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
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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