Health center billing departments are known by various names, however their staff all experience the same problems understanding and adhering to Medicare’s numerous billing requirements. Health center Billing From A to Z is an extensive, user-friendly guide to healthcare facility billing requirements, with specific focus on Medicare. This important resource will assist health center billers understand how compliance, external audits, and cost-cutting efforts impact the billing procedure. Beginning with 2-Midnight Guideline and Inpatient Admission Criteria and ending with Zone Program Integrity Professionals, this book addresses 88 subjects in alphabetical order, including the following: Correct Coding Effort CPTr, HCPCS, Condition Codes, Incident Codes, Incident Span Codes, Earnings Codes, and Worth Codes Vital Gain Access To Medical Facilities Deductibles, Copayments, and Coinsurance Denials, Appeals, and Reconsideration Requirements Dialysis and DME Billing in Hospitals Hospital-Issued Notice of Noncoverage Laboratory Billing and Fee Set Up Local and National Coverage Determinations Medically Not Likely Edits and Outpatient Code Editor Medicare Advantage Plans Medicare Beneficiary Numbers and National Company Identifier Medicare Part A and Part B No-Pay Claims Observation Solutions Outlier Payments Present on Admission Rejected and Returned Claims UB-04 Type Meanings
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