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2014 Coding Essentials for Sleep Studies
Contributor(s): Medlearn (Author)

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 ISBN: 1631510290     ISBN-13: 9781631510298
Publisher: Medical Learning
OUR PRICE: $263.15  

Binding Type: Spiral
Published: January 2014
* Out of Print *
Additional Information
BISAC Categories:
- Medical | Allied Health Services - Medical Assistants
 
Descriptions, Reviews, Etc.
Publisher Description:
Know the rules, receive proper payment Many sleep centers and hospital respiratory therapy departments do not understand how all the reimbursement pieces for outpatient sleep studies fit together, especially the rules pertaining to medical necessity. This MedLearn Publishing book walks you through the intricacies of coding and billing, helping you arrive at the proper payment and full regulatory compliance. Highlights: * Updated 2014 coding information, along with new tips and guidelines for obtaining the appropriate reimbursement * ICD-9 to ICD-10 crosswalk information, to help you prepare for October 1, 2014 * The documentation required to support medical necessity, along with tips for avoiding other issues that can lead to payment denial * Advance beneficiary notice (ABN) key requirements and usage guidelines * The revenue implications of home sleep testing coverage * Special section for CPTr codes that are assignable for sleep- related services, including indications for use, billing tips, CCI edit tables, and 2014 payment tables * What the OIG, RACs and other auditing agencies are saying about sleep study payments; includes a summary of the most recent OIG advisory opinions pertaining to sleep studies and the contractual relationship between sleep study providers and hospitals AN IDEAL RESOURCE FOR: Hospital respiratory therapy departments, hospital-based sleep centers and freestanding sleep centers THE #1 REASON TO OWN THIS BOOK: Medicare payments for sleep studies have more than quadrupled since 2001. But the risks are proportionate with the opportunity, according to our consulting experts. Quite simply, if you don't understand and apply Medicare coding and billing rules, chances are better than ever that the OIG or other auditors will notice and take action. A Florida company learned this hard lesson when it was ordered to repay $15.3 million for sleep studies performed by unqualified technicians. Besides coding essentials, this boo
 
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