Clive Finch (27 results)

Soft cover. Condition: Very Good. 90 pages. Miroslav holub, Grigori Kosintsev, Robert Bresson, Eizabeth Frink, Clive Sinclair, Peter Finch.

Condition: Very Good. Slight crease on spine.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

Taschenbuch. Condition: Neu. Neuware.

Taschenbuch. Condition: Neu. Neuware.

paperback. Condition: Very Good. Very Good. Dust Jacket may NOT BE INCLUDED.CDs may be missing. SHIPS FROM MULTIPLE LOCATIONS. book.

paperback. Condition: Very Good. Very Good. Dust Jacket may NOT BE INCLUDED.CDs may be missing. SHIPS FROM MULTIPLE LOCATIONS. book.

Softcover, staple-bound; 12 pages; very good condition except creases to cover and 2-inch crease to lower right corner of all pages; museum library stamp to first page; no other internal marks.

Stapled Wrappers. Condition: Very Good. First Edition. -1985. Issues 8-12 are side-stapled foolscap & issue 13 is in stapled A5 wraps. Also present are The Association of Little Presses Newsletters for June/July 1982, December 1982 (including both the treasurer (Finch)'s Financial & the secretary (Fencott)'s AGM reports) & January 1984. Issue no.12 contains the extraordinary Arts Council Grant-Aid correspondence between O'Sullivan & Charles Osbourne. Slight signs of use. One rear cover not properly caught by the staples hence loose. Bob Cobbing; Clive Fencott; Colin Simms; David Barton (illustrator).…

Paperback. Condition: Good in wraps. First Edition. 21 x 30cm 12pp good card-covered exhibition catalogue, silver wrappers, gold front and rear end papers, slight curling to corners and some wear. With a short text by Christopher Finch, followed by black and white reproductions of individual sculptures including 'Tom Bruen's Teeth'.…

Paperback. Condition: new. Paperback. A dental claim is never just a code - it's a chain of decisions that starts at check-in and doesn't end until the balance hits zero. This handbook walks that entire chain, from the moment a patient's benefits are verified through submission, denial, and appeal, and gives billers, treatment coordinators, and office managers a working reference for every stage in between. Inside, you'll find plain-language coverage of how dental insurance is actually structured - annual maximums, waiting periods, frequency limits, and the missing tooth clause that catches even experienced staff off guard. A full field-by-field walkthrough of the ADA claim form. A category-by-category breakdown of CDT coding logic that doesn't go stale when the code numbers change every January. And the two chapters most billing books skip entirely: how to write a clinical narrative that actually gets a claim paid, and how to cross-code a dental procedure onto a medical claim when that's where the reimbursement really is. The back half of the book is where the real money gets recovered: denial categories and how to prevent them, appeal letter structure that gets results, accounts receivable aging discipline, fee schedule negotiation, and the HIPAA considerations that touch every claim a practice submits. Eight composite case studies walk through common denial patterns start to finish. A full glossary and an appendix of ready-to-use templates - narrative templates, an appeal letter template, a denial log, an A/R aging tracker - turn the book into something your team can actually put to work on Monday morning. Written for anyone who touches a dental claim: front desk staff verifying eligibility, treatment coordinators presenting cost estimates, billers building narratives and working appeals, and office managers watching the practice's overall financial health. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability. …

Condition: New. Print on Demand.

Paperback. Condition: new. Paperback. Modifier 25 and modifier 59 are audit priority targets year after year. Not because they are complicated - but because the assertion they make to the payer is so often unsupported by the documentation behind it. Every modifier you append to a claim is a legal assertion. That a specific clinical circumstance occurred. That it was documented. That the medical record supports it. When that assertion is accurate, modifiers protect revenue. When it is not, they become the evidence of fraud. This handbook closes that gap. What's Inside: 20 chapters covering every major modifier category - from modifier 25 and the X modifiers through global surgery periods, bilateral procedures, co-surgery, telehealth, anesthesia, and audit defense. A complete A-Z modifier quick-reference covering 50+ CPT and HCPCS modifiers, each with audit risk rating, documentation requirements, and the most important dos and don'ts. Specialty-specific modifier guides for primary care, surgery, radiology, emergency medicine, orthopedics, and behavioral health. The Modifier 25 vs. Modifier 59 field guide with 30 applied clinical billing examples - when each is appropriate, when it is not, and what the documentation must show. A step-by-step NCCI edit navigation framework - how to read the tables, what modifier indicator 0 and 1 mean, and when you can and cannot override bundling. Three documentation templates for the highest-risk modifiers: 25, 22, and 59/XS. A modifier audit defense framework including a step-by-step RAC and MAC audit response guide. Revenue impact analysis showing what modifier errors actually cost at the practice level. 75 key modifier facts. 25 self-test questions with full explanations. Advanced audit scenarios with documentation-present and documentation-absent outcomes. A modifier compliance calendar with annual, quarterly, and monthly tasks. Appendices covering audit checklists, payer-specific modifier reference templates, denial reason code reference, and a complete billing glossary. This is an operational reference for coders, billers, practice managers, compliance officers, and auditors who work with modifiers daily and need a single authoritative source that covers the clinical justification, the documentation standard, the payer rules, and the audit defense framework - all in one place. Not affiliated with or endorsed by the AMA or AAPC. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

Condition: New. Print on Demand.

Paperback. Condition: new. Paperback. Behavioral health practices see denial rates 20 to 30 percent higher than primary care. Not because their patients are sicker. Because the billing system is structurally harder. The carved-out managed behavioral health organization. The MHPAEA parity law that most billing teams have never used to appeal a denial. The time-based CPT codes where a single minute of documentation error downcodes the claim. The telehealth modifier combinations that are different for every payer. The prior authorization requirements that apply to psychotherapy but not to physical therapy - a discrepancy that may be illegal under federal parity law and that almost no one appeals. This handbook is the operational reference for the full behavioral health billing workforce: licensed clinical social workers, licensed marriage and family therapists, licensed mental health counselors, psychologists, psychiatric nurse practitioners, psychiatrists, and the billing teams who support them. What's Inside: 20 chapters covering every major behavioral health billing domain - from provider type Medicare coverage rules through CPT code selection, telehealth billing, prior authorization management, eligibility and MBHO carve-out verification, substance use disorder billing, psychiatric E/M and add-on codes, group practice supervision and incident-to rules, Collaborative Care Model billing, intensive outpatient and partial hospitalization, crisis services, denial management, documentation standards, credentialing, revenue cycle metrics, Medicare Advantage, ICD-10-CM diagnosis coding, and compliance program development. Complete CPT quick-reference for all behavioral health codes - diagnostic evaluation (90791/90792), time-based individual psychotherapy (90832/90834/90837) with exact minute thresholds, psychotherapy add-on codes for psychiatrists (90833/90836/90838), group therapy (90853), family therapy (90846/90847), interactive complexity (90785), and Collaborative Care Model codes (99492-99494). Medicare coverage for LMFTs and licensed mental health counselors - what changed in January 2024, how to enroll, and how to bill. Telehealth billing framework for 2026 - modifier 95, modifier 93, modifier FQ (audio-only), POS 10 vs. POS 02, payer-by-payer modifier matrix, the 2028 in-person visit requirement, and cross-state licensure rules for telehealth. MHPAEA parity appeals - how to identify a Non-Quantitative Treatment Limitation violation, how to cite the 2024 MHPAEA final rule, and how to request the payer's comparative analysis. Includes a complete parity appeal letter template. Prior authorization workflow - the authorization cycle, renewal triggers, medical necessity documentation, step therapy parity analysis, and authorization tracking template. 42 CFR Part 2 - the 2026 amendments (effective February 16, 2026), SUD billing compliance, and the difference between Part 2 and HIPAA for billing purposes. MBHO carve-out eligibility verification - how to identify carved-out behavioral health benefits, credential separately with MBHOs, and prevent the most common source of in-network denial in behavioral health. Case studies, applied billing scenarios, compliance calendar, credentialing checklist, denial reason code reference, and a complete behavioral health billing glossary. This handbook covers what the textbooks skip and the payer policies bury. It is written for practitioners and billing professionals who deal with behavioral health claims every day and need a single accurate reference that reflects how the system actually works in 2026. Not affiliated with or endorsed by CMS or AAPC. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

Paperback. Condition: new. Paperback. The HIPPS code is wrong. The NOA was late. The LUPA just triggered.These are the three most expensive billing failures in home health - and all three are preventable with the right operational framework. For CY 2026, home health agencies face a -4.059% permanent PDGM rate adjustment plus a temporary 5% recoupment reduction. Margins are tighter than they have been since PDGM launched. The agencies that survive this environment are the ones whose billing teams understand PDGM deeply enough to protect every dollar of payment that accurate documentation earns.This handbook is the complete operational reference for home health and hospice billing professionals, revenue cycle directors, agency administrators, and compliance officers navigating the 2026 billing landscape.What's Inside:20 chapters covering the complete home health and hospice billing framework. The Patient-Driven Groupings Model explained from first principles - the five PDGM variables, 12 clinical groupings, HIPPS code generation, and how OASIS accuracy directly determines payment. OASIS-E guide covering which assessment items drive payment, how to score correctly, CASPER submission requirements, and the expanded July 1, 2025 requirement that OASIS is now mandatory for all payers - not just Medicare. The Notice of Admission - the 5-day submission deadline, the $41.26 per day late penalty, common NOA errors, and a same-day submission workflow that eliminates avoidable penalties. LUPA risk management - LUPA thresholds by clinical group, real-time visit tracking, proactive scheduling strategy, and the financial impact of first-period LUPA events. Homebound status documentation - the specific clinical language that survives audit and the generic statements that don't. Diagnosis coding for PDGM - how principal diagnosis selection determines clinical grouping, how comorbidity coding affects payment, and the diagnoses that do not map to PDGM groups. Hospice billing - the four levels of care with 2026 per-diem rates, the hospice election requirements, benefit period structure, recertification, General Inpatient Care documentation, and cap period monitoring. Physician billing for home health and hospice - G0180, G0181, G0182, CPT 99341-99350, and when each applies. Medicare Advantage home health - prior authorization requirements, OASIS for MA patients, network verification, and MA payment rates. The Home Health Value-Based Purchasing program - HHVBP quality measures, OASIS as a HHVBP driver, HHCAHPS, and the 5% payment adjustment. Denial management - ADR response, NOA denials, homebound documentation denials, and hospice denial patterns. Fraud and abuse risk - the most frequently investigated home health and hospice schemes, physician kickback arrangements, and the hospice cap. Four PDGM case studies with calculated financial impact. PDGM compliance audit tool with five sections. NOA and claim submission checklist. LUPA risk management worksheet. Homebound documentation template. PDGM denial reason code reference. Compliance calendar with annual, quarterly, and monthly tasks.This is the operational reference for billing professionals who submit home health and hospice claims every day and need a single accurate source for the PDGM payment system, OASIS documentation requirements, NOA timing rules, hospice per-diem billing, and the 2026 changes that are reshaping the financial landscape for every home health agency in the country.Not affiliated with or endorsed by CMS or NAHC. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

Condition: New. Print on Demand.

Condition: New. Print on Demand.

Paperback. Condition: new. Paperback. Modifier 25 and modifier 59 are audit priority targets year after year. Not because they are complicated - but because the assertion they make to the payer is so often unsupported by the documentation behind it. Every modifier you append to a claim is a legal assertion. That a specific clinical circumstance occurred. That it was documented. That the medical record supports it. When that assertion is accurate, modifiers protect revenue. When it is not, they become the evidence of fraud. This handbook closes that gap. What's Inside: 20 chapters covering every major modifier category - from modifier 25 and the X modifiers through global surgery periods, bilateral procedures, co-surgery, telehealth, anesthesia, and audit defense. A complete A-Z modifier quick-reference covering 50+ CPT and HCPCS modifiers, each with audit risk rating, documentation requirements, and the most important dos and don'ts. Specialty-specific modifier guides for primary care, surgery, radiology, emergency medicine, orthopedics, and behavioral health. The Modifier 25 vs. Modifier 59 field guide with 30 applied clinical billing examples - when each is appropriate, when it is not, and what the documentation must show. A step-by-step NCCI edit navigation framework - how to read the tables, what modifier indicator 0 and 1 mean, and when you can and cannot override bundling. Three documentation templates for the highest-risk modifiers: 25, 22, and 59/XS. A modifier audit defense framework including a step-by-step RAC and MAC audit response guide. Revenue impact analysis showing what modifier errors actually cost at the practice level. 75 key modifier facts. 25 self-test questions with full explanations. Advanced audit scenarios with documentation-present and documentation-absent outcomes. A modifier compliance calendar with annual, quarterly, and monthly tasks. Appendices covering audit checklists, payer-specific modifier reference templates, denial reason code reference, and a complete billing glossary. This is an operational reference for coders, billers, practice managers, compliance officers, and auditors who work with modifiers daily and need a single authoritative source that covers the clinical justification, the documentation standard, the payer rules, and the audit defense framework - all in one place. Not affiliated with or endorsed by the AMA or AAPC. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…

Paperback. Condition: new. Paperback. A dental claim is never just a code - it's a chain of decisions that starts at check-in and doesn't end until the balance hits zero. This handbook walks that entire chain, from the moment a patient's benefits are verified through submission, denial, and appeal, and gives billers, treatment coordinators, and office managers a working reference for every stage in between. Inside, you'll find plain-language coverage of how dental insurance is actually structured - annual maximums, waiting periods, frequency limits, and the missing tooth clause that catches even experienced staff off guard. A full field-by-field walkthrough of the ADA claim form. A category-by-category breakdown of CDT coding logic that doesn't go stale when the code numbers change every January. And the two chapters most billing books skip entirely: how to write a clinical narrative that actually gets a claim paid, and how to cross-code a dental procedure onto a medical claim when that's where the reimbursement really is. The back half of the book is where the real money gets recovered: denial categories and how to prevent them, appeal letter structure that gets results, accounts receivable aging discipline, fee schedule negotiation, and the HIPAA considerations that touch every claim a practice submits. Eight composite case studies walk through common denial patterns start to finish. A full glossary and an appendix of ready-to-use templates - narrative templates, an appeal letter template, a denial log, an A/R aging tracker - turn the book into something your team can actually put to work on Monday morning. Written for anyone who touches a dental claim: front desk staff verifying eligibility, treatment coordinators presenting cost estimates, billers building narratives and working appeals, and office managers watching the practice's overall financial health. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability. …

Paperback. Condition: new. Paperback. The HIPPS code is wrong. The NOA was late. The LUPA just triggered.These are the three most expensive billing failures in home health - and all three are preventable with the right operational framework. For CY 2026, home health agencies face a -4.059% permanent PDGM rate adjustment plus a temporary 5% recoupment reduction. Margins are tighter than they have been since PDGM launched. The agencies that survive this environment are the ones whose billing teams understand PDGM deeply enough to protect every dollar of payment that accurate documentation earns.This handbook is the complete operational reference for home health and hospice billing professionals, revenue cycle directors, agency administrators, and compliance officers navigating the 2026 billing landscape.What's Inside:20 chapters covering the complete home health and hospice billing framework. The Patient-Driven Groupings Model explained from first principles - the five PDGM variables, 12 clinical groupings, HIPPS code generation, and how OASIS accuracy directly determines payment. OASIS-E guide covering which assessment items drive payment, how to score correctly, CASPER submission requirements, and the expanded July 1, 2025 requirement that OASIS is now mandatory for all payers - not just Medicare. The Notice of Admission - the 5-day submission deadline, the $41.26 per day late penalty, common NOA errors, and a same-day submission workflow that eliminates avoidable penalties. LUPA risk management - LUPA thresholds by clinical group, real-time visit tracking, proactive scheduling strategy, and the financial impact of first-period LUPA events. Homebound status documentation - the specific clinical language that survives audit and the generic statements that don't. Diagnosis coding for PDGM - how principal diagnosis selection determines clinical grouping, how comorbidity coding affects payment, and the diagnoses that do not map to PDGM groups. Hospice billing - the four levels of care with 2026 per-diem rates, the hospice election requirements, benefit period structure, recertification, General Inpatient Care documentation, and cap period monitoring. Physician billing for home health and hospice - G0180, G0181, G0182, CPT 99341-99350, and when each applies. Medicare Advantage home health - prior authorization requirements, OASIS for MA patients, network verification, and MA payment rates. The Home Health Value-Based Purchasing program - HHVBP quality measures, OASIS as a HHVBP driver, HHCAHPS, and the 5% payment adjustment. Denial management - ADR response, NOA denials, homebound documentation denials, and hospice denial patterns. Fraud and abuse risk - the most frequently investigated home health and hospice schemes, physician kickback arrangements, and the hospice cap. Four PDGM case studies with calculated financial impact. PDGM compliance audit tool with five sections. NOA and claim submission checklist. LUPA risk management worksheet. Homebound documentation template. PDGM denial reason code reference. Compliance calendar with annual, quarterly, and monthly tasks.This is the operational reference for billing professionals who submit home health and hospice claims every day and need a single accurate source for the PDGM payment system, OASIS documentation requirements, NOA timing rules, hospice per-diem billing, and the 2026 changes that are reshaping the financial landscape for every home health agency in the country.Not affiliated with or endorsed by CMS or NAHC. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…

Paperback. Condition: new. Paperback. Behavioral health practices see denial rates 20 to 30 percent higher than primary care. Not because their patients are sicker. Because the billing system is structurally harder. The carved-out managed behavioral health organization. The MHPAEA parity law that most billing teams have never used to appeal a denial. The time-based CPT codes where a single minute of documentation error downcodes the claim. The telehealth modifier combinations that are different for every payer. The prior authorization requirements that apply to psychotherapy but not to physical therapy - a discrepancy that may be illegal under federal parity law and that almost no one appeals. This handbook is the operational reference for the full behavioral health billing workforce: licensed clinical social workers, licensed marriage and family therapists, licensed mental health counselors, psychologists, psychiatric nurse practitioners, psychiatrists, and the billing teams who support them. What's Inside: 20 chapters covering every major behavioral health billing domain - from provider type Medicare coverage rules through CPT code selection, telehealth billing, prior authorization management, eligibility and MBHO carve-out verification, substance use disorder billing, psychiatric E/M and add-on codes, group practice supervision and incident-to rules, Collaborative Care Model billing, intensive outpatient and partial hospitalization, crisis services, denial management, documentation standards, credentialing, revenue cycle metrics, Medicare Advantage, ICD-10-CM diagnosis coding, and compliance program development. Complete CPT quick-reference for all behavioral health codes - diagnostic evaluation (90791/90792), time-based individual psychotherapy (90832/90834/90837) with exact minute thresholds, psychotherapy add-on codes for psychiatrists (90833/90836/90838), group therapy (90853), family therapy (90846/90847), interactive complexity (90785), and Collaborative Care Model codes (99492-99494). Medicare coverage for LMFTs and licensed mental health counselors - what changed in January 2024, how to enroll, and how to bill. Telehealth billing framework for 2026 - modifier 95, modifier 93, modifier FQ (audio-only), POS 10 vs. POS 02, payer-by-payer modifier matrix, the 2028 in-person visit requirement, and cross-state licensure rules for telehealth. MHPAEA parity appeals - how to identify a Non-Quantitative Treatment Limitation violation, how to cite the 2024 MHPAEA final rule, and how to request the payer's comparative analysis. Includes a complete parity appeal letter template. Prior authorization workflow - the authorization cycle, renewal triggers, medical necessity documentation, step therapy parity analysis, and authorization tracking template. 42 CFR Part 2 - the 2026 amendments (effective February 16, 2026), SUD billing compliance, and the difference between Part 2 and HIPAA for billing purposes. MBHO carve-out eligibility verification - how to identify carved-out behavioral health benefits, credential separately with MBHOs, and prevent the most common source of in-network denial in behavioral health. Case studies, applied billing scenarios, compliance calendar, credentialing checklist, denial reason code reference, and a complete behavioral health billing glossary. This handbook covers what the textbooks skip and the payer policies bury. It is written for practitioners and billing professionals who deal with behavioral health claims every day and need a single accurate reference that reflects how the system actually works in 2026. Not affiliated with or endorsed by CMS or AAPC. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…