Correct Coding for Medicare, Compliance, and Reimbursement

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9781418015619: Correct Coding for Medicare, Compliance, and Reimbursement
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Learn how to code correctly and maximize reimbursement with Correct Coding for Medicare, Compliance, and Reimbursement. As Medicare pays a large percentage of health care claims, this valuable resource focuses on helping you develop the critical billing skills to execute correct reimbursement. Once you have mastered the competencies for Medicare, you can easily transfer this knowledge to other insurance programs.

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About the Author:

Former dual-certified professional coder turned full-time author.

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Dedication Foreword Preface Acknowledgements About the Author Part I: Evaluation and Management Coding Chapter 2: Evaluation and Management Services Chapter 3: Administrative and Time-Based Codes Chapter 4: Outpatient Evaluation and Management Codes Chapter 5: Inpatient and Observation Evaluation and Management Codes Chapter 6: Consultations Chapter 7: Preventative Medicine and Primary Care Chapter 8: Midlevel Practitioner Services Part II: International Classification of Diseases, 9th Revision, Clinical Modification Chapter 9: ICD-9 Coding Part III: Medicare Chapter 10: Medicare Chapter 11: Medicare as a Secondary Payer (MSP) Chapter 12: HIPPA Basics (Health Insurance Privacy and Portability Act) Part IV: Claims Basics Chapter 13: Step by step CMS-1500 form completion/ Place of Service Codes Chapter 14: Front Office Procedures Chapter 15: National Correct Coding Initiative (NCCI) Chapter 16: Time Frames for Claim Submission, Payment, and Appeals Chapter 17: Monitoring reports, following up on denials, and the appeals process Part V: Compliance Chapter 18: Office of the Inspector General (O.I.G.) Chapter 19: Fraud and Abuse Chapter 20: How to Perform a Medical Record Audit Chapter 21: The Compliance Plan Appendix I: Examination Documentation Checklists for the General Multi-System Exam and 10 Individual Single System Examinations Appendix II: Medical Terminology Basics Glossary

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