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Codebusters: Quick Guide to Coding and Billing Compliance for Medical Practices

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Located in: Boerne, Texas, United States
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Item specifics

Condition
Very Good: A book that has been read but is in excellent condition. No obvious damage to the cover, ...
Brand
Unbranded
MPN
Does not apply
ISBN
9780834213173
Publication Year
1998
Type
Textbook
Format
Trade Paperback
Language
English
Publication Name
Codebusters : a Quick Guide to Coding and Billing Compliance for Medical Practices
Item Height
0.2in
Author
Patricia T. Aalseth
Item Length
8.9in
Publisher
Jones & Bartlett Learning, LLC
Item Width
6.2in
Item Weight
1.4 Oz
Number of Pages
48 Pages

About this product

Product Information

With healthcare costs continuing to skyrocket, despite the efforts of managed care and other containment programs, third-party payers are scrutinizing every line of every claim for services. When questionable items are identified, the next step is usually a request for copies of your patient's medical records, in order to verify that services billed were actually provided. As a physician, whether in a large group or solo practice, you must understand how the coding and billing process works, and assure that all official guidelines are being followed by your staff. This book is a quick reference to the basics of coding for physician services, and provides checklists of questions for physicians and office staff. Also included are suggested resources for additional assistance with coding and billing problems.

Product Identifiers

Publisher
Jones & Bartlett Learning, LLC
ISBN-10
0834213176
ISBN-13
9780834213173
eBay Product ID (ePID)
861584

Product Key Features

Author
Patricia T. Aalseth
Publication Name
Codebusters : a Quick Guide to Coding and Billing Compliance for Medical Practices
Format
Trade Paperback
Language
English
Publication Year
1998
Type
Textbook
Number of Pages
48 Pages

Dimensions

Item Length
8.9in
Item Height
0.2in
Item Width
6.2in
Item Weight
1.4 Oz

Additional Product Features

Lc Classification Number
R728.A18 1999
Table of Content
Contents: WHAT ARE THE RULES? * Provider Responsibility for Accuracy of Coding * Official Coding Guidelines for Physician Services * Diagnosis Coding * Procedure Coding * Coding Rules for Non-HCFA Payers * Why You Need Written Policies and Procedures * PATIENT RECORDS - THE BASIC OF CODING * Improving the Record * Organization/Format * Forms * Improving the Documentation * Content * Legibility * Other Improvements * TRANSLATING THE RECORD INTO CODES - DIAGNOSIS * Primary Diagnosis * Rule/Out * V Codes * Payable Diagnosis * Cheatsheets/Superbills *Diagnosis for Procedures * TRANSLATING THE RECORDS INTO CODES - PROCEDURES * Site of Service * Bundled Procedures * Global Package * Modifiers * Evaluation and Management Services * WHAT WENT WRONG? * Payment Denials * Prior Approvals * Non-Covered vs. Not Medically Necessary * How to Appeal Denials * RESOURCES FOR YOU AND YOUR STAFF * Training/Credentialing * References/Software * Payer Newsletters and Manuals * Internet Resources * Consultants * Professional Organizations * APPENDIX A.* Diagnostic Coding and Reporting Guidelines for Outpatient Services (Hospital-Based and Physician Office) * APPENDIX B. * Data Elements for Adequate Documentation * APPENDIX C. * Bibliography
Target Audience
College Audience
Topic
Insurance / Health, Practice Management & Reimbursement
Lccn
98-043607
Dewey Decimal
368.38/2/00973
Dewey Edition
21
Illustrated
Yes
Genre
Business & Economics, Medical

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Redfish2bluefish

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