Compliance for Coding, Billing & Reimbursement, 2nd Edition: A Systematic Approach to Developing a Comprehensive Program
Product Description
Even as the vast majority of providers never intend to commit fraud or file fake claims, complex procedures, changing set of laws, and evolving technology make it near impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a source; but, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign come forth, differing guidelines can lead to fake claims with financial and even criminal implications.
Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving language, this unique and accessible resource covers statutorily based programs and narrow-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships.
Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Calculated to facilitate well-organized reimbursements that don’t run afoul of laws and set of laws, this resource –
- Addresses the seven key elements promulgated by the OIG for any compliance program
- Discusses numerous types of compliance issues for all type of healthcare providers
- Offers access to online resources that provide continually updated in rank
- Cuts through the morass of language and acronyms with a comprehensive glossary
- Includes a CD-ROM packed with set of laws and in rank
In addition to offering salient in rank illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
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