cover image - Understanding Hospital Billing and Coding - Elsevier eBook on VitalSource, 3rd Edition
ISBN: 9781455723645
Copyright: 2014
Publication Date: 02-14-2013
Page Count: 624
Imprint: Saunders
List Price: $84.99

Understanding Hospital Billing and Coding - Elsevier eBook on VitalSource, 3rd Edition

by Debra P. Ferenc, BS, CPC, CPC-I, CPC-H, CMSCS, PCS, FCS

Elsevier eBook on VitalSource

cover image - Understanding Hospital Billing and Coding - Elsevier eBook on VitalSource, 3rd Edition
ISBN: 9781455723645
Copyright: 2014
Publication Date: 02-14-2013
Page Count: 624
Imprint: Saunders
List Price: $84.99
Most review copies are eBooks – how fast!
A review copy request is most likely to be fulfilled as an eBook on VitalSource rather than a print product, unless no eBook is available. eBooks become available in as little as a few hours. Print products will take between 7 and 10 days to arrive. To request a print copy, please contact us through the Evolve Support Center for further assistance or contact your Education Solutions Consultant.
An Access Code
Important note
This is a Faculty Product!
Any student who attempts to request a review copy will be reported to the school's faculty and administration.

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.

      • 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.
      • UB-04 Claim Simulation on the companion Evolve website lets students 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 students 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 students progress through the material.
      • Chapter summaries review key concepts.
      • Practice hospital cases let students 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.
    • 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
    Most review copies are eBooks – how fast!
    A review copy request is most likely to be fulfilled as an eBook on VitalSource rather than a print product, unless no eBook is available. eBooks become available in as little as a few hours. Print products will take between 7 and 10 days to arrive. To request a print copy, please contact us through the Evolve Support Center for further assistance or contact your Education Solutions Consultant.
    An Access Code
    Important note
    This is a Faculty Product!
    Any student who attempts to request a review copy will be reported to the school's faculty and administration.