Jones and Bartlett Learning

Codebusters

Codebusters

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With healthcare costs continuing to skyrocket, despite the efforts of managed care and other containment programs, third-party payers are sc rutinizing every line of every claim for services. When questionable i tems are identified, the next step is usually a request for copies of your patient's medical records, in order to verify that services bille d 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 y our staff. This book is a quick reference to the basics of coding for physician services, and provides checklists of questions for physician s and office staff. Also included are suggested resources for addition al assistance with coding and billing problems.

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