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Solutions to specialty-specific billing and denial challenges You have a unique weapon in your fight to reduce claims denials and ensure proper reimbursement for your orthopedic services. Orthopedic Billing Answers, 2014 is a denial reference source that helps you spot opportunities to recapture thousands in lost revenue. This resource contains more than 500 charts showing the top orthopedic procedure denial rates by both orthopedic specialists and procedural code ranges. In addition, you'll get a code-by-code breakdown of 1) what triggers each denial; and, 2) best practices and scenarios to cut requests for additional documentation and denials rates for each code. With Orthopedic Billing Answers, 2014 you'll be able to: * Get best practices and scenarios for specific codes so you can avoid denials * Learn the reason specific codes are denied * Benchmark your denial rates among direct peers in your region and your subspecialty * Focus your chart audits squarely on procedures where the most money is lost to denials * Boost office productivity and slash time lost to requests for additional documentation * Avoid increased OIG scrutiny brought on by incorrect billing Bonus: Quickly reference payment indicators and the payment and bundling rules surrounding orthopedic physicians' highest volume procedure codes. Consult this must-have reference tool before you post your next ortho claim to cut denials and ensure proper reimbursement.
Solutions to specialty-specific CPTr coding challenges The CPT 2014 changes are expected to contain major revisions. Keep your practice updated. Orthopedic Coding Answers, 2014 provides detailed answers to your most challenging ortho coding questions. This must-have reference for coding common orthopedic procedures answers more than 100 questions so you can be certain your coding is accurate the first time. Orthopedic Coding Answers, 2014 helps you navigate through the coding scenarios your practice sees on a daily basis and gives you instant access to answers from top coding and billing expert Margie Scalley-Vaught. This must-have resource includes: * A go-to reference tool when coding common procedures to make sure it's done correctly the first time. * Official sources cited for reference, so you'll know where to go to further research the issue and reinforce your coding decisions. * Plain-English, detailed explanations of difficult orthopedic coding procedures allowing even non-clinicians to code and bill correctly. * Book sectioned by parts of the body - upper extremities, lower extremities, spine coding, E/M, ICD-9 and Medicare issues - so you can easily find the information you need. Order now to ensure that you always have answers to your most frequent orthopedic coding questions.
Strengthen your ability to code accurately and obtain optimal reimbursement for medical services! Corresponding to the chapters in Carol J. Buck's Step-by-Step Medical Coding, 2014 Edition, this workbook offers review and practice with more than 1,500 questions, activities, and terminology exercises, and includes complete coverage of ICD-10-CM. It also includes over 90 original source documents to familiarize you with the reports you will encounter in practice. Complete coverage of ICD-10-CM prepares you for the upcoming transition to ICD-10. Dual coding addresses the transition to ICD-10 by providing coding answers in both ICD-9 and ICD-10. Over 90 original source documents provide real-world experience with reports you will encounter in practice. Workbook questions follow the same format as the text, including multiple code icons. Theory, practice, and reporting exercises help you master key concepts and apply your knowledge. Updated content includes the latest coding information available, promoting accurate coding and success on the job.
Take your first step toward a successful career in medical coding with in-depth coverage from the most trusted name in coding education! Carol J. Buck’s Step-by-Step Medical Coding, 2014 Edition is a practical, easy-to-use resource that shows you exactly how to code using all current coding systems. Explanations of coding concepts are followed by practice exercises to reinforce your understanding. In addition to coverage of reimbursement, ICD-9-CM, CPT, HCPCS, and inpatient coding, this edition provides complete coverage of the ICD-10-CM diagnosis coding system in preparation for the upcoming ICD-10 transition. No other text on the market so thoroughly covers all coding sets in one source! Over 500 illustrations of medical procedures and conditions help you understand the services being coded. Real-life coding reports simulate the reports you will encounter as a coder and help you apply coding principles to actual cases. Complete coverage of ICD-10-CM prepares you for the upcoming transition to ICD-10. Dual coding addresses the transition to ICD-10 by providing coding answers in both ICD-9 and ICD-10. Official Guidelines for Coding and Reporting boxes allow you to read the official wording for inpatient and outpatient coding alongside in-text explanations. From the Trenches, Coding Shots, Stop!, Caution!, Check This Out!, and CMS Rules boxes offer valuable, up-to-date tips and advice for working in today’s medical coding field. Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. Four coding question variations develop your coding ability and critical thinking skills. Coder’s Index makes it easy to quickly locate specific codes. Updated content includes the latest coding information available, promoting accurate coding and success on the job. New appendix with sample Electronic Health Record (EHR) screenshots provides examples similar to the EHRs you will encounter in the workplace.
Preceded by: 2013 physician coding exam review / Carol J. Buck. 2013 ed. c2013.
Prepare to confidently succeed on your physician coding exam with Physician Coding Exam Review 2014: The Certification Step with ICD-9-CM! From leading coding author and educator Carol J. Buck, this exam review provides complete coverage of all topics covered on the physician certification exams, including anatomy, terminology, and pathophysiology for each organ system; reimbursement concepts; an overview of CPT, ICD-9-CM, and HCPCS coding; and more. Practice exams and a final mock exam simulate the testing experience to better prepare you for certification success. Comprehensive review content based on the physician exam covers everything you need to know to pass your certification exam. Concise outline format helps you access key information quickly and study more efficiently. Concrete real-life coding reports simulate the reports that you will encounter on the job and challenge you to apply key coding principles to actual cases. Success Strategies section guides you through the entire exam process. Practice exams on the Evolve companion website allow you to assess strengths and weaknesses and develop a plan for focused study. A final exam located in the text simulates the actual testing experience you’ll encounter when you take the physician certification exam. Answers and rationales to the practice and final exams are available on the Evolve website. Updated content includes the latest coding information available, promoting exam success and accurate coding on the job. NEW! Mobile-optimized 10-question quizzes provide quick, on-the-go study with 260 extra medical terminology and pathophysiology questions that may be downloaded to mobile devices.
Gain real-world practice in insurance billing and coding! Corresponding to the chapters in Fordney’s Insurance Handbook for the Medical Office, 13th Edition, this workbook provides realistic, hands-on exercises that help you apply concepts and develop critical thinking skills. Study tools include chapter overviews, key terms, chapter review exercises, and case study assignments. Key terms and abbreviations lists at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. Critical thinking assignments help you connect theory to practice with real-world scenarios. Self-study exercises – including matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions – help you practice important concepts. Performance objectives make learning easy by highlighting what you need to accomplish in each chapter. Study outlines focus your review by listing key points for each chapter UPDATED content reflects changes in the text, ensuring you have the latest guidelines and regulations for medical insurance billing and coding available. UPDATED coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, meaningful use, and CPT 2013. NEW CMS-1500 (02-12) claim form includes block-by-block explanations and examples. UPDATED ICD-10 coding information prepares you for the ICD-10 transition. UPDATED self-assessment quizzes on Evolve test your knowledge of the material in each chapter. UPDATED guidelines for the filing and submission of electronic claims include sample screenshots, preparing you for the future of the medical office.
The easy way to start a career in medical billing and coding With healthcare providers moving to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical offices need professionally trained billers and coders, either in the office or via telecommute, to handle records for internal and external accessibility and efficiency. Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding. It gives you practical, easy-to-follow coverage and advice on how to find a course, educational topics you should review and pursue in order to stay competitive in the field, and the laws and other regulations you'll encounter in your work. Certification requirements and standard industry practices Tips for dealing with government agencies and insurance companies Ethical and legal issues If you're looking to start a career in the popular field of medical billing and coding, this hands-on, friendly guide has you covered!
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
Strengthen your ability to code accurately and obtain optimal reimbursement for medical services! Corresponding to the chapters in Carol J. Buck's Step-by-Step Medical Coding, 2014 Edition, this workbook offers review and practice with more than 1,500 questions, activities, and terminology exercises, and includes complete coverage of ICD-10-CM. It also includes over 90 original source documents to familiarize you with the reports you will encounter in practice. Complete coverage of ICD-10-CM prepares you for the upcoming transition to ICD-10. Dual coding addresses the transition to ICD-10 by providing coding answers in both ICD-9 and ICD-10. Over 90 original source documents provide real-world experience with reports you will encounter in practice. Workbook questions follow the same format as the text, including multiple code icons. Theory, practice, and reporting exercises help you master key concepts and apply your knowledge. Updated content includes the latest coding information available, promoting accurate coding and success on the job.