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2008 ABC Coding Manual - Index of

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IV<br />

Resources<br />

<strong>ABC</strong> Terminology and Code Development Process (<strong>ABC</strong> Process)<br />

This process is designed to ensure that <strong>ABC</strong> terminology and codes completely, accurately and precisely reflect the care<br />

that was delivered. Quality assurance is conducted in partnership with alternative medicine, nursing and other integrative<br />

healthcare pr<strong>of</strong>essions (the “Pr<strong>of</strong>essions”).<br />

Today, most additions to the <strong>ABC</strong> terminology originate from these sources...<br />

• nationally certified academic institutions<br />

• practitioners and practitioner associations<br />

• subject matter experts<br />

• manufacturers <strong>of</strong> herbs, botanicals and other remedies<br />

• coding or claims management personnel<br />

<strong>ABC</strong> <strong>Coding</strong> Solutions-Alternative Link (the “Company”) maintains a database <strong>of</strong> almost 15 million records that tie <strong>ABC</strong><br />

codes to terms, expanded definitions, relative values and legally compliant use <strong>of</strong> <strong>ABC</strong> codes by multiple practitioner<br />

types in all 50 states and the District <strong>of</strong> Columbia (based on legal scope <strong>of</strong> practice references).<br />

Training and Representation in <strong>ABC</strong> Terminology and Code<br />

Development<br />

The Company works with national practitioner associations, subject matter experts (SMEs), credentialing bodies and<br />

educational institutions within each participating Pr<strong>of</strong>ession to establish <strong>ABC</strong> terminology and codes.<br />

The primary objectives <strong>of</strong> the <strong>ABC</strong> Process are to:<br />

• support the interests <strong>of</strong> each Pr<strong>of</strong>ession<br />

• concurrently advance individual and public health, business and industry efficiencies and<br />

socioeconomic development, and<br />

• support Congressional intent under HIPAA to automate healthcare transactions<br />

To this end, <strong>ABC</strong> <strong>Coding</strong> Solutions/Alternative Link <strong>of</strong>fers training in:<br />

• policy issues associated with healthcare access, quality and cost-management<br />

• characteristics <strong>of</strong>, challenges in, and societal imperatives for the National Health Information Network<br />

(NHIN)<br />

• insurance issues related to HIPAA, including coverage, reimbursement, fraud and abuse<br />

• non-technical aspects <strong>of</strong> HIPAA transaction and code set requirements<br />

• transactions and code sets for alternative medicine, nursing, behavioral health and other integrative<br />

healthcare practices<br />

• terminology and code development<br />

By design, the conversion <strong>of</strong> healthcare terminology into <strong>ABC</strong> terminology involves all qualified interested parties. The<br />

Company strives to make improvements to the <strong>ABC</strong> Process to give each Pr<strong>of</strong>ession the greatest possible authority over<br />

the terminology that characterizes that Pr<strong>of</strong>ession.<br />

288 <strong>2008</strong> <strong>ABC</strong> <strong>Coding</strong> <strong>Manual</strong> for Integrative Healthcare

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