Compliance for Coding, Billing and Reimbursement: A Systematic Approach to Developing a Comprehensive Program

Health care providers have to cut through more red tape than ever to get paid for their services. What's more, a mountain of federal and state mandates are pressuring providers to become more savvy about laws and regulations regarding taxes, health and safety, labor, patient confidentiality, and financial compliance. "Compliance for Coding, Billing & Reimbursement, 2nd Edition" provides guidance concerning the development of a specialized health care compliance program to cover coding, billing, documentation, and reimbursement. The required steps and systematic process are addressed along with various peripheral concerns. The primary emphasis is on hospital coding, billing, and reimbursement, with physician and clinic concerns also being addressed.The seven key elements promulgated by the OIG for any compliance program are addressed with specific application to the coding, billing and reimbursement area. This book also defines the confusing terminology used in the complex web of policies and procedures. By referring to the comprehensive glossary and acronym listing, readers have instant explanations at their fingertips.