Make sure home health billing staff is well trained Home health care billing is a complicated task. Make sure that you are receiving all the payment you ve earned, with accurate, compliant,and competent billing practices. The How-to Guide for Home Health Billing is your comprehensive guide to the many complex elements involved., helping you to provide the best training possible to billing staff and those who impact billing. You ll increase competence and confidence about billing requirements and practices. This book will help you: Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, , on collaborating to ensure billing accuracy. Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments. The guide will give you the practical nuts and bolts education and information you need by taking difficult concepts and explaining them in an easy to understand way. This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing. Table of contents: Home Health Billing Overview o Types of Insurances o Medicare part A and B o PPS - Medicare Bundled Services o Providing services in Medical Day Care Home Health Benefit o Eligibility Requirements o Need to know for accurate verification Billing Requirements o Pre billing check list o Medicare Secondary Clinical Documentation Requirements for Billing o How clinical and billing interact o Face to Face Requirement o Verbal order RAP o OASIS Data Submission o Tracking of 485 Diagnosis Coding & the Billing Process o What billing needs to know about coding o Validity, appropriateness, completeness of codes Claim submission o UB04 claim form o 837I electronic claim Mastering the FISS System o Direct Data Entry o Claim adjustments o RTP Location o Roster Billing o Reports Collection follow up o Common claim Denials o Claim Appeals o Credit Balance Report Working the Remittance Advise o EFT o PC Print Medical Review ADR/CERT/RAC/ZPIC o Compliance o False Claims Act o Levels of Appeals Tools and Resources