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2015 EDITION Optum360 can help you tackle the transition to ICD-10 with powerful resources. Optum360 2015 resources can help you: • Prepare for a successful transition to ICD-10 • Manage upcoming CPT ® and HCPCS changes • Attain higher productivity with electronic coding • Remain HIPAA compliant with a current ICD-9-CM code book NEW 2015 Fast Finder ® sheets The NEW GENERATION of Fast Finders has arrived! New coding system ... New choices ... New format. Introducing the Optum Xpress Coding Matrix. Please call for specialties offered. ICD-10-CM $34.95 each Available: September 2014 Order your ICD-9 to stay HIPPA compliant. ICD-9-CM $24.95 each Available: December 2014 2015 HIPAA Tool Kit The 2015 HIPAA Took Kit comes with a customizable compliance plan that includes all of the essential HIPAA policies for privacy and security in both print and a ready-to-customize MSWord format. Name Item # ISBN Cost HIPAA Tool Kit HTKT15 978-1-60151-742-5 $259.95 Available: August 2014 EncoderPro.com This web-based code look-up tool for CPT ® , HCPCS, ICD-9-CM and ICD-10-CM code sets, delivers the content of multiple code books for the price of one subscription so you can save more and do more. Name Item # Cost EncoderPro.com Standard 1137 $299.95 EncoderPro.com Professional 1221 $549.95 EncoderPro.com Expert 1127 $999.95 Available: Now 2015 The Essential RBRVS CMS develops the RBRVS for the Medicare Physician Fee Schedule but does not assign relative values for all services. The Essential RBRVS includes all codes valued by CMS, but also provides RVUs for “gap” codes so you can use one relative value scale. Format Item # ISBN Cost Annual Available: December 2014 RBRC15 978-1-60151-930-6 $229.95 Updateable Available: December 2014 1761 NA $279.95 CPT ® is a registered trademark of the American Medical Association. 2015 Auditors' Desk Reference The Auditors’ Desk Reference is a unique manual that shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services. From data collection and claims submission to payer inquiries and denial management — you’ll submit the right information up front and you’ll know exactly how to correct denied claims so you spend less time and money resubmitting. Item # ISBN Cost AUDR15 978-1-60151-726-4 $199.95 Available: November 2014 2015 Customized Fee Analyzer Developing a fair and reliable fee schedule requires an understanding of fees charged in your area and specialty. Customized Fee Analyzer provides a customized report with relative and actual charge data for your specialty and ZIP code. Name Item # Cost One Specialty 2183 $299.95 Two Specialties 2184 $399.95 All CPT ® Codes 2185 $499.95 Available: December 2014 2015 Dental Customized Fee Analyzer The Dental Customized Fee Analyzer provides dentists with a customized report for their specific geographic area and the CPT ® codes most frequently used in their dental and/or OMS practice. Name Item # Cost One Specialty 2186 $299.95 Two Specialties 2193 $399.95 Available: December 2014 2015 Coding Companion ® Specialty Guides These valuable resources offer the most up-to-date CPT ® and ICD-9-CM code sets, specific to your specialty, in a quick-search format. Name Item # ISBN Cost Cardiology/Cardiothoracic/Vascular Surgery ATCR15 978-1-60151-816-3 $199.95 Emergency Medicine ASECT15 978-1-60151-804-0 $199.95 ENT/Allergy/Pulmonology AENT15 978-1-60151-795-1 $199.95 General Surgery/Gastroenterology AGEN15 978-1-60151-798-2 $199.95 Neurosurgery/Neurology ATNN15 978-1-60151-828-6 $199.95 Obstetrics/Gynecology ATOB15 978-1-60151-831-6 $199.95 Oncology/Hematology ATHO15 978-1-60151-822-4 $199.95 Ophthalmology ATEY15 978-1-60151-819-4 $199.95 Orthopaedics: Hips & Below ATLE15 978-1-60151-825-5 $199.95 Orthopaedics: Spine & Above ATUE15 978-1-60151-837-8 $199.95 Pediatrics APED15 978-1-60151-801-9 $199.95 Plastics/Dermatology ATPR15 978-1-60151-834-7 $199.95 Podiatry ASPOD15 978-1-60151-810-1 $199.95 Primary Care ASPC15 978-1-60151-807-1 $199.95 Radiology ASRA15 978-1-60151-813-2 $199.95 Urology/Nephrology ATUN15 978-1-60151-840-8 $199.95 Available: December 2014 2015 Relative Values for Physicians Relative Values for Physicians is a complete relative value system established by national surveys of physicians in all specialties. With this tool you can establish, defend and negotiate fees for medical and surgical procedures with the same relative values used by many insurance companies. Name Item # ISBN Cost Relative Values for Physicians RVP15 978-1-60151-927-6 $329.95 Available: December 2014 2015 National Fee Analyzer National Fee Analyzer provides practices with charge data for fee schedules evaluation and competitive analysis for contracting purposes. This comprehensive tool can help you estimate competitive fees and reimbursement for all areas of the country. Name Item # ISBN Cost National Fee Analyzer NFA15 978-1-60151-924-5 $199.95 Available: December 2014 2015 Coding and Payment Guides The Coding and Payment Guides provide the coding, documentation and reimbursement information users need to efficiently submit more precise claims and reduce the risk of audit. Specialties available: Name Item # ISBN Cost Anesthesia Services SAP15 978-1-60151-855-2 $179.95 Behavioral Health Services SYCH15 978-1-60151-864-4 $179.95 Coding Guide for OMS SOMS15 978-1-60151-873-6 $199.95 Dental Services CGDS15 978-1-60151-870-5 $179.95 Laboratory Services SLAB15 978-1-60151-858-3 $179.95 Physical Therapy SPT15 978-1-60151-861-3 $179.95 Available: December 2014 2015 ICD-10-CM Coding Workbooks Assess and sharpen your coding skills for ICD-10-CM using case studies and detailed answer rational, appropriate for your specialty. Name Item # ISBN Cost Cardiology PWC15 978-1-62254-089-1 $89.95 Orthopaedics PWR15 978-1-62254-097-6 $89.95 OB/GYN PWO15 978-1-62254-093-8 $89.95 Available: September 2014 OPTPRJ3678 To order please call: The Physicians Practice S.O.S Group, Seminars and Office Solutions ® at 1.770.333.9405 or visit us at www.ppsosgroup.com

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Page 1: can help you tackle Specialty Guides Optum360 the ... · 2015 ICD-10-CM & ICD-10-PCS resources Tackle the transition one step at a time with three steps: familiarize, analyze and

2015 EDITION

Optum360™ can help you tackle the transition to ICD-10 with powerful resources.

Optum360 2015 resources can help you:

• Prepare for a successful transition to ICD-10• Manage upcoming CPT® and HCPCS changes• Attain higher productivity with electronic coding• Remain HIPAA compliant with a current

ICD-9-CM code book

NEW 2015 Fast Finder® sheetsThe NEW GENERATION of Fast Finders has arrived! New coding system ... New choices ... New format. Introducing the Optum Xpress Coding Matrix.

Please call for specialties offered. ICD-10-CM $34.95 eachAvailable: September 2014

Order your ICD-9 to stay HIPPA compliant.ICD-9-CM $24.95 each Available: December 2014

2015 HIPAA Tool KitThe 2015 HIPAA Took Kit comes with a customizable compliance plan that includes all of the essential HIPAA policies for privacy and security in both print and a ready-to-customize MSWord format.

Name Item # ISBN Cost

HIPAA Tool Kit HTKT15 978-1-60151-742-5 $259.95

Available: August 2014

EncoderPro.com

This web-based code look-up tool for CPT® , HCPCS, ICD-9-CM and ICD-10-CM code sets, delivers the content of multiple code books for the price of one subscription so you can save more and do more.

Name Item # Cost

EncoderPro.com Standard 1137 $299.95

EncoderPro.com Professional 1221 $549.95

EncoderPro.com Expert 1127 $999.95

Available: Now

2015 The Essential RBRVSCMS develops the RBRVS for the Medicare Physician Fee Schedule but does not assign relative values for all services. The Essential RBRVS includes all codes valued by CMS, but also provides RVUs for “gap” codes so you can use one relative value scale.

Format Item # ISBN CostAnnualAvailable: December 2014

RBRC15 978-1-60151-930-6 $229.95

UpdateableAvailable: December 2014 1761 NA $279.95

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

2015 Auditors' Desk Reference The Auditors’ Desk Reference is a unique manual that shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services. From data collection and claims submission to payer inquiries and denial management — you’ll submit the right information up front and you’ll know exactly how to correct denied claims so you spend less time and money resubmitting.

Item # ISBN Cost

AUDR15 978-1-60151-726-4 $199.95

Available: November 2014

2015 Customized Fee Analyzer Developing a fair and reliable fee schedule requires an understanding of fees charged in your area and specialty. Customized Fee Analyzer provides a customized report with relative and actual charge data for your specialty and zIP code.

Name Item # CostOne Specialty 2183 $299.95

Two Specialties 2184 $399.95

All CPT® Codes 2185 $499.95

Available: December 2014

2015 Dental Customized Fee Analyzer The Dental Customized Fee Analyzer provides dentists with a customized report for their specific geographic area and the CPT® codes most frequently used in their dental and/or OMS practice.

Name Item # Cost

One Specialty 2186 $299.95

Two Specialties 2193 $399.95

Available: December 2014

2015 Coding Companion® Specialty GuidesThese valuable resources offer the most up-to-date CPT® and ICD-9-CM code sets, specific to your specialty, in a quick-search format.

Name Item # ISBN Cost

Cardiology/Cardiothoracic/Vascular Surgery ATCR15 978-1-60151-816-3 $199.95

Emergency Medicine ASECT15 978-1-60151-804-0 $199.95

ENT/Allergy/Pulmonology AENT15 978-1-60151-795-1 $199.95

General Surgery/Gastroenterology AGEN15 978-1-60151-798-2 $199.95

Neurosurgery/Neurology ATNN15 978-1-60151-828-6 $199.95

Obstetrics/Gynecology ATOB15 978-1-60151-831-6 $199.95

Oncology/Hematology ATHO15 978-1-60151-822-4 $199.95

Ophthalmology ATEY15 978-1-60151-819-4 $199.95

Orthopaedics: Hips & Below ATLE15 978-1-60151-825-5 $199.95

Orthopaedics: Spine & Above ATUE15 978-1-60151-837-8 $199.95

Pediatrics APED15 978-1-60151-801-9 $199.95

Plastics/Dermatology ATPR15 978-1-60151-834-7 $199.95

Podiatry ASPOD15 978-1-60151-810-1 $199.95

Primary Care ASPC15 978-1-60151-807-1 $199.95

Radiology ASRA15 978-1-60151-813-2 $199.95

Urology/Nephrology ATUN15 978-1-60151-840-8 $199.95

Available: December 2014

2015 Relative Values for PhysiciansRelative Values for Physicians is a complete relative value system established by national surveys of physicians in all specialties. With this tool you can establish, defend and negotiate fees for medical and surgical procedures with the same relative values used by many insurance companies.

Name Item # ISBN Cost

Relative Values for Physicians RVP15 978-1-60151-927-6 $329.95

Available: December 2014

2015 National Fee Analyzer National Fee Analyzer provides practices with charge data for fee schedules evaluation and competitive analysis for contracting purposes. This comprehensive tool can help you estimate competitive fees and reimbursement for all areas of the country.

Name Item # ISBN Cost

National Fee Analyzer NFA15 978-1-60151-924-5 $199.95

Available: December 2014

2015 Coding and Payment GuidesThe Coding and Payment Guides provide the coding, documentation and reimbursement information users need to efficiently submit more precise claims and reduce the risk of audit. Specialties available:

Name Item # ISBN Cost

Anesthesia Services SAP15 978-1-60151-855-2 $179.95

Behavioral Health Services SYCH15 978-1-60151-864-4 $179.95

Coding Guide for OMS SOMS15 978-1-60151-873-6 $199.95

Dental Services CGDS15 978-1-60151-870-5 $179.95

Laboratory Services SLAB15 978-1-60151-858-3 $179.95

Physical Therapy SPT15 978-1-60151-861-3 $179.95

Available: December 2014

2015 ICD-10-CM Coding WorkbooksAssess and sharpen your coding skills for ICD-10-CM using case studies and detailed answer rational, appropriate for your specialty.

Name Item # ISBN Cost

Cardiology PWC15 978-1-62254-089-1 $89.95

Orthopaedics PWR15 978-1-62254-097-6 $89.95

OB/GYN PWO15 978-1-62254-093-8 $89.95

Available: September 2014

OPTPRJ3678

To order please call: The Physicians Practice S.O.S Group, Seminars and Office Solutions® at 1.770.333.9405 or visit us at www.ppsosgroup.com

Page 2: can help you tackle Specialty Guides Optum360 the ... · 2015 ICD-10-CM & ICD-10-PCS resources Tackle the transition one step at a time with three steps: familiarize, analyze and

Medicare Correct Coding GuideUp to date and easy to use, the Medicare Correct Coding Guide is a comprehensive manual of Medicare rules, payment restrictions and claim submission edits providing medical practices with correct coding policies, CCI edits and the Medicare physician fee schedule — all in one resource. Subscriptions now include MedicareReimbursementPro.com, online access to valuable coding content and Medicare payment rates.

Format Item # Cost

Binder 3024 $279.95

Available: Now

2015 ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices, Volumes 1, 2 & 3Stay current and HIPAA compliant with our resource designed specifically for the challenges of the skilled nursing facilities (SNF), inpatient rehabilitation facilities (IRF) and hospices.

Format Item # ISBN Cost

Spiral ISN15 978-1-62254-146-1 $159.95

Available: September 2014

2015 ICD-9-CM Expert for Home Health and Hospices, Volumes 1, 2 & 3Turn to the ICD-9-CM resource that places a special focus on the professional challenges of home health agencies and hospices and helps them to remain HIPAA compliant.

Format Item # ISBN Cost

Spiral IHA15 978-1-62254-145-4 $159.95

Available: September 2014

2015 Insurance DirectoryMany insurance companies change their addresses, phone or fax numbers, or websites every year. We verify the accuracy by calling each insurance company listed to provide you with the information you need to process claims with confidence.

Item # ISBN Cost

ID15 978-1-60151-749-4 $79.95

Available: September 2014

ICD-9-CM Books for Hospitals, Volumes 1, 2 & 3 Item # ISBN Cost

Expert (Spiral) IHS15 978-1-62254-144-7 $103.95

Professional (Softbound) IHB15 978-1-62254-143-0 $94.95

Available: September 2014

2015 ICD-9-CM code booksStay on top of the continuing coding challenges—and stay HIPAA compliant by having current code books on hand. For your convenience, these books are available in three different versions depending on your needs. Be sure to purchase your legacy copy of ICD-9-CM for future reference after the implementation of ICD-10-CM.

ICD-9-CM Books for Physicians, Volumes 1 & 2 Item # ISBN Cost

Expert (Spiral) IPS15 978-1-62254-142-3 $99.95

Professional (Softbound) IPB15 978-1-62254-141-6 $86.95

Available: September 2014

Format Item # ISBN Cost

Expert (Spiral) – Available: December 2014 HS15 978-1-60151-912-2 $99.95

Expert (Compact) – Available: December 2014 HC15 978-1-60151-918-4 $92.95

Professional (Softbound) – Available: December 2014 HB15 978-1-60151-921-4 $79.95

Expert (Updateable Binder) – Available: Now 4524 N/A $154.95

2015 HCPCS Level II booksAccurately report supplies and services with a comprehensive, user-friendly reference for the HCPCS code set that focuses on management of reimbursement. These books will guide any coder confidently through current modifiers, code changes, additions and deletions with information as dictated by the Centers for Medicare and Medicaid Services (CMS).

2015 DRG ExpertGain a clearer understanding of the DRG process and its associated reimbursement. Trusted for more than 25 years, this must-have reference helps you verify DRG information and accurately assign MS-DRGs concurrently or retrospectively.

Format Item # ISBN Cost

Spiral BDRG15 978-1-60151-951-1 $129.95

Available: September 20142015 ICD-10-CM & ICD-10-PCS resourcesTackle the transition one step at a time with three steps: familiarize, analyze and improve processes, and train.

ICD-10 Hospital resources Item # ISBN Cost

ICD-10-PCS: The Complete Official Draft Code Set ITPC15* 978-1-62254-019-8 $104.95

ICD-10-CM: Expert for Hospitals Draft Code Set (Spiral) ITHS15* 978-1-62254-039-6 $109.95

ICD-10-CM: The Complete Official Draft Code Set for Hospitals ITHB15* 978-1-62254-036-5 $104.95

ICD-10-PCS Mappings ITPM15* 978-1-62254-028-0 $129.95

ICD-10-PCS Quick Reference Cards ITQR15 978-1-62254-031-0 $49.95

Available: September 2014

ICD-10 Physician resources Item # ISBN Cost

ICD-10-CM Expert for Physicians Draft Code Set (Spiral) ITPS15* 978-1-62254-048-8 $109.95

ICD-10-CM: The Complete Official Draft Code Set ITPB15* 978-1-62254-045-7 $104.95

ICD-10-CM Mappings ITCM15* 978-1-62254-025-9 $129.95

Available: September 2014

Anatomy resources Item # ISBN Cost

Comprehensive Anatomy and Physiology for ICD-10-CM and -PCS Coding

TAP15* 978-1-60151-906-1 $149.95

Available: November 2014

Training resources Item # ISBN Cost

Detailed Instruction for Appropriate ICD-10-CM Coding Available: November 2014

ITCE15* 978-1-62254-065-5 $99.95

Detailed Instruction for Appropriate ICD-10-PCS Coding Available: November 2014

ITPE15* 978-1-60151-755-5 $129.95

ICD-10-CM and -PCS Coding Readiness Assessment Available: October 2014

RASS15* 978-1-60151-779-1 $79.95

Coding from the Operative Report for ICD-10-CM and -PCS Available: October 2014

CHOP15* 978-1-60151-732-6 $169.95

ICD-10-CM Clinical Documentation Improvement Desk Reference Available: December 2014

CDI15 978-1-62254-118-8 $139.95

*Items also available as an eBook for the same cost. Contact your representative for more details.

Item # ISBN CostFor HCPCS Level IIAvailable: December 2014

CDRH15 978-1-60151-894-1 $139.95

For Procedures Available: December 2014

CDR15 978-1-60151-891-0 $139.95

2015 Coders’ Desk ReferencesHaving an extensive knowledge of code sets helps coders become more efficient and reduce errors on claims. Better understand medical codes, their definitions and their backgrounds with Coders’ Desk References.

2015 Coders’ DictionaryUnlike other medical dictionaries, the Coders’ Dictionary helps you understand medical terminology from a coder’s perspective. This unique dictionary was developed to meet the specific needs of medical coders, admitting clerks, billers and adjudicators.

Item # ISBN Cost

TCD15 978-1-60151-786-9 $99.95

Available: December 2014

2015 Current Procedural Coding ExpertEquipped with the entire CPT® code set, this resource is designed to speed coding, billing and reimbursement. Also includes a list of annual code updates, new code icons and notes, plus reimbursement information and mid-year changes.

Format Item # ISBN Cost

Spiral CEW15 978-1-60151-897-2 $99.95

Compact CEC15 978-1-60151-900-9 $89.95

Available: December 2014

Format Item # ISBN CostProfessional (Spiral) CSW15 978-1-62202-026-3 $114.95

Standard (Spiral) CBW15 978-1-62202-027-0 $89.95

Available: October 2014

2015 AMA CPT® code booksThe AMA’s coding resource, containing the official CPT® coding rules and guidelines necessary to interpret and report medical procedures.

2015 Physician Quality Reporting GuidePhysician Quality Reporting Guide helps you to avoid losses for inappropriate submissions and includes “Flow Sheets” that simplify data capture for more accurate reporting.

Name Item # ISBN Cost

Physician Quality Reporting Guide PQRS15 978-1-62254-101-0 $179.95

Available: February 2015