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Appeals Toolkit

Combat denied claims and get paid what you deserve

Don't take no for an answer! You can turn denied insurance claims on their head and recover millions of dollars in lost revenue revenue that your organization deserves. Be informed of your legal rights and use them to your advantage when submitting denied claims.

Price: 145.00
Competency Evaluation Tools for Case Management Professionals, Second Edition

Capture the best ideas, theories, and strategies in case management practice to move it from a JOB to a PROFESSION.

This second edition of a best-selling toolkit helps organizations evaluate case management professionals based on their individual skills and strengths.

Price: 305.00
Compliance Officer's Handbook, Third Edition

The Compliance Officer's Handbook, Third Edition, gives compliance officers everything they need to take charge of a healthcare compliance program, whether they are new to the field or seasoned professionals who want to incorporate the latest strategies.

Price: 155.00
ICD-10 Documentation Strategies to Support Severity of Illness, Third Edition (25 pack)

Written by well-known physician educator Robert S. Gold, MD, this handbook explains the specific documentation details physicians need to express severity of illness and complexity of decision-making for 34 of the most troubling conditions in documentation today.

Price: 155.00
The HIPAA Omnibus Rule Toolkit

The HIPAA Omnibus Rule Toolkit: A Covered Entity and Business Associate Guide to Privacy and Security

The HIPAA Omnibus Rule is a compilation of new regulations pertaining to HIPAA privacy and security long awaited by the healthcare industry and supporting businesses. This toolkit updates The HIPAA and HITECH Toolkit to help covered entities and business associates understand and comply with the new requirements.

Price: 155.00
Revenue Cycle Management Toolkit

Maintain a complete, thorough revenue cycle process

The scope of a healthcare organization's revenue cycle is broad, encompassing issues on the front end of operations, in the coding and chargemaster departments, and in back-end/ reimbursement duties. New elements are constantly being introduced, with concepts such as MS-DRGs, Recovery Audit Contractors, and the Present on Admission Indicator, which all require operational changes.

Price: 155.00
The RAC Toolkit for Hospitals and Health Systems

Learn how to respond to RAC audits. And more importantly, how to prevent them.

The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Programis your answer to turning plans into proactive action for RAC success.

Price: 155.00
Reducing Your RAC Risks: Navigating the ALJ Backlogs, Two-Midnight Reviews and Medical Necessity

Outlines the key challenges that Medicare Recovery Audit Contractors pose for compliance officers. The report is packed with strategies and insights from compliance experts to help you address the new two-midnight rule, the lengthy delays for appeals to reach administrative law judges, and the ongoing scrutiny of medical necessity.

Price: 124.00
Policies and Procedures for a Successful Medical Practice

Customization is key.

Policies and Procedures for a Successful Medical Practice provides standards and tools for the medical practice. This manual contains customizable policies and procedures for the day-to-day administration and growth of both new and existing medical practices.

NEW Price: 62.48
CPT Case Studies: Examples of Procedures & Services

CPT Case Studies: Examples of Procedures and Services delivers accurate and authoritative information with practical situations for code reporting for more than 1000 most-reported CPT® codes.

Price: 129.95
HIPAA Plain & Simple: After the Final Rule, Third Edition

With the recently published final rule for HIPAA, organizations need the latest information and tools to implement systems to ensure compliance. AMA's HIPAA Plain & Simple: After the Final Rule provides the details, analysis and guidance on HIPAA and HITECH you need to succeed in your practice.

NEW Price: 39.98
Medical Record Auditor, Fourth Edition

Providing in-depth guidance for proper review of medical documentation in today's changing medical environment, this fourth edition is full of new content. New topics include electronic health records (EHR), ICD-10 coding, Health Information Management and many other issues essential for maintaining compliance.

Price: 99.95
A Guide to Achieving Meaningful Use

A Guide to Achieving Meaningful Use: Leverage Your EHR to Redesign Workflows and Improve Outcomes provides details on Stages 1 and 2 of Meaningful Use requirements (with early guidance on Stage 3), Meaningful Use gap analysis guidance and electronic health records (EHRs).

NEW Price: 37.50
Understanding Coding for the Non-Coder

If you need to better understand code sets and medical insurance elements such as claim forms and payment systems, this new book from the American Medical Association can help.

Price: 59.95