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Outcomes in Coding Practice A Roadmap from Provider to Payer

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ISBN-10: 140189898X

ISBN-13: 9781401898984

Edition: 2010

Authors: Annette Butler, Annette Butler

List price: $76.95
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Intended to demystify the payment of insurance claims, Outcomes in Coding Practice: A Roadmap from Provider to Payer provides insight into coding from the payer perspective. By understanding the rules, laws and contracts HMO, PPOs or Medicare must consider when payment decision are made, you will be able to make the correct coding choices and improve the claim to payment ratio for your medical office. Coverage includes the Correct Coding Initiative, HMO and PPO contracts, Medicare and Medicaid, CPT Modifiers, how to improve compliance and manage provider disputes
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Book details

List price: $76.95
Copyright year: 2010
Publisher: Delmar Cengage Learning
Publication date: 4/15/2009
Binding: Paperback
Pages: 368
Size: 8.25" wide x 10.50" long x 0.50" tall
Weight: 1.386
Language: English

The Correct Coding Initiative
Health Maintenance Organization (HMO) Contracts
Preferred Provider Organizations
Fee Schedules
CPT Modifiers
Usual, Customary, and Reasonable
CPT Conventions to Be Considered
Provider Disputes and Balance Billing
Compliance and Audits
Noncontracted Providers