Auditing and Denial Management Tool Kit

Please note: You will want to examine publish dates carefully prior to ordering your selections, as we frequently provide both "already published" and "not yet published" titles on the same page. However, keep in mind that books not yet published can be easily pre-ordered below. Reserve your copies today and be among the first to receive the newest versions as well as the current editions.

2011 Edition, looseleaf + bonus CD-ROM
ISBN 1601514719
978-1601514714
Ingenix / Thomson Delmar
January 2011
(click below for the very best available price for this book)

2010 Edition, book + bonus CD-ROM
ISBN 1601514700
978-1601514707
Ingenix / Thomson Delmar
August 2010
(click below for the very best available price for this book)

Denial management, auditing, and revenue cycle process improvement.

Auditing and Denial Management Tool Kit helps you understand your denials, better manage your claims process, and audit claims and administrative procedures to identify any underlying problems that can lead to denials. From appropriate data collection and claims submission to payer inquiries, denial management, appeals, and auditing—you’ll submit the right information up front, and you’ll know exactly how to correct denied claims so you can improve the revenue cycle process.

View sample pages from a recent edition.

Establish and maintain an effective denial management process. Understand how to efficiently resolve denied claims, decrease “at risk” claim filing procedures, limit liability, or correct and appeal claims and receive your money faster.
Quickly respond to payer inquiries, and understand and address the various types of remittance advice codes utilized by payers. Detailed explanations of the top denials codes are provided with examples and action alerts.
Audit claims and processes to find the underlying problems that cause denials. Identify the root cause of denials and take action to prevent delayed or denied payment or at-risk behavior. Understand the processes necessary to audit and review existing claim and workflow to optimize "best practices" and minimize revenue cycle pitfalls.
Understand how to efficiently resolve denied claims with an emphasis on avoiding future denials through appropriate work flow processes, reduce potential liability from erroneously submitted claims, effectively utilize the appeals process to ensure the best possible outcome, and implement techniques to assess and audit existing revenue cycle processes.
Includes searchable CD. Easy access to printable templates to help improve your appeal and resubmission processes. Simply search the contents of the manual for key topics.

Deborah Hall is a senior clinical/technical editor for Ingenix. Ms. Hall has more than 20 years of experience in the health care field. Her experience includes 10 years as office manager for large multi-specialty medical practices. Ms. Hall has written several multi-specialty newsletters and coding and reimbursement manuals, and served as a health care consultant. She has taught seminars on CPT®/HCPCS and ICD-9-CM coding and physician fee schedules. She is an active member of the American Academy of Professional Coders.

Ingenix offers practical results-oriented consulting services for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who help write the books other consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice. Start benefiting from our 100+ years of combined experience.

Please remember: The government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

You may also be interested in / The Directory of Healthcare Recruiters /

Jump to a List / Health Administration & Leadership / Physician Executive, Medical Staff & Practice Management / Finance, Accounting, Economics, Billing & Reimbursement / Coding for Hospital, Physician & Clinical Services / Law, Malpractice, Ethics, Accreditation & Compliance / Quality Improvement, Outcomes & Customer Service / Risk Management, Security, Error Reduction & Patient Safety / Information Systems, Technology & Medical Records / Clinical Management & Executive Nursing / Behavioral Health, Social Work & Psychiatry Management / Human Resources, Management & Supervision / Directories, Data, Trends & Benchmarks / Software & CD-ROMs / Gift Ideas & Recommended Gifts / Journals, Magazines & Newsletters / Search for Books / Books Index /

Go to / Home Page / Toolbox for Health Administrators / Bookstore