9781563273681

Book Description: Productivity Press, 2008. Paperback. Book Condition: New. New Book. Shipped from UK. Bookseller Inventory # FT-9781563273681

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Book Description: Taylor Fransis. Book Condition: New. Brand New. Bookseller Inventory # 1563273683

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Book Description: Book Condition: New. Bookseller Inventory # 5472838-n

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Book Description: Taylor Francis Inc, United States, 2008. Paperback. Book Condition: New. 2nd ed. 279 x 216 mm. Brand New Book. 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 - Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information 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. Bookseller Inventory # AA69781563273681

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Book Description: Taylor & Francis Inc. Paperback. Book Condition: new. BRAND NEW, Compliance for Coding, Billing and Reimbursement: A Systematic Approach to Developing a Comprehensive Program, Duane Abbey, 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. Bookseller Inventory # B9781563273681

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Book Description: Taylor and Francis(Productivity Press), 2008. Paperback. Book Condition: New. 10.984 by 8.504 inches. (232 pages) 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 terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information 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. Introduction Overview Three levels of CBR compliance concerns CBR compliance program development Systematic approach Systems theory CBR policies, procedures, and infrastructure Preparing for external audits Information resources Conducting research Healthcare computer billing systems CBR compliance officer and team development Terminology, definitions, and acronyms Case study listing Overview of healthcare compliance Healthcare industry Health care payment systems Cost-based systems Prospective payment systems Capitated systems Healthcare delivery systems Healthcare compliance laws, rules, and regulations Statutory requirements Contractual requirements HIPAA BBA MMA DRA Compliance concerns and program development Key elements for compliance programs Compliance program areas Use of systems approach Settlement agreements Structuring CBR compliance programs CBR and seven key elements Compliance standards and procedures Coding policies and procedures Billing policies and procedures Chargemaster policies and procedures Documentation policies and procedures Utilization review policies and procedures Compliance and auditing policies and procedures Oversight responsibilities Delegation of authority Employee training Monitoring and auditing Enforcement and discipline Response and prevention CBR compliance officer Use of investigative and review teams Development of policies and procedures Facilitation and organizational development CBR and administrative decision making Coding, billing, and reimbursement: Problem/opportunity areas Identifying problem/opportunity areas Determining real problem Medical necessity False claims Service area concerns Observation status Emergency department Subacute care Non-physician providers Medicare fraud, abuse, and anti-kickback laws Chargemaster concerns Accurate information Correlation of information Chargeable, separately chargeable, billable, and separately billable items Categorization of items Charge explosion Coding interface Drugs and self-administrable drugs Non-covered items and services Special payment system requirements Charging interface APG and APC considerations OIG resources Cost reports Organizational structuring Notes Comparison of organizational structures Operational considerations Coding and payment system demands Procedure coding Diagnosis coding Revenue codes Payment systems Safe harbors Statistical and benchmark utilization Investigation and problem solving Systems approach Problem/opportunity identification Problem/opportunity analysis External solution design Internal solution design Solution development Solution implementation Solution monitoring and remediation Graphic tools Multiple perspectives Raised perspective Designing audits Fact gathering and interviewing techniques Team approach Information analysis Root cause analysis Statistical basics and graphic representation Data and relative data arrays Frequency distribution Percentages, percentiles, an. Bookseller Inventory # AG1563273683

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Book Description: Productivity Press, 2008. Paperback. Book Condition: New. New Book. Shipped from UK. Bookseller Inventory # FT-9781563273681

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Book Description: 2008. Paperback. Book Condition: New. 2nd. 217mm x 12mm x 276mm. Paperback. 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.Shipping may be from multiple locations in the US or from the UK, depending on stock availability. 210 pages. 0.576. Bookseller Inventory # 9781563273681

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Book Description: Productivity Press, Portland, 2008. Book Condition: New. Language: english. Health care providers have to cut through red tape to get paid for their services. This book provides guidance concerning the development of a specialized health care compliance program to cover coding, billing, documentation, and reimbursement. It addresses physician and clinic concerns. Bookseller Inventory # 5817463

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Book Description: 2008. Paperback. Book Condition: New. 2nd. 217mm x 12mm x 276mm. Paperback. 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 e.Shipping may be from our UK, US or Australian warehouse depending on stock availability. 210 pages. 0.576. Bookseller Inventory # 9781563273681

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