Correct Coding for Medicare, Compliance, and Reimbursement

First Edition
Author: Belinda S. Frisch
ISBN #: 141801561X
©2007   Publish Date: 12/29/2006
Binding: PB
Pages: 512
Publisher: Cengage Learning

Price: $119.95

Table of Contents:

Dedication
Foreword
Preface
Acknowledgements
About the Author
Part I: Evaluation and Management Coding
Chapter 2: Evaluation and Management Services
Chapter 3: Administrative and Time-Based Codes
Chapter 4: Outpatient Evaluation and Management Codes
Chapter 5: Inpatient and Observation Evaluation and Management Codes
Chapter 6: Consultations
Chapter 7: Preventative Medicine and Primary Care
Chapter 8: Midlevel Practitioner Services
Part II: International Classification of Diseases, 9th Revision, Clinical Modification
Chapter 9: ICD-9 Coding
Part III: Medicare
Chapter 10: Medicare
Chapter 11: Medicare as a Secondary Payer (MSP)
Chapter 12: HIPPA Basics (Health Insurance Privacy and Portability Act)
Part IV: Claims Basics
Chapter 13: Step by step CMS-1500 form completion/ Place of Service Codes
Chapter 14: Front Office Procedures
Chapter 15: National Correct Coding Initiative (NCCI)
Chapter 16: Time Frames for Claim Submission, Payment, and Appeals
Chapter 17: Monitoring reports, following up on denials, and the appeals process
Part V: Compliance
Chapter 18: Office of the Inspector General (O.I.G.)
Chapter 19: Fraud and Abuse
Chapter 20: How to Perform a Medical Record Audit
Chapter 21: The Compliance Plan
Appendix I: Examination Documentation Checklists for the General Multi-System Exam and 10 Individual Single System Examinations
Appendix II: Medical Terminology Basics
Glossary

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