cover image - Understanding Hospital Billing and Coding,3rd Edition
ISBN: 9781455723638
Page Count: 624
Imprint: Saunders
List Price: $97.95

Understanding Hospital Billing and Coding,3rd Edition

by Debra P. Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS
Paperback
cover image - Understanding Hospital Billing and Coding,3rd Edition
ISBN: 9781455723638
Page Count: 624
Imprint: Saunders
List Price: $97.95
In Stock
This is a Faculty Product!
Any student who attempts to request a review copy will be reported to the school's faculty and administration.
Please note
All review copy requests, upon verification of instructor status, will be fulfilled as a digital version of the product, if available.

A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps students 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. With this text, students will also learn 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.
      • 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

      • Debra P. Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS
      In Stock
      This is a Faculty Product!
      Any student who attempts to request a review copy will be reported to the school's faculty and administration.
      Please note
      All review copy requests, upon verification of instructor status, will be fulfilled as a digital version of the product, if available.