Description
With its in-depth explanations and practical examples, Navigating American Healthcare: A Comprehensive Guide to Billing and Reimbursement covers a wide range of topics, including:
* Understanding the American healthcare landscape and insurance coverage options
* Demystifying medical terminology, billing codes, and healthcare provider roles
* Completing CMS-1500 claim forms accurately and mastering charge capture and coding
* Navigating claim submission processes and troubleshooting denied or delayed claims
* Exploring fee-for-service, capitation, and per diem reimbursement methodologies
* Understanding diagnosis-related groups (DRGs) and prospective payment systems (PPS)
* Coding for medical necessity, ensuring compliance with coding guidelines, and avoiding common coding errors
* Deciphering Medicare, Medicaid, employer-sponsored health insurance, HMOs, and PPOs
* Recognizing fraudulent billing practices and understanding Stark Law, Anti-Kickback Statutes, and the False Claims Act
* Utilizing electronic health records (EHRs), electronic data interchange (EDI) systems, and telehealth billing
* Preparing for and responding to healthcare billing audits, minimizing audit risks, and protecting patient privacy
* Exploring the future of healthcare billing, including value-based payment models, bundled payments, and patient-centered billing practices
Whether you’re a healthcare professional, a patient advocate, or simply someone looking to understand your healthcare bills, Navigating American Healthcare: A Comprehensive Guide to Billing and Reimbursement is an essential resource that will empower you to navigate the American healthcare system with confidence.
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Language : English
Dimensions : 6 x 9 inches
Pages : 218 pages
Pasquale De Marco stands as a prolific author whose literary prowess knows no bounds. With a passion for storytelling that transcends genres, he has made a name for himself as a versatile writer with the extraordinary ability to captivate readers across diverse literary landscapes. His journey as an author is marked by an insatiable curiosity, a love for the written word, and a relentless commitment to sharing knowledge and experiences with the world.
Pasquale De Marco collaborates with a dedicated team of ghostreaders who assist him in evaluating and editing the manuscripts. His collaborators are not only skilled professionals but also avid readers who purchase and read books as a personal hobby. This unique blend of creativity allows Pasquale to push the boundaries of traditional publishing, making literature more accessible and diverse.
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