Nurse Practitioner Billing and Coding Compliance Manual (Paperback)
Language: English
Published by Independently Published, 2026
- Softcover
- New
Seller: CitiRetail, Stevenage, United KingdomCitiRetail
AbeBooks seller since June 29, 2022
Condition: New
£ 107.49
Quantity: 1 available
Add to basketItem description from seller
Paperback. 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. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…
Seller Inventory # 9798184934327
- Title
- Nurse Practitioner Billing and Coding Compliance Manual (Paperback)
- Author
- Charles Blackwell
- Publisher
- Independently Published
- Publication year
- 2026
- Condition
- new
- Binding
- Paperback
- Language
- English
- ISBN 13
- 9798184934327
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.
CitiRetail
Stevenage, United Kingdom
AbeBooks seller since June 29, 2022
Shipping rates from United Kingdom to U.S.A.
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