Medicare Laboratory Payment Policy

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Author :
Publisher : National Academies Press
ISBN 13 : 0309183618
Total Pages : 261 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicare Laboratory Payment Policy by : Institute of Medicine

Download or read book Medicare Laboratory Payment Policy written by Institute of Medicine and published by National Academies Press. This book was released on 2000-12-04 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Conditions of Participation for Hospitals

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Publisher :
ISBN 13 :
Total Pages : 72 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Conditions of Participation for Hospitals by : United States. Social Security Administration

Download or read book Conditions of Participation for Hospitals written by United States. Social Security Administration and published by . This book was released on 1966 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

PROP - Coding Systems Custom E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323317251
Total Pages : 611 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis PROP - Coding Systems Custom E-Book by : Anthem

Download or read book PROP - Coding Systems Custom E-Book written by Anthem and published by Elsevier Health Sciences. This book was released on 2014-04-25 with total page 611 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROP - Coding Systems Custom E-Book

Understanding Hospital Billing and Coding

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Publisher : Elsevier Health Sciences
ISBN 13 : 1455723630
Total Pages : 626 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Understanding Hospital Billing and Coding by : Debra P. Ferenc

Download or read book Understanding Hospital Billing and Coding written by Debra P. Ferenc and published by Elsevier Health Sciences. This book was released on 2013-02-26 with total page 626 pages. Available in PDF, EPUB and Kindle. Book excerpt: A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.

Transition to Diagnosis-Related Group (DRG) Payments for Health

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Author :
Publisher : World Bank Publications
ISBN 13 : 1464815216
Total Pages : 69 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Transition to Diagnosis-Related Group (DRG) Payments for Health by : Caryn Bredenkamp

Download or read book Transition to Diagnosis-Related Group (DRG) Payments for Health written by Caryn Bredenkamp and published by World Bank Publications. This book was released on 2019-12-19 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.

Improving the Quality of Long-Term Care

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Publisher : National Academies Press
ISBN 13 : 0309132746
Total Pages : 344 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Long-Term Care by : Institute of Medicine

Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

ICD-9-CM Official Guidelines for Coding and Reporting

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Author :
Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.3/5 (2 download)

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Book Synopsis ICD-9-CM Official Guidelines for Coding and Reporting by :

Download or read book ICD-9-CM Official Guidelines for Coding and Reporting written by and published by . This book was released on 1991 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Promise of Assistive Technology to Enhance Activity and Work Participation

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Author :
Publisher : National Academies Press
ISBN 13 : 030945784X
Total Pages : 503 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis The Promise of Assistive Technology to Enhance Activity and Work Participation by : National Academies of Sciences, Engineering, and Medicine

Download or read book The Promise of Assistive Technology to Enhance Activity and Work Participation written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-01 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.

Administrative Healthcare Data

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Publisher : SAS Institute
ISBN 13 : 162959380X
Total Pages : 250 pages
Book Rating : 4.6/5 (295 download)

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Book Synopsis Administrative Healthcare Data by : Craig Dickstein

Download or read book Administrative Healthcare Data written by Craig Dickstein and published by SAS Institute. This book was released on 2014-10 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains the source and content of administrative healthcare data, which is the product of financial reimbursement for healthcare services. The book integrates the business knowledge of healthcare data with practical and pertinent case studies as shown in SAS Enterprise Guide.

Eliminating Health Disparities

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Publisher : National Academies Press
ISBN 13 : 0309166136
Total Pages : 310 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Eliminating Health Disparities by : National Research Council

Download or read book Eliminating Health Disparities written by National Research Council and published by National Academies Press. This book was released on 2004-08-09 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.

PROP - Outpatient Coding Custom E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323317189
Total Pages : 888 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis PROP - Outpatient Coding Custom E-Book by : Anthem

Download or read book PROP - Outpatient Coding Custom E-Book written by Anthem and published by Elsevier Health Sciences. This book was released on 2014-06-05 with total page 888 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROP - Outpatient Coding Custom E-Book

Cytology

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Publisher : Saunders Limited.
ISBN 13 :
Total Pages : 512 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Cytology by : Edmund S. Cibas

Download or read book Cytology written by Edmund S. Cibas and published by Saunders Limited.. This book was released on 2003 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cibas (pathology, Harvard Medical School) and Ducatman (pathology, West Virginia University) provide practicing and trainee pathologists with a guide to diagnostic interpretation of cytological specimens, with chapters devoted to various and organ systems. Coverage includes the use of special techniques such as immunohistochemistry, flow cytometry, and molecular biology, as well as indications, methods, and diagnostic pitfalls for various conditions. Color medical images are included. This second edition features new chapters on soft tissue methods and laboratory management. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com).

Sharing Clinical Trial Data

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Publisher : National Academies Press
ISBN 13 : 0309316324
Total Pages : 236 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Sharing Clinical Trial Data by : Institute of Medicine

Download or read book Sharing Clinical Trial Data written by Institute of Medicine and published by National Academies Press. This book was released on 2015-04-20 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data sharing can accelerate new discoveries by avoiding duplicative trials, stimulating new ideas for research, and enabling the maximal scientific knowledge and benefits to be gained from the efforts of clinical trial participants and investigators. At the same time, sharing clinical trial data presents risks, burdens, and challenges. These include the need to protect the privacy and honor the consent of clinical trial participants; safeguard the legitimate economic interests of sponsors; and guard against invalid secondary analyses, which could undermine trust in clinical trials or otherwise harm public health. Sharing Clinical Trial Data presents activities and strategies for the responsible sharing of clinical trial data. With the goal of increasing scientific knowledge to lead to better therapies for patients, this book identifies guiding principles and makes recommendations to maximize the benefits and minimize risks. This report offers guidance on the types of clinical trial data available at different points in the process, the points in the process at which each type of data should be shared, methods for sharing data, what groups should have access to data, and future knowledge and infrastructure needs. Responsible sharing of clinical trial data will allow other investigators to replicate published findings and carry out additional analyses, strengthen the evidence base for regulatory and clinical decisions, and increase the scientific knowledge gained from investments by the funders of clinical trials. The recommendations of Sharing Clinical Trial Data will be useful both now and well into the future as improved sharing of data leads to a stronger evidence base for treatment. This book will be of interest to stakeholders across the spectrum of research-from funders, to researchers, to journals, to physicians, and ultimately, to patients.

HCFA Common Procedure Coding System (HCPCS).

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Author :
Publisher :
ISBN 13 :
Total Pages : 246 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis HCFA Common Procedure Coding System (HCPCS). by :

Download or read book HCFA Common Procedure Coding System (HCPCS). written by and published by . This book was released on 1989 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt:

RVUs

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Author :
Publisher : Medical Group Management Assn
ISBN 13 : 9781568291772
Total Pages : 180 pages
Book Rating : 4.2/5 (917 download)

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Book Synopsis RVUs by : Kathryn P. Glass

Download or read book RVUs written by Kathryn P. Glass and published by Medical Group Management Assn. This book was released on 2003 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Adams' Coding and Reimbursement - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 032327739X
Total Pages : 337 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Adams' Coding and Reimbursement - E-Book by : Wanda Adams

Download or read book Adams' Coding and Reimbursement - E-Book written by Wanda Adams and published by Elsevier Health Sciences. This book was released on 2008-04-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: - NEW application exercises help you put your knowledge of coding and reimbursement into practice.

Coding with Modifiers

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Publisher : American Medical Association Press
ISBN 13 : 9781640160378
Total Pages : 0 pages
Book Rating : 4.1/5 (63 download)

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Book Synopsis Coding with Modifiers by : Robin L. Linker

Download or read book Coding with Modifiers written by Robin L. Linker and published by American Medical Association Press. This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Coding with Modifiers, 6th Ed, is the ultimate resource for modifier guidelines. This revised edition provides guidance on how and when to use modifiers in order to avoid costly payment delays and denials. Coding with Modifiers uses real-life modifier scenarios and medical records to guide correct CPT® and HCPCS modifier usage. Modifiers create clear, concise communications between the provider and payer, and are essential to the coding process. Clinical documentation improvement and other pertinent considerations highlight important clinical documentation improvements for each modifier and related best practices to ensure correct modifier usage. Provides guidelines from CPT, CMS, third-party payers, and NCCI to explain how and when to use modifiers to avoid payment delays and denials"--