Hospital Billing From A to Z

Format:

Book

Contributor:

Callahan, Erin, editor-in-chief.

Language:

English

Physical Description:

1 online resource (186 p.)

Place of Publication:

HCPro, a division of BLR

Summary:

Hospital Billing from A to ZCharlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBCWith Kohler HealthCare Consulting, Inc., associatesCatherine Clark, CPC, CRCE-IDarrin Cornwell, CRCS-IJanet Ellis, RN, BSN, MSDawn Doll Homer, CPC, CRCS-I, CDCDaria Malan, RN, LNHA, MBA, RAC-CT®John Ninos, MS, MT(ASCP), CCSRobin Stover, RN, BSBA, CPC, CPC-H, CMASDeanna Turner, MBA, CPOC, CPC, CPC-I, CSSGBSusan Walberg, JD, MPA, CHCHospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements.Hospital Billing From A to Zis a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process.Beginning with Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following:2-Midnight Rule and Inpatient Admission CriteriaCorrect Coding InitiativeCPT®, HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value CodesCritical Access HospitalsDeductibles, Copayments, and CoinsuranceDenials, Appeals, and Reconsideration RequirementsDialysis and DME Billing in HospitalsHospital-Issued Notice of NoncoverageLaboratory Billing and Fee ScheduleLocal and National Coverage DeterminationsMedically Unlikely Edits and Outpatient Code EditorMedicare Advantage PlansMedicare Beneficiary Numbers and National Provider IdentifierMedicare Part A and Part BNo-Pay ClaimsObservation ServicesOutlier PaymentsPresent on AdmissionRejected and Returned ClaimsUB-04 Form DefinitionsWho should read this book?Finance and reimbursement staffChargemaster staffBillers and codersHIM staffClinical department staffRevenue managersCompliance officers and auditorsRegistration staffFiscal intermediary staffHealthcare attorneys, consultants, and CPAsLegal department staff

ISBN:

1-55645-159-8

1-55645-158-X