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Reference Guide for Medicare Physician & Supplier Billers
Reference Guide for Medicare Physician & Supplier Billers, Etc., First Edition - April 2004
Author: United States. Health Care Financing Administration
Publisher:
Published: 2004*
Total Pages:
ISBN-13:
DOWNLOAD EBOOK →The Medicare Handbook
Microfilming Records
Author: United States. National Archives and Records Service. Office of Records Management
Publisher:
Published: 1974
Total Pages: 176
ISBN-13:
DOWNLOAD EBOOK →Provider-based Entities
Author: Gina M. Reese
Publisher: Hcpro, a Division of Simplify Compliance
Published: 2017
Total Pages: 0
ISBN-13: 9781683081906
DOWNLOAD EBOOK →This book serves as a comprehensive guide to provider-based clinics, from qualifying under CMS, to unique billing and coding rules, and the business decisions behind owning or acquiring these clinics. It will help readers sort through the complex regulations relevant to this unique provider type, and provide insight into recent changes, such as the introduction of Modifier -PO. CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments (PBD) by January 1, 2017, according to the 2017 OPPS proposed rule. The agency is proposing to pay the nonfacility or office Medicare Physician Fee Schedule (MPFS) amount to the performing/supervising physician and preclude hospitals from billing on a UB-04 form or receiving OPPS payment for services performed at these locations for 2017, but plans to explore other options for 2018 and beyond. Physicians would be paid at the higher nonfacility rate of the MPFS, but only hospitals that have employed or contracted physicians that reassign their billing to the hospital would get paid under the MPFS for these services. Hospitals would be able to bill claims on CMS-1500 forms for physicians who have already reassigned their billing to the hospital, as in the case of employed physicians. Otherwise, hospitals would have the option of enrolling the location as the type of provider or supplier it wishes to bill to meet the requirements of that payment system (e.g., ambulatory surgery center or group practice).
National Medicare Part B Billing and Payment Guide
Author: Decision Health
Publisher:
Published: 2012-12-01
Total Pages: 326
ISBN-13: 9781620508718
DOWNLOAD EBOOK →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
Published: 2020-03-16
Total Pages: 14
ISBN-13: 1626889856
DOWNLOAD EBOOK →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
CPT Professional 2022
Author: American Medical Association
Publisher:
Published: 2021-09-17
Total Pages: 1200
ISBN-13: 9781640160873
DOWNLOAD EBOOK →CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
Medical Billing & Coding For Dummies
Author: Karen Smiley
Publisher: John Wiley & Sons
Published: 2019-12-05
Total Pages: 355
ISBN-13: 1119625440
DOWNLOAD EBOOK →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!
