Intended to demystify the payment of insurance claims, Outcomes in Coding Practice: A Roadmap from Provider to Payer provides insight into coding from the payer perspective. By understanding the rules, laws and contracts HMO, PPOs or Medicare must consider when payment decision are made, you will be able to make the correct coding choices and improve the claim to payment ratio for your medical office. Coverage includes the Correct Coding Initiative, HMO and PPO contracts, Medicare and Medicaid, CPT Modifiers, how to improve compliance and manage provider disputes Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.... MEMBER # ACCOUNT # Date of service CPT code Description Billed 05/05/ 2008 36415 Collection of venous blood ... metabolic panel $52.24 Approved for payment $15.67 Contract adjustment $36.57 05/05/2008 84443 TSH lab $44.95 anbsp;...
|Title||:||Outcomes in Coding Practice: A Roadmap from Provider to Payer|
|Publisher||:||Cengage Learning - 2009-04-15|