Medicare and Coding for Optimal Reimbursement PDF Download

Author: Medical Management Institute, The
Publisher:
ISBN: 9781583830512
Category :
Languages : en
Pages : 250

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Book Description

Author: Duane C. Abbey
Publisher: CRC Press
ISBN: 1420087185
Category : Business & Economics
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

Author: Belinda S. Frisch
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 0

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Book Description

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: Deborah Vines
Publisher:
ISBN: 9780134458779
Category : HEALTH INSURANCE CLAIMS--CODE NUMBERS.
Languages : en
Pages : 0

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Book Description
"COMPREHENSIVE HEALTH INSURANCE: BILLING, CODING & REIMBURSEMENT, 2/e" provides students with the knowledge and skills needed to work in a variety of medical billing and coding positions in the medical field. Comprehensive in approach, it covers the foundations of insurance, billing, coding and reimbursement. Students learn not only the submission of claims to the insurance carrier, but also reviewing medical records, verifying patient benefits, submitting a secondary claim, posting payments and appealing the insurance carrier's decision. This edition includes new chapters devoted to HIPAA and ICD-10-CM Medical Coding, as well as outstanding coverage of electronic records. Numerous case studies and patient files are included throughout and demonstrate refunds and appeals, auditing and compliance, Medicare calculations and professionalism.

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.

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: Department Of Health And Human Services
Publisher: Lulu.com
ISBN: 9781716599989
Category : Medical
Languages : en
Pages : 128

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Book Description
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: Gary M. Knaus
Publisher:
ISBN: 9781570660672
Category : Medical
Languages : en
Pages : 252

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Book Description

Author: AAPC
Publisher: AAPC
ISBN: 1646319230
Category : Medical
Languages : en
Pages : 18

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Book Description
Code faster — and with spot-on accuracy — with the Coders’ Specialty Guide 2024: Emergency Medicine. Are you ready to take on CPT® code changes? Are you looking for help to stop claim denials from siphoning off your revenue? Get the upper hand with fast and exact coding made easy. The ingeniously designed Coders' Specialty Guide 2024: Emergency Medicine makes nailing down the right code simple and convenient. All the information you need to gather for each service or procedure can be found in one place — official code descriptors, ICD-10 cross references, RVUs, NCCI edits, anatomical illustrations, expert coding tips, best-in-class strategies, and reimbursement details for Medicare. Plus, a description of the procedure in easy-to-understand terms, so you can confidently translate your providers’ notes into the correct codes. Zip through your coding challenges and safeguard your revenue with these features: Emergency medicine CPT® and HCPCS Level II procedure and service codes, including 2024 new and updated codes Category I-III codes along with official descriptors to facilitate simple code selection Complex emergency medicine procedures explained in plain English lay terms Emergency medicine coding and billing tips from industry experts to aid in reporting specific CPT® codes Updated Medicare reimbursement information for hospitals and physicians Facility and non-facility RVUs for greater accuracy in payments Crosswalks for modifiers NCCI edits to make accurate bundling decisions Vital indicators for global days, diagnostic tests, and more Emergency medicine terminology with lay definitions Quick-view ICD-10-CM crosswalks to check medical necessity Comprehensive specialty code index with page numbers for faster code look-up Easy navigation through headers with code ranges on each page Detailed anatomical illustrations Master 2024 CPT® and HCPCS Level II code changes, conquer compliance, and safeguard your revenue with the Coders' Specialty Guide 2024: Emergency Medicine. *CPT® is a registered trademark of the American Medical Association.