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CodeBreaker Professional: Physician Fee and Coding Software

Provides fast code search capabilities for the CPT, HCPCS, and ICD-9 codebooks. As well, it contains information about the HCFA national Correct Coding Initiative, commonly used CPT-to-ICD-9 linkages, ICD-9 fifth digits requirements, as well as Medicare, RVU, and UCR fees

Feature   Benefit
  Screen Shot
  (Click to Enlarge)
Searchable CPT, ICD9
and HCPCS codebooks. Prompts for additional digits and modifier requirements
  - Save coding time

  - Increase accuracy

  - Select codes with highest
    specificity

HCFA National Correct Coding Initiative rules for comprehensive and mutually exclusive codes.   - Check for bundling of CPT
    procedures in the Quick
    Check box.

  - Identify CPT comprehensive,
    component and mutually
    exclusive procedures.

CPT to ICD-9 Linkage and Crosswalk Libraries   - Extensive list of commonly-
    used diagnosis codes
    associated with each
    procedure code
Medicare fees, conversion factors, and RVUs. UCR fees based on geography. Global Fee Schedule Maintenance   - Use the optional fee analysis
    module for financial
    information and analysis
Annotations and bookmarks   - Create custom pick-lists of
    commonly used procedures
    and diagnosis codes

  - Create notes for each code
    to inform users of special
    considerations

Product Description
CodeBreaker Professional software puts medical coding and fee information in one easy-to-use Windows-based program, an outstanding management tool for improving reimbursement. Users can find diagnostic and procedure codes by keywords with the highly indexed search engine. The software determines code validity including ICD-9 fourth or fifth digit requirement and CCI edits for CPT procedure codes. The customizable software can show links between diagnostic and procedure codes, establish custom links, and annotate the codes with important information.

CodeBreaker Professional Fee Module provides relative value units for procedure codes, conversion factors appropriate to a user's location, and Medicare and UCR fees. Using this module, a user starts to think of medical practice in terms of RVUs and conversion factors, rather than absolute amounts. This helps to establish fees for new procedures, to realign fees to reflect operation costs, and to negotiate managed care contracts and other third party payer reimbursements.



  Order toll-free (800) 299-1091
MedicalNecessityandComplianceSales@mmm.com




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