| Compliance for Coding, Billing & Reimbursement: A Systematic Approach to Developing a Comprehensive Program [With CDROM] Contributor(s): Abbey, Duane C. (Author), Handwerk, James H. (Author), Kaiser, Mark J. (Author) |
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ISBN: 1563273683 ISBN-13: 9781563273681 Publisher: Productivity Press OUR PRICE: $99.75 Product Type: Paperback Published: May 2008 Annotation: Health care providers have to cut through more red tape than ever to get paid for their services. What??'s more, a mountain of federal and state mandates are pressuring providers to become more savvy about laws and regulations regarding taxes, health and safety, labor, patient confidentiality, and financial compliance. Compliance for Coding, Billing & Reimbursement, 2nd Edition provides guidance concerning the development of a specialized health care compliance program to cover coding, billing, documentation, and reimbursement. The required steps and systematic process are addressed along with various peripheral concerns. The primary emphasis is on hospital coding, billing, and reimbursement, with physician and clinic concerns also being addressed. The seven key elements promulgated by the OIG for any compliance program are addressed with specific application to the coding, billing and reimbursement area. This book also defines the confusing terminology used in the complex web of policies and procedures. By referring to the comprehensive glossary and acronym listing, readers have instant explanations at their fingertips. |
| Additional Information |
| BISAC Categories: - Medical | Medical History & Records - Medical | Practice Management & Reimbursement - Medical | Health Care Delivery |
| Dewey: 651.504 |
| LCCN: 2007049881 |
| Physical Information: 0.48" H x 8.53" W x 10.87" (1.27 lbs) 230 pages |
| Descriptions, Reviews, Etc. |
| Publisher 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 -
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. |