Practice Management Reference Guide First Edition

Author : AAPC
Publisher : AAPC
Page : 14 pages
File Size : 55,5 Mb
Release : 2020-03-16
Category : Medical
ISBN : 9781626889859

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Practice Management Reference Guide - First Edition by AAPC Pdf

Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules

Author : AAPC
Publisher : AAPC
Page : 16 pages
File Size : 42,6 Mb
Release : 2020-03-17
Category : Medical
ISBN : 9781626889828

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Denials Management & Appeals Reference Guide - First Edition by AAPC Pdf

Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more!

Author : AAPC
Publisher : AAPC
Page : 14 pages
File Size : 46,8 Mb
Release : 2020-06-30
Category : Medical
ISBN : 9781626889835

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Evaluation and Management Coding Reference Guide - First Edition by AAPC Pdf

Defeat the challenges that threaten your E/M claims and compliance success. Evaluation and management (E/M) services are the lifeblood of your revenue stream, and yet they’re the most problematic to report. Claim denials remain high. E/M coding errors, in fact, rose from 11.9% in 2018 to account for 12.8% of CMS’s overall 2019 improper payment rate. How much E/M revenue are you losing? Safeguard your organization from claim denials and audit scrutiny with the Evaluation & Management Coding Reference Guide. Our experts break down E/M coding rules and requirements into simple, manageable steps written in everyday language to boost your E/M reporting skills. Learn how to capture the key components of medical history, physical exam, and medical decision-making—and capitalize on real-world clinical scenarios to prevent over- or under-coding. The Evaluation & Management Coding Reference Guide will help you prep for 2021 E/M guideline changes overhauling new and established office and outpatient services, and walk you through online digital E/M services, remote physiologic monitoring, and more. Master the ins and outs of E/M coding—CPT® guidelines, level of service, modifiers, regulations, and documentation guidelines. Put an end to avoidable denials and optimize your E/M claims for full and prompt reimbursement. Benefit from expert tutorials covering the spectrum of E/M reporting concepts and challenges: Prep for 2021 guideline changes and their impact on your organization Master the ins and outs of E/M guidelines in CPT® Capture the seven components of E/M services Sort out medical decision-making coding Avoid the pitfalls of time-based coding Nail down specifics for critical care E/M services Clear up modifier confusion Understand NPPs rules for same-day E/M services Take the guesswork out of complexity determinations Get the details on coding surgery and E/M together Learn the principles of E/M documentation

Author : AAPC
Publisher : AAPC
Page : 13 pages
File Size : 43,7 Mb
Release : 2020-03-13
Category : Medical
ISBN : 9781626889842

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HIPAA Reference Guide - First Edition by AAPC Pdf

Is your HIPAA compliance program and breach reporting up to date? Over 94% of providers have experienced some form of data breach, and over 50% have had 5 or more data breaches. From phishing campaigns and PHI-containing emails sent to the wrong recipients to unencrypted devices and servers left publicly accessible, the total number of breaches in 2019 outnumbered the previous year by more than 33%, according to research from Risk Based Security. Get comprehensive guidance to implement HIPAA protocols and prevent the fallout of a data breach with AAPC’s HIPAA Reference Guide. Our nationally recognized HIPAA compliance experts lay out best practices and build on case studies to guide you through the dos and don’ts of compliance. We show you how to recognize and lock down your risk areas, including how to: Build and maintain a culture of security Evaluate your vulnerabilities and guard against cyber threats Assess, analyze, and manage your EHR Immunize your workstations Implement HIPAA-compliant use of mobile devices Ensure your BAAs are HIPAA compliant Prepare for community-wide disasters Plot out your practice’s security incident response plan

Author : AAPC
Publisher : AAPC
Page : 13 pages
File Size : 42,9 Mb
Release : 2020-03-12
Category : Medical
ISBN : 9781626889798

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Clinical Documentation Reference Guide - First Edition by AAPC Pdf

It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

Author : Christian Rainer
Publisher : Unknown
Page : 0 pages
File Size : 45,6 Mb
Release : 2019-05-14
Category : Business & Economics
ISBN : 1556053967

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Practice Management by Christian Rainer Pdf

The book describes the steps to opening day of a medical office practice. First, the basics, such as financing, rent, coding, hiring, contracting, records, malpractice insurance. Then, business strategies and more complex issues, such as money management and the influence of outside factors. A chapter deals with typical business encounters for the private practitioner. Finally buying a practice, health care reform and more.

Author : AAPC
Publisher : AAPC
Page : 14 pages
File Size : 54,8 Mb
Release : 2020-06-30
Category : Medical
ISBN : 9781626889866

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Nonphysician Practitioner Reference Guide - First Edition by AAPC Pdf

Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians. Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules. Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers. Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide. This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing. Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more. Shore up revenue for your mid-level practitioners with: Tips for accurate dual-provider coding Max out incident-to pay the right way and earn 100% of allowable revenue versus 85% Rely on split/shared visit coding in non-office settings Know how to avoid substitute physician billing challenges Boost your signature know-how and avoid claim denials Watch incident-to claims when physician is out of office Get the facts on performing consults Learn the secret NPP guidelines for coding virtual visits Do you know the reciprocity rules when your physician leaves town? And much more! Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.

Author : AAPC
Publisher : AAPC
Page : 17 pages
File Size : 41,6 Mb
Release : 2020-03-18
Category : Medical
ISBN : 9781626889804

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Coding for Medical Necessity Reference Guide - First Edition by AAPC Pdf

Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ

Author : Betty Ladley Finkbeiner,Charles Allan Finkbeiner
Publisher : Elsevier Health Sciences
Page : 400 pages
File Size : 51,7 Mb
Release : 2019-08-21
Category : Medical
ISBN : 9780323597661

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Practice Management for the Dental Team E-Book by Betty Ladley Finkbeiner,Charles Allan Finkbeiner Pdf

Learn the skills you need to manage a modern dental business. Practice Management for the Dental Team 9th Edition is a comprehensive, one-stop resource that presents practical information on everything from managing patients to running the business. This unique text includes a wide range of dental office skills which are mapped to the Dental Assisting National Board (DANB) test blueprint including technology, communications, appointment setting, dental charting, business office procedures, financial arrangements, and more! New to the ninth edition is even more in-depth information on alternative workforce models, production, insurance, and inventory along with an added emphasis on roles of the entire dentistry team. Plus, this is the only product on the market that includes Eaglesoft screen shots and practice management software, which will be downloadable through the Evolve site, for a fully realistic office experience. Comprehensive coverage on the business of managing a dental office provides vital information to ensure the success of any dental practice. UNIQUE! Emphasis on roles of the entire dental team featured throughout text. UNIQUE! Patterson Dental EagleSoft screen shots and exercises equip you with valuable realistic practice experience. Practice quizzes for each chapter on the Evolve website help your test comprehension and prepare you for classroom and board exams. Expert author Betty Ladley Finkbeiner imparts knowledge and advice from years of teaching and practical experience and wide reach in dental assisting education. Key terminology defined in the chapter’s glossary and called out in boldface color within chapter discussions helps you to understand dental practice and clinical dentistry terminology essential to the success of any office manager. Learning Activities and Practice Notes encourage you to apply the content to realistic office situations and convey important tips and advice. Learning outcomes at the beginning of each chapter frame the content and serve as checkpoints for comprehension and study. Summary tables and boxes provide easy-to-read summaries of text discussions that support visual learners and serve as useful review and study tools. Bibliographical citations direct you to targeted sources of information where additional dental-related information can be located. Appendixes provide supplemental information for quick and handy office reference. NEW! Content includes the latest information on alternative workforce models, dental insurance and reimbursement, production, and inventory planning UPDATED! Art program with modern illustrations and photographs helps you to understand today’s office environment, tools, and equipment. EXPANDED and IMPROVED! Test Bank with cognitive leveling and mapping to the Dental Assisting National Board (DANB) test blueprint.

Author : Seth M. Brown,Kimberley J. Pollock,Michael Setzen,Abtin Tabaee
Publisher : Plural Publishing
Page : 473 pages
File Size : 48,5 Mb
Release : 2021-09-07
Category : Medical
ISBN : 9781635503821

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The Essential Guide to Coding in Otolaryngology by Seth M. Brown,Kimberley J. Pollock,Michael Setzen,Abtin Tabaee Pdf

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference

Author : Kamini A Rao,Arveen Vohra
Publisher : Jaypee Brothers Medical Publishers
Page : 276 pages
File Size : 43,7 Mb
Release : 2020-01-27
Category : Medical
ISBN : 9789389587180

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Gynecological Emergencies by Kamini A Rao,Arveen Vohra Pdf

Practical guide to diagnosis and management of gynaecological emergencies Fully revised second edition featuring latest advances and many new topics Covers disorders in all age groups, from adolescence and puberty, to reproductive age and post-menopausal Includes discussion on ethical and medicolegal issues Highly illustrated with diagrams, flowcharts and tables

Author : Lawrence F. Wolper
Publisher : Jones & Bartlett Publishers
Page : 674 pages
File Size : 54,6 Mb
Release : 2012-05-24
Category : Medical
ISBN : 9781449694531

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Physician Practice Management by Lawrence F. Wolper Pdf

Published in association with the MGMA and written for physician leaders and senior healthcare managers as well as those involved in smaller practices, Physician Practice Management: Essential Operational and Financial Knowledge provides a comprehensive overview of the breadth of knowledge required to effectively manage a medical group practice today. Distinguished experts cover a range of topics while taking into special consideration the need for a broader and more detailed knowledge base amongst physicians, practice managers and healthcare managers. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Author : Robert F. Hachiya
Publisher : Corwin Press
Page : 414 pages
File Size : 41,5 Mb
Release : 2022-02-15
Category : Education
ISBN : 9781071871713

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The Principal′s Quick-Reference Guide to School Law by Robert F. Hachiya Pdf

The go-to legal resource for today’s principals! New technology and world events have upended everything we once took for granted about schools, including the laws and policies that govern them. School safety concerns, curriculum challenges, the ever-changing landscape of social media, and the 2020/2021 COVID-19 crisis have made school leadership an infinitely more complex arena. Familiarity with the law is essential to help principals maintain safe and equitable communities and minimize legal risk. The 4th edition of The Principal′s Quick-Reference Guide to School Law provides the go-to help principals need to increase their knowledge of education law in this time of change. Within its pages, leaders can access tools to help them make better decisions when educational law related issues impact their schools. Readers will find A completely revamped design for easier reference Practical examples to help demystify complex cases Updated cases studies from 2014 to today Guidance on new topics, such as vaping, sexting, student protests and walkouts An "Education Law 101 for Teachers" section to help leaders provide basic legal training for staff and teachers. Written for aspiring and current school principals, this book will answer all the “what if” questions that inevitably arise at least once in every leader’s tenure.

Author : Dennis R. Dunklee,Robert J. Shoop
Publisher : Corwin Press
Page : 441 pages
File Size : 41,8 Mb
Release : 2006-04-05
Category : Business & Economics
ISBN : 9781412925945

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The Principal's Quick-Reference Guide to School Law by Dennis R. Dunklee,Robert J. Shoop Pdf

`The authors have taken a topic which could cover volumes, and produced a concise, easily understood desk reference which I have already used on the job.′ -Stephen Harding, Principal Terry High School, MS Minimize site-based risk while respecting the legal rights of students, staff, and parents! Principals deal with complicated and potentially damaging legal issues every day . . . and now there′s an accurate, accessible tool, written in plain English that can give administrators the information they need to do their jobs while minimizing legal risk. While retaining the reader-friendly format from their first edition, Dennis R. Dunklee and Robert J. Shoop-recognized school law experts-provide additional programmatic guidance for other school district personnel, "management cues" and "risk management guidelines," a comprehensive index, additional references to landmark court cases, coverage of the No Child Left Behind Act, and information on state-created danger and deliberate indifference. This second edition helps school administrators quickly find important legal guidance for issues that include Staff selection and evaluation Student rights and discipline Special education and the reauthorized IDEA Copyright law Search and seizure Sexual harassment and sexual exploitation And many more This essential desk reference offers a straightforward resource on translating school law into practice and can be used as a day-to-day reference guide or a comprehensive overview of school law today.

Author : National Asthma Education and Prevention Program (National Heart, Lung, and Blood Institute). Second Expert Panel on the Management of Asthma
Publisher : DIANE Publishing
Page : 153 pages
File Size : 41,5 Mb
Release : 1998
Category : Electronic
ISBN : 9781428927278

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Expert Panel report 2 : guidelines for the diagnosis and management of asthma. by National Asthma Education and Prevention Program (National Heart, Lung, and Blood Institute). Second Expert Panel on the Management of Asthma Pdf