Medicare Guide for SNF Billing & Reimbursement, 2nd Edition : CLOSEOUT ITEM
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Long-term care billers play a vital role in ensuring proper reimbursement for their facility—but that role is not easy. The Medicare Guide for SNF Billing and Reimbursement, Second Edition will help tackle the newest and most complex billing issues.
This guide’s second edition highlights the largest change in payment methodology since 1998. On October 1, 2019, the Patient-Driven Payment Model (PDPM) methodology will completely replace the previous RUG-IV system for reimbursement and rate calculations. Offering tables, charts, and tools outlining both case-mix and non-case-mix components that will form SNFs’ PPS rates, this book is the perfect referral resource to make sure you and your staff are filing clean claims under PDPM.
In addition to billing for services covered under Medicare Parts A/B and PDPM, this book addresses: · No-pay bills · Filling out the UB-04 · SNF consolidated billing · Part B outpatient therapy services and billing · Billing for medical supplies · Billing for diagnostic tests, lab services, and radiology · Billing for screening and prevention · ICD-10 coding This book will help billing staff: · Understand the PDPM rate calculation methodology · Identify opportunities to maximize reimbursement and accurately project revenue · Correctly bill for Medicare Part A and Part B claims · Understand how to comply with claims submissions and avoid common billing errors · Navigate difficult reimbursement scenarios · Effectively communicate with other departments to manage reimbursement and proper documentation
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Authors: Frosini Rubertino, RN, BSN, C-NE, RAC-CT, CDONA/LTC; Jennifer Matoushek, MBA/HCM, CPC
Publisher: HCPro; 2019-May
Edition: 2nd
ISBN: 978-1-68308-882-0
Binding: Perfect Paperback
Table of Contents
Chapter 1: SNF Billing Overview
Chapter 2: Part A SNF Billing
Chapter 3: PDPM Methodology
Chapter 4: SNF Consolidated Billing
Chapter 5: Part B SNF Billing
Chapter 6: Part B Outpatient Therapy Services and Billing
Chapter 7: Billing for DMEPOS
Chapter 8: Billing for Diagnostic Tests, Lab Services, and Radiology
Chapter 9: Billing for Screening and Preventive Services
Chapter 10: Ensuring a Solid SNF Billing System
Chapter 11: Best Practices for Ongoing Consolidated Billing Compliance