Nonphysician Practitioner Reference Guide First Edition
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Nonphysician Practitioner Reference Guide - First Edition
Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians. Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules. Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers. Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide. This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing. Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more. Shore up revenue for your mid-level practitioners with: Tips for accurate dual-provider coding Max out incident-to pay the right way and earn 100% of allowable revenue versus 85% Rely on split/shared visit coding in non-office settings Know how to avoid substitute physician billing challenges Boost your signature know-how and avoid claim denials Watch incident-to claims when physician is out of office Get the facts on performing consults Learn the secret NPP guidelines for coding virtual visits Do you know the reciprocity rules when your physician leaves town? And much more! Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.
Practice Management Reference Guide - First Edition
Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
Coding for Medical Necessity Reference Guide - First Edition
Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ