The ABC Code Set - What's In It For You?
ABC Coding Solutions helps you do a better job of managing care, claims and outcomes related to alternative medicine, nursing and other integrative healthcare practices. Our products and services give you the ability to fully benefit from a new medical coding and billing system known as ABC codes.
ABC codes can be used in combination with CPT® and HCPCS II codes, as they are designed to fit into existing standard claim forms, software applications, as well as practice and information management systems. The codes are recognized by standard-setting organizations and readily fit into your existing business processes.
ABC codes, paired with ABC Terminology, currently describe more than 4,300 unique instances of care, services and/or supply items specific to the practice of alternative medicine, nursing and other integrative healthcare practitioners. The codes fill the gaps left by the existing standard HIPAA code sets and provide for comprehensive and seamless coding.
With ABC codes, you gain a superior understanding of the economic and health outcomes of alternative medicine, nursing and other integrative healthcare interventions – the kind of understanding that supports health-promoting, cost-effective and evidence-based healthcare.
Why Start Now?
Integrative healthcare is one of the fastest growing and most lucrative markets in the industry. By pursuing this market now – with the right support from us – you can lead the market preemptively and improve your bottom line.
To generate even greater value, ABC Coding Solutions coupled ABC codes with relative value units (RVUs), to support appropriate reimbursement, and with legal scope of practice information, to ensure you are billing in compliance with federal and state laws. These functionalities and features will soon be available to practitioners through our new online claims filing solution, eClaim.biz.
ZipClaims.com is a web-based tool that allows healthcare practitioners to generate claims and reports with any HIPAA code set they choose (CPT®, HCPCS II and/or ABC). It is the only HIPAA-compliant claims application that supports multiple licenses in multiple states, provides state scope of practice rationales, and includes more than 4,300 ABC codes to describe integrative healthcare practices.
We have been working with industry pioneers, academic research institutions, integrative healthcare associations, coding authorities, minority/ethnic health experts, state regulatory organizations and the U.S. Department of Health and Human Services. As a result of this work, ABC codes are recognized by standard-setting organizations and fit into existing claim forms, data fields, software applications, databases, information systems and business processes.
If you want to learn more, please continue reading to discover how ABC codes can benefit you if…
- What's in it for Payors?
- Online claim creation and coding – www.ZipClaims.com;
- Scope of practice-compliant coding and billing on a per procedure, per practitioner basis supported by legal rationales and state specific training/licensure standards;
- Precise medical records based on accurate coding of healthcare interventions;
- $51 Billion projected U.S. healthcare savings annually.
- What's in it for Networks (HMO/PPO/MCO)?
- Online claim creation and coding – www.ZipClaims.com;
- Increased operational efficiencies;
- Decreased reliance on disease management and costly drug-based medicine;
- Precise medical records based on accurate coding of healthcare interventions;
- Healthier/happier health plan members.
- What's in it for Business Owners/Practitioners?
- Faster reimbursement cycle (get paid faster when submitting claims);
- Online claim creation and coding – www.ZipClaims.com;
- Greater insurance industry acceptance of integrative services and interventions;
- Increased office/operational efficiencies (reduce time spent on billing);
- Scope of practice-compliant coding and billing on a per procedure, per practitioner basis supported by legal rationales and state specific training/licensure standards;
- Decreased reliance on disease management and costly drug-based medicine;
- Precise medical records based on accurate coding of healthcare interventions;
- Healthier/happier employees/clients.
- What's in it for Claims Processing Organizations/Clearinghouses?
- Online claim creation and coding – www.ZipClaims.com;
- Increased operational efficiencies (reduce time spent on claims adjudication);
- Scope of practice-compliant coding and billing on a per procedure, per practitioner basis supported by legal rationales and state specific training/licensure standards.
- What's in it for Health Plan Benefit Designers/TPAs?
- Offer increased plan benefit options to subscribers;
- Healthier/happier employees/clients;
- Decreased reliance on disease management and costly drug-based medicine.
- What's in it for Government/Medicaid-Medicare Agencies?
- Scope of practice-compliant coding and billing on a per procedure, per practitioner basis supported by legal rationales and state specific training/licensure standards;
- Quantify best practices (outcomes and efficacy data);
- Alaska Medicaid used ABC codes to process more than 500,000 HIPAA claim and payment transactions;
- $51 Billion in projected savings annually by incorporating ABC codes into the national code sets;
- A Medicare Advantage plan has paid claims on ABC codes for over five (5) years;
- Improved public health and increased savings for the healthcare economy.
- What's in it for Healthcare Consumers/Hospitals?
- Precise medical records based on accurate coding of healthcare interventions;
- Improved public health;
- Increased control of your healthcare expenses;
- Decreased reliance on disease management and costly drug-based medicine.
