9781563377228

Ingenix Coding Lab Medical Billing Basics 2006: Medical Billing Basics

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  • ISBN13:

    9781563377228

  • ISBN10:

    1563377225

  • Format: Paperback
  • Copyright: 2005-12-01
  • Publisher: Ingenix Inc
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Supplemental Materials

What is included with this book?

  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

Summary

This comprehensive entrylevel education module helps beginning and aspiring coders in the office or the classroom. Designed to allow the user to understand and master the basic skills needed to be an effective coder, this module includes a CD containing a student workbook and a teacher?s guide.

Table of Contents

Introduction 1(1)
Welcome to the Career of Medical Coding
1(1)
The Nature of Medical Coding
1(1)
Coding and the Financial Picture
2(1)
Supporting Organizations
3(2)
Opportunities in Coding
5(2)
Medical Terminology
7(58)
Introduction
7(1)
History
7(1)
Spelling
8(1)
Introduction to Human Anatomy
8(4)
Integumentary System
12(2)
Musculoskeletal System
14(8)
Respiratory System
22(5)
Cardiovascular System
27(5)
Lymphatic System
32(3)
Digestive Tract
35(10)
Urinary System
45(6)
Endocrine System
51(3)
Nervous System
54(3)
Eye---Ocular---Auditory
57(4)
Planes
61(1)
Approaches to Medical Terminology
62(2)
Summary
64(1)
Discussion Questions
64(1)
Insurance Basics
65(12)
Introduction
65(1)
History
65(1)
Medicare and Medicaid
65(1)
Health Insurance Today
66(1)
Payer Comparisons
66(4)
The Reimbursement Process
70(1)
Coverage Issues
71(1)
Payment Methodologies
71(1)
Fee Schedules and Relative Values
71(1)
Capitation
72(1)
Inpatient and Ambulatory Systems
72(1)
Claim Submission
73(1)
Common Insurance Terminology
73(1)
Fraud and Abuse Issues
74(1)
Summary
74(1)
Discussion Questions
74(3)
Coding Physician Services and Procedures
77(42)
Introduction
77(1)
CPT History
77(1)
Who Uses CPT Codes?
78(1)
Documentation and the CPT Code Book: Reviewing the Source Document
79(2)
CPT Coding Conventions
81(1)
Guidelines
82(1)
Code Changes
83(1)
Modifiers
83(1)
Modifier Impact on Reimbursement
84(1)
Add-on and Modifier 51 Exempt Codes
85(1)
Unlisted Procedures
86(1)
The CPT Code Book Index
86(1)
The 10 Steps to Basic CPT Coding
87(1)
Evaluation and Management Services
88(1)
E/M Service Guidelines
89(2)
Evaluation and Management Service Levels
91(1)
Selecting a Visit Code
91(1)
New and Established Patient Services
91(1)
SOAP Note
92(5)
Main Categories of the Evaluation and Management Section
97(3)
Anesthesia
100(2)
Surgery
102(3)
Surgery Section Guidelines
105(3)
Ancillary Services
108(1)
Technical and Professional Components
108(2)
Radiology
110(2)
Pathology
112(3)
Medicine
115(1)
Summary
116(1)
Discussion Questions
117(2)
Diagnosis Coding and ICD-9-CM
119(20)
Introduction
119(1)
History
119(1)
ICD-9-CM Diagnosis Coding
120(1)
Organization
121(1)
Coding Guidelines
121(1)
Documentation and Diagnosis Coding
122(1)
ICD-9-CM, Volume 2
122(3)
ICD-9-CM, Volume 1
125(2)
Supplemental Classification: V Codes
127(2)
Appendixes to Volume 1
129(1)
Conventions
130(3)
Assigning Diagnosis Codes
133(3)
Clinical Applications of Coding Guidelines
136(1)
Summary
137(1)
Discussion Questions
137(2)
HCPCS Level II Coding
139(12)
Introduction
139(1)
HCPCS Level I/CPT Coding System
139(1)
HCPCS Level II National Codes
139(1)
The HCPCS National Codes in Detail
140(1)
HCPCS Codes
141(1)
Use of HCPCS
142(1)
How to Use HCPCS
142(1)
Color-Coded Coverage Instructions
142(1)
Modifiers
143(1)
Unlisted HCPCS Codes
144(1)
Practicing the Principles
144(1)
Hospital Outpatient Services
145(1)
Physician Office Services
145(1)
DMEPOS
146(2)
The HCPCS Level II Codes
148(1)
Summary
148(1)
Discussion Questions
149(2)
Medical Coding and Practice Management
151(20)
Introduction
151(1)
Registration
151(1)
Encounter Forms
152(1)
Precertification and Preauthorization
152(1)
Claims Submission and Processing
153(2)
Problem Claims
155(1)
Advance Beneficiary Notice
155(1)
Charge Amounts
156(1)
Physician Reimbursement Methodologies
156(1)
Inpatient Reimbursement Methodologies
157(1)
Diagnosis-Related Group
158(2)
Postpayment Process
160(2)
The Medical Record and Documentation
162(3)
Inpatient Charting
165(3)
Compliance and Legal Considerations
168(1)
Summary
169(1)
Discussion Questions
170(1)
Inpatient Coding
171(20)
Introduction
171(1)
The Coding Process
171(1)
Inpatient Reimbursement Overview
172(1)
New Medical Services and Technologies
172(1)
ICD-9-CM, Volume 3
173(6)
Reviewing the Operative Report
179(1)
Sequencing Procedure Codes
180(2)
Using the Index
182(1)
Using the Tabular Listing
183(3)
Putting ICD-9-CM Procedure Coding to Work
186(2)
Using Software in Code Assignment
188(1)
ICD-10 Coding System: The Possible Future of Coding
188(1)
Summary
189(1)
Discussion Questions
189(2)
Coding for Outpatient Facility Services-APCs and ASCs
191(14)
Introduction
191(1)
Outpatient Services Defined
191(1)
Claims Processing
192(1)
APCs and the Outpatient Prospective Payment System
193(2)
Services Covered in an APC
195(2)
APC Cost Controls
197(2)
Ambulatory Surgery Center
199(1)
Legislation Affecting Reimbursement
200(1)
ASC Payment Groups
201(3)
Summary
204(1)
Discussion Questions
204(1)
Appendix A: Insurance Commissioners 205(4)
Appendix B: Valid Three-Digit ICD-9-CM Codes 209(2)
Appendix C: The Office of Inspector General 2005 Work Plan for Medicare Physicians and Other Health Professionals 211(4)
Glossary 215(24)
Index 239

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