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Bring the lab into the revenue cycle

Complete with companion CD-ROM, Lab Billing and Coding: Effective Strategies for Compliance gives you everything you need to

• learn how to bill and code properly for the lab
• understand compliance regulations as they apply to the lab
• learn the typical revenue cycle in any healthcare organization
• understand how the revenue cycle flows through the laboratory
• prepare for upcoming changes in compliance and regulations that will alter how your lab operates

Improve reimbursement without falling victim to compliance pitfalls

Whether you have years of experience or are just starting your career in lab management, this book is your guide through the complex revenue cycle.

It illustrates updates and changes, then goes a step further to outline key processes for success. You will find clear and candid information on:

• Industry trends and forecasts
• Managing PFS claim presentation and billing
• How the Stark law will affect labs
• Streamlining front-end data to avoid back-end backtracking
• Tracking ABNs
• Gaining information from noncompliant physician offices
• Building watertight chargemasters and requisitions
• Lab community resources for ongoing compliance

Dedicated to the needs of the lab

Unlike the encyclopedic coding manuals, this book is lab-specific. Written by authors who share your concerns and understand the demands on your time, Lab Billing and Coding: Strategies for Effective Compliance is dedicated to the information you need now.

Avoid fraud, fees, and settlements

Human error is the leading cause of coding and billing errors. In an environment where there is no such thing as an innocent mistake, you can't afford the possibility of fines or the cost of repeated employee training. Lab Billing and Coding gives you the strategies to get it right the first time, every time.

Managing information for best results

Confronted by an overwhelming amount of information from multiple sources, plagued by a shortage of trained clerks, faced with the potential for litigation, and pressured by CMS to move faster or forfeit payment entirely, the lab compliance manager is in a precarious position. Fortify yourself with Lab Billing and Coding: Effective Strategies for Compliance, the book that has the answers to all your questions. Order you copy today!

Book Topics at a Glance

• Chapter 1: The Year in Billing and Coding
• Chapter 2: Regulatory Agencies and the Lab
• Chapter 3: Risk Areas & Compliance Techniques
• Chapter 4: Medical Necessity and the Lab
• Chapter 5: Using Operational Tools to Ease Compliance
• Chapter 6: Coding Imperatives for the Lab
• Chapter 7: Billing and Reimbursement: The Lab's Role
• Chapter 8: Audit's and the Lab
• Chapter 9: Education, Training, and Communication
• Chapter 10: Conclusion

Get the inside story from authors who speak from experience

Michele A. Smith SCT (ASCP), CMC, is a revenue integrity auditor at SSM Health Care in St. Louis. A cytotechnologist, certified medical coder, and self-described former bench tech turned teacher and supervisor, Ms. Smith specializes in the front-end of the revenue cycle, ensuring that proper insurance information is obtained prior to testing or procedures.

Dawn Runge, PhD, knows the revenue cycle from A to Z—Admitting to Zero Balance. She has been a member of SSM Health Care in St. Louis since 1999 and an adjunct assistant professor at St. Louis University's School of Public Health since 2000. Ms. Runge tours the country speaking about revenue-cycle management.

The HCPro Risk-Free, Money-Back Guarantee

If for any reason Lab Billing and Coding: Effective Strategies for Compliance does not meet your needs, return it within 30 days and you will receive a prompt, polite, 100% refund—no questions asked. We guarantee it!

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