Guide to Medical Billing

by Brown, Sharon; Tyler, Lori

• ISBN13: 9780135041376
• ISBN10: 0135041376
• Edition: 3rd
• Format: Paperback
• Copyright: 2011-12-27
• Publisher: Pearson

Summary

This unique textbook/workbook brings together all the theory and practical skills students need to succeed as medical billers. After introducing students to the medical practice, GUIDE TO MEDICAL BILLING, 3/e presents in-depth coverage of every common medical billing procedure and practice used in both medical offices and hospitals. This edition includes extensive new coverage of transitioning to ICD-10-CM from ICD-CM in medical offices, and using the newer UB-04 form in hospitals. Coverage also includes: Current Procedural Terminology (CPT®) coding, stress and time management, CMS-1500 forms and medical procedures, hospital procedures, basic office functions and communications, and much more. To enhance understanding and retention, the text uses proven pedagogical features, including learning objectives, key terms and definitions, critical thinking questions, in-text chapter activities simulating professional practice, and additional end-of-chapter exercises.

Table of Contents

Section I. Medical Practice Administration

1. Introduction to Medical Billing

2. Legal and Ethical Issues of Medical Billing

3. Clinical Records and Medical Documentation

 

Section II. Health Insurance Programs

4. Health Insurance Programs

5. Medicare and Medicaid

6. Workers’ Compensation

7. Managed Care

 

Section III. Finances and Accounting

8. Medical Practice Accounting

 

Section IV. Medical Coding

9. Reference books

10. International Classification of Disease (ICD-9-CM) Coding

11. Transitioning from ICD-9-CM to ICD-10-CM/PCS

12. Coding with ICD-10-CM/PCS

13. Current Procedural Terminology (CPT®) Coding

 

Section V. Medical Billing

14. The CMS-1500 Form and Medical Billing Procedures

15. The UB-04 Form and Hospital Billing Procedures

 

Appendix A. Glossary

Appendix B. Tables and Forms

Index