Code: BILLING02
The must-have reference for your coding and billing policies guides you through the insurance process from filing to appealing. The manual includes to-the-point information on claim filing and reimbursement regulations, HIPAA regulations, coding compliance, managed care policies and appropriate documentation. Updates to the 2nd edition include:
- Recent fraud examples
- Information on Recovery Audit Contractors process
- Material covering the latest Stark Law information, the addition of the No Surprises Act and examples of state prompt payment laws
- Medicare payment rate examples with new tables, policy information and newly expanded dental benefits
- Sample claim form
- Contact information for state insurance commissioners
- Explanation of evaluation and management coding guidelines
The updated manual includes Affordable Care Act considerations, procedure-specific appeal examples, sample letters and denial-specific flow charts. ©2023