The How-to Guide to Home Health Billing Complete Full E-book The How-to Guide to Home Health
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The How-to Guide to Home Health Billing ?Make sure home health billing staff is well trainedHome health care billing is a complicated task. Are you sure that you are receiving all the payment you have earned? The How-to Guide to Home Health Billing is your comprehensive guide to implementing accurate, compliant, and competent billing practices at your agency. This book will help you to provide the best training possible to your billing staff and those who impact billing. You?ll increase competence and confidence about billing requirements and practices.This book will help you:Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, , on collaborating to ensure billing accuracy.Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments.The guide will give you the practical ?nuts and bolts? education and information you need by taking difficult concepts and explaining them in an easy to understand way.This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing.Table of contents:Home Health Billing OverviewTypes of InsurancesMedicare part A and BPPS - Medicare Bundled ServicesProviding services in Medical Day CareHome Health BenefitEligibility RequirementsNeed to know for accurate verificationBilling RequirementsPre billing check listMedicare SecondaryClinical Documentation Requirements for BillingHow clinical and billing interactFace to Face RequirementVerbal order RAPOASIS Data SubmissionTracking of 485Diagnosis Coding & the Billing ProcessWhat billing needs to know about codingValidity, appropriateness, completeness of codesClaim submissionUB04 claim form837I electronic claimMastering the FISS SystemDirect Data EntryClaim adjustmentsRTP LocationRoster BillingReportsCollection follow upCommon claim DenialsClaim AppealsCredit Balance ReportWorking the Remittance AdviseEFTPC PrintMedical Review ? ADR/CERT/RAC/ZPICComplianceFalse Claims ActLevels of AppealsTools and Resources
The How-to Guide to Home Health Billing ?Make sure home health billing staff is well trainedHome health care billing is a complicated task. Are you sure that you are receiving all the payment you have earned? The How-to Guide to Home Health Billing is your comprehensive guide to implementing accurate, compliant, and competent billing practices at your agency. This book will help you to provide the best training possible to your billing staff and those who impact billing. You?ll increase competence and confidence about billing requirements and practices.This book will help you:Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, , on collaborating to ensure billing accuracy.Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments.The guide will give you the practical ?nuts and bolts? education and information you need by taking difficult concepts and explaining them in an easy to understand way.This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing.Table of contents:Home Health Billing OverviewTypes of InsurancesMedicare part A and BPPS - Medicare Bundled ServicesProviding services in Medical Day CareHome Health BenefitEligibility RequirementsNeed to know for accurate verificationBilling RequirementsPre billing check listMedicare SecondaryClinical Documentation Requirements for BillingHow clinical and billing interactFace to Face RequirementVerbal order RAPOASIS Data SubmissionTracking of 485Diagnosis Coding & the Billing ProcessWhat billing needs to know about codingValidity, appropriateness, completeness of codesClaim submissionUB04 claim form837I electronic claimMastering the FISS SystemDirect Data EntryClaim adjustmentsRTP LocationRoster BillingReportsCollection follow upCommon claim DenialsClaim AppealsCredit Balance ReportWorking the Remittance AdviseEFTPC PrintMedical Review ? ADR/CERT/RAC/ZPICComplianceFalse Claims ActLevels of AppealsTools and Resources
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