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Medicare Insider, October 7, 2014
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Hospital Billing From A to Z
Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC
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 Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics, including the following:
- 2-Midnight Rule and Inpatient Admission Criteria
- Correct Coding Initiative
- CPT®, HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes
- Denials, Appeals, and Reconsideration Requirements
- Hospital-Issued Notice of Noncoverage
- Deductibles, Copayments, and Coinsurance
- Local and National Coverage Determinations
- Medically Unlikely Edits and Outpatient Code Editor
- Medicare Part A and Part B
- Observation Services
- Outlier Payments
- Present on Admission
- UB-04 Form Definitions
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