The Medicare Billing Manual for Long-term Care

Format:

Book

Author/Creator:

Rubertino, Frosini, author.

Language:

English

Physical Description:

1 online resource (206 p.) ill

Place of Publication:

Health Press

Summary:

The Medicare Billing Manual for Long-Term CareConquer no-pay bills, exhaust billing, and ensure proper reimbursement under RUG-IVThe 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-IVCorrectly file monthly, no-pay, and benefits exhaust claimsComplete the UB-04 accuratelyApply expert insight and insider tips to your SNF consolidated billingUnderstand which ancillary services are covered under Part BIncrease cash flow and financial viability with Part B billingAvoid auditor scrutiny by correctly submitting claims to Medicare on the first tryTable of ContentsChapter 1: Overview and History of the Medicare ProgramChapter 2: Part A SNF BillingChapter 3: Billing for Ancillary RevenueChapter 4: Part B Outpatient Therapy Services and BillingChapter 5: Billing for DMEPOSChapter 6: Billing for Diagnostic Tests, Lab Services, and RadiologyChapter 7: Billing for Screening and PreventionChapter 8: Ensuring a Solid SNF Billing SystemAppendix A: AcronymsAppendix B: FormsToolsWhen 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 chartRUG grouper criteria chartADL calculation chartUB-04 top sections that reveal code changes

ISBN:

1-61569-195-2