
Multi-code Type Searching
(1 Feature)
 
User Defined Code Searching (1 Feature)  
Autofill Search (1 Feature)
CPT, HCPCS, ICD‑9, ICD‑10 Full Index and Index Search (3 Features)
3 3 3 3 1 1 1
Index code searching by index term
Index code searching by code (find all terms in index for a code)      
Index refined Search      
ICD‑10‑CM Code Searching (1 Feature)
ICD‑10‑PCS Code Builder (search) (1 Feature)
 
  Optum360 EncoderPro.com  
Code Book References (from CPT®, HCPCS, ICD‑9 and ICD‑10 code books) Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 71 Possible Features
68 68 67 67 24 25 24
Current Procedural Code Book (CPC) (21 Features)
18 18 18 18 6 6 6
CPC Expert code book introduction      
Evaluation and management notes      
Evaluation and management guidelines
1997 E&M Guidelines
1995 E&M Guidelines
CPC tabular section layout
CPC appendix: Modifiers
Appendix: Added, Deleted, Revised, Resequenced      
Appendix: Crosswalk of Deleted Codes
CPC appendix: Add-on, modifier 51, 63, and moderate sedation codes      
CPC appendix: Place and type of service      
CPC appendix: Pub-100 references      
CPC appendix: Glossary      
CPC appendix: Listing of sensory, motor, and mixed nerves      
CPC appendix: Vascular families      
CPC appendix: Physician quality reporting system      
CPC appendix: Medical unlikely edit      
Appendix - Clinical Examples              
Appendix - Alpabetic Performance Measure Index see PQRS see PQRS see PQRS see PQRS      
Appendix - Genetic Testing Modifiers              
Appendix - Product Pending FDA Approval              
HCPCS Expert Code Book (12 Features)
12 12 12 12 4 4 4
HCPCS Expert code book introduction      
HCPCS tabular section layout (A codes through V codes)
HCPCS appendix: Table of drugs
HCPCS appendix: Modifiers
HCPCS appendix: Abbreviations and acronyms      
HCPCS appendix: Pub-100 references      
HCPCS appendix: Place of service and type of service      
HCPCS appendix: National average payment      
HCPCS appendix: Medical unlikely edit      
HCPCS appendix: Glossary      
HCPCS appendix: New Revised Delete codes      
Appendix: Crosswalk of Deleted Codes
ICD‑9‑CM Expert Code Book (20 Features)
20 20 20 20 2 2 2
ICD‑9‑CM Expert code book preface, introduction, how to use...      
ICD‑9‑CM Expert code book coding guidelines
ICD‑9‑CM tabular section layout (Ecodes, Dx codes, Vcodes)
ICD‑9‑CM appendix: Morphology of neoplasms      
ICD‑9‑CM appendix: Classification of drugs by AHFS list      
ICD‑9‑CM appendix: Industrial accidents according to agency      
ICD‑9‑CM appendix: List of 3-digit categories      
Abortion – Spontaneous Table      
Abortion – Legally Induced Table      
Abortion – Illegally Induced Table      
Abortion – Unspecified Table      
Abortion – Other Specified Table      
Burn Table      
Complications Table      
Diabetes Table      
Hernia Table      
Ectopic Pregnancy Table      
Normal Pregnancy table      
Antepartum Pregnancy Table      
PostPartum Pregnancy Table      
ICD‑9‑CM Vol. 1,2 Expert Code Book Index Sections (5 Features)
5 5 5 5 5 5 5
ICD‑9‑CM Index Section 1: Index to diseases
Hypertension Table
Neoplasm Table
ICD‑9‑CM Index Section 2: Table of drugs and chemicals
ICD‑9‑CM Index Section 3: Index to external causes (E codes)
ICD‑9‑CM Expert Vol. 3 Code Book
(1 Feature)
ICD‑9‑CM Vol. 3 tabular section layout (vol. 3 procedure code sections 0 through 16)      
ICD‑10‑CM Code Book (3 Features)
3 3 3 3 1 1 1
ICD‑10‑CM Draft code book preface, introduction, how to use..., conventions      
ICD‑10‑CM Draft conventions      
ICD‑10‑CM Draft official guidelines
ICD‑10‑CM Code Book Index Sections (4 Features)
4 4 4 3 4 4 4
ICD‑10‑CM Index to Diseases and Injuries
Neoplasm Table
Drug and chemicals table
Index to external causes
ICD‑10‑PCS Code Builder
(1 Feature)
Future Codes (CPT®, HCPCS)
(1 Feature)
Complete List of Modifiers (all inclusive list of CPC and HCPCS modifiers) (3 Features)
3 3 3 3 2 3 2
Modifier Descriptions
Modifier Usage Examples    
Modifier Definitions
 
  Optum360 EncoderPro.com  
PQRS (formerly PQRI) Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 8 Possible Features
8 8 8 8 4 2 4
Topic measures by code
Age restrictions    
Descriptions  
Topic measure search  
Reporting methods  
Reporting frequency
     
Measure groups      
Composite and intent codes      
 
  Optum360 EncoderPro.com  
CPT® Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 92 Possible Features
82 83 79 57 38 44 38
CPT® Aggregated Code Lists (9 Features)
9 9 9 9 2 2 2
New codes (also a CPC appendix)      
Revised codes (also a CPC appendix)      
Deleted codes (also a CPC appendix)
Deleted code replacements (also a CPC appendix)
Reinstated codes (also a CPC appendix)      
Resequenced codes (also a CPC appendix)      
Add-on codes      
51 exempt codes      
Unlisted codes      
CPT® Icon Indicators (42 Features)
36 37 36 34 14 17 12
New codes
Revised codes
Reinsatated codes    
Resequenced codes
Male procedure codes
Female procedure codes
Unlisted codes    
OPSI code icons     add on req'd
T-Packaged codes      
Brachytherapy sources codes      
Co-surgery allowed codes    
Team surgery allowed codes    
Age restriction codes      
Maternity codes  
Modifier 51 exempt codes
Modifier 63 exempt codes  
Service not covered by Medicare codes    
Endoscopic multi procedure reduction codes      
Bilateral surgery allowed codes    
Codes that may not be paid through composite APC DRC req'd DRC req'd DRC req'd      
MUE         add on req'd
Assist at surgery allowed codes    
Assist at surgery allowed with documentation codes    
CLIA waived test codes  
Carrier priced codes      
Add-on codes
Multiple procedure reduction guidelines apply codes      
Conscious sedation codes  
STVX-packaged codes      
Blood and blood product codes      
ASC payment indicators   add on req'd
OPSI indicator      
Major Surgery indicator      
CCI Comprehensive Code    
Integrated OCE edit (IOCE)      
Unlisted codes    
Pub 100        
PQRS indicator    
CPT® Asst article              
FDA approval pending          
Contains new or revised text              
References link              
CPC information available by code (41 Features)
37 37 34 14 22 25 24
Official code description
Complete code history by code (implementation, revisons, deletions, reinstatements)      
Lay descriptions by code
Complete List of Modifiers  
Clinically reveiewed modifiers by code  
Medicare approved modifiers by code        
CCI list of conflict codes    
Unbundling list of codes with MPFS and allowed modifiers  
Mutually exclusive list of codes with MPFS and allowed modifiers  
Greater procedure code list of codes with MPFS and allowed modifiers  
Crosscodes        
ICD‑10‑CM crosscodes  
ICD‑10‑PCS crosscodes    
HCPCS crosscodes  
Anethesia crosscodes (with base units)        
Dental Crosscodes              
NDC Crosscodes        
Internet only manual (Pub-100) references by code        
CMS transmittals by code      
Coding tips (coding companions)  
Coding notes
Coding notes (section)      
AMA Section guidelines
Category II Codes              
Category II Codes - Modifiers      
Category III Codes      
Coding instructions
Images
*ASA crosscodes (with base units) add-on req'd add-on req'd add-on req'd       add-on req'd
MPFS fee schedule  
On-the-fly adjustment of MPFS geographical regions  
Conversion factor adjustment        
% of Medicare adjustment        
Non-facility fee schedule complete with all RVUs  
Facility fee schedule complete with all RVUs  
*Available GAP fees for all codes where MPFS does not provide a fee        
Global split Information  
Global period (days)  
Medicare rules per MPFS data        
Interventional radiology information by code for radiology codes    
Medicare base units for anesthesia codes    
 
  Optum360 EncoderPro.com  
HCPCS Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 48 Possible Features
54 54 54 54 21 25 21
HCPCS Aggregated Code Lists (7 Features)
7 7 7 7 2 2 2
New codes (also a HCPCS appendix)      
Revised codes (also a HCPCS appendix)      
Reinstated codes (also a HCPCS appendix)      
Deleted codes (also a HCPCS appendix)
Deleted code replacements (also a HCPCS appendix)
Quantity codes      
Medicare codes      
HCPCS Icon Indicators (16 Features)
16 10 10 10 3 6 3
New codes
Revised codes
Reinstated codes      
Not covered by or valid for Medicare codes
STVX packaged codes            
Blood and blood products codes            
ASC payment indicators   add on req'd
Integrated OCE edit (IOCE)      
Quantity alerts      
T-packaged codes            
Brachytherapy codes          
Contractor discretion      
Codes that may be paid through composite APC            
Special coverage codes    
Codes that may not be paid through composite APC DRC req'd DRC req'd DRC req'd      
OPSI code icons     add on req'd
HCPCS Information Available by Code (25 Features)
24 24 24 12 16 17 16
Official code description
Complete code history by code (implementation, revisions, deletions, reinstatements)      
Lay descriptions by code
Notes by code
National averge payment by code        
Complete list of modifiers      
Clinically review modifiers by code        
Medicare approved modifiers by code      
CMS ambulatory modifiers      
Images
Coding notes
coding notes (section)
CCI list of conflict codes  
Unbundling list of codes with MPFS and allowed modifiers  
Mutually exclusive list of codes with MPFS and allowed modifiers  
Greater procedure code list of codes with MPFS and allowed modifiers  
NDCs per drug code
NDC number
NDC generic name      
NCC brand name      
Drug manufacturer/label2
NDC strength  
Ability to search by Drug Name or NDC              
Crosscodes    
CPT® codes    
 
  Optum360 EncoderPro.com  
ICD‑9‑CM Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 51 Possible Features
48 47 47 47 20 18 20
ICD‑9 V1,2 Aggregated Code Lists (8 Features)
8 8 8 8 0 0 0
New codes      
Revised codes      
Deleted codes      
CC codes      
Age codes      
Sex codes      
Gender codes      
Manifestation codes      
ICD‑9 V1,2 Icon Indicators (25 Features)
22 22 22 22 13 12 13
4th digit required
5th digit required
New codes
Revised codes
Male codes
Female codes
Unspecified outpatient codes    
Other specified outpatient codes      
Adult diagnosis codes
Maternity diagnoisis codes
Newborn diagnosis codes
Pediatric diagnosis codes
HIV related diagnosis codes      
Duplicate primary diagnosis codes      
Vcode as primary Dx outpatient codes      
Non-specific principal Dx codes inpatient    
Unacceptable principal Dx codes inpatient  
Manifestation codes - Not a primary Dx      
Comorbidity and complication inpatient codes  
Major complication inpatient codes  
Complex diagnosis codes inpatient      
Vcode as secondary diagnosis outpatient codes      
New text              
Deleted text              
Revised text              
ICD‑9 V1,2 Information Available by Code (18 Features)
18 17 17 17 7 8 7
Official code description
Complete code history by code (implementation, revisions, deletions, reinstatements)      
Lay descriptions by code    
Annotations by code      
Includes and excludes
Use additional
Code first
Instructional Notes
DRG crosswalk      
DRG link to show all related I9 codes            
IOCE and MCE edits      
Images    
ICD-10 code mapping      
Forward and Backward mapping  
GEM mapping
Optum360 mapping alternatives      
Optum360 "Premier Pick" selections      
ICD-10 instructional presentations      
 
  Optum360 EncoderPro.com  
ICD‑9‑CM Volume 3 Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 30 Possible Features
27 27 27 24 0 0 0
ICD‑9 v3 Aggregated Code Lists (6 Features)
6 6 6 6 0 0 0
New codes      
Revised codes      
Deleted codes      
OR codes      
Sex codes      
Medicare codes      
ICD‑9 v3 Icon Indicators (15 Features)
12 12 12 12 0 0 0
3rd digit required      
4th digit required      
New codes      
Revised codes      
Male procedure codes      
Female procedure codes      
Non-OR procedure codes affecting DRGs      
Valid OR procedure codes      
Nonspecific OR procedure codes      
Noncovered procedure codes      
Limited coverage procedure codes      
Bilateral procedure codes      
ICD‑9 V3 Information Available by Code (9 Features)
9 9 9 6 0 0 0
Official code description      
Complete code history by code (implementation, revisions, deletions, reinstatements)      
Lay descriptions by code      
Includes and Excludes      
MCE      
Crosscodes        
CPT® codes        
HCPCS codes        
DRG crosswalk      
 
  Optum360 EncoderPro.com  
ICD-10 Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 38 Possible Features
46 46 46 46 25 25 24
ICD‑10‑CM Dx Aggregated Code Lists (7 Features)
7 7 7 7 0 0 0
New codes      
Revised codes      
Deleted codes      
CC      
Age      
Gender      
Manifestation      
ICD‑10‑CM Icon Indicators (27 Features)
27 27 27 27 18 18 18
4th digit required
5th digit required
6th digit required
7th digit required
x7th digit required
New codes
Revised codes
Male procedure codes
Female procedure codes
Unspecified outpatient codes    
Other specified outpatient codes      
Questionable PDX      
Unacceptable principal Dx codes inpatient  
Manifestation codes - Not a primary Dx
Physician documentation      
Mapping to ICD‑9 code(s)      
Age - Adult diagnosis age 15-12
Age - Maternity diagnosis age 12-55
Age - Pediatric diagnosis age 0-17
Comorbidity and complication inpatient codes
Major complication inpatient codes
Hospital aquired condition
Conditional hospital aquired condition      
Z Code as primary diagnosis outpatient      
DD - Duplicate primary diagnosis      
HIV - HIV related diagnosis inpatient      
Age - Newborn diagnosis age 0
ICD‑10‑CM Information Available by Code (11 Features)
11 11 11 11 6 7 6
Official code description
Complete code history by code (implementation, revisions, deletions, reinstatements)
Lay descriptions by code    
Multiple Lay Descriptions (Chapter, Section, Range, Code)      
Includes and Excludes
MCE
Crosscodes
CPT® codes
ICD‑10‑PCS Information Available by Code (1 Feature)
ICD‑10‑PCS Mapping    
 
  Optum360 EncoderPro.com  
CCI Resources Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 7 Possible Features
7 7 7 0 4 3 4
CCI Check Tool (by Conflict)        
CCI Check Tool (by Code) DH, AAPC, SC  
Modifiers allowed/not allowed DH, AAPC, SC  
Reasons    
MPFS Values with CCI        
All CCI Codes Listed by Code DH, AAPC, SC  
All codes Column 1 and Column 2 views DH, AAPC, SC        
 
  Optum360 EncoderPro.com  
CMS/Medicare Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 38 Possible Features
38 30 12 3 7 3 7
Medicare Policy Content (25 Features)
25 25 7 0 5 1 5
LCD content by CPT® code    
LCD content by HCPCS code    
LCD content by ICD‑9 code          
LCD content by ICD-10 code        
LCD content by keyword          
LCD content by effective date          
LCD content by policy ID          
NCD content by CPT® code        
NCD content by HCPCS code        
NCD content by ICD‑9 code          
NCD content by ICD-10 code        
NCD content by keyword          
NCD content by effective date          
NCD content by policy ID          
FI content by CPT® code      
FI content by HCPCS code      
FI content by ICD‑9 code          
FI content by ICD-10 code        
FI content by keyword          
FI content by effective date          
FI content by policy ID          
Includes retired policies in search          
Includes links to actual policies          
Included hyperlinked codes lists from the policies          
Include "on the fly" change for any geographical Medicare carrier    
Medicare Fee Schedules (5 Features)
5 5 5 0 2 2 2
DME fee schedule  
Lab fee schedule  
Ambulance Fee Schedule        
NOC Fee Schedule        
PEN Fee Schedule        
Medicare Secondary Payment Guidelines (8 Features)
8 0 0 0 0 0 0
Black Lung Program            
Group Health Plan Coverage (GHP)            
End Stage Renal Disease (ESRD)            
Automobile Medical and other no-fault insurance            
Liability            
Veteran Affairs            
Worker's Compensation            
Dual Entitlement            
 
  Optum360 EncoderPro.com  
Notepad/Favorites List Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 6 Possible Features
6 6 5 3 1 1 1
Includes code description
Includes global days        
Includes MPFS information        
Excel pasting      
Multiple code add function      
Ability to export codes for compliance review          
 
  Optum360 EncoderPro.com  
Compliance Editor/Claims Scrubbing Tool Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 116 Possible Features
116 116 1 0 8 4 8
Medicare Edit Claim Review (22 Features)
22 22 1 0 5 2 5
Ability to review claim against 145 Medicare edits          
Anesthesia edits          
LCD medical necessity edits    
Age edits      
Gender edits      
Valid code edits          
Frequency edits          
Injection code edits          
Cardiac cath edits          
Duplicate line edits          
Modifier and modifier combination edits      
Add-on code edits          
Assist at surgery edits          
CCI and other unbundling edits  
Bilateral payment edits          
Co-surgeons edits          
Documentation edits          
Surgical procedure with E&M code edits          
Follow-up provider edits          
Global days and global procedure edits          
Physicain service code edits          
Team Surgeon edits          
Medicaid edit claim review (77 edits, both national state Medicaid specific edits) 77 77 0 0 0 0 0
Commercial Payer Edit Claim Review (17 Features)
17 17 0 0 3 1 3
Ability to review claim against 77 commercial edits          
Anesthesia edits          
Ingection code edits          
Cardiac cath edits          
Valid code edits          
Duplicate line edits          
Global days and global prodecure edits          
Modifier and modifier combination edits      
Bundling/
Unbundling edits
   
Age edits      
Gender edits          
Frequency edits          
Primary Dx code edits          
Surgical procedure with E&M code edits          
Add-on code edits          
Radiology edits          
Incidental procedure edits          
 
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Other Coding Resources Payer Expert Professional Standard AAPC Coder DecisionHealth Selectcoder SuperCoder
Score: 3 Possible Features
2 3 3 2 0 0 0
Internet Only Manual Search (Pub-100 Lookup)        
Alphabetical listing of NCDs      
Advanced Beneficiary Notice form        
 
  Optum360 EncoderPro.com  
DRG Related Content Payer Expert Professional Standard AAPC Coder DecisionHealth Selectcoder SuperCoder
Score: 6 Possible Features
6 0 0 0 0 0 0
DRG/RBRVS Payment Calculator            
DRG Lookup            
DRG Trees            
DRG Indicators            
DRG Pairs Alerts            
Targeted DRG list            
 
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Other Facility/Ambulatory Coding Related Content Payer Expert Professional Standard AAPC Coder DecisionHealth Selectcoder SuperCoder
Score: 8 Possible Features
4 2 2 1 0 0 0
Major Diagnositic Categories (MDC)            
MDC References            
Local Payment Schedule        
Physician Time              
Practice Expense (PE)              
Frequency data              
AMA RUC Rationale              
Ambulatory Payment Classification (APC)      
 
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Revenue Codes Payer Expert Professional Standard AAPC Coder DecisionHealth Selectcoder SuperCoder
Score: 2 Possible Features
2 0 0 0 0 0 0
Revenue Code to CPT®            
Revenue Code to HPCPCS            
 
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Outpatient Fee Schedule Payer Expert Professional Standard AAPC Coder DecisionHealth Selectcoder SuperCoder
Score: 3 Possible Features
3 0 0 0 0 0 0
OPSI crosswalk to CPT®/HCPCS            
Federal Register Addendum B            
Packaged Revenue Codes            
 
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Other Valuable User Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 25 Possible Features
24 24 24 16 9 6 9
Complete Code History (1 Feature)
User Notes By Code (6 Features)
6 6 6 6 3 3 3
Personal user notes
Global user notes
Mutiple code user note entry      
User note indicators per code
User note aggregation, sorting, and printing      
User note searching by term (allows for custom organization of user notes      
Home page post board specific to an organization (1 Feature)
Code and Content Update Summary (1 Feature)
Data update schedule monthly monthly monthly monthly      
Printing (3 Features)
3 3 3 1 1 1 1
Index Printing      
Printing by code  
Printing custom code pages        
Customizable print content (8 Features)
8 8 8 2 5 2 5
Global Days by code        
MPFS by code    
Dynamic LCD content by code    
Crosscode content by code  
Code Icons by code  
Section notes and annotations by code    
Personal user notes by code      
Global user notes by code      
Help System (3 Features)
3 3 3 3 0 0 0
Help Files      
Context Sensitive Help      
Prinable PDF User's Manual      
Subscription renewal timer (1 Feature)
Custom User Alerts (1 Feature)
 
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Available Add-on Content/Features Payer Expert Professional Standard AAPC Coder DecisionHealth SelectCoder SuperCoder
Score: 18 Possible Features
16 17 16 14 4 4 3
AHA Coding Clinic for HCPCS  
AHA Coding Clinic for ICD‑9  
AMA CPT® Assistant
ASA Crosswalk (with base units)    
CDI      
Claim Appeal and Denial Support        
Claims batch scrubbing          
Continuing Education Units (CEUs) Available as separate purchase          
Dental Codes      
Drug
Reimbursement.com
     
Dr. Z Medical Coding Series: Interventional Radiology      
FeeAnalyzer.com          
Full AMA Content Delivery - AMA CPT® Content Module      
Historical application content      
MedicalReference
Engine.com
     
Optum360 Coder's Dictionary      
Optum360 Specialty Articles or Specialty Newsletters/pink sheets (Coder's 3-pack)    
Post-acute Care      
 
CPT® is a registered trademark of the American Medical Association.