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Test Bank for Understanding Hospital Coding and Billing 3rd Edition by Diamond

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Test Bank for Understanding Hospital Coding and Billing 3rd Edition by Diamond

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Product Details:

  • ISBN-10 ‏ : ‎ 1305256700
  • ISBN-13 ‏ : ‎ 978-1305256705
  • Author:  Marsha S. Diamond

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

 

Table of Content:

  1. Section 1: Hospital Billing and Coding Overview
  2. Ch 1: The Flow of the Hospital Organization
  3. Introduction
  4. Accrediting Bodies and Regulatory Guidelines
  5. The Hospital Revenue Cycle
  6. Understanding the Patient Billing Process
  7. Services Provided in the Facility Setting
  8. Career Opportunities in the Hospital Setting
  9. Conclusion
  10. Ch 2: Hospital Coding Overview
  11. Introduction
  12. Introduction to Facility Coding
  13. ICD-9/10-CM Diagnostic Coding Guidelines
  14. CPT/HCPCS Procedural Coding Guidelines
  15. Review of Appropriate Coding Assignments
  16. Documentation Review
  17. Conclusion
  18. Ch 3: Hospital Billing Overview
  19. Introduction
  20. Admission/Preadmission Process
  21. Capturing Patient Services
  22. Coding and the Health Information Department
  23. Third-Party Payor (Insurance) Billing Process
  24. Billing/Accounts Receivable Processes
  25. Collection and Payment Processes
  26. Compliance Process
  27. Conclusion
  28. Ch 4: UB-04 (CMS-1450) Overview
  29. Introduction
  30. General Overview of the Hospital Billing Form
  31. FL 1-7: Facility/Provider Information
  32. FL 8-17: Patient Information
  33. FL 18-30: Condition Codes
  34. FL 31-37: Occurrence Codes/Dates
  35. FL 38-41: Responsible Party and Value Codes/Amounts
  36. FL 42-49: Revenue Codes/Information
  37. FL 50-65: Third-Party Information (Payer, Insured, Employer)
  38. FL 66-75: Diagnosis/Procedure Codes
  39. FL 76-79: Attending Physician Information
  40. FL 80-81: Remarks Section
  41. Chapter Summary Exercises
  42. Conclusion
  43. Section 2: Inpatient Coding/Billing
  44. Ch 5: Inpatient Coding
  45. ICD-9/10-CM Diagnostic Coding Tools
  46. Inpatient ICD-9/10-CM Diagnostic Coding
  47. Special Inpatient ICD-9/10-CM Coding Considerations
  48. ICD-9/10-CM/PCS Procedural Coding
  49. Conclusion
  50. Ch 6: Inpatient Billing
  51. Methodologies for Inpatient Services
  52. Conclusion
  53. Section 3: Outpatient Coding/Billing
  54. Ch 7: Outpatient Coding
  55. Introduction
  56. Documentation Review for Key Elements
  57. General ICD-9/10-CM Coding Guidelines
  58. ICD-9-CM/ICD-10-PCS Procedure Coding
  59. General Procedure Coding Guidelines (CPT/HCPCS)
  60. CPT Specific Section Guidelines
  61. Conclusion
  62. Ch 8: Outpatient Billing
  63. General Concepts of Outpatient Prospective Payment System (OPPS)
  64. Ambulatory Payment Classifications (APCs)
  65. The Outpatient Billing Process
  66. Other Outpatient Billing Considerations
  67. Conclusion
  68. Appendix I: Revenue Codes for the UB-04 (CMS-1450) Form
  69. Appendix II: Instructions for UB-04 (CMS-1450) Claim Completion
  70. Appendix III: Case Studies
  71. Appendix IV: Outpatient Case Scenarios
  72. Appendix V: ICD-10-CM Chapter Layout with Code Ranges
  73. Appendix VI: ICD-10-PCS Tables and Guidelines
  74. Glossary
  75. Index

 

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