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Author : Kathy Brouch
Publisher :
ISBN 13 : 9781563294082
Total Pages : 300 pages
Book Rating : 4.2/5 (94 download)
Download or read book A Hospital's Coding and Billing for Physician Services written by Kathy Brouch and published by . This book was released on with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Kathy Brouch
Publisher : Delmar
ISBN 13 : 9781563293740
Total Pages : 300 pages
Book Rating : 4.2/5 (937 download)
Download or read book A Hospital's Guide to Coding and Billing for Physician Services written by Kathy Brouch and published by Delmar. This book was released on with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Debra P. Ferenc
Publisher : Elsevier Health Sciences
ISBN 13 : 1455723630
Total Pages : 626 pages
Book Rating : 4.4/5 (557 download)
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.
Author : Patricia T. Aalseth
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834213173
Total Pages : 60 pages
Book Rating : 4.2/5 (131 download)
Download or read book CodeBusters written by Patricia T. Aalseth and published by Jones & Bartlett Learning. This book was released on 1998-12 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicine
Author : Charlotte L. Kohler
Publisher :
ISBN 13 : 9781556451584
Total Pages : 0 pages
Book Rating : 4.4/5 (515 download)
Download or read book Hospital Billing from A to Z written by Charlotte L. Kohler and published by . This book was released on 2014-08-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital Billing from A to Z Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC With Kohler HealthCare Consulting, Inc., associates Catherine Clark, CPC, CRCE-I Darrin Cornwell, CRCS-I Janet Ellis, RN, BSN, MS Dawn Doll Homer, CPC, CRCS-I, CDC Daria Malan, RN, LNHA, MBA, RAC-CT(R) John Ninos, MS, MT(ASCP), CCS Robin Stover, RN, BSBA, CPC, CPC-H, CMAS Deanna Turner, MBA, CPOC, CPC, CPC-I, CSSGB Susan Walberg, JD, MPA, CHC Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements. Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process. Beginning with Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following: 2-Midnight Rule and Inpatient Admission Criteria Correct Coding Initiative CPT(R), HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes Critical Access Hospitals Deductibles, Copayments, and Coinsurance Denials, Appeals, and Reconsideration Requirements Dialysis and DME Billing in Hospitals Hospital-Issued Notice of Noncoverage Laboratory Billing and Fee Schedule Local and National Coverage Determinations Medically Unlikely Edits and Outpatient Code Editor Medicare Advantage Plans Medicare Beneficiary Numbers and National Provider Identifier Medicare Part A and Part B No-Pay Claims Observation Services Outlier Payments Present on Admission Rejected and Returned Claims UB-04 Form Definitions Who should read this book? Finance and reimbursement staff Chargemaster staff Billers and coders HIM staff Clinical department staff Revenue managers Compliance officers and auditors Registration staff Fiscal intermediary staff Healthcare attorneys, consultants, and CPAs Legal department staff
Author : Kathy Brouch
Publisher : Delmar
ISBN 13 : 9781563294792
Total Pages : 330 pages
Book Rating : 4.2/5 (947 download)
Download or read book St. Anthony's: A Hospitals Guide to Coding and Billing Physician Services (HGCP) written by Kathy Brouch and published by Delmar. This book was released on 1997-09-01 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Gina M. Reese
Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781683081906
Total Pages : 0 pages
Book Rating : 4.0/5 (819 download)
Download or read book Provider-based Entities written by Gina M. Reese and published by Hcpro, a Division of Simplify Compliance. This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a comprehensive guide to provider-based clinics, from qualifying under CMS, to unique billing and coding rules, and the business decisions behind owning or acquiring these clinics. It will help readers sort through the complex regulations relevant to this unique provider type, and provide insight into recent changes, such as the introduction of Modifier -PO. CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments (PBD) by January 1, 2017, according to the 2017 OPPS proposed rule. The agency is proposing to pay the nonfacility or office Medicare Physician Fee Schedule (MPFS) amount to the performing/supervising physician and preclude hospitals from billing on a UB-04 form or receiving OPPS payment for services performed at these locations for 2017, but plans to explore other options for 2018 and beyond. Physicians would be paid at the higher nonfacility rate of the MPFS, but only hospitals that have employed or contracted physicians that reassign their billing to the hospital would get paid under the MPFS for these services. Hospitals would be able to bill claims on CMS-1500 forms for physicians who have already reassigned their billing to the hospital, as in the case of employed physicians. Otherwise, hospitals would have the option of enrolling the location as the type of provider or supplier it wishes to bill to meet the requirements of that payment system (e.g., ambulatory surgery center or group practice).
Author : Duane C. Abbey
Publisher : CRC Press
ISBN 13 : 1563273683
Total Pages : 232 pages
Book Rating : 4.5/5 (632 download)
Download or read book Compliance for Coding, Billing & Reimbursement, 2nd Edition written by Duane C. Abbey and published by CRC Press. This book was released on 2008-04-02 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
Author : Duane C. Abbey
Publisher : HC Pro, Inc.
ISBN 13 : 9781578395750
Total Pages : 238 pages
Book Rating : 4.3/5 (957 download)
Download or read book Emergency Department Coding and Billing written by Duane C. Abbey and published by HC Pro, Inc.. This book was released on 2005 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher :
ISBN 13 :
Total Pages : 950 pages
Book Rating : 4.:/5 (1 download)
Download or read book Physicians Fee & Coding Guide written by and published by . This book was released on 2010 with total page 950 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Mark Savarise
Publisher : Springer
ISBN 13 : 3319435957
Total Pages : 342 pages
Book Rating : 4.3/5 (194 download)
Download or read book Principles of Coding and Reimbursement for Surgeons written by Mark Savarise and published by Springer. This book was released on 2016-12-30 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement. The text is meant to be useful to surgeons in practice, both in general surgery and in surgical subspecialties; practice management teams of surgical practices and to resident physicians in surgery. Part 1 of the text addresses the CPT coding process, the relative valuation system (RVU), the ICD-9 and ICD-10 systems of classification, Medicare Part B payment rules for physicians, the DRG system and Medicare Part A payment for hospitals, alternative payment models, and the myriad of quality measures of importance to surgeons. Part 2 of the text addresses specific coding in areas where surgeons historically have had the most difficulty. This is not meant to substitute for the available texts, software or courses on coding, but to provide the historical background and rationale for the specific coding rules. Principles of Coding and Reimbursement for Surgeons will be of great value to general surgeons and surgical subspecialists in private practice, academic institutions, and employed positions. It will provide direction to management teams from practice and institutional levels. It is also of use to surgical trainees and to researchers in health policy issues.
Author : Rita A. Scichilone
Publisher : American Hospital Association
ISBN 13 : 9781556482748
Total Pages : 0 pages
Book Rating : 4.4/5 (827 download)
Download or read book CPT Coding Handbook written by Rita A. Scichilone and published by American Hospital Association. This book was released on 1999-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT Coding Handbook, 1999 Edition provides a useful reference for physicians, hospitals, billing personnel, and coding professionals concerning the structure, use, and application of the CPT coding system for health services. It also serves as a textbook for CPT instruction in health information management programs and other allied health disciplines. Readers will gain an understanding of reimbursement guidelines and coding principles in order to properly assign CPT codes to health care services in both hospital and physician service facilities or in other health care facilities such as home health, rehabilitation, long term care, hospice, or freestanding ambulatory surgical centers.
Author : Lynn Kuehn
Publisher :
ISBN 13 : 9781584261537
Total Pages : 546 pages
Book Rating : 4.2/5 (615 download)
Download or read book CPT/HCPCS Coding and Reimbursement for Physician Services written by Lynn Kuehn and published by . This book was released on 2006 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: The latest edition of industry expert Lynn Kuehn's bestseller! A timely resource that works equally well for on-the-job training or in the classroom, this book delivers the knowledge and experience needed to code with confidence! The text includes numerous practice exercises based on actual case documentation and providers users with considerable hands-on practice in analyzing and coding clinical data. In addition, this 2006 update includes the latest code sets, illustrated with new enhanced visuals for quick, clear, and graphic comprehension; added exercises, with answers, boosting coding accuracy and understanding; and coding guidelines to prevent reimbursement delays.
Author : Duane C. Abbey
Publisher : CRC Press
ISBN 13 : 1420092782
Total Pages : 168 pages
Book Rating : 4.4/5 (2 download)
Download or read book Healthcare Payment Systems written by Duane C. Abbey and published by CRC Press. This book was released on 2009-05-20 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare Payment Systems: An Introduction provides a complete introduction to healthcare payment systems. Written by Duane Abbey, one of the nation‘s leading experts and most sought out consultants on payment systems, this volume makes the monumental task of medical reimbursement approachable and manageable. Covering the fundamentals and terminology needed to understand this discipline, and the strategies needed to master it, Dr. Abbey will help you begin to develop the solid core of skills and knowledge needed to confidently approach payment systems as tools to use rather than hazards to avoid -- tools that will lead to improved revenue cycles and higher levels of profitability.
Author : Christopher L. Taylor
Publisher : Springer Science & Business Media
ISBN 13 : 1597453145
Total Pages : 128 pages
Book Rating : 4.5/5 (974 download)
Download or read book Practical Evaluation and Management Coding written by Christopher L. Taylor and published by Springer Science & Business Media. This book was released on 2008-03-14 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide explains the Evaluation and Management (E/M) coding process used by physicians and regulated by the American Medical Association. In four chapters, Dr. Christopher Taylor establishes a step-by-step approach to determining the correct CPT code for the most common patient encounters in the office, hospital, or nursing home. Helpful appendices provide E/M coding guide, templates, and additional information.
Author : Marilyn Burgos
Publisher : McGraw Hill Professional
ISBN 13 : 0071849335
Total Pages : 305 pages
Book Rating : 4.0/5 (718 download)
Download or read book Medical Billing & Coding Demystified, 2nd Edition written by Marilyn Burgos and published by McGraw Hill Professional. This book was released on 2015-11-22 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely updated to reflect the massive changes to healthcare law! Medical Billing and Coding Demystified clearly explains the practices used by medical offices, hospitals, and healthcare facilities to encode medical services in order to receive payment from government agencies and insurance companies. Like other entries in this bestselling series, this self-teaching guide uses a building-block approach that allows readers to learn at their own pace and test themselves along the way. No previous medical or accounting training or experience is necessary to benefit from Medical Billing and Coding Demystified, and the book can be used as a classroom textbook or as a complement to larger texts. This new edition offers detailed coverage of the sweeping revisions that have taken place in healthcare law, including the transition from ICD9 to ICD10 coding and the Patient Protection and Affordable Healthcare Acts. It also includes an important overview of medical billing software. Includes valuable learning aids such as end-of-chapter quizzes, a final exam, and key points Different from similar books on the market in that it explains basic medical concepts enabling the reader to actually understand the procedures and tests they are billing and coding for
Author : Department Of Health And Human Services
Publisher : Lulu.com
ISBN 13 : 9781716599989
Total Pages : 128 pages
Book Rating : 4.5/5 (999 download)
Download or read book ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) written by Department Of Health And Human Services and published by Lulu.com. This book was released on 2020-09-06 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
