Coding for Medical Necessity Reference Guide - First Edition

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Release : 2020-03-18
Genre : Medical
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Book Rating : 805/5 ( reviews)

Coding for Medical Necessity Reference Guide - First Edition - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Coding for Medical Necessity Reference Guide - First Edition write by AAPC. This book was released on 2020-03-18. Coding for Medical Necessity Reference Guide - First Edition available in PDF, EPUB and Kindle. Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ

Clinical Documentation Reference Guide - First Edition

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Release : 2020-03-12
Genre : Medical
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Book Rating : 791/5 ( reviews)

Clinical Documentation Reference Guide - First Edition - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Clinical Documentation Reference Guide - First Edition write by AAPC. This book was released on 2020-03-12. Clinical Documentation Reference Guide - First Edition available in PDF, EPUB and Kindle. It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

Coders' Dictionary & Reference Guide - First Edition

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Release : 2020-06-30
Genre : Medical
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Book Rating : 813/5 ( reviews)

Coders' Dictionary & Reference Guide - First Edition - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Coders' Dictionary & Reference Guide - First Edition write by AAPC. This book was released on 2020-06-30. Coders' Dictionary & Reference Guide - First Edition available in PDF, EPUB and Kindle. Finding the coding and billing information you need just got easier. The Coders’ Dictionary & Reference Guide is the perfect companion for coding and billing students and busy professionals. This unique resource, designed for your everyday use, provides a complete reference library in one convenient and affordable volume. Now you can clear the pile of books from your desk and find all the supporting information you need for medical billing and coding. Boost your productivity with fingertip-access to medical terms and industry acronyms. Double-check your modifier usage. Find quick answers to your E/M, anesthesia, and surgery coding questions. Refer to educational illustrations and solidify your reporting know-how with essential lay terms. Speed up your workflow with these beneficial features: Exhaustive list of thousands of medical terms with definitions in an easy-to-understand language Billing, coding and reimbursement terms defined to familiarize you with current regulations, requirements, processes, and agencies How-to guidance for coding procedures from the Surgery section, with explanations of common terms Evaluation and Management (E/M) Survival Guideto help you identify the right choice for E/M service levels Anesthesia primer to distinguish between various types of anesthesia Modifiers and lay descriptions for CPT®and HCPCS modifiers in plain English to eliminate your confusion as to when and how to apply modifiers Lists of prefixes, suffixes, abbreviations, and eponyms frequently used in coding Anatomical illustrations to enhance your understanding of services and procedures Place of service(POS) and type of service (TOS) lists And much more!

Coding for Medical Necessity Reference Guide

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Release : 2023
Genre : Medical records
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Book Rating : 930/5 ( reviews)

Coding for Medical Necessity Reference Guide - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Coding for Medical Necessity Reference Guide write by . This book was released on 2023. Coding for Medical Necessity Reference Guide available in PDF, EPUB and Kindle.

Denials Management & Appeals Reference Guide - First Edition

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Release : 2020-03-17
Genre : Medical
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Book Rating : 821/5 ( reviews)

Denials Management & Appeals Reference Guide - First Edition - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Denials Management & Appeals Reference Guide - First Edition write by AAPC. This book was released on 2020-03-17. Denials Management & Appeals Reference Guide - First Edition available in PDF, EPUB and Kindle. Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more!