Compliance For Coding Billing Reimbursement 2nd Edition
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Compliance For Coding Billing Reimbursement 2nd Edition
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2008-04-02
Compliance For Coding Billing Reimbursement 2nd Edition written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-02 with Medical categories.
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.
Healthcare Payment Systems
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2010-10-25
Healthcare Payment Systems written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-10-25 with Business & Economics categories.
For healthcare providers and patients alike, the ways of private third-party payer payment systems can be mysterious and oftentimes quite frustrating. Payment for hospital, nursing, or homecare services can be subject to a variety of payment systems including cost-based and charge-based or those with payments that are determined in advance. Knowing
Cost Based Charge Based And Contractual Payment Systems
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2018-06-28
Cost Based Charge Based And Contractual Payment Systems written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-28 with Business & Economics categories.
The fourth book in the Healthcare Payment System series, Cost-Based, Charge-Based, and Contractual Payment Systems compares cost-based systems, charge-based payment approaches, and contractually-based payment processes with fee-schedule payment systems and prospective payment systems. Supplying readers with a clear understanding of important backgr
The Medicare Recovery Audit Contractor Program
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2017-11-15
The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-15 with Business & Economics categories.
Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment
The Essential Guide To Coding In Otolaryngology
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Author : Seth M. Brown
language : en
Publisher: Plural Publishing
Release Date : 2021-09-07
The Essential Guide To Coding In Otolaryngology written by Seth M. Brown and has been published by Plural Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-09-07 with Medical categories.
The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference
Hospital Auditing And Monitoring Toolkit
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Author : HCPro
language : en
Publisher: HC Pro, Inc.
Release Date : 2007-09
Hospital Auditing And Monitoring Toolkit written by HCPro and has been published by HC Pro, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-09 with Auditing, Internal categories.
The Electronic Health Record For The Physician S Office For Simchart For The Medical Office E Book
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Author : Amy DeVore
language : en
Publisher: Elsevier Health Sciences
Release Date : 2015-11-12
The Electronic Health Record For The Physician S Office For Simchart For The Medical Office E Book written by Amy DeVore and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-11-12 with categories.
The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book
Compliance For Coding Billing Reimbursement
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2008-04-02
Compliance For Coding Billing Reimbursement written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-02 with Business & Economics categories.
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 downloadable resources 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.
Essentials Of Emergency Medicine
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Author : Aghababian
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2010-10-22
Essentials Of Emergency Medicine written by Aghababian and has been published by Jones & Bartlett Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-10-22 with Medical categories.
Essentials of Emergency Medicine, Second Edition, provides physicians and medical residents with a comprehensive reference guide to the practice of emergency medicine in clinical settings.
Access For Dialysis
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Author : Ingemar J.A. Davidson
language : en
Publisher: CRC Press
Release Date : 2002-01-01
Access For Dialysis written by Ingemar J.A. Davidson and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-01-01 with Science categories.
This publication is intended as a guide to common diagnostic, operative and percutaneous techniques used in creating and maintaining vascular access for hemodialysis. When writing the text, the authors have focused on surgeons in training, fellows, interventional radiologists and clinically active nephrologists. Dialysis nurses and other clinicians