Understanding Hospital Coding And Billing A Worktext

Understanding Hospital Coding and Billing: A Worktext, Second Edition, is your complete guide to the world of hospital billing from patient intake through the entire billing process, covering inpatient and outpatient coding and billing. This resource presents concepts in an outline format, with room in the margins to take notes, and practice exercises and case studies to test your knowledge. An appendix of inpatient and outpatient case scenarios is available for use with SimClaim UB-04 practice software for electronic claims completion. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.

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 Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.

This workbook contains coding exercises that reference each section of the CPT-4 and ICD-9-CM coding manuals. Exercises requiring HCPCS Level II codes are also provided. Condition and procedure statements in the exercises reflect the current annual editions of the coding manuals. By completing the exercises, learners will expand their medical vocabulary and increase their coding skills for the physician's office, and will learn to code only what the documentation supports. Also included are the Center for Medicare and Medicaid Services (CMS) guidelines for diagnosis coding and reporting by physicians. Learners need current CPT-4, ICD-9-CM, and HCPCS coding manuals to complete the exercises.

This workbook contains coding exercises that reference each section of the CPT-4 and ICD-9-CM coding manuals. Exercises requiring HCPCS Level II codes are also provided. Condition and procedure statements in the exercises reflect the current annual editions of the coding manuals. By completing the exercises, you will expand your medical vocabulary and increase your coding skills, and will learn to code only what the documentation supports. Also included are the Center for Medicare and Medicaid Services (CMS) guidelines for diagnosis coding and reporting by physicians. You will need current CPT-4, ICD-9-CM, and HCPCS coding manuals to complete the exercises.

Today’s fast-paced and constantly changing health-care environment demands that you find the answers you need quickly and easily. This brand-new approach to billing and coding teaches you the who, what, why, when, and how of proper diagnostic and procedural coding, claim form completion, and medical recordkeeping.

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.

Corresponding to the chapters in Health Insurance Today, 7th Edition, this workbook gives you practice with the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and exercises challenge you to apply your knowledge to real-world situations. This edition expands its focus on case studies and the use of practice management software, adding more opportunities for application in the medical office. Performance-based activities include hands-on, application-based learning exercises that provide practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations, with Stop and Think exercises allowing you to apply critical thinking skills to solve a problem or answer a question. Chapter assessments test your knowledge with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Problem-solving and collaborative (group) activities emphasize the importance of teamwork in the healthcare field. Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Application exercises ask you to apply your knowledge and skills to real-world situations. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform research online. Defining Chapter Terms activities help you review and understand the key terms in each chapter. NEW! Up-to-date information is included on all topics, including key topics like Medicare. NEW and expanded case studies and Internet Exploration activities are added. NEW! Additional performance objectives are included, using practice management software. NEW! Updated charts and forms are included.