The How-to Guide To Home Health Billing
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Make sure home health billing staff is well trained Home health care billing is a complicated task. Are you sure that you are receiving all the payment you have earned? The How-to Guide to Home Health Billing is your comprehensive guide to implementing accurate, compliant, and competent billing practices at your agency. This book will help you to provide the best training possible to your billing staff and those who impact billing. You'll increase competence and confidence about billing requirements and practices. This book will help you: - Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, on collaborating to ensure billing accuracy. - Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments. - The guide will give you the practical 'nuts and bolts' education and information you need by taking difficult concepts and explaining them in an easy to understand way. - This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing. Table of Contents: Home Health Billing Overview Types of Insurances Medicare part A and B PPS - Medicare Bundled Services Providing services in Medical Day Care Home Health Benefit Eligibility Requirements Need to know for accurate verification Billing Requirements Pre-billing check list Medicare Secondary Clinical Documentation Requirements for Billing How clinical and billing interact Face to Face Requirement Verbal order RAP OASIS Data Submission Tracking of 485 Diagnosis Coding & the Billing Process What billing needs to know about coding Validity, appropriateness, completeness of codes Claim submission UB04 claim form 837I electronic claim Mastering the FISS System Direct Data Entry Claim adjustments RTP Location Roster Billing Reports Collection follow up Common claim Denials Claim Appeals Credit Balance Report Working the Remittance Advise EFT PC Print Medical Review ADR/CERT/RAC/ZPIC Compliance False Claims Act Levels of Appeals Tools and Resources

Perfect Paperback: 120 pages

Publisher: Beacon Health; 1 edition (August 29, 2012)

Language: English

ISBN-10: 1601469314

ISBN-13: 978-1601469311

Product Dimensions: 8.3 x 0.2 x 10.5 inches

Shipping Weight: 10.4 ounces (View shipping rates and policies)

Average Customer Review: 2.0 out of 5 stars  See all reviews (2 customer reviews)

Best Sellers Rank: #749,321 in Books (See Top 100 in Books) #17 in Books > Textbooks > Medicine & Health Sciences > Medicine > Clinical > Home Care #59 in Books > Medical Books > Medicine > Home Care #216 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Practice Management & Reimbursement

Obscenely overpriced for the limited information it contains. Consistently refers the reader to call insurance payers or visit websites (without listing urls) for more detailed information. Primarily Medicare focused despite the indication that other payers are covered. If you are completely ignorant about home health billing, this might help to organize your research, but if you know anything at all already, don't bother.

It costs $1 per page which is a pretty steep price however it has helped out my billing staff a lot since our purchase.

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