Compliance for Coding, Billing & Reimbursement: A Systematic Approach to Developing a Comprehensive Program...

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Duane C. Abbey James H. Handwerk

Compliance for Coding, Billing & Reimbursement

A Systematic Approach to Developing a Comprehensive Program

Duane C. Abbey, James H. Handwerk, Mark J. Kaiser

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English

Productivity Press
02 April 2008

Office & workplace

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.

By: Duane C. Abbey, James H. Handwerk, Mark J. Kaiser
Imprint: Productivity Press
Country of Publication: United States
Edition: 2nd edition
Dimensions: Height: 280mm, Width: 210mm, Spine: 12mm
Weight: 566g
ISBN: 9781563273681
ISBN 10: 1563273683
Pages: 230
Publication Date: 02 April 2008
Audience: College/higher education , Professional and scholarly , Professional & Vocational , A / AS level , Further / Higher Education
Format: Paperback
Publisher's Status: Active

Abbey, Duane C.