Correct Coding for Medicare, Compliance, and Reimbursement / Edition 1

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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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Product Details

  • ISBN-13: 9781418015619
  • Publisher: Cengage Learning
  • Publication date: 12/29/2006
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 416
  • Sales rank: 1,398,678
  • Product dimensions: 8.40 (w) x 10.80 (h) x 0.80 (d)

Meet the Author

Belinda S. Frisch, CPC is a member of the American Academy of Professional Coders and is a Certified Professional Coder. She has been a Coding Specialist at Ellis Hopsital for four years. She has been a billing manager and a medical office manager for eight years. She currently performs physician coding and billing services for several departments including Infectious Diseases, Psychiatry, Skilled Nursing Facility, Dept of Medicine and Primray Care Physicians services performed at the hospital. She in in charge of quality assurance for each department, focusing heavily on primary care clinics, which includes charting trends in CPT coding, auditing for appropriate ICD/CPT code selection and training stafff and practitioners on proper billing and coding procedures.
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Table of Contents

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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