Understanding Hospital Billing And Coding

Author : Debra P. Ferenc
Publisher : Elsevier Health Sciences
Page : 626 pages
File Size : 46,8 Mb
Release : 2013-02-26
Category : Medical
ISBN : 9781455723638

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Understanding Hospital Billing and Coding by Debra P. Ferenc Pdf

A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. UPDATED content reflects the most current industry changes in ICD-10, MR-DRGs, PPS Systems, and the Electronic Health Record. NEW Hospital Introduction chapter includes a department-by-department overview showing how today's hospitals really work NEW Health Care Payers and Reimbursement section follows the workflow of the hospital claim by including successive chapters on payers, prospect payment systems, and accounts receivable management.

Author : Debra P. Ferenc
Publisher : Elsevier Health Sciences
Page : 624 pages
File Size : 42,9 Mb
Release : 2013-12-27
Category : Medical
ISBN : 9780323292269

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Understanding Hospital Billing and Coding - E-Book by Debra P. Ferenc Pdf

A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. UPDATED content reflects the most current industry changes in ICD-10, MR-DRGs, PPS Systems, and the Electronic Health Record. NEW Hospital Introduction chapter includes a department-by-department overview showing how today’s hospitals really work NEW Health Care Payers and Reimbursement section follows the workflow of the hospital claim by including successive chapters on payers, prospect payment systems, and accounts receivable management.

Author : Karen Smiley
Publisher : John Wiley & Sons
Page : 355 pages
File Size : 42,9 Mb
Release : 2019-12-05
Category : Medical
ISBN : 9781119625445

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Medical Billing & Coding For Dummies by Karen Smiley Pdf

The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

Author : Marsha S Diamond
Publisher : Cengage Learning
Page : 0 pages
File Size : 47,8 Mb
Release : 2015-01-23
Category : Business & Economics
ISBN : 1305256700

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Understanding Hospital Coding and Billing: A Worktext by Marsha S Diamond Pdf

Packed with real-world applications, UNDERSTANDING HOSPITAL CODING AND BILLING: A WORKTEXT, 3e offers a comprehensive guide to both hospital billing and coding that helps students learn to create results with greater specificity, and accuracy. Enabling instructors to easily adapt to the postponement of ICD-10-CM and ICD-10-PCS, the new edition provides instruction on the current ICD-9-CM concepts as well as prepares students for ICD-10 guidelines. Features more than 30 case studies with patient record activities for practicing completing the UB-04 billing form Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.

Author : Sandra L. Johnson,Robin Linker
Publisher : Cengage Learning
Page : 0 pages
File Size : 53,6 Mb
Release : 2012-03-02
Category : Nosology
ISBN : 1111318816

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Understanding Medical Coding by Sandra L. Johnson,Robin Linker Pdf

Practical and easy to understand, UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, THIRD EDITION teaches readers everything they need to know about medical coding. Through clear, step-by-step instructions, readers will learn how to code a claim correctly, link the correct CPT and ICD-9-CM codes for reimbursement, understand adjustments as well as how and when to bill patients, and determine what to do if there is a denial or rejection. Coverage has been thoroughly updated to include information on ICD-10-CM and how it compares to ICD-9-CM. CPT coding and modifiers are also discussed, as well as more code-specific information, concentrating on specialty coding and the levels of coding.

Author : Marsha S Diamond
Publisher : Cengage Learning
Page : 0 pages
File Size : 54,6 Mb
Release : 2015-01-23
Category : Business & Economics
ISBN : 1305256700

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Understanding Hospital Coding and Billing: A Worktext by Marsha S Diamond Pdf

Packed with real-world applications, UNDERSTANDING HOSPITAL CODING AND BILLING: A WORKTEXT, 3e offers a comprehensive guide to both hospital billing and coding that helps students learn to create results with greater specificity, and accuracy. Enabling instructors to easily adapt to the postponement of ICD-10-CM and ICD-10-PCS, the new edition provides instruction on the current ICD-9-CM concepts as well as prepares students for ICD-10 guidelines. Features more than 30 case studies with patient record activities for practicing completing the UB-04 billing form Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.

Author : VIRUTI SHIVAN
Publisher : Viruti Satyan Shivan
Page : 803 pages
File Size : 53,5 Mb
Release : 2024-05-03
Category : Medical
ISBN : 8210379456XXX

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Medical Coding and Billing - The Comprehensive Guide by VIRUTI SHIVAN Pdf

Dive into the world of medical coding and billing with "Medical Coding and Billing - The Comprehensive Guide." This essential resource provides a thorough understanding of the crucial role these fields play in healthcare administration. Whether you're a student, a healthcare professional, or simply interested in the administrative side of healthcare, this guide offers comprehensive coverage of the latest coding systems, billing procedures, and regulatory requirements. Written by experts in the field, the book navigates through complex coding systems, including ICD-10, CPT, and HCPCS, ensuring you're up-to-date with current practices. Beyond the codes, it delves into the practical aspects of billing, claims processing, and the nuances of insurance. Essential topics like compliance, ethics, and the impact of coding on revenue cycle management are covered in depth. This guide also addresses the ever-evolving landscape of healthcare legislation, providing insights into how these changes affect medical coding and billing. Furthermore, to ensure a clear focus on content, this book does not include images or illustrations for copyright purposes. Whether you're aiming for certification or looking to enhance your professional skills, "Medical Coding and Billing - The Comprehensive Guide" is your indispensable resource in mastering the intricacies of this vital healthcare industry role.

Author : F. Randy Vogenberg
Publisher : ASHP
Page : 169 pages
File Size : 42,7 Mb
Release : 2006
Category : Business & Economics
ISBN : 9781585281084

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Understanding Pharmacy Reimbursement by F. Randy Vogenberg Pdf

As a health system pharmacist dealing with health care reform initiatives and accountable care organizations, it is important to have a fundamental understanding of health care reimbursement that has a focus on pharmacy. Understanding Pharmacy Reimbursement is the essential resource that allows you to more effectively deal with the rapidly changing and constantly emerging reimbursement issues over the next few years.

Author : Sandra L. Johnson,Robin Linker
Publisher : Mindtap Course List
Page : 0 pages
File Size : 55,9 Mb
Release : 2016-01-20
Category : Business & Economics
ISBN : 1305666151

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Understanding Medical Coding by Sandra L. Johnson,Robin Linker Pdf

Learn everything you need to know about medical coding with the practical and easy to understand UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, 4E. Using clear, step-by-step instructions, you learn how to code a claim correctly and link the correct CPT and ICD-10-CM codes for reimbursement. You gain an understanding of adjustments, how and when to bill patients, and what to do in case of a denial or rejection. Thoroughly updated coverage introduces the industry�s new standard: ICD-10-CM. This edition also details CPT coding and modifiers with more code-specific information and a concentration on specialty coding and levels of coding. Case studies, practice exercises, tips, examples, charts, and photos help improve your performance and ensure that you are well prepared to succeed in a medical coding position in a variety of today�s professional settings.

Author : Susan Magovern
Publisher : Unknown
Page : 426 pages
File Size : 48,6 Mb
Release : 2009
Category : Health insurance claims
ISBN : 1283385988

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Hospital Billing by Susan Magovern Pdf

Author : Susan E. Garrison
Publisher : American Medical Association Press
Page : 0 pages
File Size : 51,5 Mb
Release : 2011-08
Category : Business & Economics
ISBN : 1603593373

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Fundamentals of Coding, Payment, and Documentation by Susan E. Garrison Pdf

"Understanding Coding for the Non-Coder: The Relationship Between Coding, Payment and Documentation and Their Impact in Health Care teaches readers the fundamentals of coding, medical and non-coder insurance and non-coder documentation. This book was formerly titled Fundamentals of Coding, Payment and Documentation."--Amazon.com.

Author : Claudia Birkenshaw
Publisher : AHA Press
Page : 0 pages
File Size : 55,8 Mb
Release : 2007
Category : Health facilities
ISBN : 1556483465

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UB-04 Handbook for Hospital Billing, with Answer Key by Claudia Birkenshaw Pdf

The first textbook that helps HIM professionals and students understand the differences between the UB-04 and the UB-92 and provides a global view of how the billing function should work in conjunction with the coding department. The Handbook provides accurate and timely information about the UB-04 and explains how and why ICD-9, CPT and HCPCS code conventions must be integrated with UB-04, HCFA-1450 and CMS-1450 billing conventions. The book teaches an individual how to complete a facility UB-04 billing form, and contains vignettes that explain the billing office process, its components and reporting nuances. It will help HIM staff understand that coding conventions for billing are as important as ICD-9 coding conventions when sending a claim to an insurance company or payer and ensure that members of other departments (e.g., accounting, admitting, quality management) understand how their indispensable contributions to the revenue cycle must be translated by billers to fit changing UB-04 Form Locator codes.The book contains an overview of basic payment methodologies, plus 65 quizzes that can be used for self-testing, for performance evaluations or classwork assignments. This book will help hospitals and other health care providers maximize claim processing performance and revenue recovery and better manage their revenue cycle process.

Author : Marilyn Burgos,Donya Johnson,Jim Keogh
Publisher : McGraw Hill Professional
Page : 286 pages
File Size : 47,7 Mb
Release : 2015-11-22
Category : Medical
ISBN : 9780071849333

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Medical Billing & Coding Demystified, 2nd Edition by Marilyn Burgos,Donya Johnson,Jim Keogh Pdf

Completely updated to reflect the massive changes to healthcare law! Medical Billing and Coding Demystified clearly explains the practices used by medical offices, hospitals, and healthcare facilities to encode medical services in order to receive payment from government agencies and insurance companies. Like other entries in this bestselling series, this self-teaching guide uses a building-block approach that allows readers to learn at their own pace and test themselves along the way. No previous medical or accounting training or experience is necessary to benefit from Medical Billing and Coding Demystified, and the book can be used as a classroom textbook or as a complement to larger texts. This new edition offers detailed coverage of the sweeping revisions that have taken place in healthcare law, including the transition from ICD9 to ICD10 coding and the Patient Protection and Affordable Healthcare Acts. It also includes an important overview of medical billing software. Includes valuable learning aids such as end-of-chapter quizzes, a final exam, and key points Different from similar books on the market in that it explains basic medical concepts enabling the reader to actually understand the procedures and tests they are billing and coding for

Author : Marilyn Burgos,Donya Johnson,James Keogh
Publisher : McGraw Hill Professional
Page : 261 pages
File Size : 55,5 Mb
Release : 2006-11-21
Category : Medical
ISBN : 9780071472203

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Medical Billing & Coding Demystified by Marilyn Burgos,Donya Johnson,James Keogh Pdf

Clueless? Feel Like a Dummy? Get Demystified! This handy resource clearly explains the principles and practices used by medical offices, hospitals, and health facilities to encode medical services in order to receive payment from government agencies and insurance companies.

Author : Charlotte Akor
Publisher : Unknown
Page : 84 pages
File Size : 42,7 Mb
Release : 2019-02-13
Category : Medical
ISBN : 1644840308

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Medical Coding Decoded by Charlotte Akor Pdf

Being a physician is hard and involves important work that affects many people's lives. As a physician, you deserve to be appropriately compensated for the many hours of effort you put in and the positive impact you have. In order to get maximally compensated, a solid understanding of medical coding and billing is necessary.The world of medical billing and coding is complicated, but Dr. Charlotte Akor lays out everything you need to know in an easy-to-understand manner in Medical Coding Decoded. This book covers the ins and outs of medical decision-making, obtaining medical history, conducting physical exams, . Ttelemedicine, co-pays and deductibles, electronic medical records, modifiers, and documentation are also explained, and more. Every physician should have Medical Coding Decoded in their toolkit in order to help them do their job to the best of their ability and be rewarded accordingly.