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Medical Coding and Billing Fundamentals

Medical Coding and Billing Fundamentals
Author: The Books of Pamex
Publisher:
Total Pages: 0
Release: 2023-03-02
Genre:
ISBN: 9781803621234

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Someone must handle the insurance and patient billing, also known as medical coding, at every medical facility. Doctors or office managers may perform these chores in addition to their primary responsibilities, or they may be delegated to an employee or employees.Since clinical staff needs to focus on patient care, it is common practice to have trained professionals handle the crucial administrative work of coding and billing. Coding and billing services for healthcare transform patient encounters into the vocabulary of claims and compensation. Providers can't get paid for their services without going through the two distinct but interrelated steps of billing and coding. Billing patients and submitting insurance claims requires the use of medical codes. On the other hand, medical coding refers to the process of extracting billable information from a patient's medical record and clinical documentation. The creation of claims is the hub of the healthcare revenue cycle, where medical billing and coding meet. The procedure begins with the patient signing up and concludes when the provider is paid for all services rendered. The time it takes to complete the medical billing and coding cycle varies from a few days to several months, depending on the nature of the services provided, the effectiveness of the organization's claim denial management, and the frequency with which patients are required to pay their bills. Having a well-trained medical billing and coding team can help healthcare companies run more efficiently, allowing doctors and other employees to receive full reimbursement for their high-quality treatment.


Buck's Step-by-Step Medical Coding, 2021 Edition

Buck's Step-by-Step Medical Coding, 2021 Edition
Author: Elsevier
Publisher: Elsevier Health Sciences
Total Pages: 836
Release: 2020-11-08
Genre: Medical
ISBN: 0323777333

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Take your first step toward a successful career in medical coding with guidance from the most trusted name in coding education! The bestselling Buck’s Step-by-Step Medical Coding is a practical, easy-to-use resource that shows you exactly how to code using all current coding sets. To reinforce your understanding, practice exercises follow the explanations of each coding concept. In addition to coverage of reimbursement, ICD-10-CM, CPT, HCPCS, and inpatient coding, an Evolve website includes 30-day access to TruCode® Encoder Essentials. No other book so thoroughly covers all coding sets! Theory and practical review questions (located at the end of each chapter) focus on recalling important chapter information and application of codes. A step-by-step approach makes it easier for students to build coding skills and remember the material. Learning objective and glossary review questions reinforce student understanding of key chapter concepts and terms. 30-day trial to TruCode® Encoder Essentials gives students experience with using an encoder (plus access to additional encoder practice exercises on the Evolve website). UNIQUE! "Real-life" coding reports (cleared of any confidential information) simulate the reports students will encounter as coders, and help them apply coding principles to actual cases. Online activities on Evolve provide extra practice with assignments, including coding reports. More than 450 illustrations help in understanding the types of medical conditions and procedures being coded, and include examples taken directly from Elsevier's professional ICD-10 and HCPCS manuals. UNIQUE! Four coding-question variations — covering both single-code questions and multiple-code questions and scenarios — develop students’ coding ability and critical thinking skills. UNIQUE! Coders’ Index in the back of the book makes it easy to quickly locate specific codes. Official Guidelines for Coding and Reporting boxes show the official guidelines wording for inpatient and outpatient coding alongside in-text explanations. Exercises, Quick Checks, and Toolbox features reinforce coding rules and concepts, and emphasize key information. Valuable tips and advice are offered in features such as From the Trenches, Coding Shots, Stop!, Caution!, Check This Out, and CMS Rules. Sample EHR screenshots (in Appendix D) show examples similar to the electronic health records students will encounter in the workplace. NEW! Coding updates include the latest information available, promoting accurate coding and success on the job. NEW! Coverage of CPT E/M Guidelines changes for Office and Other Outpatient codes.


Medical Terminology & Anatomy for ICD-10 Coding - E-Book

Medical Terminology & Anatomy for ICD-10 Coding - E-Book
Author: Betsy J. Shiland
Publisher: Elsevier Health Sciences
Total Pages: 790
Release: 2014-09-18
Genre: Medical
ISBN: 0323290787

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NEW! Pharmacology in each body system and a Pharmacology Basics appendix help you recognize drugs and medications in medical reports. NEW! More than 50 new images bring terminology to life. NEW! Additional procedural terms supply a more complete picture of the number and kind of procedures you will encounter on medical reports. NEW! Normal Lab Values appendix familiarizes you with normal and abnormal lab values so you know when to search a medical record for possible additional diagnoses. NEW! Tablet and mobile-optimized Evolve activities offer an easily accessible source for extra interactive practice and learning.


Fundamentals of Coding, Payment, and Documentation

Fundamentals of Coding, Payment, and Documentation
Author: Susan E. Garrison
Publisher: American Medical Association Press
Total Pages: 0
Release: 2011-08
Genre: Business & Economics
ISBN: 9781603593373

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"Understanding Coding for the Non-Coder: The Relationship Between Coding, Payment and Documentation and Their Impact in Health Care teaches readers the fundamentals of coding, medical and non-coder insurance and non-coder documentation. This book was formerly titled Fundamentals of Coding, Payment and Documentation."--Amazon.com.


HCPCS Level II Professional

HCPCS Level II Professional
Author:
Publisher:
Total Pages:
Release: 2020-12
Genre:
ISBN: 9781622545551

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Accurately report supplies and services for physician, hospital outpatient, and ASC settings with the Ingenix HCPCS Level II Professional. Use this comprehensive reference for the HCPCS code set that focuses on management of reimbursement. Organized to enhance coding capability without added complexity, this user-friendly book provides coders with a reference to increase efficiency and reduce workload by helping them locate the right code the first time.


Medical Insurance Made Easy - E-Book

Medical Insurance Made Easy - E-Book
Author: Jill Brown
Publisher: Elsevier Health Sciences
Total Pages: 560
Release: 2013-08-07
Genre: Medical
ISBN: 0323277012

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This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.


Loose Leaf for Medical Coding Fundamentals

Loose Leaf for Medical Coding Fundamentals
Author: Susan Goldsmith
Publisher: McGraw-Hill Education
Total Pages: 576
Release: 2012-11-27
Genre: Medical
ISBN: 9780077755133

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Medical Coding Fundamentals provides a fresh approach to medical coding that reflects the way real medical coders succeed in their jobs. An introductory chapter refreshes students on the basics of A&P and medical terminology. Authentic examples clearly illustrate key areas, from the basics of CPT, ICD and HCPCS through complex topics such as modifiers and E/M. In order to train students to become proficient, accurate coders who are well-prepared to take the steps towards coding certification, exercises throughout each chapter and the entire final chapter provide plenty of coding practice, as well as critical thinking to prepare the next generation of coders. Don’t worry about ICD-10, either. Medical Coding Fundamentals tackles the transition head on, providing you with just the right blend of coverage.


Medical Coding and Billing - The Comprehensive Guide

Medical Coding and Billing - The Comprehensive Guide
Author: VIRUTI SHIVAN
Publisher: Viruti Satyan Shivan
Total Pages: 803
Release:
Genre: Medical
ISBN:

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Dive into the world of medical coding and billing with "Medical Coding and Billing - The Comprehensive Guide." This essential resource provides a thorough understanding of the crucial role these fields play in healthcare administration. Whether you're a student, a healthcare professional, or simply interested in the administrative side of healthcare, this guide offers comprehensive coverage of the latest coding systems, billing procedures, and regulatory requirements. Written by experts in the field, the book navigates through complex coding systems, including ICD-10, CPT, and HCPCS, ensuring you're up-to-date with current practices. Beyond the codes, it delves into the practical aspects of billing, claims processing, and the nuances of insurance. Essential topics like compliance, ethics, and the impact of coding on revenue cycle management are covered in depth. This guide also addresses the ever-evolving landscape of healthcare legislation, providing insights into how these changes affect medical coding and billing. Furthermore, to ensure a clear focus on content, this book does not include images or illustrations for copyright purposes. Whether you're aiming for certification or looking to enhance your professional skills, "Medical Coding and Billing - The Comprehensive Guide" is your indispensable resource in mastering the intricacies of this vital healthcare industry role.


Fundamentals of Musculoskeletal Imaging

Fundamentals of Musculoskeletal Imaging
Author: Lynn N. McKinnis
Publisher: F.A. Davis
Total Pages: 1738
Release: 2020-12-18
Genre: Medical
ISBN: 1719645515

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The book that set the standard for the role of correlating imaging findings to clinical findings as part of a comprehensive patient evaluation, more specific treatment plans and better outcomes is back in a New Edition. Here’s everything Physical Therapists need to know about medical imaging. This comprehensive guide helps you develop the skills and knowledge you need to accurately interpret imaging studies and understand written reports. Begin with a basic introduction to radiology; then progress to evaluating radiographs and advanced imaging from head to toe. Imaging for commonly seen traumas and pathologies, as well as case studies prepare you to meet the most common to most complex challenges in clinical and practice.


Business Fundamentals for the Rehabilitation Professional

Business Fundamentals for the Rehabilitation Professional
Author: Tammy Richmond
Publisher: Taylor & Francis
Total Pages: 290
Release: 2024-06-01
Genre: Medical
ISBN: 1040137180

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The world of business is ever changing, with much of the available information becoming quickly out-of-date. Business Fundamentals for the Rehabilitation Professional, Second Edition keeps pace with this changing world and provides the health care professional with the latest information to answer the “what, where, how, and when” questions that come up when transforming a health care practice idea into a successful business. With this updated Second Edition, Tammy Richmond and Dave Powers take the health care professional to the next level of implementing successful business operations by the introduction of applications of management principles, as well as implementation of evidence-based practice guidelines and basics to billing and coding documentation. Business Fundamentals for the Rehabilitation Professional, Second Edition addresses how to identify emerging business opportunities, legal and health care regulatory issues, market research and development, and health care operations. New features in the Second Edition: New Management and Operations checklist An in-depth look at reimbursement, billing, and financial survival Strategic target market promotions Updated templates and tools Review questions Downloadable worksheets available with text purchase Keeping the user-friendly format of a workbook, Business Fundamentals for the Rehabilitation Professional, Second Edition is the perfect resource for master and doctorate level students preparing for the professional world, as well as rehabilitation professionals and entrepreneurs interested in obtaining knowledge in starting up, managing, expanding, or understanding the health care practice system. What will you learn? How to create a vision and mission statement How to develop a business and marketing plan How to manage finances within the scope of the practice What are your local state and federal regulations What are the small business guidelines