Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements.
Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process.
 Beginning with 2-Midnight Rule and Inpatient Admission Criteria and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following:
 - Correct Coding Initiative - CPT®, HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes - Critical Access Hospitals - Deductibles, Copayments, and Coinsurance - Denials, Appeals, and Reconsideration Requirements - Dialysis and DME Billing in Hospitals - Hospital-Issued Notice of Noncoverage - Laboratory Billing and Fee Schedule - Local and National Coverage Determinations - Medically Unlikely Edits and Outpatient Code Editor - Medicare Advantage Plans - Medicare Beneficiary Numbers and National Provider Identifier - Medicare Part A and Part B - No-Pay Claims - Observation Services - Outlier Payments - Present on Admission - Rejected and Returned Claims - UB-04 Form Definitions
 Who should read this book?
 - Finance and reimbursement staff - Chargemaster staff - Billers and coders - HIM staff - Clinical department staff - Revenue managers - Compliance officers and auditors - Registration staff - Fiscal intermediary staff - Healthcare attorneys, consultants, and CPAs - Legal department staff

Hospital Billing from A to Z

Medical Books

HCPRO

Charlotte L. Kohler RN CPA CVA CRCE-I CPC ACS CHBC

Administration & Medicine Economics

HCPro

Physician Practice Billing From A to Z is a comprehensive, user-friendly guide to billing requirements, with particular emphasis on Medicare. This resource will help physician practice billers understand the relevant regulations, code sets, compliance issues, and myriad other factors that affect the billing process.
From ABNs to ZPICs, this valuable reference book addresses, defines, and explains more than 100 topics in alphabetical order, including the following:
- Billing Compliance - Codes CPT and HCPCS - Deductibles, Copayments, and Coinsurance - Denial of Related Part B Services When Inpatient Service Denied by Medicare - Evaluation and Management and Procedure Same Day - HCPCS vs. CPT: G (Temporary) Code Assignment - Laboratory Billing and Modifiers -91 and -59 - Local Coverage Determinations and National Coverage Determinations - Locum Tenens - Medically Unlikely Edits and Their Adjudication Indicators - Medicare Beneficiary Numbers Health Insurance Claim Number Prefixes and Suffixes - Medicare Coverage Overview - Modifier Overview - National Provider Identifier - Observation Billing Codes and Requirements - Rejected and Denied Claims - Split/Shared Visits
Who should read this book?
- Physician practice manager - Physician office manager - Physician practice administrator - Practice manager - Office manager - Practice administrator - Business manager - Coding supervisor - Billing supervisor - Compliance officer - Biller

Physician Practice Billing From A to Z

HCPro a division of BLR

HCPro, a division of BLR

Long-term care billing departments are known by various names, but they all face the challenge of understanding and complying with Medicare's many billing requirements for accurate reimbursement. Long-Term Care Billing A to Z is a comprehensive, user-friendly reference to long-term care billing requirements, with a focus on Medicare. This valuable resource will help billers understand how compliance, external audits, and rejected and returned claims affect the billing process.
This valuable reference guide addresses, defines, and explains over 70 of your toughest topics in alphabetical order, beginning with Advance Beneficiary Notice of Noncoverage and ending with Z coding, including: 
<li>Care plans</li> <li>Denials, appeals, and reconsideration requirements</li> <li>Laboratory billing and fee schedule</li> <li>Medicare Advantage plans</li> <li>Medicare Part A and Part B</li> <li>No-pay claims</li> <li>Physician certification and recertification</li> <li>Rejected and returned claims</li> <li>Therapy documentation</li> <li>UB-04 form definitions</li> <li>Veterans nursing homes</li> This book will help you: 
<li>Understand Medicare billing requirements</li> <li>Submit accurate bills to Medicare</li> <li>Mitigate government audits and repayments</li>
Who should read this book? 
<li>Finance and reimbursement staff</li> <li>Billers and coders</li> <li>HIM staff</li> <li>Clinical department staff</li> <li>Revenue managers</li> <li>Compliance officers and auditors</li> <li>Registration staff</li> <li>Fiscal intermediary staff</li> <li>Healthcare attorneys, consultants, and CPAs</li> <li>Legal department staff</li>

Long-Term Care Billing A to Z

Allied Health Professions

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Books by Charlotte L. Kohler RN CPA CVA CRCE-I CPC ACS CHBC