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Combining the basics of coding, insurance, and reimbursement in one concise text, Adams' Coding and Reimbursement: A Simplified Approach, 4th Edition looks at the big picture of medical billing and coding and shows how it fits into the physician reimbursement system. Clearly organized, full-color chapters guide you through the entire coding and claims process, detailing coding rules and applications, insurance guidelines, and the reimbursement system. Realistic, hands-on practice helps you apply what you've learned. Written by medical insurance, billing, and coding expert Wanda Adams, this edition includes the latest ICD-9-CM and CPT codes, a new chapter on HCPCS coding, and a new chapter preparing you for the 2013 transition to ICD-10-CM.Hybrid approach to coding and insurance shows how coding, claims submission, and reimbursement go hand in hand. Coding exercises teach you how to correctly code using the ICD-9-CM and CPT manuals. Coding Tips boxes highlight important information. Test Your Knowledge questions within each chapter help you assess your strengths and weaknesses and prepare for exams. Code It and Claim It! program on the companion Evolve website familiarizes you with a professional coding claim interface and provides practice with actual patient cases. NEW ICD-10-CM Diagnostic Coding chapter prepares you for the 2013 transition to ICD-10. NEW HCPCS Coding System chapter provides an overview of the HCPCS system and its applications. Coding exercises and examples include both ICD-9-CM and ICD-10-CM codes, in preparation for the 2013 transition to ICD-10.

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In Coding and Reimbursement for Hospital Inpatient Services, Third Edition, coding professionals and educators will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement. Those training for positions in the coding field will find a useful guide to enhance their inpatient coding knowledge base as they prepare for certification. New material is included on Present on Admission coding and Medicare Severity-adjusted Diagnostic Related Groups (MS-DRGs). Each chapter is supplemented by exercises and case studies, and the book's appendixes provide a wealth of additional resources. A CD-ROM is included with this book that provides sample forms and other useful tools.

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In Coding and Reimbursement for Hospital Inpatient Services , Fourth Edition, coding professionals and students will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement. Those training for positions in the coding field will find a useful guide to enhance their inpatient coding knowledge base. This book has been fully updated to include information from the 2016 Inpatient Prospective Payment System Final Rule. It also contains detailed information on the DRG system and other inpatient payment methodologies. New to this edition are case studies and exercises with a full answer key available to faculty of approved educational programs, including ICD-10 updates. Key Features Coding and Reimbursement for Hospital Inpatient Services provides a thorough review for coding professionals, educators, and students with coverage of: · Reimbursement and methodologies specific to inpatient practice settings, such as the in

In Coding and Reimbursement for Hospital Inpatient Services , Fourth Edition, coding professionals and students will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement. Those training for positions in the coding field will find a useful guide to enhance their inpatient coding knowledge base. This book has been fully updated to include information from the 2016 Inpatient Prospective Payment System Final Rule. It also contains detailed information on the DRG system and other inpatient payment methodologies. New to this edition are case studies and exercises with a full answer key available to faculty of approved educational programs, including ICD-10 updates. Key Features Coding and Reimbursement for Hospital Inpatient Services provides a thorough review for coding professionals, educators, and students with coverage of: · Reimbursement and methodologies specific to inpatient practice settings, such as the in

This seminal text was originally authored by John Cibinic, Jr. and Ralph C. Nash, Jr., Professors and co-founders of the Government Contracts Program at the National Law Center of George Washington University. Now in its Fourth Edition, it is fully updated by Professor Nash and Steven Knight, also a successful attorney and teacher on government contracts law and policy. Cost-Reimbursement Contracting, contains material on the formation of cost-reimbursement contracts as well as their administration from cradle to grave, with special emphasis on the detailed rules governing the allowability of costs. The book is organized in a clear and logical manner, and makes use of a large number of headings and subheadings to distinguish among the numerous detailed issues that arise in this area. The headings and subheadings also appear in a detailed table of contents, which provides a clear roadmap that shows the fundamental logic of each chapter. A comprehensive subject index can also be used to locate specific topics. In addition to fully updating the text, this new edition adds citations to hundreds of relevant statutes and regulations, as well as court, administrative board, and Government Accountability Office decisions, that were issued since the last edition was published. These citations provide and excellent source for additional research on relevant issues. This comprehensive text will save the reader countless hours and significant effort in researching important issues and legal precedent related to cost-reimbursement contracts. In addition, detailed familiarity with the content will help the reader gain important knowledge and insight, and establish expertise, in this complicated area of government contracting.

This seminal text was originally authored by John Cibinic, Jr. and Ralph C. Nash, Jr., Professors and co-founders of the Government Contracts Program at the National Law Center of George Washington University. Now in its Fourth Edition, it is fully updated by Professor Nash and Steven Knight, also a successful attorney and teacher on government contracts law and policy. Cost-Reimbursement Contracting, contains material on the formation of cost-reimbursement contracts as well as their administration from cradle to grave, with special emphasis on the detailed rules governing the allowability of costs. The book is organized in a clear and logical manner, and makes use of a large number of headings and subheadings to distinguish among the numerous detailed issues that arise in this area. The headings and subheadings also appear in a detailed table of contents, which provides a clear roadmap that shows the fundamental logic of each chapter. A comprehensive subject index can also be used to locate specific topics. In addition to fully updating the text, this new edition adds citations to hundreds of relevant statutes and regulations, as well as court, administrative board, and Government Accountability Office decisions, that were issued since the last edition was published. These citations provide and excellent source for additional research on relevant issues. This comprehensive text will save the reader countless hours and significant effort in researching important issues and legal precedent related to cost-reimbursement contracts. In addition, detailed familiarity with the content will help the reader gain important knowledge and insight, and establish expertise, in this complicated area of government contracting.

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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makes a complex topic understandable for students and practitioners

Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.Designed to prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility, this text includes:- Basics of Health Care Finance & Financial Management- Patient Protection and the Affordable Care Act- Managed Care Organizations- Medicare Prospective Payment System (Inpatient)- Hospital Outpatient Prospective Payment Systems (OPPS)- Coding for the Non-HIM Professional- Revenue Cycle Management- Healthcare Fraud and Abuse- Electronic Health Records and Meaningful Use- Government Incentive Programs- Recovery Audit Contractors (RAC)Two new chapters cover the mechanics of hierarchical condition categories from a CMS perspective (15), and the application of HCC coding in a physican practice (16).

Understanding Health Insurance, Tenth Edition is fully updated to the latest code sets, guidelines, and claim forms to provide you with the most essential and up-to-date knowledge on billing and reimbursement. With Understanding Health Insurance, Tenth Edition, you will learn about managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. Exercises in each chapter provide plenty of practice for learning how to bill and reimburse, and the accompanying workbook provides more application-based assignments for each chapter as well as additional case studies to reinforce your knowledge. The text includes free software that allows you to test your knowledge.

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Hospice & Palliative Care Handbook, Third Edition, offers concise, focused coverage of all aspects of hospice and palliative care for clinicians, managers, and other team members who provide important care while meeting difficult multilevel regulations. Author Tina M. Marrelli, Director of the first U.S. hospice program to attain Joint Commission accreditation for hospice services, helps caregivers meet quality, coverage, and reimbursement requirements in daily practice and documentation. Filled with key topics such as professional standards and guidelines, bereavement services considerations, outcomes, and goals, and quality control, this comprehensible book provides the tools hospice caregivers need for success.2nd Place 2018 AJN Book of the Year

Every year the government gives away over $85 billion in economic incentives to businesses in the form of tax credits/deductions, grants, loans, and cash reimbursements.Ninety percent of these funds go to big businesses that can afford high-priced consultants and lawyers. With this guide, small to medium businesses owners now can learn how to capture these incentive dollars for themselves without having to take on the costs and complications of expensive consultants.

Student Workbook for Comprehensive Health Insurance: Billing, Coding, and Reimbursement (3rd Edition) [paperback] Vines, Deborah,Braceland, Ann,Rollins, Elizabeth,Miller, Susan [Aug 16, 2017]