CodeBusters : A Quick Guide to Coding and Billing Compliance for Medical Practices

With healthcare costs continuing to skyrocket, despite the efforts of managed care and other containment programs, third-party payers are scrutinizing every line of every claim for services. When questionable items are identified, the next step is usually a request for copies of your patient's medical records, in order to verify that services billed were actually provided. As a physician, whether in a large group or solo practice, you must understand how the coding and billing process works, and assure that all official guidelines are being followed by your staff. This book is a quick reference to the basics of coding for physician services, and provides checklists of questions for physicians and office staff. Also included are suggested resources for additional assistance with coding and billing problems.