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Physician Practice Billing From A to Z Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC and Kohler Healthcare Consulting, Inc., associates Darrin Cornwell, CRCS-I Dawn Doll Homer, CPC, CRCS-I, CDC Daria Malan, RN, LNHA, MBA, RAC-CT® John Ninos, MS, MT(ASCP), CCS Timothy Sheridan Deanna Turner, MBA, CPOC, CPC, CPC-I, CSSGB Susan Walberg, JD, MPA, CHC Physician Practice Billing From A to Z is a comprehensive, user-friendly guide to billing requirements, with particular emphasis on Medicare. This resource will help physician practice billers understand the relevant regulations, code sets, compliance issues, and myriad other factors that affect the billing process. From ABNs to ZPICs, this valuable reference book addresses, defines, and explains more than 100 topics in alphabetical order, including the following:Billing ComplianceCodes—CPT and HCPCSDeductibles, Copayments, and CoinsuranceDenial of Related Part B Services When Inpatient Service Denied by MedicareEvaluation and Management and Procedure—Same DayHCPCS vs. CPT: G (Temporary) Code AssignmentLaboratory Billing and Modifiers -91 and -59Local Coverage Determinations and National Coverage DeterminationsLocum TenensMedically Unlikely Edits and Their Adjudication IndicatorsMedicare Beneficiary Numbers—Health Insurance Claim Number Prefixes and SuffixesMedicare Coverage OverviewModifier OverviewNational Provider IdentifierObservation—Billing Codes and RequirementsRejected and Denied ClaimsSplit/Shared Visits Who should read this book?Physician practice managerPhysician office managerPhysician practice administratorPractice managerOffice managerPractice administratorBusiness managerCoding supervisorBilling supervisorCompliance officerBiller |
