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You are here > Home > Reading Lists > Compliance > Denial Management Tool Kit

Denial Management Tool Kit
Ingenix

Loose Leaf Binder + bonus CD-ROM + updates twice per year
Size: 6" x 9" Manual + CD-ROM
Includes 6 AAPC CEU Credits!
Ingenix
ISBN 156337952X
978-1-56337-952-9
Always current!
(click below for the very best available price for this unique and useful updateable binder)

 

Denial Management Tool Kit helps you understand your denials, better manage your claims process and learn what actions to take for a quicker turnaround time on your reimbursement.

From data collection and claims submission to payer inquiries and managing denials — you’ll submit the right information up front and you’ll know exactly how to correct denied claims so you spend less time and money resubmitting.

With ready-made templates and checklists!

  • Understand how to efficiently resolve denied claims and receive your money faster. Establish and maintain an effective denial management process.

  • Quickly respond to payer inquiries and take the necessary corrective action. Admittance Advice Remark code crosswalk and action alerts are included.

  • Reduce claim denials and delays. Know what new data is needed when submitting electronic claims.

  • Simplify your transition to electronic claim submission. CMS-1500 to 837p crosswalk.

  • Understand what Medicare will cover when Medicare is the secondary payer. Comprehensive guidance to determining primary and secondary payer.

  • Stay current with changes. Updates sent throughout the year.

  • Print templates to help improve your appeals process.

  • Includes searchable CD providing easy access to printable templates.

You may view some sample pages here.

Deborah C. Hall, CPC is a senior 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 Physicians' Current Procedural Terminology (CPT)/HCPCS and ICD-9-CM coding, and the physician fee schedule.

Ingenix offers practical results-oriented 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 100+ years of combined experience and expertise. CPT is a registered trademark of the American Medical Association.

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Please remember that 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.

(information provided by the publisher)

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