Reference Guide For Medicare Physician Supplier Billers
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Reference Guide for Medicare Physician & Supplier Billers, Etc., First Edition - April 2004
| Author | : United States. Health Care Financing Administration |
| Publisher | : |
| Total Pages | : |
| Release | : 2004* |
| Genre | : |
| ISBN | : |
National Medicare Part B Billing and Payment Guide
| Author | : Decision Health |
| Publisher | : |
| Total Pages | : 326 |
| Release | : 2012-12-01 |
| Genre | : |
| ISBN | : 9781620508718 |
The National Part B Medicare Billing and Payment Guide 2013 is the single, most affordable reference guide in the market designed to help you decipher CMS' rules on billing and payment quickly and efficiently. This edition is entirely updated from cover to cover with the new physician fee schedule data that applies to next year. There are substantial changes to many codes, and quite a few specialty practices are going to be surprised by the degree to which they're impacted by an expansion of the Multiple Procedure Payment Reduction. You will be able to bill with accuracy, eliminate denials and earn all the reimbursement your practice deserves with the only independent reference that gives you Medicare Part B billing rules and fees neatly arranged by code. Code clean claims FAST, planting the answers for more than 12,000 procedures and services to billing and payment questions conveniently at your fingertips.
Practice Management Reference Guide - First Edition
| Author | : AAPC |
| Publisher | : AAPC |
| Total Pages | : 14 |
| Release | : 2020-03-16 |
| Genre | : Medical |
| ISBN | : 1626889856 |
Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
Guide to Medical Billing
| Author | : |
| Publisher | : Mosby |
| Total Pages | : 346 |
| Release | : 1994-10 |
| Genre | : Medical |
| ISBN | : 9780815148104 |
Medicare RBRVS
| Author | : American Medical Association |
| Publisher | : American Medical Association Press |
| Total Pages | : 0 |
| Release | : 2001-03 |
| Genre | : Medicare |
| ISBN | : 9781579471408 |
Medicare RBRVS 2001: The Physician's Guide offers quick access to 2001 relative values by CPT code, geographic practice cost indices, explanations of payment rules for surgical packages, appropriate use of new modifiers, and a summary and history of payment reform. By providing detailed background information and explaining all features of the physician payment system, Medicare RBRVS is an excellent reference tool for physicians and their staff to use in answering particular questions about the system.
Nonphysician Practitioner Reference Guide - First Edition
| Author | : AAPC |
| Publisher | : AAPC |
| Total Pages | : 14 |
| Release | : 2020-06-30 |
| Genre | : Medical |
| ISBN | : 1626889864 |
Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians. Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules. Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers. Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide. This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing. Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more. Shore up revenue for your mid-level practitioners with: Tips for accurate dual-provider coding Max out incident-to pay the right way and earn 100% of allowable revenue versus 85% Rely on split/shared visit coding in non-office settings Know how to avoid substitute physician billing challenges Boost your signature know-how and avoid claim denials Watch incident-to claims when physician is out of office Get the facts on performing consults Learn the secret NPP guidelines for coding virtual visits Do you know the reciprocity rules when your physician leaves town? And much more! Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.
Compliance for Coding, Billing & Reimbursement, 2nd Edition
| Author | : Duane C. Abbey |
| Publisher | : CRC Press |
| Total Pages | : 232 |
| Release | : 2008-04-02 |
| Genre | : Medical |
| ISBN | : 1563273683 |
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.
