A Practical Guide to Consolidated Billing

Softcover book + bonus CD-ROM
Size: 7" x 9" book
ISBN 1578399955
978-1578399956
HCPro Inc.
March 2007
(click the button below for the best currently available price for this important resource)

Don't risk losing thousands of dollars every year!

Even experienced billing professionals have a difficult time understanding the intricacies of this complex reimbursement topic. Without a comprehensive understanding of consolidated billing by staff members within your department, your facility could lose thousands of dollars every year. Consolidated billing has always been one of the biggest problem areas for billers. Have your billers caught up on all the changes?

The Centers for Medicare & Medicaid Services (CMS) has made a number of changes to SNF billing procedures that will have a significant impact on the consolidated billing process, including:

the new UB-04 billing form, which drives the entire billing process
updates to the list of excluded and included HCPCS codes, including major changes to outpatient surgery and related services, chemotherapy, prosthetic devices, and the Part B items included in consolidated billing
plus, other new and revised transmittals on consolidated billing.

Without an understanding of how these new developments affect the process, consolidated billing will become more of a challenge for your billers than ever before.

Offering a detailed description of what bills SNFs are and are not responsible for, the second edition of A Practical Guide to Consolidated Billing will help your billers gain a thorough understanding of the consolidated billing process in light of the recent Medicare billing changes.

A concise, easy-to-understand overview of consolidated billing and CMS expectations
Detailed descriptions of the updated HCPCS exclusions/inclusions list
Practical advice that will help your billers make the most of contracts with external vendors
Troubleshooting tips on how to avoid common consolidated billing pitfalls
An updated Q&A section full of common consolidated billing questions
CMS reference sources that will help you avoid unnecessary charges

You’re not the only one concerned about consolidated billing at your SNF.

Consolidated billing is also under examination in the OIG’s 2007 Work Plan. They’ll be checking whether common working file edits are preventing duplicate billings for Part B services and whether additional improper payments need to be recouped.

This resource set will help your facility’s consolidated billing practices stand up under scrutiny by providing all the practical advice, tips, and reference sources your biller needs to feel comfortable with consolidated billing. Your billers will understand how to ensure proper billing and payment for services provided—which could add up to thousands of dollars in saved revenue for your SNF.

With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety.

(information provided by the publisher)

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