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Author: Duane C. Abbey Publisher: CRC Press ISBN: 1420087185 Category : Business & Economics Languages : en Pages : 220
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 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.
Author: Duane C. Abbey Publisher: CRC Press ISBN: 1420087185 Category : Business & Economics Languages : en Pages : 220
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 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.
Author: Valerie A. Rinkle Publisher: Hcpro, a Division of Simplify Compliance ISBN: 9781683080862 Category : Health insurance claims Languages : en Pages : 0
Author: ICDC Publishing Inc Publisher: Prentice Hall ISBN: Category : Accounts receivable Languages : en Pages : 628
Book Description
Medical billing is one of the fastest-growing employment opportunities in the United States today. Insurance companies, medical offices, hospitals and other health care providers are in great need of trained personnel to create medical claims. This book will ensure learning the skills necessary to become a successful medical claims biller. It is presented in a comprehensive, yet user friendly way, following a logical learning format beginning with a broad base of information and then, step by step, following the course for creation of a medical claim. This book teaches the skills necessary to become a well-rounded medical biller. By completing this course of study with a satisfactory grade, the user will be granted a certificate and can have the opportunity to work towards an "Honors Certificate", which is even more valuable to a potential employer.
Author: Edward C. Benzel Publisher: ISBN: 9781879284142 Category : Orthopedic implants Languages : en Pages : 0
Book Description
Designed to meet the evolving needs of the practising spinal surgeon, this modern and definitive volume adopts a regional and technique–specific approach to surgical spinal stabilisation and spinal implants. Appropriate specialists offer a thorough appraisal of the theory of design of implants (including design contraints), and optional surgical procedures available to the surgeon are fully reviewed. Full procedural descriptions are accompanied by numerous illustrations and detailed discussion of the complications which can arise during treatment is included. Medico–legal and ethical issues are also appraised.
Author: National Research Council Publisher: National Academies Press ISBN: 0309155843 Category : Computers Languages : en Pages : 121
Book Description
Despite a strong commitment to delivering quality health care, persistent problems involving medical errors and ineffective treatment continue to plague the industry. Many of these problems are the consequence of poor information and technology (IT) capabilities, and most importantly, the lack cognitive IT support. Clinicians spend a great deal of time sifting through large amounts of raw data, when, ideally, IT systems would place raw data into context with current medical knowledge to provide clinicians with computer models that depict the health status of the patient. Computational Technology for Effective Health Care advocates re-balancing the portfolio of investments in health care IT to place a greater emphasis on providing cognitive support for health care providers, patients, and family caregivers; observing proven principles for success in designing and implementing IT; and accelerating research related to health care in the computer and social sciences and in health/biomedical informatics. Health care professionals, patient safety advocates, as well as IT specialists and engineers, will find this book a useful tool in preparation for crossing the health care IT chasm.
Author: Duane C. Abbey
Author: Duane C. Abbey
Author: Gail I. Smith
Author: Valerie A. Rinkle
Author: 
Author: ICDC Publishing Inc
Author: United States. Social Security Administration
Author: Rose Arny
Author: Alan D. Kaye
Author: Edward C. Benzel
Author: National Research Council