The key to unlock the mystery behind the meaning of denial codes is here! The 2017 Plain English Descriptions for Denial Codes will help you interpret denial causes correctly and respond quickly to improve your billing and ensure full reimbursement on your claims. Order your copy of the only guide in the market today that delivers fundamental insight into who can file a claim, how to correct it and what action you can take in the future to avoid them in the first place. For each of the 6 types of status codes covered in this guide, you'll get a layman's explanation of what has occurred to trigger the delay, as well as specific instruction how to correct the error. You'll also discover how to navigate the five levels of the Medicare appeals process, including access to detailed instructions on the necessary requirements, time limits, dismissal reasons and more.

2017 Plain English Descriptions for Denial Codes

Decision Health

Hcpro, a Division of Simplify Compliance

The Complete Guide to Laboratory Safety, Fifth Edition

Medical Books

Dan Scungio

Administration & Medicine Economics

Physician advisors are not just needed for case management anymore. ICD-10-CM/PCS and the changing landscape of healthcare reimbursement make their input invaluable in the realm of CDI and coding, too. This book will help your physician advisors quickly understand the vital role they play and how they can not only help improve healthcare reimbursement but also reduce claims denials and improve the quality of care overall.

The Physician Advisor's Guide to Clinical Documentation Integrity, Second Edition

Trey La Charité MD Facp Sfhm Ccds

The Compliance Officer's Handbook, Fourth Edition

Robert A. Wade

Whether you're a new director of nursing or an experienced veteran looking for recertification, look no further than&nbsp;The Long-Term Care Director of Nursing Field Guide, Fourth Edition. This updated edition is a must-have resource to improve quality of care, cut costs, and sharpen your leadership and management skills. This resource will help you institute smart hiring practices, an effective orientation program, and a positive work environment to build and motivate a competent, cohesive staff. Updates include sections dedicated to the Patient-Driven Payment Model (PDPM), new new survey process, MDS 3.0, new audit threats, and more. Updated content includes: <ul> <li>PDPM coverage</li> <li>Cultural competence overview</li> <li>Competency review reflects new Requirements of Participation (ROP)</li> <li>Updated to reflect new ROPs for QAPI</li> <li>Updated regulatory compliance information&nbsp;</li> </ul> This book will help readers: <ul> <li>Learn tactics to avoid audit scrutiny&nbsp;</li> <li>Understand the appeals process&nbsp;</li> <li>Withstand survey scrutiny by improving documentation&nbsp;&nbsp;</li> <li>Create and manage a budget that best fits the needs of your facility&nbsp;</li> </ul>

The Long-Term Care Director of Nursing Field Guide, Fourth Edition

Barbara Acello

Residency program coordinators shoulder the broad responsibility of ensuring their program meets ever-changing accreditation requirements while also making sure residents, faculty, and program directors have all the resources they need. But what about coordinators themselves? They need a resource they can rely on too: a reference that covers the wide-ranging tasks that come up in their day-to-day duties. 
The Residency Coordinator's Handbook, Fifth Edition is that resource. It offers residency program and fellowship coordinators the education and field-tested solutions needed to ensure a successful and efficiently run program. With contributors from an array of backgrounds, this book offers a global, multispecialty view of coordinator duties. Coordinators across the career spectrum will benefit from the guidance, sample policies, and program tools they can implement immediately. 
This product will help residency program coordinators: Manage a training program that meets and exceeds ACGME requirements Define and elevate the role of the program coordinator Understand GME and related terminology Manage recruitment, orientation, and credentialing processes Create an environment that supports coordinators, faculty, and resident well-being Develop a strong relationship with their program directors Identify the key components and structure of program accreditation 
This latest update of the Residency Coordinator's Handbook covers the latest update to the ACGME Common Program Requirements and includes a new chapter on adaptive changes made by the GME community, programs, and coordinators in response to a worldwide pandemic.

The Residency Program Coordinator's Handbook, Fifth Edition

Ruth Nawotniak

Not only is wound coding and documentation a constant source of confusion, but it also attracts intense scrutiny from auditors, with severe financial penalties for mistakes. And it's only gotten more challenging with the increased specificity required in ICD-10 and the&nbsp;new OASIS-E form.&nbsp;Eliminate the confusion and your risk for ADRs and denials with the&nbsp;ICD-10-CM Wound Coding & OASIS Field Guide, 2023. The&nbsp;ICD-10-CM Wound Coding & OASIS Field Guide, 2023&nbsp;is your on-the-go reference to choose the right ICD-10 code and complete the OASIS for the most common home health wounds. It is conveniently separated into chapters devoted to each type of wound commonly seen in home health, including pressure, arterial, stasis and diabetic ulcers, and surgical, trauma and complicated wounds. Each chapter contains official coding and OASIS wound guidance, as well as specific strategies and&nbsp;wound photographs&nbsp;to help guide you towards accurate code selection and OASIS answers. You won't find a more detailed, real-life instruction wound book than this on the market! The&nbsp;ICD-10-CM Wound Coding & OASIS Field Guide, 2023&nbsp;includes: <ul> <li>NEW!&nbsp;FY2023 codes and guideline updates&nbsp;impacting the skin chapter</li> <li>NEW!&nbsp;OASIS-E guidance so you can accurately complete the OASIS wound items</li> <li>UPDATED!&nbsp;Scenarios reflecting how to best manage the coding of wounds within PDGM,&nbsp;including the assignment of Z48.0- codes as primary</li> <li>UPDATED!&nbsp;Guidance on the coding of trauma wounds and lacerations&nbsp;in patients with diabetes</li> <li>UPDATED!&nbsp;Get the latest Coding Clinic and OASIS guidance on how to code and complete the OASIS for surgical wounds, and pressure and stasis ulcers covered with skin vs. muscle grafts</li> <li>Vital ICD-10 coding principles, official OASIS guidance, expert tips, helpful scenarios and important tools&nbsp;organized by type of wound, allowing you to quickly find the answers you need</li> <li>Color photographs of each type of wound&nbsp;to help guide assessment and coding</li> <li>A chapter devoted to wound documentation&nbsp;discusses what Medicare requires to justify home health reimbursement for wound care, and what you need to do to ensure that your coding and OASIS answers are fully supported</li> </ul> Inaccurate wound coding will leave your agency open to auditor scrutiny, resulting in ADRs and denials. Don't take that risk. Order your&nbsp;ICD-10-CM Wound Coding & OASIS Field Guide, 2023&nbsp;today.

ICD-10-CM Wound Coding & Oasis Field Guide, 2023

Unknown, Author

ICD-10-CM & Oasis Field Guide, 2023

Allied Health Professions

Changes in the healthcare delivery landscape and scope-of-practice laws are driving demand for allied health professionals (AHP). However, creating criteria-based privilege forms for AHPs can be a lengthy process, requiring weeks of searching for applicable competency benchmarks. The issue is even more complicated with AHPs because state and facility regulations regarding level of independence vary. The all new&nbsp;Core Privileges for AHPs: Develop and Implement Criteria-Based Privileging for Nonphysician Practitioners, Fourth Edition,&nbsp;contains completely updated, customizable forms drafted from best practices and reviewed by experts in the field. Create a comprehensive and efficient privileging process that saves valuable time while ensuring the delivery of high-quality care.

Core Privileges for Ahps: Develop and Implement Criteria-Based Privileging for Nonphysician Practitioners, Fourth Edition

Maggie Palmer

The first two years of a Clinical Documentation Improvement (CDI) specialist's career often feels like a whirlwind of learning. Many in the field call it the steepest learning curve of their professional lives. After their two-year anniversary, committed individuals can show their professional dedication by sitting for the Certified Clinical Documentation Specialist (CCDS) exam. The CCDS Exam Study Guide, Fourth Edition, helps those ready to sit for the test ensure they're prepared to excel. The latest edition aligns the testing content domains in a chronological manner with how new CDI professionals obtain core skill sets. The Study Guide provides targeted information regarding test objectives prepared by the CCDS Certification Committee, letting candidates focus their time on areas of CDI practice with which they are least familiar. This new version includes updates related to changes in Official Guidelines for Coding and Reporting, Coding Clinic ICD-10-CM/PCS recommendations, new query practice guidance from ACDIS/AHIMA "Guidelines for Achieving a Compliant Query Practice," and information on emerging CDI activities related to clinical validation and record reviews for quality-of-care concerns. Spiral bound to make studying with colleagues easier, it also comes with an updated 100 question practice exam complete with remediation, so candidates can quickly understand why an answer is correct.

The Ccds Exam Study Guide, Fourth Edition

Jurcak, Fran

Reference

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