Understanding Hospital Billing and Coding

By
  • Debra Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS
  • Debra Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS

A comprehensive, approachable guide to hospital insurance billing and coding, Understanding Hospital Billing and Coding, 2nd Edition covers everything hospital billers need to know, from patient admission to accounts receivable management and HIPAA. It builds on your knowledge so that you can make a successful transition from the physician/outpatient environment to the hospital setting. Written by coding expert Debra P. Ferenc, this book covers the hospital regulatory setting, the structure and functions of hospital departments, patient accounts and data flow, the billing process, coding, claim forms, reimbursement, accounts receivable management, HIPAA requirements, and much more.

Paperback, 672 Pages

Published: July 2010

Imprint: Saunders

ISBN: 978-1-4377-2251-2

Contents

    1. Hospital Introduction
    2. Regulatory Environment
    3. Hospital Organizational Structure and Function
    4. Patient Accounts and Data Flow
    5. Billing Process
    6. Accounts Receivable
    7. Diagnosis Coding
    8. Procedural Coding
    9. Coding Guidelines & Applications
    10. Claim Forms
    11. Third-Party Payers
    12. Government Payers
    13. Prospective Payment Systems

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