Health Information Management

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

Click here for more information and to purchase.



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