2001 Coding for Optimal Reimbursement PDF Download

Author: Medical Management Institute, The
Publisher:
ISBN: 9781583831229
Category :
Languages : en
Pages : 250

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Author: Medical Management Institute
Publisher:
ISBN: 9781583832110
Category :
Languages : en
Pages :

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Author: Medical Management Institute, The
Publisher:
ISBN: 9781583830031
Category :
Languages : en
Pages : 245

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Author: Duane C. Abbey
Publisher: CRC Press
ISBN: 1563273683
Category : Medical
Languages : en
Pages : 232

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Book Description
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: Wanda Adams
Publisher: Elsevier Health Sciences
ISBN: 032327739X
Category : Medical
Languages : en
Pages : 352

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Book Description
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: Robert D. Keene
Publisher: Robert D. Keene
ISBN: 9781583830567
Category : Health insurance claims
Languages : en
Pages : 250

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Book Description

Author: Wanda Adams
Publisher: Mosby Incorporated
ISBN: 9780323113137
Category : Medical
Languages : en
Pages : 352

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Book Description
This is a Pageburst digital textbook; 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: AAPC
Publisher: AAPC
ISBN: 1646319397
Category : Medical
Languages : en
Pages : 18

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Book Description
Overcome your pulmonology coding and reimbursement challenges once and for all. Find codes fast and improve your productivity — and your accuracy — with the Coders’ Specialty Guide 2024: Pulmonology. This cleverly designed resource for pulmonology coders eliminates errors by providing quick access to your CPT® pulmonology codes alongside all the supporting information you need for audit-ready claims — ICD-10 cross references, modifier crosswalks, NCCI edits, descriptions of procedures in easy-to-understand terms, anatomical illustrations, and more. Bundling decisions, modifier selection, and establishing medical necessity have never been this easy. Keep your revenue flowing with at-a-glance access to these features: 2024 pulmonology CPT® and HCPCS Level II procedure and service codes (including definitive advice for new and revised codes) Official descriptors for Category I-III CPT® codes Easy-to-understand explanations of pulmonology procedures Essential modifier and ICD-10-CM crosswalks Medicare fee schedule information and facility and non-facility relative value units Pre-, post-, and intra-operative indicators NCCI edits to avoid bundling errors HCPCS Level II codes with lay terms Detailed anatomical Easy-to-look-up code index with corresponding page numbers And much more! Learn 2024 CPT® code changes and streamline your billing and coding processes for optimal reimbursement with the Coders’ Specialty Guide 2024: Pulmonology. *CPT® is a registered trademark of the American Medical Association.

Author: Patricia Aalseth
Publisher: Jones & Bartlett Publishers
ISBN: 1284054586
Category : Business & Economics
Languages : en
Pages : 336

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Book Description
In clear and straightforward language, Medical Coding: What It Is and How It Works, Second Edition provides an overview of the evolution of medical coding and all the various coding systems, how they relate, and how they function. Reasoning and consequences of the delayed ICD-10 implementation are explained along with a sound overview of the ICD-10-CM and PCS classification systems. For those contemplating a career in the coding field, this book is ideal as a basic orientation. Other individuals in healthcare management and administration will also benefit from a basic understanding of how coding works. Unlike other publications that focus only on coding, this book integrates coding guidelines and principles into the billing and reimbursement process, giving the student a more practical foundation in the rationale for correct coding. Healthcare fraud and abuse is addressed as well, to assure that readers understand ethical concerns inherent in coding for reimbursement. Instructor Resources: Instructor's Manual, PowerPoint slides, Test Bank

Author: Karen S. Scott
Publisher: Ahima
ISBN: 9781584260646
Category : Medical
Languages : en
Pages : 244

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Book Description
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.