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Medicare Resources

Medicare compliance training for the entire team!
Each handbook sold in packs of 5

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The Revenue Integrity Training Toolkit

The revenue cycle in a hospital or health system is a continuum, and each department and role within the cycle has to work in unison to be successful. Due to the nature of today’s healthcare environment some staff may not even realize that they’re part of the revenue cycle. This handbook will help get everyone, from billers to clinicians, on the same page improving systemic information flow and feedback loops.

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Observation Services Training Handbook

The Observation Services Training Handbook, reviewed by respected case manager Janet L. Blondo, LCSW-C, MSW, CMAC, ACM, CCM, C-ASWCM, ACSW, goes past the definition of observation and discusses billing for observation, coverage of services, and counting of time. This handbook includes relevant information for physicians and is also useful for UR and case management, in addition to hospital staff members who need information about billing.



 

Condition Codes 44 and W2 Training Handbook

The Condition Codes 44 and W2 Training Handbook helps staff understand when and how to use condition codes W2 and 44, as well as the effects they have on reimbursement and the revenue cycle. This handbook leads readers through the complex decision-making processes regarding the options for rebilling self-denied claims. Providing clear, concise interpretation of complicated regulatory guidance, the handbook presents the information in practical, easy-to-understand terms for a wide range of hospital professionals.



 

Inpatient-Only Procedures Training Handbook

Compliance with Medicare rules for inpatient-only procedures is a real challenge for hospitals. Staff members from patient access/registration, billing, CDI, utilization review, case management, and compliance all play a role in ensuring patients receiving these procedures are handled properly—and billed for correctly. The Inpatient-Only Procedures Training Handbook, by nationally recognized and respected regulatory specialist Debbie Mackaman, RHIA, CPCO, CCDS,analyzes the regulations and provides practical information, strategies, and best practices for ensuring compliance and preventing denials and lost revenue.


 

Billing for Ancillary Bedside Procedures Training Handbook

The Billing for Ancillary Bedside Procedures training handbook will help staff understand CMS’ guidelines and regulations and provide guidance for development of policies and procedures to ensure that bedside procedures are billed appropriately. The handbook includes a sample policy with explanations and step-by-step instructions, as well as a clear explanation of Medicare's complex rules governing separate charges for bedside procedures.

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