Hospital Billing A to Z or Physician Practice Billing A to Z
HIM-HIPAA Insider, September 14, 2015
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Written by Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC, Hospital Billing From A to Z is a valuable resource that 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
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