NURSE PRACTITIONER BILLING AND CODING COMPLIANCE MANUAL : Documentation, CPT, ICD-10-CM, HCPCS, E/M Services, Medical Necessity, Audit Defense, and Revenue Integrity for Advanced Practice Nursing
Language: English
Published by Independently Published Jun 2026, 2026
- Softcover
- New
Seller: AHA-BUCH GmbH, Einbeck, GermanyAHA-BUCH GmbH
AbeBooks seller since August 14, 2006
Condition: New
£ 149.44
Quantity: 2 available
Add to basketItem description from seller
Neuware - Nurse Practitioner Billing and Coding Compliance Manual is a professional reference for nurse practitioners, APRNs, coders, practice managers, compliance officers, auditors, educators, and healthcare leaders who need a practical system for connecting clinical documentation to accurate claims.Written in a clear, authoritative medical-professional voice, this manual explains the billing and compliance issues that affect nurse practitioner services across outpatient, facility, telehealth, specialty, and team-based practice settings. It focuses on the real workflow behind compliant reimbursement: provider identity, medical necessity, CPT and HCPCS coding, ICD-10-CM diagnosis support, E/M service selection, documentation quality, modifiers, payer rules, audit defense, denials, appeals, and revenue integrity.Inside, readers will find structured guidance on: - Nurse practitioner billing foundations and compliance governance- Scope of practice, enrollment, credentialing, and provider identity- Documentation standards and medical necessity support- E/M coding logic for NP encounters- Diagnosis coding and risk-adjustment integrity- CPT, HCPCS, modifiers, and procedure charge capture- Incident-to, split/shared, collaborative care, and supervision issues- Telehealth, remote monitoring, digital services, and care management billing- Payer contracts, prior authorization, denials, appeals, and payment integrity- Audit defense, false claims risk, corrective action, and re-audit systems- Specialty practice billing scenarios for nurse practitioners- Building a sustainable NP compliance programThis manual is designed for practical use. Each chapter helps the reader move from rule awareness to workflow control, with emphasis on claim readiness, documentation evidence, coding support, payer verification, provider identity, audit trails, and corrective action.For nurse practitioners, this book helps clarify how clinical work must be documented to support compliant billing. For coders and billers, it provides a clinical framework for reviewing NP services. For practice leaders and compliance teams, it offers a structured approach to reducing documentation gaps, claim errors, enrollment problems, payer conflicts, audit exposure, and revenue leakage.Whether used for staff training, internal compliance review, coding education, audit preparation, or daily reference, this manual gives healthcare teams a practical language for responsible reimbursement.Professional. Practical. Compliance-focused. Built for modern advanced practice nursing.…
Seller Inventory # 9798184934327
- Title
- NURSE PRACTITIONER BILLING AND CODING COMPLIANCE MANUAL : Documentation, CPT, ICD-10-CM, HCPCS, E/M Services, Medical Necessity, Audit Defense, and Revenue Integrity for Advanced Practice Nursing
- Author
- Charles Blackwell
- Publisher
- Independently Published Jun 2026
- Publication year
- 2026
- Condition
- Neu
- Binding
- Taschenbuch
- Language
- English
- ISBN 13
- 9798184934327
- Item weight
- 719 grams
- Dimensions
- 279x216x17 mm
Nurse Practitioner Billing and Coding Compliance Manual is a professional reference for nurse practitioners, APRNs, coders, practice managers, compliance officers, auditors, educators, and healthcare leaders who need a practical system for connecting clinical documentation to accurate claims.
Written in a clear, authoritative medical-professional voice, this manual explains the billing and compliance issues that affect nurse practitioner services across outpatient, facility, telehealth, specialty, and team-based practice settings. It focuses on the real workflow behind compliant reimbursement: provider identity, medical necessity, CPT and HCPCS coding, ICD-10-CM diagnosis support, E/M service selection, documentation quality, modifiers, payer rules, audit defense, denials, appeals, and revenue integrity.
Inside, readers will find structured guidance on:
• Nurse practitioner billing foundations and compliance governance
• Scope of practice, enrollment, credentialing, and provider identity
• Documentation standards and medical necessity support
• E/M coding logic for NP encounters
• Diagnosis coding and risk-adjustment integrity
• CPT, HCPCS, modifiers, and procedure charge capture
• Incident-to, split/shared, collaborative care, and supervision issues
• Telehealth, remote monitoring, digital services, and care management billing
• Payer contracts, prior authorization, denials, appeals, and payment integrity
• Audit defense, false claims risk, corrective action, and re-audit systems
• Specialty practice billing scenarios for nurse practitioners
• Building a sustainable NP compliance program
This manual is designed for practical use. Each chapter helps the reader move from rule awareness to workflow control, with emphasis on claim readiness, documentation evidence, coding support, payer verification, provider identity, audit trails, and corrective action.
For nurse practitioners, this book helps clarify how clinical work must be documented to support compliant billing. For coders and billers, it provides a clinical framework for reviewing NP services. For practice leaders and compliance teams, it offers a structured approach to reducing documentation gaps, claim errors, enrollment problems, payer conflicts, audit exposure, and revenue leakage.
Whether used for staff training, internal compliance review, coding education, audit preparation, or daily reference, this manual gives healthcare teams a practical language for responsible reimbursement.
Professional. Practical. Compliance-focused. Built for modern advanced practice nursing.
"Synopsis" may belong to another edition of this title.
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