The How-To Guide to Home Health Billing, Second Edition

The How-To Guide to Home Health Billing, Second Edition
Author: Joan L. Usher
Publisher:
Total Pages: 0
Release: 2016-05-30
Genre:
ISBN: 9781683080824

The How-To Guide to Home Health Billing, Second Edition, is your comprehensive, updated guide to the many elements involved in billing, helping you provide the best training possible to billing and other agency staff.

The How-to Guide to Home Health Billing

The How-to Guide to Home Health Billing
Author: Marylynne Maloney
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2012
Genre: Home care services
ISBN: 9781601469311

Make sure home health billing staff is well trained Home health care billing is a complicated task. Make sure that you are receiving all the payment you've earned, with accurate, compliant, and competent billing practices. The How-to Guide for Home Health Billing is your comprehensive guide to the many complex elements involved., helping you to provide the best training possible to billing staff and those who impact billing. You'll increase competence and confidence about billing requirements and practices. This book will help you: * Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, on collaborating to ensure billing accuracy. * Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments. * The guide will give you the practical "nuts and bolts" education and information you need by taking difficult concepts and explaining them in an easy to understand way. * This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing.

CMS Home Health Billing Manual

CMS Home Health Billing Manual
Author: Beacon Health
Publisher: Healthleaders Media
Total Pages: 136
Release: 2014-05-14
Genre: MEDICAL
ISBN: 9781615690305

This handy manual-updated to reflect 2010 changes-is a great resource for finding answers quickly and easily when you're stumped with a home health billing question. Spend less time looking for answers while receiving the most appropriate payment allowed. It's the perfect supplementary guide to your billing and payment procedures. Packed with examples, definitions, and calculations from CMS, this helpful guide also provides a quick billing reference for services and supplies, as well as tips when billing for non-routine supplies. In addition, it identifies what has changed and what has been eliminated since the start of the revised PPS. This convenient manual will help you: * Understand the general guidelines for processing home health agency (HHA) claims, such as where and how to bill * Report non-routine supplies on the claim * Use the Common Working File (CWF) for the PPS * Meet provider and supplier responsibilities regarding services subject to consolidated billing * Submit requests for anticipated payment (RAPs) and claims * Become adept at completing form CMS-1450 (UB-04) * Identify required quality data and the payment reduction for submission failure * Explore special billing situations involving OASIS assessments, multiple agencies, and more

Medical Billing & Coding For Dummies

Medical Billing & Coding For Dummies
Author: Karen Smiley
Publisher: John Wiley & Sons
Total Pages: 355
Release: 2019-12-05
Genre: Medical
ISBN: 1119625440

The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

CMS Publication 100-4 Chapter 10

CMS Publication 100-4 Chapter 10
Author: Paula Long
Publisher: Beacon Health, a Division of Blr
Total Pages: 0
Release: 2011-02-07
Genre:
ISBN: 9781601468383

CMS Publication 100-4 Chapter 10: CMS Home Health Billing Manual This handy manual--updated to reflect 2010 changes--is a great resource for finding answers quickly and easily when you're stumped with a home health billing question. Spend less time looking for answers while receiving the most appropriate payment allowed. It's the perfect supplementary guide to your billing and payment procedures. Packed with examples, definitions, and calculations from CMS, this helpful guide also provides a quick billing reference for services and supplies, as well as tips when billing for non-routine supplies. In addition, it identifies what has changed and what has been eliminated since the start of the revised PPS. This convenient manual will help you: Understand the general guidelines for processing home health agency (HHA) claims, such as where and how to bill Report non-routine supplies on the claim Use the Common Working File (CWF) for the PPS Meet provider and supplier responsibilities regarding services subject to consolidated billing Submit requests for anticipated payment (RAPs) and claims Become adept at completing form CMS-1450 (UB-04) Identify required quality data and the payment reduction for submission failure Explore special billing situations involving OASIS assessments, multiple agencies, and more

Denials Management & Appeals Reference Guide - First Edition

Denials Management & Appeals Reference Guide - First Edition
Author: AAPC
Publisher: AAPC
Total Pages: 16
Release: 2020-03-17
Genre: Medical
ISBN: 1626889821

Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more!