Understanding Hospital Billing and Coding , 3rd Edition

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By Debra P. Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS
ISBN
9781455723638
発行日
26-02-2013
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Paperback
$97.95 $88.16
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  • Over 300 illustrations and graphics bring important concepts to life.
  • Practice hospital cases let you apply concepts to real-life scenarios.
  • A department-by-department overview of hospital structure shows how hospitals really work.
  • Detailed chapter objectives highlight what you are expected to learn.
  • Key terms, acronyms, and abbreviations with definitions are included in each chapter.
  • Key Points boxes reinforce key concepts.
  • Test Your Knowledge exercises reinforce lessons as you progress through the material.
  • Comprehensive presentation of the UB-04 includes section-by-section explanations and a comparison between the CMS-1500 and UB-04.
  • Detailed explanations of HIPAA, hospital coding, and various payer systems prepare you to enter the field of hospital billing and coding.
  • Chapter summaries review key concepts.
  • Review exercises in each chapter reinforce your understanding and improve your retention of important concepts.
  • Exercises on the companion Evolve website simulate a hospital billing and coding environment and provide another method of learning procedures by drawing from source documents - such as application of registration, Charge Description Master (CDM), and the patient invoice.

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.


特徴
  • 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.
その他の情報
ISBN 9781455723638
Author Informaiton By Debra P. Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS
Pp Authortext Ferenc
New to this Edition
      • 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.
      Table of Content

      Section 1: Hospital Overview

      1. Hospital Introduction

      2. Hospital Regulatory Environment

      3. HIPAA

      Section 2: Hospital Billing and Coding Process

      4. Patient Accounts Data Flow

      5. Hospital Billing Process

      Section 3: Coding

      6. ICD-9-CM Diagnosis and Procedure Coding

      7. ICD-10-CM Diagnosis Coding

      8. Procedure Coding (HCPCS and ICD-10-PCS)

      9. Coding Guidelines and Applications (HCPCS and ICD-10-CM/PCS)

      Section 4: Claim Forms

      10. Claim Forms

      Section 5: Health Care Payers and Reimbursement

      11. Payers

      12. Prospective Payment Systems

      13. Accounts Receivable Management

      Section 6: Appendixes

      A: Cases

      B: Claim Form Data

      C: Web Resources

      E-ISBN 9780323292269
      Imprint Saunders
      発行日 26-02-2013
      Pages 600
      trim 276 x 216 (8 1/2 x 10 7/8)
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