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You are here > Home > Reading Lists > Finance & Accounting > Medicare Medical Necessity: A Guide to Accurate Reimbursement and Full Compliance Medicare Medical Necessity: A
Guide to Accurate Reimbursement and Full Compliance Book: 204 pages + bonus CD-ROM
The book and companion CD-ROM, Medicare Medical Necessity, is a comprehensive guide to the Medicare medical necessity requirements and the automated claims processing systems that grew out of them. This resource offers you explanations for all of the current requirements and guidelines. It gives you concrete, how-to techniques and tools to help you comply with the program and get proper reimbursement. With Medicare Medical Necessity: A Guide to Accurate Reimbursement and Full Compliance, you'll be able to:
Medicare Medical Necessity covers all aspects of medical necessity, including regulation, compliance, clinical decision making, medical coding, and patient coding. Medical necessity rules are causing enormous revenue losses for Medicare providers, particularly hospitals, who are losing millions of dollars each year due to medical necessity denials. One hospital reported to the author an annual loss of $100,000 in denials on a single lab test that screened for prostate cancer. Whether you have little or no background in Medicare or have a good understanding of the components of the compliance process, Medicare Medical Necessity will help ensure that you receive full and fair reimbursement and help you maintain compliance. Darren Carter, MD, has written extensively on the topic of Medicare medical necessity and other areas of regulatory compliance. Darren Carter, MD, President and CEO of Provistas, offers his insights and expertise to the Medicare provider community through this resource. He has widely respected expertise in Medicare medical necessity and medical review policy (LMRP) issues. Book: 204 pages + bonus CD-ROM
The book and companion CD-ROM, Medicare Medical Necessity, is a comprehensive guide to the Medicare medical necessity requirements and the automated claims processing systems that grew out of them. 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 from the publisher) 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 /
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