This is completed downloadable of Test Bank for Understanding Hospital Coding and Billing 3rd Edition by Diamond
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:
- Section 1: Hospital Billing and Coding Overview
- Ch 1: The Flow of the Hospital Organization
- Introduction
- Accrediting Bodies and Regulatory Guidelines
- The Hospital Revenue Cycle
- Understanding the Patient Billing Process
- Services Provided in the Facility Setting
- Career Opportunities in the Hospital Setting
- Conclusion
- Ch 2: Hospital Coding Overview
- Introduction
- Introduction to Facility Coding
- ICD-9/10-CM Diagnostic Coding Guidelines
- CPT/HCPCS Procedural Coding Guidelines
- Review of Appropriate Coding Assignments
- Documentation Review
- Conclusion
- Ch 3: Hospital Billing Overview
- Introduction
- Admission/Preadmission Process
- Capturing Patient Services
- Coding and the Health Information Department
- Third-Party Payor (Insurance) Billing Process
- Billing/Accounts Receivable Processes
- Collection and Payment Processes
- Compliance Process
- Conclusion
- Ch 4: UB-04 (CMS-1450) Overview
- Introduction
- General Overview of the Hospital Billing Form
- FL 1-7: Facility/Provider Information
- FL 8-17: Patient Information
- FL 18-30: Condition Codes
- FL 31-37: Occurrence Codes/Dates
- FL 38-41: Responsible Party and Value Codes/Amounts
- FL 42-49: Revenue Codes/Information
- FL 50-65: Third-Party Information (Payer, Insured, Employer)
- FL 66-75: Diagnosis/Procedure Codes
- FL 76-79: Attending Physician Information
- FL 80-81: Remarks Section
- Chapter Summary Exercises
- Conclusion
- Section 2: Inpatient Coding/Billing
- Ch 5: Inpatient Coding
- ICD-9/10-CM Diagnostic Coding Tools
- Inpatient ICD-9/10-CM Diagnostic Coding
- Special Inpatient ICD-9/10-CM Coding Considerations
- ICD-9/10-CM/PCS Procedural Coding
- Conclusion
- Ch 6: Inpatient Billing
- Methodologies for Inpatient Services
- Conclusion
- Section 3: Outpatient Coding/Billing
- Ch 7: Outpatient Coding
- Introduction
- Documentation Review for Key Elements
- General ICD-9/10-CM Coding Guidelines
- ICD-9-CM/ICD-10-PCS Procedure Coding
- General Procedure Coding Guidelines (CPT/HCPCS)
- CPT Specific Section Guidelines
- Conclusion
- Ch 8: Outpatient Billing
- General Concepts of Outpatient Prospective Payment System (OPPS)
- Ambulatory Payment Classifications (APCs)
- The Outpatient Billing Process
- Other Outpatient Billing Considerations
- Conclusion
- Appendix I: Revenue Codes for the UB-04 (CMS-1450) Form
- Appendix II: Instructions for UB-04 (CMS-1450) Claim Completion
- Appendix III: Case Studies
- Appendix IV: Outpatient Case Scenarios
- Appendix V: ICD-10-CM Chapter Layout with Code Ranges
- Appendix VI: ICD-10-PCS Tables and Guidelines
- Glossary
- Index
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