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Author : Belinda S. Frisch
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)
Download or read book Correct Coding for Medicare, Compliance, and Reimbursement written by Belinda S. Frisch and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 : 9781578396306
Total Pages : 282 pages
Book Rating : 4.3/5 (963 download)
Download or read book Chargemasters written by Duane C. Abbey and published by HC Pro, Inc.. This book was released on 2005 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : American Medical Association
Publisher :
ISBN 13 : 9781640160873
Total Pages : 1200 pages
Book Rating : 4.1/5 (68 download)
Download or read book CPT Professional 2022 written by American Medical Association and published by . This book was released on 2021-09-17 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
Author : American Medical Association
Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 26 pages
Book Rating : 4.:/5 ( download)
Download or read book Documentation Guidelines for Evaluation and Management Services written by American Medical Association and published by American Medical Association Press. This book was released on 1995 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Karen S. Scott
Publisher : Ahima
ISBN 13 : 9781584260646
Total Pages : 244 pages
Book Rating : 4.2/5 (66 download)
Download or read book Coding and Reimbursement for Hospital Inpatient Services written by Karen S. Scott and published by Ahima. This book was released on 2006 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive resource for hospital inpatient coding and reimbursement! Provides educators, students, and healthcare practitioners with the most authoritative guidance available for managing inpatient coding and reimbursement issues. This must-have resource was developed to give you easier access to the most up-to-date information you need for inpatient coding and reimbursement. You'll save time and make more effective decisions with this one-of-a-kind resource.Covers reimbursement methodologies for hospital inpatient services, the structure and organization of hte Medicare Inpatient Acute Care Prospective Payment System, the relationship between coding and DRG assignment, and data quality and coding compliance processes related to coding and reimbursement for inpatient services.
Author : Duane C. Abbey
Publisher : McGraw-Hill Companies
ISBN 13 : 9780071353489
Total Pages : 261 pages
Book Rating : 4.3/5 (534 download)
Download or read book Compliance for Coding, Billing & Reimbursement written by Duane C. Abbey and published by McGraw-Hill Companies. This book was released on 1999 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare providers have to cut through more red tape than ever to get paid for their services. What's more, a mountain of mandates from federal and state government is pressuring providers to be more astute about laws regarding taxes, health and safety, labor issues, antitrust, patient confidentiality and financial compliance.Compliance for Coding, Billing & Reimbursement gives readers the guidelines for the four factors that influence the compliance coding, billing and reimbursement process and how to follow the trends in these areas. The book also analyzes the status of different payment methodologies being used today and advises providers on how to adjust to the transition from a cost-based system to prospective payment and capitation.Compliance for Coding, Billing & Reimbursement also defines the confusing terminology used in the complex web of policies and procedures. By referring to the comprehensive glossary and acronym listing, readers have instant explanations at their fingertips. Topics addressed include: -- How to structure a CBR compliance program -- How to spot CBR problem/opportunity areas -- Investigation and problem solving -- Developing CBR policies and procedures -- Effective training programs and how to implement change -- Monitoring and corrective action -- How to conduct a baseline audit -- Integrating a CBR compliance plan in with a corporate compliance plan -- Appendices containing important internet addresses, synopses of healthcare fraud laws and compliance case studies
Author : Karen Smiley
Publisher : John Wiley & Sons
ISBN 13 : 1119625440
Total Pages : 355 pages
Book Rating : 4.1/5 (196 download)
Download or read book Medical Billing & Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2019-12-05 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!
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.
Author : Wanda Adams
Publisher : Elsevier Health Sciences
ISBN 13 : 032327739X
Total Pages : 352 pages
Book Rating : 4.3/5 (232 download)
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 2013-08-13 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Combining the basics of coding, insurance, and reimbursement in one concise text, this reader-friendly resource is your key to understanding the fundamentals of medical billing and coding. Clearly organized, full-color chapters guide you through the entire coding and claims process, detailing coding rules and applications, insurance guidelines, and the reimbursement system, all accompanied by real-world practice to help you apply what you’ve learned in the field! Highlighted examples illustrate concepts in realistic medical office settings to enhance your understanding. Coding exercises teach you how to correctly code using the ICD-9-CM and CPT-4 manuals. Test Your Knowledge questions within each chapter help you assess your strengths and weaknesses and prepare for exams. Critical thinking problems challenge you to apply chapter concepts to common coding scenarios. Code It and Claim It! software familiarizes you with a professional coding claim interface similar to programs you’ll use on the job and provides real-world practice with actual patient cases. Key term lists and an extensive glossary reinforce your understanding of important coding and insurance terminology. NEW application exercises help you put your knowledge of coding and reimbursement into practice.
Author :
Publisher :
ISBN 13 :
Total Pages : 262 pages
Book Rating : 4.3/5 ( download)
Download or read book Medical Fee Schedule written by and published by . This book was released on 1995 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Ingenix
Publisher : Optuminsight Incorporated
ISBN 13 : 9781563379406
Total Pages : 1100 pages
Book Rating : 4.3/5 (794 download)
Download or read book Ingenix Medicare Correct Coding Guide written by Ingenix and published by Optuminsight Incorporated. This book was released on 2006-01-01 with total page 1100 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medicare edits you need in an easy-to-use manual. This guide of Medicare rules, payment restrictions and claim submission edits provides medical practices with correct coding policies, CCI edits and the Medicare physician fee schedule in one comprehensive resource. Free Medicare Reimbursement Pro fee calculator helps you easily calculate payments and determine NCCI edits for both facility and physician office settings based on locality. Stay current with quarterly updates for one full year.
Author :
Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.3/5 (2 download)
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:
Author : American Medical Association
Publisher : American Medical Association Press
ISBN 13 : 9781622029235
Total Pages : 0 pages
Book Rating : 4.0/5 (292 download)
Download or read book ICD-10-CM 2020 the Complete Official Codebook written by American Medical Association and published by American Medical Association Press. This book was released on 2019-09-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: ICD-10-CM 2020: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2020 are bound into this codebook. FEATURES AND BENEFITS - Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2020 codes. - QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MARCA. - The addition of more than 100 coding tips. Obtain insight into coding for physician and outpatient settings. - The addition of more than 300 new definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury. - Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. - Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. - Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. - Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons - Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes.
Author :
Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.3/5 (243 download)
Download or read book Health Insurance for the Aged written by and published by . This book was released on 1966 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Medicode
Publisher :
ISBN 13 : 9781563297113
Total Pages : pages
Book Rating : 4.2/5 (971 download)
Download or read book Medicare Correct Coding and Payment Manual for Procedures and Services (Binder with 4 Updates That A written by Medicode and published by . This book was released on 2001 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
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:
