A Hospital's Guide to Coding and Billing for Physician Services PDF Download
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Author: Kathy Brouch
Publisher: Delmar
ISBN: 9781563293740
Category :
Languages : en
Pages : 300
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Book Description
Author: Kathy Brouch
Publisher: Delmar
ISBN: 9781563293740
Category :
Languages : en
Pages : 300
Get Book Here
Book Description
Author: Kathy Brouch
Publisher: Delmar
ISBN: 9781563294808
Category :
Languages : en
Pages : 330
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Book Description
Author: Patricia T. Aalseth
Publisher: Jones & Bartlett Learning
ISBN: 9780834213173
Category : Health insurance claims
Languages : en
Pages : 60
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Book Description
Medicine
Author: Debra P. Ferenc
Publisher: Elsevier Health Sciences
ISBN: 1455723630
Category : Medical
Languages : en
Pages : 626
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Book Description
A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.
Author: Duane C. Abbey
Publisher: HC Pro, Inc.
ISBN: 9781578395750
Category : Emergency medical services
Languages : en
Pages : 238
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Book Description
Author: Charlotte L. Kohler
Publisher:
ISBN: 9781556451584
Category :
Languages : en
Pages : 0
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Book Description
Hospital Billing from A to Z Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC With Kohler HealthCare Consulting, Inc., associates Catherine Clark, CPC, CRCE-I Darrin Cornwell, CRCS-I Janet Ellis, RN, BSN, MS Dawn Doll Homer, CPC, CRCS-I, CDC Daria Malan, RN, LNHA, MBA, RAC-CT(R) John Ninos, MS, MT(ASCP), CCS Robin Stover, RN, BSBA, CPC, CPC-H, CMAS Deanna Turner, MBA, CPOC, CPC, CPC-I, CSSGB Susan Walberg, JD, MPA, CHC Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements. Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process. Beginning with Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following: 2-Midnight Rule and Inpatient Admission Criteria Correct Coding Initiative CPT(R), HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes Critical Access Hospitals Deductibles, Copayments, and Coinsurance Denials, Appeals, and Reconsideration Requirements Dialysis and DME Billing in Hospitals Hospital-Issued Notice of Noncoverage Laboratory Billing and Fee Schedule Local and National Coverage Determinations Medically Unlikely Edits and Outpatient Code Editor Medicare Advantage Plans Medicare Beneficiary Numbers and National Provider Identifier Medicare Part A and Part B No-Pay Claims Observation Services Outlier Payments Present on Admission Rejected and Returned Claims UB-04 Form Definitions Who should read this book? Finance and reimbursement staff Chargemaster staff Billers and coders HIM staff Clinical department staff Revenue managers Compliance officers and auditors Registration staff Fiscal intermediary staff Healthcare attorneys, consultants, and CPAs Legal department staff
Author:
Publisher: Mosby
ISBN: 9780815148104
Category : Medical
Languages : en
Pages : 346
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Book Description
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 896
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Book Description
Author: AAPC
Publisher: AAPC
ISBN: 1646319249
Category : Medical
Languages : en
Pages : 18
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Book Description
Are you tired of skimming through thick coding books in search of the info you need to code a single service or procedure? Put an end to the chase with the Coders’ Specialty Guide 2024: Family Practice & Primary Care. Find all the information you need to report a new or returning CPT® family practice code in one go-to resource — ICD-10 cross references, RVUs, NCCI edits, CPT® descriptors, anatomical illustrations, and definitive coding, billing, and reimbursement guidance. Plus, a description of the procedure in easy-to-understand terms, so you can confidently translate your providers’ notes into the correct codes. Streamline your workflow with these features: Family practice and primary care CPT® and HCPCS Level II procedure and service codes, including new and revised 2024 codes Category I-III codes with their official descriptors for easier code selection Easy-to-understand definitions of intricate family practice and primary care procedures Expert coding and billing tips for reporting specific CPT® codes Easy access to revised Medicare reimbursement rates for hospitals and physicians Make accurate payments with facility and non-facility RVUs Modifier crosswalks Bundling decisions made easy with NCCI edits Critical indicators for global days, diagnostic tests, and more Family practice and primary care terms Ensure accuracy and get the reimbursement you deserve using these features: ICD-10-CM crosswalks help support medical necessity A complete index of codes with page numbers for instant code lookup Dictionary-style page headers with code ranges Detailed anatomical illustrations And so much more Hurdle your reporting obstacles with the Coders' Specialty Guide 2024: Family Practice & Primary Care. *CPT® is a registered trademark of the American Medical Association.
Author: Mark Savarise
Publisher: Springer
ISBN: 3319435957
Category : Medical
Languages : en
Pages : 342
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Book Description
This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement. The text is meant to be useful to surgeons in practice, both in general surgery and in surgical subspecialties; practice management teams of surgical practices and to resident physicians in surgery. Part 1 of the text addresses the CPT coding process, the relative valuation system (RVU), the ICD-9 and ICD-10 systems of classification, Medicare Part B payment rules for physicians, the DRG system and Medicare Part A payment for hospitals, alternative payment models, and the myriad of quality measures of importance to surgeons. Part 2 of the text addresses specific coding in areas where surgeons historically have had the most difficulty. This is not meant to substitute for the available texts, software or courses on coding, but to provide the historical background and rationale for the specific coding rules. Principles of Coding and Reimbursement for Surgeons will be of great value to general surgeons and surgical subspecialists in private practice, academic institutions, and employed positions. It will provide direction to management teams from practice and institutional levels. It is also of use to surgical trainees and to researchers in health policy issues.
