Name: Guide to Coding Compliance By Joanne Becker
SKU: 9781435439214
Price: 10.16 USD
Availability: InStock

Guide to Coding Compliance Summary

Guide to Coding Compliance by Joanne Becker

A Guide to Coding Compliance provides guidelines on performing coding compliance reviews and developing a coding compliance program. Real-life case studies tie fundamental knowledge with practical solutions to many compliance situations that providers face today.

Guide to Coding Compliance Reviews

1. CODING AND BILLING - DIFFERENCES AND SIMILARITIES. The Purpose of Coding and Billing. The Importance of Accurate Data in the Healthcare Environment. Case Studies. 2. CODING COMPLIANCE. Defining Fraud and Abuse. Complying with Regulations. "Official" Coding Guidelines. Federal Regulations. Payer Guidelines. Coding Guidance from Professional Associations. Coding "Behavior". Standards of Ethical Coding. Exercises and Questions for Discussion. 3. THE IMPORTANCE OF DOCUMENTATION. Documentation as the Key Resource. Documentation Standards. The Purpose of the Encounter Form. Templates. Querying - A Process Within a Process. Corrections in the Medical Record. Exercises and Questions for Discussion. 4. CODING AND MEDICAL NECESSITY. Defining Medical Necessity. National and Local Coverage Decisions. Advance Beneficiary Notices of Noncoverage (ABNs). Billing for Medical Necessity. Coding Compliance Issues. Compliance Activities. Case Studies. Review Your Understanding. 5. DEVELOPING A CODING COMPLIANCE PROGRAM. Integrating Coding and Corporate Compliance. Quality Coding and Accurate Claim Submission. OIG Compliance Guidelines. Developing Policies and Procedures. Staffing Coding Professionals. Exercises and Questions for Discussion. 6. AUDITING AND PREVENTION. Assessing Areas of Risk. Sampling and Audit Methods and Design. Prospective and Retrospective Reviews. Auditing Tools. Auditing Resources. Results and Reports. Discovery. Reporting the Results. Assessing the Appropriate Preventive Measures. Education and Re-training. Benefits of a Well-Designed Program. Exercises and Questions for Discussion. 7. EMERGING TECHNOLOGIES. Encoders - Friend or Foe? Automated Code Assignment Technology. Balancing Quality and Quantity. Case Studies.

1. CODING AND BILLING - DIFFERENCES AND SIMILARITIES. The Purpose of Coding and Billing. The Importance of Accurate Data in the Healthcare Environment. Case Studies. 2. CODING COMPLIANCE. Defining Fraud and Abuse. Complying with Regulations. Official" Coding Guidelines. Federal Regulations. Payer Guidelines. Coding Guidance from Professional Associations. Coding "Behavior". Standards of Ethical Coding. Exercises and Questions for Discussion. 3. THE IMPORTANCE OF DOCUMENTATION. Documentation as the Key Resource. Documentation Standards. The Purpose of the Encounter Form. Templates. Querying - A Process Within a Process. Corrections in the Medical Record. Exercises and Questions for Discussion. 4. CODING AND MEDICAL NECESSITY. Defining Medical Necessity. National and Local Coverage Decisions. Advance Beneficiary Notices of Noncoverage (ABNs). Billing for Medical Necessity. Coding Compliance Issues. Compliance Activities. Case Studies. Review Your Understanding. 5. DEVELOPING A CODING COMPLIANCE PROGRAM. Integrating Coding and Corporate Compliance. Quality Coding and Accurate Claim Submission. OIG Compliance Guidelines. Developing Policies and Procedures. Staffing Coding Professionals. Exercises and Questions for Discussion. 6. AUDITING AND PREVENTION. Assessing Areas of Risk. Sampling and Audit Methods and Design. Prospective and Retrospective Reviews. Auditing Tools. Auditing Resources. Results and Reports. Discovery. Reporting the Results. Assessing the Appropriate Preventive Measures. Education and Re-training. Benefits of a Well-Designed Program. Exercises and Questions for Discussion. 7. EMERGING TECHNOLOGIES. Encoders - Friend or Foe? Automated Code Assignment Technology. Balancing Quality and Quantity. Case Studies."

Additional information

Sku

CIN143543921XG

ISBN 13

9781435439214

ISBN 10

143543921X

Title

Guide to Coding Compliance by Joanne Becker

Author

Joanne Becker

Condition

Used - Good

Binding type

Hardback

Publisher

Cengage Learning, Inc

Year published

2009-11-19

Number of pages

208

Prizes

N/A

Cover note

Book picture is for illustrative purposes only, actual binding, cover or edition may vary.

Note

This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in good condition, but if you are not entirely satisfied please get in touch with us

Guide to Coding Compliance Joanne Becker

Guide to Coding Compliance by Joanne Becker

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Guide to Coding Compliance Summary

Guide to Coding Compliance by Joanne Becker

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