Physician Practice Billing Decision Support

Physician Practice Billing Decision Support PDF Author: Decision Health
Publisher:
ISBN: 9781628478143
Category : Medical
Languages : en
Pages :

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Book Description
The 2014 Physician Practice Billing Decision Support helps you code clean claims FAST, planting the answers for more than 12,000 procedures and services to billing and payment questions conveniently at your fingertips including: * Whether a code is covered by Medicare * When a code falls within a global surgery period * Whether a code is bundled or separately payable * When you can bill for assistant-at-surgery, team surgeon, co- surgeon and bilateral surgery * What portion of the total fee to bill for pre-, intra- and post- operative services * Facility and non-facility total RVUs to compare reimbursement levels of related services * Specific level of physician supervision by code - to help you code and bill your services quickly and accurately * Measurement codes to report certain quality measurements under * Medicare's Physician Quality Reporting System The ideal companion to your 2014 Select code book, the 2014 Physician Practice Billing Decision Support reinforces the critical billing decisions you make for your specialty practice. You will decipher CMS' rules on billing and payment quickly and efficiently to bill with accuracy, eliminate denials and earn all the reimbursement your practice deserves. The 2014 Physician Practice Billing Decision Support is the only independent reference guide that gives you Medicare Part B billing rules and fees arranged by code, delivering at-a-glance payment status of every CPTr and HCPCS code to help you file cleaner more accurate claims fast. BONUS: Receive FREE email news alerts to help you keep your guide the most current it can possibly be as CMS makes changes to its annual fee schedule throughout the year.

Physician Practice Billing Decision Support

Physician Practice Billing Decision Support PDF Author: Decision Health
Publisher:
ISBN: 9781628478143
Category : Medical
Languages : en
Pages :

Get Book Here

Book Description
The 2014 Physician Practice Billing Decision Support helps you code clean claims FAST, planting the answers for more than 12,000 procedures and services to billing and payment questions conveniently at your fingertips including: * Whether a code is covered by Medicare * When a code falls within a global surgery period * Whether a code is bundled or separately payable * When you can bill for assistant-at-surgery, team surgeon, co- surgeon and bilateral surgery * What portion of the total fee to bill for pre-, intra- and post- operative services * Facility and non-facility total RVUs to compare reimbursement levels of related services * Specific level of physician supervision by code - to help you code and bill your services quickly and accurately * Measurement codes to report certain quality measurements under * Medicare's Physician Quality Reporting System The ideal companion to your 2014 Select code book, the 2014 Physician Practice Billing Decision Support reinforces the critical billing decisions you make for your specialty practice. You will decipher CMS' rules on billing and payment quickly and efficiently to bill with accuracy, eliminate denials and earn all the reimbursement your practice deserves. The 2014 Physician Practice Billing Decision Support is the only independent reference guide that gives you Medicare Part B billing rules and fees arranged by code, delivering at-a-glance payment status of every CPTr and HCPCS code to help you file cleaner more accurate claims fast. BONUS: Receive FREE email news alerts to help you keep your guide the most current it can possibly be as CMS makes changes to its annual fee schedule throughout the year.

Crossing the Quality Chasm

Crossing the Quality Chasm PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359

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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Fundamentals of Clinical Data Science

Fundamentals of Clinical Data Science PDF Author: Pieter Kubben
Publisher: Springer
ISBN: 3319997130
Category : Medical
Languages : en
Pages : 219

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Book Description
This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.

Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization

Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization PDF Author: Eric Shamus
Publisher: McGraw Hill Professional
ISBN: 1260440672
Category : Medical
Languages : en
Pages : 518

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Book Description
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Clear, concise, and simple to follow—everything you need to master the documentation process quickly and easily Communicating Clinical Decision Making Through Documentation is the top choice for professionals and students seeking complete coverage of the documentation process including billing and coding. It shows how to ensure every service rendered and billed is supported by showing what to document, how to do it, and why it is so important. This text includes a refreshing student-friendly approach to the topic. You will find an abundance of cases portraying real-life case scenarios and it delivers must-know information on writing patient/client care notes, incorporating document guidelines, documenting clinical decision making (includes evidence-based practice), and performing billing and coding tasks. With Communicating Clinical Decision Making Through Documentation, you’ll effectively maintain and organize records, record appropriate information, and receive proper payment based on the documentation content. A to Z coverage of physical therapy documentation, including: Documentation Standards and Guidelines Medicare Home Health Electronic Medical Records (EMR) International Classification of Functioning (ICF) Model and Application Pediatrics Legal Issue Utilization Review & Management Skilled Nursing Facilities Sample Documentation Content Initial Examination and Evaluation Criteria Continuum of Care Content and Goal Writing Exercises Documentation Aspects of Supervising PTAs Abbreviations Payment ICD-10 and CPT Codes and Application Chapter Review Questions Content Principles

Medicare

Medicare PDF Author:
Publisher:
ISBN:
Category : Medical fees
Languages : en
Pages : 48

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Book Description


Physician Practice Billing from a to Z

Physician Practice Billing from a to Z PDF Author: Charlotte Kohler
Publisher:
ISBN: 9781556453298
Category :
Languages : en
Pages : 0

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Book Description
Physician Practice Billing From A to Z is a comprehensive, user-friendly guide to billing requirements from ABNs to ZPICs, with particular emphasis on Medicare.

The Physician Billing Process

The Physician Billing Process PDF Author: Deborah L. Walker
Publisher: Medical Group Management Assn
ISBN: 9781568292304
Category : Business & Economics
Languages : en
Pages : 274

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Book Description
Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance.

The Future of Nursing 2020-2030

The Future of Nursing 2020-2030 PDF Author: National Academies of Sciences Engineering and Medicine
Publisher:
ISBN: 9780309685061
Category :
Languages : en
Pages :

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Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

CodeBusters

CodeBusters PDF 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

Physician Practice Billing Answers, 2014

Physician Practice Billing Answers, 2014 PDF Author: Decision Health
Publisher:
ISBN: 9781628478129
Category : Medical
Languages : en
Pages :

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Book Description
Physician Practice Billing Answers, 2014 is your all-in-one solution covering a wide range of Medicare coding, billing and compliance rules and requirements to ensure full reimbursement, improve efficiency, reduce denied claims and compliance risk. Using real-world FAQs and sample scenarios, you can apply the answers you seek to your everyday encounters including: PQRS Incentives: Understand how PQRS works and how to participate to guarantee your bonus and increase your bottom line. Newly- updated to include every 2014 change, use this guidance to learn: * How to report the measures and collect your bonus money * Participation opportunities and analysis of which are best for your practice * Quality reporting best practices from successful practices earning their bonuses today Fundamentals of Medicare: Designed especially for professionals who are new to the field of health care. Become familiar with common terms, concepts and requirements essential to Medicare coding, billing and compliance. Benefits include: * Fast learning of terms and rules youre likely to encounter with plain-English guidance * Locating information quickly with 13 chapters that ask and answer common Medicare Part B questions * Reducing your practices compliance risk with specific guidance on fraud risks, privacy and security violations Non-Physician Practitioner (NPPs) & certified registered nurse anesthetists (CRNAs): NPPs and CRNAs play important roles, but incorporating them into your practice can be complicated. You'll get strategies to ensure you receive full reimbursement and your claims won't be denied. Gain instruction to help you: * Secure all revenue by learning how NPPs and CRNAs can gain Medicare bonuses and initiatives * Maximize efficiency and save physician time * Minimize denial risk with proper coding guidelines for error-free claims * Save time and ensure accuracy in filling out Medicare enrollment, CMS-1500 and other forms Modifiers: Modifiers