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2008 ABC Coding Manual - Index of

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Development <strong>of</strong> New Terminology<br />

Resources<br />

Development <strong>of</strong> a new term and corresponding code begins with receipt <strong>of</strong> an <strong>ABC</strong> Terminology and Code Request<br />

(Request).<br />

Requests may enter the <strong>ABC</strong> Process via <strong>ABC</strong> <strong>Coding</strong> Solutions-Alternative Link and may originate from practitioners,<br />

pr<strong>of</strong>essional associations, within the Company, and/or the general public.<br />

Upon receipt, a Request is routed to the Company’s Practitioner Relations Director.<br />

The Director ensures that one <strong>of</strong> the Company’s coding experts perform the actions listed below:<br />

• reviews the Request<br />

• restates the requested terminology using the <strong>ABC</strong> Lexicon (vernacular)<br />

• reviews the Healthcare Common Procedural <strong>Coding</strong> System Level I and II (if applicable, to characterize<br />

related terminology)<br />

• conducts a crosswalk to the HIPAA code sets, if applicable, to characterize the degree <strong>of</strong> code originality<br />

suggested in the Request<br />

• analyzes the Request, related terms and crosswalk<br />

• notes the implications <strong>of</strong> the Request vis-à-vis healthcare research, management and commerce in a<br />

Terminology and Code Request Summary Report (Summary Report) when applicable<br />

• requests assistance and/or review in a Request for <strong>Coding</strong> Support/Concurrence (Concurrence<br />

Request)<br />

If the reviewers agree with the proposed <strong>ABC</strong> code, terminology and expanded definition, the Director documents this on<br />

the Concurrence Request and the <strong>ABC</strong> code and terminology is approved for inclusion in the <strong>ABC</strong> code set.<br />

Alternative Link and Special Projects<br />

The Company supports a variety <strong>of</strong> special projects. One <strong>of</strong> the most important projects is the annual <strong>ABC</strong> Relative<br />

Value Update Initiative (<strong>ABC</strong> RVU Initiative). The <strong>ABC</strong> RVU Initiative is managed by an independent third party, Relative<br />

Value Studies, Inc. (RVSI), which ensures a legally defensible rate structure for alternative medicine, nursing and other<br />

integrative healthcare practices. With input from the Company and integrative healthcare constituents, RVSI gathers<br />

statistical information to support relative value determinations for individual <strong>ABC</strong> codes.<br />

Practitioners-at-large supply supportive information via traditional or Internet-based surveys developed and analyzed by<br />

RVSI. RVSI can be contacted at 1-800-824-2133 or through their web site at www.rvsdata.com.<br />

In areas unrelated to pricing, <strong>ABC</strong> <strong>Coding</strong> Solutions-Alternative Link performs its own primary and secondary research,<br />

analyzes findings and generates reports that support improved healthcare system performance and health-related<br />

decision-making.<br />

<strong>2008</strong> <strong>ABC</strong> <strong>Coding</strong> <strong>Manual</strong> for Integrative Healthcare 289<br />

IV

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