Data Providers & Partners

AAPC is the world's largest training and credentialing organization for the business of healthcare, with members worldwide working in medical coding, billing, auditing, compliance, clinical documentation improvement, revenue cycle management, and practice management.

Through our career training, continuing education, and networking events, we provide countless opportunities for industry professionals to enhance their learning and advance their careers.

• tci E/M Coding Alert +Archives
• tci ED Coding & Reimbursement Alert +Archives
• tci General Surgery Coding Alert +Archives
• tci Medicare Compliance & Reimbursement +Archives
• tci Outpatient Facility Coding Alert +Archives
• tci Part B Insider +Archives

ABC Coding Solutions was founded in 1996. The Company develops ABC codes (over 4,500 descriptions of healthcare services, remedies and supplies) to document, measure and process payments for healthcare services. The company also manages information used to validate scope of practice for care delivered by over 80% of health caregivers in the United States.

• ABC Codes
• ABC Coding Manual
• Mappings for ABC Codes

The American Dental Association (ADA) exists to power the profession of dentistry and to assist our members in advancing the overall oral health of their patients. Together with our 163,000+ members, we’ve been driving dentistry forward for 160 years.

• ADA CDT® Codes (Dental "D" Codes)

The AHA Central Office is the official U.S. Clearinghouse on medical coding for the proper use of the ICD-10-CM/PCS systems and Level I HCPCS (CPT-4 codes) for hospital providers and certain Level II HCPCS codes for hospitals, physicians and other health professionals.

AHA Coding Clinic for ICD-10-CM/PCS and AHA Coding Clinic for HCPCS provides expert guidance that supports coders, auditors, and insurers with their coding matters. The coding advice delivers insights to educate providers, coders, insurers, and others in the field, on the proper use of ICD-10 codes.

The ICD-10-CM and ICD-10-PCS Coding Handbook is the only guide published in collaboration with the Central Office on ICD-10-CM/PCS of the American Hospital Association. ICD-10-CM and ICD-10-PCS are the HIPAA code set standard for diagnosis and inpatient procedures in the U.S.

• AHA ICD-10-CM and ICD-10-PCS Coding Handbook
• AHA's Coding Clinic® - ICD-10-CM/PCS +Archives
• AHA's Coding Clinic® - HCPCS +Archives
• AHA/UB04
• ICD-10-CM and ICD-10-PCS Coding Handbook

AMA's mission: promote the art and science fo medicine and the betterment of public health.

The CPT® (Current Procedural Terminology) captures that art and science, in a uniform language for coding medical services and procedures across all areas of medical practice (Medicine, Surgery, Radiology, Laboratory/Pathology, Anesthesia, Evaluation/Management).

The AMA's development and management of the CPT codeset, honed by over 50 years of rigorous, open and transparent process, delivers the most widely accepted medical reporting nomenclature across the country, designed to streamline reporting, increase accuracy and efficiency in healthcare.

AMA has a family of products and resources to support the application and interpretation of CPT in practice.

AMA's CPT resources are impartial, unbiased and connected to CPT creation and innovation - making them the "true north" for CPT coding resources.

• AMA CPT Professional
• AMA CPT^® Changes
• AMA's CPT® Advanced Coding Pack
• AMA's CPT® Assistant - Current + Archives
• AMA's CPT® Knowledge Base
• CPT Professional
• CPT^® Changes: An Insider's View - Current + Archives
• CPT® Vignettes
• CPT® to SNOMED Crosswalks
• E/M Companion
• Historical Procedure Code Content

At the American Society of Anesthesiologists (ASA), we take pride in our dedication to raise and maintain the standards of the medical practice of anesthesiology and to improve patient care. Since 1905, our achievements have played an important role in American medicine and we’ve acted as an advocate for all patients who require anesthesia or relief from pain. We provide outstanding education, research and scientific knowledge to physician anesthesiologists and care team members.

• ASA CROSSWALK® +Base Units

BC Advantage is the largest independent resource provider in the industry for Medical Coders, Medical Billers, Healthcare Auditors, Practice Managers, Compliance Officers, and Documentation Experts.

• BC Advantage, 30+ CEUs & Webinars

CDC works 24/7 to protect America from health, safety and security threats, both foreign and in the U.S. Whether diseases start at home or abroad, are chronic or acute, curable or preventable, human error or deliberate attack, CDC fights disease and supports communities and citizens to do the same.

CDC increases the health security of our nation. As the nation’s health protection agency, CDC saves lives and protects people from health threats. To accomplish our mission, CDC conducts critical science and provides health information that protects our nation against expensive and dangerous health threats, and responds when these arise.

• ICD-10-CM
• ICD-10-PCS
• ICD-9-CM
• Vaccine Information
• WK Drug Data (enhancements)

The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov.

• DMEPOS Information
• E&M Guidelines
• Fact Sheets
• HCC Information
• ICD-10-CM
• ICD-10-PCS
• ICD-9-CM
• Medicare Fees/RVUs
• Medicare Information
• Medicare Quarterly Provider Compliance Newsletter
• NCCI Edits
• NDC Data
• WK Drug Data (enhancements)

DecisionHealth® has served as the industry’s leading source for news, analysis and instructional guidance with brand names such as Home Health Line and Part B News. Our unique blend of award-winning on-staff journalists and unmatched access to health care executives, providers and their administrative staffs results in business management advice and operationally focused editorial that has captured the attention of nearly 100,000 home health care professionals and specialty physician practices.

Our information services cover challenges as wide ranging as Medicare coding and reimbursement, Joint Commission accreditation, benchmarks and payment and compliance with health care fraud and abuse and HIPAA laws.

DecisionHealth is a Simplify Compliance brand.

• Common Language Descriptions for Procedure Codes
• DecisionHealth Coding, Billing and Compliance Library

We help institutions and professionals advance healthcare, open science and improve performance for the benefit of humanity. Combining content with technology, supported by operational efficiency, we turn information into actionable knowledge. Elsevier empowers knowledge which empowers those who use it.

• Dorland's Illustrated Dictionary®

HCPro, is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. To accomplish this mission, HCPro provides this specialized information in a variety of products, including magazines, newsletters, books, videos, audio conferences, training handbooks, e-mail newsletters, and online courses.

As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of long-term care, accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety. In addition, HCPro is a pioneer in the delivery of Web-based information, resources and content on "The Business of Healthcare" to managers in the healthcare industry. HCPro developed a series of unique Internet-based solutions, including Web sites, online information centers, electronic product distribution, electronic site licenses, and strategic distribution alliances.

HCPro is a Simplify Compliance brand.

• HCPro's JustCoding Newsletters +Archives

innoviHealth is the privately held, Utah-based parent company of Find-A-Code, HCC Coder, ChiroCode, and Codapedia. The Founders have decades of experience in the medical billing and coding industry, and decades more experience in information technology. Every day, this unique blend of medical coding and information engineering skills are combined with on-going customer feedback to improve and simplify the process of medical coding for our users.

• Anatomy Images - by Find-A-Code
• Commercial Payer Policies
• Facility Base
• Facility Complete
• Facility Inpatient Reimbursement Tools
• Facility Outpatient Reimbursement Tools
• Facility Plus
• Find-A-Code Elite
• Find-A-Code Premium
• Find-A-Code Professional
• HCC Plus
• HCC Pro
• HCC Standard
• HCPCS Common Language Descriptions
• HCPCS National Level II Codes
• ICD-10-CM Common Language Descriptions
• Images for Procedure Codes
• MedAbbrev - Medical Abbreviations & Acronyms
• Medicaid Data (CDPS, CDPS+Rx, MRX)
• Medicare Fees
• NCCI Edits & Validator
• PDGM Home Health Calculator
• Provider Documentation Guides (PDGs)
• Specialty Fee Report™
• SuperBill Builder
• Surgical (ASC) Reimbursement Tools
• UCR and Workers Comp Fees
• Unlimited Fee Reports™

Dentist's Guides

• Dentist's Guide to Insurance Billing Compliance
• Dentist's Guide to Medical Billing - CT Scanning
• Dentist's Guide to Medical Billing - Endodontics
• Dentist's Guide to Medical Billing - Implants
• Dentist's Guide to Medical Billing - Oral and Maxillofacial Surgery
• Dentist's Guide to Medical Billing - Pediatric Sleep Disorders
• Dentist's Guide to Medical Billing - Sedation & Anesthesia
• Dentist's Guide to Medical Billing - Sleep Apnea
• Dentist's Guide to Medical Billing - TMD

Medical Database provides reliable and updated medical information to healthcare providers, insurance companies, and educational institutions. Our content, written by medical and pharmacy professionals, comprises a range of medical databases to assist healthcare providers in making appropriate clinical decisions, meeting medical necessity, and maintaining compliance.

• Medical Lab Tests w/LDS Ranks
• Medical Laboratory Test Information

We are a nationally recognized healthcare publishing and media firm specializing in all aspects of coding, compliance, reimbursement and the revenue cycle. For more than 25 years, MedLearn Publishing has delivered actionable answers that equip healthcare organizations to confidently meet their revenue and compliance obligations. Our clients access this information through a variety of resources, including publications, newsletters, and webcasts.

You can count on us to walk you through recent and upcoming developments in niche coding, compliance and reimbursement— regardless of how complex and overwhelming they may seem. Our experts constantly watch the horizon for what's coming, carefully research how you'll be impacted, and articulate the steps required to keep your facility compliant and fiscally strong in a variety of settings.

• MedLearn Breast and Bone Density Procedure Coding Guide
• MedLearn CT/MR Coder
• MedLearn Cardiac Rhythm Management Coder
• MedLearn Coding Essentials for Infusion and Injection Therapy Services
• MedLearn Coding Essentials for Respiratory Therapy/Pulmonary Function
• MedLearn Interventional Radiology Coder
• MedLearn Nuclear Medicine & PET Coder
• MedLearn Peripheral and Cardiology Coder
• MedLearn Ultrasound Coder
• Medlearn Breast and Bone Density Procedure Coding Guide
• Medlearn CT/MR Coder
• Medlearn Cardiac Rhythm Management Coder
• Medlearn Coding Essentials for Infusion and Injection Therapy Services
• Medlearn Coding Essentials for Respiratory Therapy/Pulmonary Function
• Medlearn Interventional Radiology Coder
• Medlearn Nuclear Medicine & PET Coder
• Medlearn Peripheral and Cardiology Coder
• Medlearn Ultrasound Coder

First published in 1899 as a small reference book for physicians and pharmacists, The Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. As the Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information of the day to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers.

We believe that health information is a universal right and that every person is entitled to accurate, accessible and usable medical information. And we believe that we have a responsibility to protect, preserve and share the best current medical information to enable more informed decisions, enhance relationships between patients and professionals, and improve health care outcomes around the world.

• Merck Manuals

NIH’s mission is to seek fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce illness and disability.

The NIH provides leadership and direction to programs designed to improve the health of the Nation by conducting and supporting research in directing programs for the collection, dissemination, and exchange of information in medicine and health, including the development and support of medical libraries and the training of medical librarians and other health information specialists.

• MedLinePlus
• WK Drug Database (enhancements)

Progeny Systems develops and produces innovative hardware and software solutions for the Department of Defense (DoD) and other organizations.

• Computer Assisted Coding (CAC) - Code-A-Note™

Regenstrief Institute is a dynamic, people-centered research organization driven by a mission to connect and innovate for better health. We envision a world where better information empowers people to end disease and realize true health, and we pursue this vision through research and development.

• LOINC Code Set

Our mission is to foster, promote, and develop the welfare of the wage earners, job seekers, and retirees of the United States; improve working conditions; advance opportunities for profitable employment; and assure work-related benefits and rights.

• Federal Workers Comp Fees

Our mission statement is to fulfill President Lincoln's promise “To care for him who shall have borne the battle, and for his widow, and his orphan” by serving and honoring the men and women who are America’s veterans.

Our vision is to provide veterans the world-class benefits and services they have earned - and to do so by adhering to the highest standards of compassion, commitment, excellence, professionalism, integrity, accountability, and stewardship.

• Medical Fees

The Food and Drug Administration is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices; and by ensuring the safety of our nation's food supply, cosmetics, and products that emit radiation.

FDA is responsible for advancing the public health by helping to speed innovations that make medical products more effective, safer, and more affordable and by helping the public get the accurate, science-based information they need to use medical products and foods to maintain and improve their health.

• Medical Device Information
• NDC Drug Information
• Vaccine Information
• WK Drug Database (enhancements)

Founded in 2004 as United Claim Solutions, Vālenz™ is one of the nation’s leading medical cost reduction and claims flow management organizations. With a vision for the future and the idea of creating expanded solutions to support the self-insured industry, we expanded our development and use of analytics to significantly impact the medical spend of our clients.

Today, the Valenz ecosystem comprises payers, patients, members, medical professionals, employers and health systems, making our platform a highly attractive, powerful and innovative solution for the self-insured industry and integrated healthcare delivery networks.

• Scrub-A-Claim - Claim Scrubber (enhancements)

Wolters Kluwer is a global provider of professional information, software solutions, and services for clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors.

Our range of expert solutions combine deep domain knowledge with advanced technology and services to deliver better outcomes, analytics, and improved productivity for our customers.

Our priority is providing timely, actionable insights in an end-to-end digital environment that empowers them to make informed decisions and deliver impact when it matters most.

• Stedman's Medical Dictionary
• WK Drug Database +NDCs

WHO works worldwide to promote health, keep the world safe, and serve the vulnerable.

Our goal is to ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies, and provide a further billion people with better health and well-being.

For health and well-being we:

• address social determinants
• promote intersectoral approaches for health
• prioritize health in all policies and healthy settings.

• Diagnostic Criteria for ICD-10 Mental disorders
• ICD-11

ZHealth Publishing has built a reputation for excellence in the world of interventional radiology, cardiology, vascular/endovascular surgery, cardiothoracic surgery, and diagnostic radiology coding. ZHealth Publishing’s team of skilled physicians works to help medical coders and billers, clinicians such as physicians, nurses, and technologists, consultants, and other healthcare professionals improve coding compliance and reimbursement for these complex procedures performed in hospitals and physician offices.

• Dr. Z's Cardiothoracic Surgery Coding Reference
• Dr. Z's Diagnostic & Interventional Cardiovascular Coding Reference
• Dr. Z's Diagnostic Radiology Coding Reference
• Dr. Z's Interventional Radiology Coding Reference
• Dr. Z's Pain Management Coding Reference
• Dr. Z's Vascular & Endovascular Surgery Coding Reference
• Dr. Z’s ICD-10-PCS Coding Companion for Interventional Radiology