Correct Coding for Medicare, Compliance, and Reimbursement

ISBN-10: 141801561X

ISBN-13: 9781418015619

Edition: 2007

List price: $124.95
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Description:

Learn how to code correctly and increase your practice?s reimbursement with Correct Coding for Medicare, Compliance and Reimbursement. As Medicare pays a large percentage of health care claims, this valuable resource focuses on helping you develop the critical billing skills to execute correct reimbursement. Once you have mastered the competencies for Medicare, you can easily transfer this knowledge to other insurance programs.
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Book details

List price: $124.95
Copyright year: 2007
Publisher: Delmar Cengage Learning
Publication date: 12/29/2006
Binding: Paperback
Pages: 512
Size: 8.25" wide x 10.50" long x 0.75" tall
Weight: 1.892
Language: English

Belinda S. Frisch, CPC is a member of the American Academy of Professional Coders and is a Certified Professional Coder. She has been a Coding Specialist at Ellis Hopsital for four years. She has been a billing manager and a medical office manager for eight years. She currently performs physician coding and billing services for several departments including Infectious Diseases, Psychiatry, Skilled Nursing Facility, Dept of Medicine and Primray Care Physicians services performed at the hospital. She in in charge of quality assurance for each department, focusing heavily on primary care clinics, which includes charting trends in CPT coding, auditing for appropriate ICD/CPT code selection and training stafff and practitioners on proper billing and coding procedures.

Dedication
Foreword
Preface
Acknowledgements
About the Author
Evaluation and Management Coding
Evaluation and Management Services
Administrative and Time-Based Codes
Outpatient Evaluation and Management Codes
Inpatient and Observation Evaluation and Management Codes
Consultations
Preventative Medicine and Primary Care
Midlevel Practitioner Services
International Classification of Diseases, 9th Revision, Clinical ModificationChapter 9: ICD-9 Coding
Medicare
Medicare
Medicare as a Secondary Payer (MSP)
HIPPA Basics (Health Insurance Privacy and Portability Act)
Claims Basics
Step by step CMS-1500 form completion/ Place of Service Codes
Front Office Procedures
National Correct Coding Initiative (NCCI)
Time Frames for Claim Submission, Payment, and Appeals
Monitoring reports, following up on denials, and the appeals process
Compliance
Office of the Inspector General (O.I.G.)
Fraud and Abuse
How to Perform a Medical Record Audit
The Compliance Plan
Examination Documentation Checklists for the General Multi-System Exam and 10 Individual Single System Examinations
Medical Terminology Basics
Glossary
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