Long-Term Care Billing A to Z

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Long-Term Care Billing A to Z

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Long-Term Care Billing A to Z

Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC

Long-term care billing departments are known by various names, but they all face the challenge of understanding and complying with Medicare’s many billing requirements for accurate reimbursement. Long-Term Care Billing A to Z is a comprehensive, user-friendly reference to long-term care billing requirements, with a focus on Medicare. This valuable resource will help billers understand how compliance, external audits, and rejected and returned claims affect the billing process.

This valuable reference guide addresses, defines, and explains over 70 of your toughest topics in alphabetical order, beginning with Advance Beneficiary Notice of Noncoverage and ending with Z coding, including:

  • Care plans
  • Denials, appeals, and reconsideration requirements
  • Laboratory billing and fee schedule
  • Medicare Advantage plans
  • Medicare Part A and Part B
  • No-pay claims
  • Physician certification and recertification
  • Rejected and returned claims
  • Therapy documentation
  • UB-04 form definitions
  • Veterans nursing homes


This book will help you:

  • Understand Medicare billing requirements
  • Submit accurate bills to Medicare
  • Mitigate government audits and repayments


Who should read this book?

  • Finance and reimbursement staff
  • Billers and coders
  • HIM staff
  • Clinical department staff
  • Revenue managers
  • Compliance officers and auditors
  • Registration staff
  • Fiscal intermediary staff
  • Healthcare attorneys, consultants, and CPAs
  • Legal department staff


About the Author:

Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC, president of Kohler Healthcare Consulting, Inc., has more than 30 years of healthcare experience, including reimbursement compliance and fraud and abuse litigation support.


Published: December 2016

Page Count: 180
Dimensions: 8.5 X 11
ISBN: 978-1-68308-141-8

Table of Contents

Beginning with Advance Beneficiary Notice of Noncoverage and ending with Z coding, this book addresses over 70 topics, including:

  • Care plans
  • Denials, appeals, and reconsideration requirements
  • Laboratory billing and fee schedule
  • Medicare Advantage plans
  • Medicare Part A and Part B
  • No-pay claims
  • Physician certification and recertification
  • Rejected and returned claims
  • Therapy documentation
  • UB-04 form definitions
  • Veterans nursing homes