Key Features

  • 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.

Table of Contents

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

Details

No. of pages:
624
Language:
English
Copyright:
© 2014
Published:
Imprint:
Saunders
eBook ISBN:
9780323292269
eBook ISBN:
9781455723645
eBook ISBN:
9780323431750
Print ISBN:
9781455723638