Search Results: 'Medicare Payment'
Medicare Regulations & Payment Policy for Ambulatory Surgery Centers - 2013 Edition
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For five years running, the ASC Industry's most comprehensive one-volume summary of the Medicare Rules & Payment Policies applicable to ASC's including the Conditions for Coverage (CfC) & the... More > CMS interpretations & clarifications provided to state surveyors to evaluate compliance. The CfC are the rules & regulations that all ASC's must meet to maintain it's certification. The book also includes a summary of the current Medicare Payment system, the CMS ASC Claims Processing Manual, and a complete list of the allowable Medicare procedures, drugs & ancillaries (with 2013 Rates Compared to 2012 Rates and 2013 HOPD Rates). Also included is an extensive index to the regulations and a crosswalk to the CMS Interpretative Guidelines. This year's edition includes a comprehensive overview of the new Quality Reporting program. This guide will assist ASC Administrators, Managers, and Staff in quickly locating current Medicare regulations & payment policies using one convenient volume.< Less
Health Care Taxonomy & Medicare Fee Schedule with CPT codes Reference Resource
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The Healthcare Provider Taxonomy Codes (HPTC) are a HIPAA standard code set named in the implementation specifications for some of the ASC X12 standard HIPAA transactions. The “Healthcare... More > Provider Taxonomy Code” is a situational data element in the 4010 X12 Implementation Guides and the 5010 X12 TR3 Reports for the 837 Professional and Institutional. If the Taxonomy code is required in order to properly pay or process a claim/encounter information transaction, it is required to be reported. The Healthcare Provider Taxonomy code set divides health care providers into hierarchical groupings by type, classification, and specialization, and assigns a code to each grouping. The Taxonomy consists of two parts: individuals (e.g., physicians) and non-individuals (e.g., ambulatory health care facilities). All codes are alphanumeric and are 10 positions in length. The Healthcare Provider Taxonomy code set is maintained by the National Uniform Claim Committee (NUCC).< Less
Health Reform Perspectives: Mobilizing Payor Business and Technical Architecture
eBook (PDF): $99.00
This 235-page knowledge guide provides the reader with the core information required to understand the underlying theory, working processes, and necessary infrastructure to enable and implement... More > strategic management capabilities including: -internal and external core regulatory compliance requirements - alignment of existing tactical program and project management methodologies to proactive multi-year business, clinical, and technology initiatives - how to obtain moderate knowledge of ‘blueprinting’ across initiatives in the health insurance vertical - knowledge to manage multiple initiatives via Architecture Review Boards (ARBs) and Technical Review Board (TRB) governance - enablement of prototypical industry-standard payor system and process flows, - acceleration of innovation (e.g. build vs. buy) and anticipation of future business needs - and much more...< Less
The CVS Group Arizona, Tokyo Japan, Hongkong, Singapore Global Wealth Management Merrill Lynch Financial Advisory Live Better Longer
eBook (PDF): $8.99
Take advantage of Medicare's new preventive health care. Diabetes, asthma, heart disease and other chronic health conditions can ruin your plans for an active, fulfilling retirement. Beyond limiting... More > what you can do, such disorders are very costly and may cut deeply into your retirement funds. Preventive care can help on both counts — now it's more affordable than ever. Medicare expanded its roster of free preventive services in 2010, eliminating co-payments and deductibles for many of them. This guide can help you take advantage of preventive services available to you at no charge under traditional Medicare and most Medicare Advantage plans.< Less
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