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Billing Alert for Long Term Care

This publication provides Updates on PPS(Prospective Payment System) and consolidated billing,  Tips and strategies for Part A Billing, Information on effective and efficient billing systems, Tips on correct coding, Best practices, Medicare billing compliance and fraud news, Billing staff training and education.

New Books

Emergency Department Coding and Billing: A guide to reimbursement and compliance.  Duane C. Abbey

This book includes various coding and billing issues for hospital (technical) component and physician (professional) component coding, billing, and claims. Also discuss three complex, involved payment systems: the resource-based relative Value scale (RBRVS), ambulatory payment classifications (APC), and diagnosis related groups (DRG), and various coding, billing, and reimbursement issues, such us false claims and the anti-kickback statute. (From Publisher)

Medical Insurance Made Easy: understanding the claim cycle.

Jill L. Brown

This book explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. (From publisher)

Medical Office Procedures. 5th Ed.

Karonne Becklin

This is a text-workbook that introduces and describes the tasks of a medical assistant's career; teaches records management, medical communications, and scheduling skills; and describes procedures for preparing patients' charts and bills. Practice management and finances are also addressed. Multi-day simulations provide real-world experience with physician

Book of the Month

The Tipping Point: How little things can make a big difference.

Malcolm Gladwell

New Yorker writer Malcolm Gladwell looks at why major changes in our society so often happen suddenly and unexpectedly. Ideas, behavior, messages, and products, he argues, often spread like outbreaks of infectious disease. Just as a single sick person can start an epidemic of the flu, so too can a few fare-beaters and graffiti artists fuel a subway crime wave, or a satisfied customer fill the empty tables of a new restaurant. These are social epidemics, and the moment when they take off, when they reach their critical mass, is the Tipping Point." "Gladwell introduces us to the particular personality types who are natural pollinators of new ideas and trends, the people who create the phenomenon of word of mouth. He analyzes fashion trends, smoking, children's television, direct mail, and the early days of the American Revolution for clues about making ideas infectious, and visits a religious commune, a successful high-tech company, and one of the world's greatest salesmen to show how to start and sustain social epidemics. (From the publisher)