Auditors' Desk Reference 2015

Auditors' Desk Reference 2015 image
ISBN-10:

1601517262

ISBN-13:

9781601517265

Edition: Updated
Publisher: Optum360º
Format: Paperback, 600 pages
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Description:

This unique manual shows what the medical record must contain for correct coding and billing of specific medical and diagnostic services and procedures. It provides coders and anyone concerned about coding with an auditor's perspective on the clinical detail, regulatory instructions, and coding protocol needed for code assignment. Avoid the devastating effects of outside audits and reviews with this detailed coding tool.

Key Features and Benefits

NEW Contains library of time-saving Audit Forms in easy-to-customize electronic format.

Provides coders with an auditor's perceptive. Know the clinical detail, regulatory instructions, coding protocol needed for code assignment, by individual code and code groupings.

Know what information needs to be in the medical record and on the claim form to capture appropriate reimbursement.

Differentiate between similar procedures. Helps coders and auditors compare and contrast seemingly similar, but different procedures.

Know the key terms that need to be mentioned in the medical record to support code assignment.

See the medical conditions that are indicated for diagnostic and therapeutic purposes.

Get valuable code intelligence that helps confirm correct code assignment.

Know about billing and payment issues that affect procedure types.

Conduct internal audits that will ensure proper reimbursement.

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