Compliance for Coding, Billing & Reimbursement, 2nd Edition: A Systematic Approach to Developing a Comprehensive Program

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Author(s): Duane C. Abbey

Language: English
Pages: 232

Front cover......Page 1
Contents......Page 6
Introduction......Page 14
Author......Page 18
Case study listing......Page 20
chapter one. Overview of healthcare compliance......Page 22
chapter two. Structuring CBR compliancec programs......Page 32
chapter three. Coding, billing, and reimbursement: Problem/opportunity areas......Page 40
chapter four. Investigation and problem solving......Page 64
chapter five. Development of CBR policies and procedures......Page 78
chapter six. Implementing changes......Page 88
chapter seven. Developing effective training......Page 96
chapter eight. Monitoring and corrective action......Page 104
chapter nine. Conducting CBR baseline audits......Page 116
chapter ten. Integrating CBR compliance into corporate compliance......Page 126
chapter eleven. HIPAA compliance......Page 138
chapter twelve. Special regulatory areas......Page 148
chapter thirteen. Compliance considerations for hospitals......Page 160
chapter fourteen. Compliance considerations for physicans and clinics......Page 172
chapter fifteen. Special compliance audits and reviews......Page 184
References and bibliography......Page 200
Acronyms......Page 206
Appendix......Page 210
Index......Page 220
Back cover......Page 232