Denials Management & Appeals Reference Guide - First Edition

Denials Management & Appeals Reference Guide - First Edition PDF

Author: AAPC

Publisher: AAPC

Published: 2020-03-17

Total Pages: 16

ISBN-13: 1626889821

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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!

Scripting Addiction

Scripting Addiction PDF

Author: E. Summerson Carr

Publisher: Princeton University Press

Published: 2010-11-03

Total Pages: 336

ISBN-13: 9780691144504

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Scripting Addiction takes readers into the highly ritualized world of mainstream American addiction treatment. It is a world where clinical practitioners evaluate how drug users speak about themselves and their problems, and where the ideal of "healthy" talk is explicitly promoted, carefully monitored, and identified as the primary sign of therapeutic progress. The book explores the puzzling question: why do addiction counselors dedicate themselves to reconciling drug users' relationship to language in order to reconfigure their relationship to drugs? To answer this question, anthropologist Summerson Carr traces the charged interactions between counselors, clients, and case managers at "Fresh Beginnings," an addiction treatment program for homeless women in the midwestern United States. She shows that shelter, food, and even the custody of children hang in the balance of everyday therapeutic exchanges, such as clinical assessments, individual therapy sessions, and self-help meetings. Acutely aware of the high stakes of self-representation, experienced clients analyze and learn to effectively perform prescribed ways of speaking, a mimetic practice they call "flipping the script." As a clinical ethnography, Scripting Addiction examines how decades of clinical theorizing about addiction, language, self-knowledge, and sobriety is manifested in interactions between counselors and clients. As an ethnography of the contemporary United States, the book demonstrates the complex cultural roots of the powerful clinical ideas that shape therapeutic transactions--and by extension administrative routines and institutional dynamics--at sites such as "Fresh Beginnings."

Addiction Trajectories

Addiction Trajectories PDF

Author: Eugene Raikhel

Publisher: Duke University Press

Published: 2013-04-18

Total Pages: 347

ISBN-13: 0822353644

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Bringing anthropological perspectives to bear on addiction, the contributors to this important collection highlight the contingency of addiction as a category of human knowledge and experience. Based on ethnographic research conducted in sites from alcohol treatment clinics in Russia to Pentecostal addiction ministries in Puerto Rico, the essays are linked by the contributors' attention to the dynamics—including the cultural, scientific, legal, religious, personal, and social—that shape the meaning of "addiction" in particular settings. They examine how it is understood and experienced among professionals working in the criminal justice system of a rural West Virginia community; Hispano residents of New Mexico's Espanola Valley, where the rate of heroin overdose is among the highest in the United States; homeless women participating in an outpatient addiction therapy program in the Midwest; machine-gaming addicts in Las Vegas, and many others. The collection's editors suggest "addiction trajectories" as a useful rubric for analyzing the changing meanings of addiction across time, place, institutions, and individual lives. Pursuing three primary trajectories, the contributors show how addiction comes into being as an object of knowledge, a site of therapeutic intervention, and a source of subjective experience. Contributors. Nancy D. Campbell, E. Summerson Carr, Angela Garcia, William Garriott, Helena Hansen, Anne M. Lovell, Emily Martin, Todd Meyers, Eugene Raikhel, A. Jamie Saris, Natasha Dow Schüll

Persuasive Technology

Persuasive Technology PDF

Author: Alexander Meschtscherjakov

Publisher: Springer Nature

Published: 2023-04-13

Total Pages: 435

ISBN-13: 3031309332

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This book constitutes the refereed proceedings of the 18th International Conference on Persuasive Technology, PERSUASIVE 2023, held in Eindhoven, The Netherlands, April 19–21, 2023. The 24 full papers and 2 short papers included in this book were carefully reviewed and selected from 69 submissions. They were organized in topical sections as follows: Persuasive Technologies in Virtual and Augmented Reality; Persuasive Strategies; Persuasive Design and Applications; Methods for Tailoring and Personalisation; Artificial Persuasive Agents; Gamification; and Personal Factors in Persuasion.

The Subfertility Handbook

The Subfertility Handbook PDF

Author: Gab Kovacs

Publisher: Cambridge University Press

Published: 2010-11-11

Total Pages: 251

ISBN-13: 1139491997

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The fully revised and updated second edition of this practical handbook provides comprehensive coverage of all aspects of subfertility, including treatment and diagnosis. Each chapter is written by a recognized world expert in the field and, together, they aim to provide state of the art answers to all the problems of subfertility in a single volume. The introductory chapter provides a flow-chart approach to systematic diagnosis and treatment. Clearly written and easy to read, the subsequent chapters describe what questions to ask, how to investigate, and what each treatment requires. With an expanded international team of authors, this new edition also offers new chapters devoted to third party reproduction and in vitro maturation of oocytes. From medical students studying for examinations to consultant physicians, this volume is a 'must-have' reference for anyone dealing with couples who have fertility problems.

Learning the Language of Addiction Counseling

Learning the Language of Addiction Counseling PDF

Author: Geri Miller

Publisher: John Wiley & Sons

Published: 2010-12-17

Total Pages: 511

ISBN-13: 0470634650

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Comprehensive and current Learning the Language of Addiction Counseling, Third Edition introduces students to the field of addiction counseling and helps them develop the knowledge, understanding, and skills needed to counsel people who are caught in the destructive cycle of addiction. Drawing from her years of experience working in the addiction-counseling field, Geri Miller provides a balanced overview of the major theoretical underpinnings and clinical practices in the field, covering all of the essentials—from assessment and diagnosis of addiction to preparing for certification and licensure as an addiction professional. Fully revised and expanded, the Third Edition offers a positive, practice-oriented counseling framework and features: Revised chapters reflecting important changes in the field New chapters on "Spirituality and Addiction Counseling" and "Pain and Substance Abuse" New case studies, interactive exercises, and suggested reading and resources at the end of each chapter "Personal Reflections" sections in each chapter illustrating the author's evolving views of addiction counseling New online Instructor's Manual containing PowerPoint® slides, test bank questions, and syllabi

Professional Guide to Diseases

Professional Guide to Diseases PDF

Author: Lippincott

Publisher: Lippincott Williams & Wilkins

Published: 2012-11-05

Total Pages: 1299

ISBN-13: 1451178921

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From the trainee preparing for a board certification examination to the senior faculty member or other health care provider needing a ready reference, the 10th edition of Professional Guide to Diseases features full clinical coverage of more than 600 disorders. Organized around disease clusters, this comprehensive, clear and concise guide to disease information, ranging from causes, signs and symptoms, and diagnosis through treatment and special considerations, has been updated with the latest in original research and practice guidelines and designed to provide a brief yet comprehensive overview of a large array of disease processes. This 10th edition features improved sections focused on health promotion and disease prevention— topics that have been receiving added emphasis in health care circles in recent years – as well as updates on many conditions for which a variety of clinical treatment guidelines have been published recently by major professional medical and surgical organizations. The Professional Guide to Diseases continues to feature information on efficient health care delivery for routine conditions seen almost daily, as well as cultural considerations in patient care, information on potential bioterrorism agents, updates on rare diseases, and inclusion of complementary and alternative therapies for specific conditions, as well as additional coverage for more than 50 life-threatening disorders.