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We have found the following books to be very useful:

New Arrivals:

 

Reimbursement Manual for the Medical Office
A Comprehensive Guide To Coding, Billing & Fee Management
PMIC, 5th Edition
ISBN: 1-57066-312-2

New fifth edition of the best-selling guide to coding, billing and fee schedule management. From terminology, coding, and E/M documentation, to fee schedule review, super bill design and HIPAA, this book covers every step of the reimbursement process. 
  • Improve your coding & billing
  • Maximize your 3rd party payments
  • HIPAA proof your transactions
     
  Encyclopedia of Practice and Financial Management
PMIC, 3rd Edition
ISBN: 1-878487-89-2

Completely revised third edition of this best-selling reference book. Covers everything you need to know about the business and financial management of a medical practice. Covers all the basics from coding insurance and reimbursement to the more complex issues like managed care and health care reform. A must buy for every medical practice.

  The Coder's Handbook
PMIC
ISBN: 1-57066-342-4

What is the follow-up period for a specific surgical procedure? What does the acronym "ECCE" stand for? What is the proper sequencing of multiple ICD-9-CM codes? Can I bill separately for medical supplies with this procedure? How do I report an "add-on" service properly? Are the services of an assistant surgeon paid for this procedure? Every day you have to find the answers to dozens of questions like these before you can complete your coding, frequently consulting several references to find the answers you need. With our comprehensive reference, the answers to coding, terminology and coverage questions like these are right at your fingertips! The Coder's Handbook 2006 includes over 1,100 pages packed with information designed to save you time, help you code faster and more accurately, improve your reimbursement and reduce your audit liability. Published in a lightweight, compact 6"x9" format with a durable, embossed hardcover, the Handbook includes an introduction, a glossary of coding and reimbursement terminology, and four major reference sections: 
  • Medical Acronyms, Eponyms & Abbreviations - Lists over 8,000 medical abbreviations, acronyms and eponyms with definitions to help you with coding, chart review, transcription and interpreting operative reports.
  • CPT & HCPCS Coding - Covers service and procedure coding basics, coding and billing issues, coding evaluation and management services, and coding of surgery, radiology, laboratory and medicine services. Includes full-color anatomical charts with cross-references to CPT code sections.
  • ICD-9-CM Coding - Covers diagnosis coding basics, special Medicare requirements for diagnosis coding, coding and billing issues, combination coding, suspected conditions, specialty coding, manifestations, and the use of V-codes and E-codes. Includes full-color anatomical charts with cross references to ICD-9-CM code sections.
  • Coverage and Compliance - Lists over 4,000 CPT 2006 procedure codes with simple descriptions, follow-up periods, and billing indicators for supply charges, "add-on" procedures and assistant surgeon.

  Working with Insurance and Managed Care Plans
A Guide for Getting Paid
By Jan Davison and Maxine Lewis
ISBN: 1-57066-131-6

Completely revised second edition of this best-selling book guides you smoothly through the process of submitting claims to health insurance companies and managed care plans. Covers all the details of the claims process including: coding, billing, documentation, health insurance claim forms, Medicare, Medicaid, private insurance plans, quality improvement, payment and collections. Includes numerous forms and charts plus self-tests and exercises. 

  National Correct Coding Manual
A Comprehensive Guide to Medicare NCCI Unbundling Errors
Version 11.2
PMIC
ISBN: 1-57066-364-5

Over 285,000 National Correct Coding Initiative (NCCI) edits are used by CMS to review claims for unbundling and correctable coding errors. The National Correct Coding Manual makes it easy for you to determine if any two CPT/HCPCS codes may be billed together, with or without a modifier. Check code combinations before sending your claim forms to reduce denials. 

  • Includes all active NCCI Column 1 and Column 2 CPT/HCPCS codes with symbols clarifying modifier usage 
  • Extensive coverage of general and CPT section specific coding rules 
  • Updated quarterly so your NCCI edits are always current Your subscription includes a new book each quarter for four consecutive quarters (January 2006 - December 2006) 

 

Bookshelf:

  Insurance Handbook for the Medical Office, 7th Edition
by Marilyn T. Fordney
ISBN: 0-7216-9518-3
  Understanding Health Insurance/A Guide to Professional Billing
by JoAnn C. Rowell and Michelle A. Green
ISBN: 1-4018-3791-3
  Getting Paid for What You Do / Coding for Optimal Reimbursement
by Gary M. Knaus
ISBN: 1-57066-067-0
  Medical Practice Forms
Third Edition
by Keith C. Borglum, Diane M. Cate
ISBN: 1-57066-300-9

 

  Achieving Profitability With A Medical Office System
by James Allen, MD
ISBN: 0-07-600633-6 
  Accounts Receivable Management for the Medical Practice
Second Edition
by J. Dennis Mock
ISBN: 1-57066-213-4  
  Collections Made Easy!
A Comprehensive Guide for Medical and Dental Professionals
Second Edition
by Michael J. Berry
ISBN: 1-57066-146-4 
  Managing the Physician's Office Laboratory
by Eleanor M. Travers, MD
ISBN: 0-07-600653-0
  Workbook for Managing Costs in Clinical Laboratories
by Eleanor M. Travers
ISBN: 0-07-065162-0
  Surviving a Competitive Health Care Market: Strategies for the 21st Century
by Jana B. Knol
ISBN: 0-07-600781-2
  Marketing Health Care
by Carol Anne Letheren, Richard Mathieu
ISBN: 1-878487-22-1
  Capitation: Tools, Trends, Traps and Techniques, A Textbook For Provider-Sponsored Organizations
Edited by R.S. Venable, MD
ISBN: 1-57066-072-7
  Marketing Strategies for Physicians, A Guide to Practice Growth
by Stephen W. Brown, PhD 
and Andrew P. Morley Jr., MD
ISBN: 0-87489-405-0
  Health Information Management, A Comprehensive Guide to Current Regulations and Management Practices
Edited by Joseph J. Mangano
ISBN: 1-878487-54-X
  Critical Concepts in Medical Practice Management
Edited by Robert Tallon
ISBN: 0-07-600761-8
  Doctoring, The Nature of Primary Care Medicine
by Eric J. Cassell
ISBN: 0-19-511323-3
     
     

 

 

© 2004 Legacy Press