Practice Management Reference Guide First Edition
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Practice Management Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-03-16
Practice Management Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-16 with Medical categories.
Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
Denials Management Appeals Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-03-17
Denials Management Appeals Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-17 with Medical categories.
Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more!
Clinical Documentation Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-03-12
Clinical Documentation Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-12 with Medical categories.
It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.
Evaluation And Management Coding Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-06-30
Evaluation And Management Coding Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-06-30 with Medical categories.
Defeat the challenges that threaten your E/M claims and compliance success. Evaluation and management (E/M) services are the lifeblood of your revenue stream, and yet they’re the most problematic to report. Claim denials remain high. E/M coding errors, in fact, rose from 11.9% in 2018 to account for 12.8% of CMS’s overall 2019 improper payment rate. How much E/M revenue are you losing? Safeguard your organization from claim denials and audit scrutiny with the Evaluation & Management Coding Reference Guide. Our experts break down E/M coding rules and requirements into simple, manageable steps written in everyday language to boost your E/M reporting skills. Learn how to capture the key components of medical history, physical exam, and medical decision-making—and capitalize on real-world clinical scenarios to prevent over- or under-coding. The Evaluation & Management Coding Reference Guide will help you prep for 2021 E/M guideline changes overhauling new and established office and outpatient services, and walk you through online digital E/M services, remote physiologic monitoring, and more. Master the ins and outs of E/M coding—CPT® guidelines, level of service, modifiers, regulations, and documentation guidelines. Put an end to avoidable denials and optimize your E/M claims for full and prompt reimbursement. Benefit from expert tutorials covering the spectrum of E/M reporting concepts and challenges: Prep for 2021 guideline changes and their impact on your organization Master the ins and outs of E/M guidelines in CPT® Capture the seven components of E/M services Sort out medical decision-making coding Avoid the pitfalls of time-based coding Nail down specifics for critical care E/M services Clear up modifier confusion Understand NPPs rules for same-day E/M services Take the guesswork out of complexity determinations Get the details on coding surgery and E/M together Learn the principles of E/M documentation
Hipaa Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-03-13
Hipaa Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-13 with Medical categories.
Is your HIPAA compliance program and breach reporting up to date? Over 94% of providers have experienced some form of data breach, and over 50% have had 5 or more data breaches. From phishing campaigns and PHI-containing emails sent to the wrong recipients to unencrypted devices and servers left publicly accessible, the total number of breaches in 2019 outnumbered the previous year by more than 33%, according to research from Risk Based Security. Get comprehensive guidance to implement HIPAA protocols and prevent the fallout of a data breach with AAPC’s HIPAA Reference Guide. Our nationally recognized HIPAA compliance experts lay out best practices and build on case studies to guide you through the dos and don’ts of compliance. We show you how to recognize and lock down your risk areas, including how to: Build and maintain a culture of security Evaluate your vulnerabilities and guard against cyber threats Assess, analyze, and manage your EHR Immunize your workstations Implement HIPAA-compliant use of mobile devices Ensure your BAAs are HIPAA compliant Prepare for community-wide disasters Plot out your practice’s security incident response plan
Practice Management
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Author : Christian Rainer
language : en
Publisher:
Release Date : 2019-05-14
Practice Management written by Christian Rainer and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-05-14 with Business & Economics categories.
The book describes the steps to opening day of a medical office practice. First, the basics, such as financing, rent, coding, hiring, contracting, records, malpractice insurance. Then, business strategies and more complex issues, such as money management and the influence of outside factors. A chapter deals with typical business encounters for the private practitioner. Finally buying a practice, health care reform and more.
Nonphysician Practitioner Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-06-30
Nonphysician Practitioner Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-06-30 with Medical categories.
Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians. Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules. Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers. Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide. This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing. Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more. Shore up revenue for your mid-level practitioners with: Tips for accurate dual-provider coding Max out incident-to pay the right way and earn 100% of allowable revenue versus 85% Rely on split/shared visit coding in non-office settings Know how to avoid substitute physician billing challenges Boost your signature know-how and avoid claim denials Watch incident-to claims when physician is out of office Get the facts on performing consults Learn the secret NPP guidelines for coding virtual visits Do you know the reciprocity rules when your physician leaves town? And much more! Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.
Coding For Medical Necessity Reference Guide First Edition
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Author : AAPC
language : en
Publisher: AAPC
Release Date : 2020-03-18
Coding For Medical Necessity Reference Guide First Edition written by AAPC and has been published by AAPC this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-18 with Medical categories.
Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ
Practice Management For The Dental Team E Book
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Author : Betty Ladley Finkbeiner
language : en
Publisher: Elsevier Health Sciences
Release Date : 2019-08-21
Practice Management For The Dental Team E Book written by Betty Ladley Finkbeiner 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 2019-08-21 with Medical categories.
Learn the skills you need to manage a modern dental business. Practice Management for the Dental Team 9th Edition is a comprehensive, one-stop resource that presents practical information on everything from managing patients to running the business. This unique text includes a wide range of dental office skills which are mapped to the Dental Assisting National Board (DANB) test blueprint including technology, communications, appointment setting, dental charting, business office procedures, financial arrangements, and more! New to the ninth edition is even more in-depth information on alternative workforce models, production, insurance, and inventory along with an added emphasis on roles of the entire dentistry team. Plus, this is the only product on the market that includes Eaglesoft screen shots and practice management software, which will be downloadable through the Evolve site, for a fully realistic office experience. Comprehensive coverage on the business of managing a dental office provides vital information to ensure the success of any dental practice. UNIQUE! Emphasis on roles of the entire dental team featured throughout text. UNIQUE! Patterson Dental EagleSoft screen shots and exercises equip you with valuable realistic practice experience. Practice quizzes for each chapter on the Evolve website help your test comprehension and prepare you for classroom and board exams. Expert author Betty Ladley Finkbeiner imparts knowledge and advice from years of teaching and practical experience and wide reach in dental assisting education. Key terminology defined in the chapter’s glossary and called out in boldface color within chapter discussions helps you to understand dental practice and clinical dentistry terminology essential to the success of any office manager. Learning Activities and Practice Notes encourage you to apply the content to realistic office situations and convey important tips and advice. Learning outcomes at the beginning of each chapter frame the content and serve as checkpoints for comprehension and study. Summary tables and boxes provide easy-to-read summaries of text discussions that support visual learners and serve as useful review and study tools. Bibliographical citations direct you to targeted sources of information where additional dental-related information can be located. Appendixes provide supplemental information for quick and handy office reference. NEW! Content includes the latest information on alternative workforce models, dental insurance and reimbursement, production, and inventory planning UPDATED! Art program with modern illustrations and photographs helps you to understand today’s office environment, tools, and equipment. EXPANDED and IMPROVED! Test Bank with cognitive leveling and mapping to the Dental Assisting National Board (DANB) test blueprint.
Earned Value Management Fast Start Guide
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Author : Roland Wanner
language : en
Publisher: Proconis Publishing
Release Date : 2020-02-16
Earned Value Management Fast Start Guide written by Roland Wanner and has been published by Proconis Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-16 with Business & Economics categories.
Discover How to Make Your Project Control Even More Effective and Bring More Transparency and Security to Your Projects This book covers the basic concepts of EARNED VALUE MANAGEMENT in an easy understandable way. You will find on more than 200 pages comprehensive knowledge about Earned Value Management, simply explained with more than 50 illustrations – and aligned with the PMBOK® Guide 6th Edition 2018. Project control and reporting of costs, schedules, technical progress and risks is essential in projects. With EARNED VALUE MANAGEMENT (EVM) you get an extremely effective project control tool to bring the necessary transparency and security to your projects. Find out the answers to this difficult questions: - The actual costs are lower than the planned costs. Does this mean that the project is working well or that it is behind schedule? - The actual costs are higher than the planned costs and the project is half completed. What are the estimated costs of the project when it is completed? - When will the project be completed? - How efficiently are we using our time and resources? - How much will the profit or ROI be at the end of the project? With the answers to these questions you will quickly know the real status and health of your project. Overly optimistic estimates regarding actual project progress are quickly revealed with the EVM performance figures. This way you obtain early warning signals to manage y our project successfully and you can also make early forecasts of the project end costs and the probable project duration. In this book you will discover the most important concepts of Earned Value Management in order to apply it successfully. You will learn about the following topics: - Project control fundamentals - The Genesis of Earned Value Management - What is Earned Value Management and why do we need it? - Project and budget planning when using Earned Value Management - The calculation of the Earned Values and its derived EVM performance figures - Project monitoring and forecasts with EVM performance figures - Reporting when using Earned Value Management - Implementing Earned Value Management With its comprehensive glossary containing definitions of all key terms, this book is equally suitable as a comprehensive introduction and as a reference book for everyday work. This book is an indispensable manual for beginners in the EVM topic but also for experienced Project Managers, Project Controls Specialists and Project Portfolio Managers who have the first contact with EVM. The terminology used in this book is Check out the preview! Buy this book to make your projects even more successful!