ISBN-10:
083420875X
ISBN-13:
9780834208759
Pub. Date:
12/31/1995
Publisher:
Wolters Kluwer Law & Business
Health Care Billing & Collections: Forms, Checklists & Guidelines / Edition 1

Health Care Billing & Collections: Forms, Checklists & Guidelines / Edition 1

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Product Details

ISBN-13: 9780834208759
Publisher: Wolters Kluwer Law & Business
Publication date: 12/31/1995
Pages: 296
Product dimensions: 11.70(w) x 11.60(h) x 3.70(d)

Table of Contents

1. Various Payer Classes

• Key Types of Insurance Carriers
• Workers' Compensation
• Usual, Customary, and Reasonable (UCR) Denials
• Administrative Denials

2. Collection Strategies

• Up-Front Collection/Registration Guidelines and Policies
• Financial Assistance/Counseling
• Overcoming Objections to Payment
• Successful Collection Strategies
• Collection Letter Writing
• Basics of Telephone Collection
• Skip Tracing
• Collection Follow-up
• Management of Collections
• Collection Policies and Procedures

3. Legal Aspects of Collecting

• Laws Affecting Billing and Collections
• Key Legal Concerns
• Specific Types of Debtor Cases

4. Billing

• The Health Insurance Portability and Accountability Act of 1996
• Assessment and Training
• Policies

4A. Billing and Insurance

• Specific Payer Guidelines
• Insurance Claims Process
• Productivity
• Billing Policies and Procedures

4B. Medicare Billing
4C. Coding and Compliance

• Coding for Physician/Hospital Services
• Compliance Issues
• False Claims Act
• Emergency Medical Treatment and Active Labor Act

5. Electronic Systems/Commerce

• Automated Collection Follow-up Systems
• Electronic Data Interchange
• Online Bill Payments

6. Customer Relations

• Understanding Your Customers
• Developing Quality Customer Service Attitude
• Handling/Preventing Patient Complaints
• Patient Handouts
• Advance Beneficiary Notices
• Price Quoting

7. Staff Management

• Job Descriptions
• The Hiring Process
• Motivating and Goal Setting
• Turnover Prevention
• Staff Development
• Discipline
• Performance Evaluations
• Resignations/Exit Interviews
• Other Staff Policies

8. Business Management

• Quality Improvement
• Budgeting
• Provider/Vendor Relationships
• Managed Care Contracting

9. Working with Collection Agencies

• Selecting a Collection Agency
• When to Place Accounts with an Agency
• Evaluating an Agency's Performance
• Forms, Policies, and Procedures

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