Medicare Billing
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Medicare QuickStart Guide: The Simplified Beginner's Guide to Medicare
Medicare QuickStart Guide: The Simplified Beginner's Guide to Medicare
Medicare, Simplfied *Medicare Broken Down So Simply, You'll Know Exactly How What To Expect And How To Ensure You Are Receiving The Best Medical Coverage Possible* Healthcare costs in the United States are growing higher every year - especially for those over 65. Approaching the autumn of your life without being confident your healthcare costs will be covered can be very frightening. Simply put, if you don't understand how Medicare works, you could be missing out on proper coverage that could protect you and your loved ones. You will hear about Medicare on the news and in the paper all time but most people don't understand how it really works. It's time you fully understand what Medicare is, how it works and what it means for you.No other book is going to teach you about from the ground up - discussing the history of this Federal health insurance and how it will affect your life when you turn 65. Contrary to what some politicians might state, Medicare is not going anywhere in the foreseeable future. Medicare coverage costs represent a significant portion of the Federal budget and are only expected to grow in the coming years. Medicare Simplified Will Make Sure You Understand Exactly What You Need To Know To Ensure The Best Coverage Possible! For many American seniors, Medicare coverage will provide the only source of health care coverage. And for those who do have other insurance coverage (e.g. COBRA) it's important to know exactly how Medicare fits into an overall health care plan. The fact of the matter is You Need To Understand How Medicare Works! "Medicare Simplified" has been specifically designed with ease of learning in mind to ensure you don't get stuck, lost or lose hope when trying to understand Medicare. Never again will you need to waste your time searching the internet, watching videos or learning about Medicare from the mouths of politicians! In "Medicare Simplified" you will come to understand Medicare from the inside out. You'll realize what factors affect your Medicare benefits, when and how to navigate the Medicare system in order to maximize your coverage, and how Medicare interacts with other insurance coverage you or your loved ones might have. Who Is This For?People With Zero To Little Knowledge of the Medicare!Medicare 'Experts' Looking to Brush Up On the Mechanics of the Medicare!People Who Want To Maximize Their Medicare Coverage!What You'll Learn...The History & Development of MedicareThe Principles that Medicare Is Built UponWhen, Why & How Medicare Become Available!Exactly How To Maximize Medicare CoverageHow Medicare Interacts With Other InsurancesOur Personal Guarantee We are so confident that methods outlined in this book will help you understand Medicare that we're willing to let you try the book risk-free. If you are not fully satisfied with the product, simply let us know and we will provide a 100% full refund. That’s right, a 100% Money-Back Guarantee! What reason do you have to not give this book a try? Scroll Up To The Top Of The Page And Click The Orange "Buy Now" Icon On The Right Side Right Now! ClydeBank Media LLC All Rights Reserved

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$15.99



Medicare Claims Processing Manual: Fee Schedule Administration and Coding Requirements
Medicare Claims Processing Manual: Fee Schedule Administration and Coding Requirements
This book contains Chapter 23 of the official CMS Medicare Claims Processing Manual, which covers Medicare fee schedule administration and coding requirements. This was last revised in January 2017. Written by the Centers for Medicare and Medicaid Serves, and delivered in large 8.5x11” size, this book makes a convenient, quick reference for medical coders, health care professionals, and anyone else needing information on Medicare fee schedule administration and coding. Please note: This book is not the complete Medicare Claims Processing Manual, only Chapter 23: Fee Schedule Administration and Coding Requirements.

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$49.95



Medical Billing and Coding For Dummies
Medical Billing and Coding For Dummies
Your complete guide to a career in medical billing and coding, updated with the latest changes in the ICD-10 and PPS This fully updated second edition of Medical Billing & Coding For Dummies provides readers with a complete overview of what to expect and how to succeed in a career in medical billing and coding. With healthcare providers moving more rapidly to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding. This updated resource includes details on the most current industry changes in ICD-10 (10th revision of the International Statistical Classification of Diseases and Related Health Problems) and PPS (Prospective Payment Systems), expanded coverage on the differences between EHRs and MHRs, the latest certification requirements and standard industry practices, and updated tips and advice for dealing with government agencies and insurance companies. Prepare for a successful career in medical billing and coding Get the latest updates on changes in the ICD-10 and PPS Understand how the industry is changing and learn how to stay ahead of the curve Learn about flexible employment options in this rapidly growing industry Medical Billing & Coding For Dummies, 2nd Edition provides aspiring professionals with detailed information and advice on what to expect in a billing and coding career, ways to find a training program, certification options, and ways to stay competitive in the field.

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$12.74
-$10.25(-45%)



The Medicare Billing Manual for Long-Term Care
The Medicare Billing Manual for Long-Term Care
Conquer no-pay bills, exhaust billing, and ensure proper reimbursement under RUG-IV The Medicare Billing Manual for Long-Term Care provides easy-to-understand guidance to help long-term care facilities correctly file Medicare Part A and Part B claims. It breaks down the often misunderstood consolidated billing process, clarifies the appropriate use of beneficiary notices, and offers practical solutions for billing under RUG-IV. The Medicare Billing Manual for Long-Term Care will help you: - Understand and comply with the billing changes under RUG-IV - Correctly file monthly, no-pay, and benefits exhaust claims - Complete the UB-04 accurately - Apply expert insight and insider tips to your SNF consolidated billing - Understand which ancillary services are covered under Part B - Increase cash flow and financial viability with Part B billing - Avoid auditor scrutiny by correctly submitting claims to Medicare on the first try Table of Contents Chapter 1: Overview and History of the Medicare Program Chapter 2: Part A SNF Billing Chapter 3: Billing for Ancillary Revenue Chapter 4: Part B Outpatient Therapy Services and Billing Chapter 5: Billing for DMEPOS Chapter 6: Billing for Diagnostic Tests, Lab Services, and Radiology Chapter 7: Billing for Screening and Prevention Chapter 8: Ensuring a Solid SNF Billing System Appendix A: Acronyms Appendix B: Forms Tools When you purchase this book, you will also receive on-line access to a number of valuable tools, which you can download straight to your desktop, then customize to fit your specific needs. Among the tools available include: - RUG-IV classification chart (shows the breakdown of RUG-IV classification) - RUG spider chart - RUG grouper criteria chart - ADL calculation chart - UB-04 top sections that reveal code changes

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$129.00



Correct Coding for Medicare, Compliance, and Reimbursement
Correct Coding for Medicare, Compliance, and Reimbursement
Learn how to code correctly and maximize reimbursement with Correct Coding for Medicare, Compliance, and Reimbursement. As Medicare pays a large percentage of health care claims, this valuable resource focuses on helping you develop the critical billing skills to execute correct reimbursement. Once you have mastered the competencies for Medicare, you can easily transfer this knowledge to other insurance programs.

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ICD-10-CM Official Guidelines for Coding and Reporting: 2017
ICD-10-CM Official Guidelines for Coding and Reporting: 2017
The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a companion document to the official version of the ICD-10- CM as published on the NCHS website. The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. The ICD-10-CM is based on the ICD-10, the statistical classification of disease published by the World Health Organization (WHO). These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved.

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$13.23
-$4.72(-26%)



Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Web Site, 2 terms (12 months) Printed Access Card and Cengage EncoderPro.com Demo Printed Access Card)
Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Web Site, 2 terms (12 months) Printed Access Card and Cengage EncoderPro.com Demo Printed Access Card)
Discover the essential tool to prepare for a career in medical insurance billing -- UNDERSTANDING HEALTH INSURANCE, 13E. This comprehensive, easy-to-understand, updated book presents the latest code sets and guidelines. You cover today's most important topics, such as managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care, including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; case mix management; hospital-acquired conditions; present on admission; and value-based purchasing. Practice exercises and the workbook (available separately) provides application-based assignments and case studies to reinforce your understanding, as well as CMRS, CPC-P, and CPB Mock Exams. New editions include online access to SimClaim™ CMS-1500 claims completion software and Optum's EncoderPro.com Expert™.

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$161.49
-$26.46(-14%)



Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Website, 2 terms (12 months) Printed Access Card for Cengage EncoderPro.com Demo)
Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Website, 2 terms (12 months) Printed Access Card for Cengage EncoderPro.com Demo)
Understanding Health Insurance, 12th Edition, is the essential learning tool your students need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The twelfth edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the workbook (available separately) provides even more application-based assignments and additional case studies for reinforcement. Includes free online SimClaim™ CMS-1500 claims completion software, and free-trial access to Optum's EncoderPro.com--Expert encoder software.

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$119.98
-$67.97(-36%)



Consolidated Billing for Long-Term Care
Consolidated Billing for Long-Term Care
Consolidated billing remains a constant challenge for compliance and billing long-term care professionals. Consolidated Billing for Long-Term Care helps skilled nursing facilities (SNF) figure out which billed services they are responsible for paying and which they are not. This book opens with helpful background information on the intersection of SNF services and billing. It then covers the five major categories of consolidated billing and all the service inclusions and exclusions that apply to each, with an entire chapter dedicated to dissecting the trickiest cases. Also detailed is how to determine which components of an invoice should be paid and how to develop airtight payment agreements with outside service partners. Finally, this book provides strategies for implementing and shaping industry-required compliance systems (i.e., compliance and ethics programs and QAPI) that promote successful consolidated billing. Included are case scenarios and figures to illustrate key concepts, tips on avoiding fraudulent practices and other common billing pitfalls, and guidance on obtaining appropriate reimbursement. This resource will help you to do the following: - Apply expert insight and insider tips to your SNF consolidated billing - Understand what is excluded and included under consolidated billing - Improve workflow and financial viability with compliant consolidated billing practices - Avoid auditor scrutiny by correctly submitting claims to Medicare on the first try Table of Contents Part I: Background and Regulatory Breakdown Chapter 1: The Basics of SNF Skilled Coverage - Medicare General Program Benefits - Skilled Services Defined - SNFs and NFs Defined - Reimbursable SNF Services - SNF Payment Coverage Requirements - General SNF Payment and Billing Requirements - Bottom Line Chapter 2: Introduction to SNF Consolidated Billing: The Mechanics - A Checkered Billing Past - Consolidated Billing Defined - SNF CB Coding Requirements - First Look: Sample CB Claim Form - Termination of the Consolidated Billing Requirement - Bottom Line Chapter 3: The Five Major Categories of Consolidated Billing - Excluded Services Defined - Major Categories of Consolidated Billing - Bottom Line Chapter 4: Consolidated Billing Illustrated - CB Reference Charts: The Who, What, and When of Consolidated Billing - Test Your Knowledge: CB Fact vs. Fiction - Bottom Line Chapter 5: Navigating Special Billing Cases - Categorical Exclusions - Ambulance Services - Physician and Nonphysician Practitioner Services - Unique Billing Scenarios - Leave of Absence - Chemotherapy Administration - Influenza and Pneumococcal Pneumonia Vaccinations - Bottom Line Part II: Compliance Strategy Chapter 6: Forging Successful Payment Arrangements With Outside Service Partners - Agreements and Notifications Defined - Rundown of the Payment Arrangement Provision - Sample CMS Agreement and Notification Letters Decoded - Bottom Line Chapter 7: Best Practices for Ongoing Consolidated Billing Compliance - Billing Stage Specific Compliance Strategies - Systemic Compliance Programs - Putting It All Together: Consolidated Billing Case Studies - Bottom Line Appendix: Key Acronyms Defined Who should read this book? - Billers coders - MDS coordinators - Administrators - Business office managers - Floor nurses - Directors of nursing

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$150.00



Medicare RBRVS 2017: The Physicians' Guide (MEDICARE RBRVS (AMA))
Medicare RBRVS 2017: The Physicians' Guide (MEDICARE RBRVS (AMA))
AMA's Medicare RBRVS: The Physicians' Guide 2017 is a concise, trusted resource on Medicare's RBRVS system. It provides the insights, tools and tables needed to understand the RBRVS system and to easily and accurately calculate payment schedules.

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$69.94
-$22.01(-24%)


 
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