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| Author | : James B. Davis |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2008-12 |
| Genre | : Medical claims processing industry |
| ISBN | : 9781570665196 |
| Author | : Practice Management Information Corporation |
| Publisher | : Practice Mgmt Information Corporation |
| Total Pages | : |
| Release | : 2006-01-01 |
| Genre | : Medical |
| ISBN | : 9781570664038 |
| Author | : Jill Brown |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 560 |
| Release | : 2013-08-07 |
| Genre | : Medical |
| ISBN | : 0323277012 |
This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
| Author | : American Bar Association. House of Delegates |
| Publisher | : American Bar Association |
| Total Pages | : 216 |
| Release | : 2007 |
| Genre | : Law |
| ISBN | : 9781590318737 |
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
| Author | : Department Of Health And Human Services |
| Publisher | : Lulu.com |
| Total Pages | : 128 |
| Release | : 2020-09-06 |
| Genre | : Medical |
| ISBN | : 9781716599989 |
These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
| Author | : |
| Publisher | : |
| Total Pages | : 1624 |
| Release | : 1992 |
| Genre | : Paperbacks |
| ISBN | : |
| Author | : Carol J. Buck |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 608 |
| Release | : 2015-12-03 |
| Genre | : Medical |
| ISBN | : 0323389120 |
Mastering advanced medical coding skills is easier with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2016 Edition uses real-world patient cases to explain coding for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Hands-on practice with physician documentation helps you take the next step in coding proficiency. With this guide from coding author and educator Carol J. Buck, you will learn to confidently pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and then properly audit cases. UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service. Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on-the-job by using actual medical records. More than 185 full-color illustrations depict and clarify advanced coding concepts. From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice. UPDATED content includes the latest coding information available, for accurate coding and success on the job.
| Author | : Janet I. Beik |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 509 |
| Release | : 2014-04-04 |
| Genre | : Medical |
| ISBN | : 0323291767 |
With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4th Edition features completely updated content on ICD-10 coding, ARRA, HI-TECH, Version 5010, electronic health records, the Health Insurance Reform Act, and more. The friendly writing style and clear learning objectives help you understand and retain important information, with review questions and activities that encourage critical thinking and practical application of key concepts. Clear, attainable learning objectives help you focus on the most important information. What Did You Learn? review questions allow you to ensure you understand the material already presented before moving on to the next section. Direct, conversational writing style makes reading fun and concepts easier to understand. Imagine This! scenarios help you understand how information in the book applies to real-life situations. Stop and Think exercises challenge you to use your critical thinking skills to solve a problem or answer a question. HIPAA Tips emphasize the importance of privacy and following government rules and regulations. Chapter summaries relate to learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review. Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today’s competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.
| Author | : Carol J. Buck |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 612 |
| Release | : 2015-12-22 |
| Genre | : Medical |
| ISBN | : 0323389104 |
Mastering advanced medical coding skills is easier with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2016 Edition uses real-world patient cases to explain coding for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Hands-on practice with physician documentation helps you take the next step in coding proficiency. With this guide from coding author and educator Carol J. Buck, you will learn to confidently pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, and then properly audit cases. UNIQUE! Evaluation and Management (E/M) audit forms include clear coding instructions to help reduce errors in determining the correct level of service. Real-world patient cases (cleared of any patient identifiers) simulate the first year of coding on-the-job by using actual medical records. More than 185 full-color illustrations depict and clarify advanced coding concepts. From the Trenches boxes highlight the real-life experiences of professional medical coders and include photographs, quotes, practical tips, and advice. UPDATED content includes the latest coding information available, for accurate coding and success on the job.
| Author | : Carol J. Buck |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 608 |
| Release | : 2015-01-01 |
| Genre | : Medical |
| ISBN | : 0323292046 |
Moving on to advanced medical coding is easy with Carol J. Buck's proven, step-by-step method! The Next Step: Advanced Medical Coding and Auditing, 2015 Edition helps you master coding skills for services such as medical visits, diagnostic testing and interpretation, treatments, surgeries, and anesthesia. Real-world patient cases give you hands-on practice with advanced, physician-based coding. Enhance your decision-making skills and learn to confidently pull the right information from medical documents, select the right codes, determine the correct sequencing of those codes, properly audit cases, and prepare for the transition to ICD-10 with the help of coding author and educator Carol Buck! Dual coding addresses the transition to ICD-10 by providing practice as well as coding answers for both ICD-9 and ICD-10. UNIQUE! Evaluation and Management (E/M) audit forms, developed to determine the correct E/M codes, simplify the coding process and help to ensure accuracy. UNIQUE! Netter anatomy illustrations in each chapter help you understand anatomy and how it affects coding. Realistic patient cases simulate your first year of coding by using actual medical records (with personal patient details changed or removed), allowing you to practice coding with advanced material. From the Trenches boxes highlight the experiences of real-life professional medical coders and include photographs, quotes, practical tips, and advice. Auditing cases prepare you to assign correct codes to complicated records, as well as audit records for accuracy. More than 180 full-color illustrations depict and clarify advanced coding concepts. UPDATED content includes the latest coding information available, to promote accurate coding and success on the job.
