HCPCS Subscription Data File


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CALL 1-800-464-3649, Option 1

Item #: 7827
Available: NOW

To purchase Optum360 Data Files please contact Optum360 Customer Service at CALL 1-800-464-3649, option 1

Find timely, accurate, and value-added information to power your coding, billing, and practice management systems with the HCPCS Subscription Data File. Complete with clinically reviewed and abbreviated code sets and proprietary add-on information, you’ll have access to essential coding and reimbursement data for the HCPCS code set in an updatable, easy-to-use format.

  • Accurate data. Gain confidence in correct code selection the first time.
  • Quarterly updates. Have more time to implement code updates in your systems with quarterly updates.
  • Valuable add-on files. Access additional, value-added information to enhance coding precision, including code change details, modifier crosswalks, Medicare fees, and age/gender indicator edits.
The price of HCPCS Level II Subscription Data File does not include add-ons. Add-ons sold separately. Please call for details.

Available Add-on files:

  • Change Detail File – Change Types, Effective Dates, Replacement Code Crosswalk.  (Item # A0305)
  • Modifiers Crosswalk - HCPCS to Modifier crosswalk, Modifiers and Descriptions. (Item # A0302 and A0311)
  • National Average Payments – Commercial and Medicare National Average Fees. (Item # A0301)
  • Optum360 HCPCS Indicators – Age, Sex, Quantity, Coverage, Medicare Reference. (Item # A0304)
  • Age Range Edits – Beginning Age, Ending Age. (Item # EA0308)
  • Code History – Description, Add Date, Termination Date, Validity Change Date (Item # EA0309)
  • HCPCS Category File – Description, Category, Sub-Categories (Item # EA0310)

Elizabeth Leibold, RHIT

Ms. Leibold has more than 25 years of experience in the healthcare profession. She has served in a variety of roles, ranging from patient registration to billing and collections, and has an extensive background in both physician and hospital outpatient coding and compliance. She has worked for large health care systems and health information management services companies, and has wide-ranging experience in facility and professional component coding, along with CPT® expertise in interventional procedures, infusion services, emergency department, observation, and ambulatory surgery coding. Her areas of expertise include chart-to-claim coding audits and providing staff education to both tenured and new coding staff. She is an active member of the American Health Information Management Association (AHIMA).

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