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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
The 2014 Physician Practice Billing Decision Support helps you code clean claims FAST, planting the answers for more than 12,000 procedures and services to billing and payment questions conveniently at your fingertips including: * Whether a code is covered by Medicare * When a code falls within a global surgery period * Whether a code is bundled or separately payable * When you can bill for assistant-at-surgery, team surgeon, co- surgeon and bilateral surgery * What portion of the total fee to bill for pre-, intra- and post- operative services * Facility and non-facility total RVUs to compare reimbursement levels of related services * Specific level of physician supervision by code - to help you code and bill your services quickly and accurately * Measurement codes to report certain quality measurements under * Medicare's Physician Quality Reporting System The ideal companion to your 2014 Select code book, the 2014 Physician Practice Billing Decision Support reinforces the critical billing decisions you make for your specialty practice. You will decipher CMS' rules on billing and payment quickly and efficiently to bill with accuracy, eliminate denials and earn all the reimbursement your practice deserves. The 2014 Physician Practice Billing Decision Support is the only independent reference guide that gives you Medicare Part B billing rules and fees arranged by code, delivering at-a-glance payment status of every CPTr and HCPCS code to help you file cleaner more accurate claims fast. BONUS: Receive FREE email news alerts to help you keep your guide the most current it can possibly be as CMS makes changes to its annual fee schedule throughout the year.
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.
Physician Practice Billing From A to Z is a comprehensive, user-friendly guide to billing requirements from ABNs to ZPICs, with particular emphasis on Medicare.
Here is straight forward information for efficient billing and collecting.Collecting techniques for office staff Telephone collection scripts Collection letters & notices Verification of insurance Payment plan for past due accounts Choosing a collection agency Steps in processing an insurance claim Insurance claim follow-up Letter to slow paying insurance company Accounts receivable worksheet Insurance summary log Improving Medicaid claim submissions Analyzing A/R by source of revenue Tracking the effect of managed care plans Measuring performance of A/R management Checklist for assessing collection policies Patient communication on billing insurance
Designed to establish a foundational framework for working with trauma-exposed immigrants and refugees, this important work introduces innovative approaches to address client mental health problems while supporting adjustment to life in a new country. This practice-oriented book emphasizes the relevance of Western approaches while reorienting Western concepts to be more culturally sensitive from a domestic and international perspective. Grounded in critical thinking and strengthened by an ecological systems perspective, the book presents six different models for applying and integrating Western theory and related practice strategies for working with individuals, families, groups, communities, organizations, volunteers, and local workforces.
Praise for the First Edition: "This is a valuable resource for new clinical nurse specialists as they begin their journey. It provides excellent guidance that will help new graduates as they negotiate new positions and develop new roles in healthcare organizations." Score: 95, 4 stars --Doody's This is a one-of-a-kind, all-inclusive reference guide for new Clinical Nurse Specialists entering the field as well as seasoned practitioners looking to update their knowledge. Disseminating a wealth of current professional practice guidance and practical information on reimbursement and certification, the second edition has been fully updated to reflect changes resulting from the Affordable Care Act and the APRN Consensus Model. Four new chapters address changes and emerging trends, expanding focus on independent practice, increasing demands on health care due to the growing population of older adults, and updated reimbursement/economic issues. This authoritative toolkit is organized in an easy-to-use, bullet-point format and includes numerous clinical examples, case scenarios, and personal anecdotes culled from the contributors' own professional experiences. New to the Second Edition: Fully revised and updated Addresses CNS practice within Affordable Care Organizations Describes CNS leadership role in system-level evidence-based practice initiatives Covers documentation and communication of CNS activities aligning with strategic initiatives and CNS practice priorities Discusses facilitating transitions of care to assure safety and quality Addresses the CNS role in interprofessional education in clinical settings Key Features: Presents crucial information on negotiating and securing a job Provides advice on establishing credibility, prioritizing, and finding a mentor Contains guidelines on mentoring staff, leading groups, and precepting students Addresses documenting and measuring clinical outcomes Describes how to network with professional organizations and community agencies Offers practical guidance on applying for reimbursement and pursuing certification and licensure
Archival snapshot of entire looseleaf Code of Massachusetts Regulations held by the Social Law Library of Massachusetts as of January 2015.
The Electronic Health Record for the Physician's Office for SimChart for the Medical Office - E-Book