Compliance for Coding, Billing and Reimbursement: A Systematic Approach to Developing a Comprehensive Program

Healthcare providers have to cut through more red tape than ever to get paid for their services. What's more, a mountain of mandates from federal and state government is pressuring providers to be more astute about laws regarding taxes, health and safety, labor issues, antitrust, patient confidentiality and financial compliance.Compliance for Coding, Billing & Reimbursement gives readers the guidelines for the four factors that influence the compliance coding, billing and reimbursement process and how to follow the trends in these areas. The book also analyzes the status of different payment methodologies being used today and advises providers on how to adjust to the transition from a cost-based system to prospective payment and capitation.Compliance for Coding, Billing & Reimbursement also defines the confusing terminology used in the complex web of policies and procedures. By referring to the comprehensive glossary and acronym listing, readers have instant explanations at their fingertips. Topics addressed include: -- How to structure a CBR compliance program-- How to spot CBR problem/opportunity areas-- Investigation and problem solving-- Developing CBR policies and procedures-- Effective training programs and how to implement change-- Monitoring and corrective action-- How to conduct a baseline audit-- Integrating a CBR compliance plan in with a corporate compliance plan-- Appendices containing important internet aAbbey, Duane C. is the author of 'Compliance for Coding, Billing and Reimbursement: A Systematic Approach to Developing a Comprehensive Program', published 1999 under ISBN 9780071353489 and ISBN 0071353488.