Hospital Billing

by Magovern, Susan; Jurek, Jean

• ISBN13: 9780073520896
• ISBN10: 0073520896
• Edition: 2nd
• Format: Paperback
• Copyright: 2008-02-06
• Publisher: McGraw-Hill Education

Summary

Hospital Billing, Second Edition provides current content with a practical approach. The content addresses the real world of the hospital billing department, integrating the computer skills and procedures needed for daily work. The material also addresses the types of critical thinking, analysis, and synthesis skills demanded by today's employers. The text includes instruction that entry-level hospital billers must understand, including the following: the hospital billing flow; basic coding and payment systems; the data elements required to complete the recently mandated new UB-04 form; the way in which form-completion requirements vary depending on the type of facility; the medical insurance plan, and inpatient/outpatient status; job performance in compliance with HIPAA privacy and best practices regulations; and how computerized systems are used for form completion

Table of Contents

THE HOSPITAL BILLING ENVIRONMENT

Introduction to Hospital Billing

The Hospital Billing Process

Hospital Insurance

Medical Coding Basics

Payment Methods and Billing Compliance

THE UB-04 CLAIM FORM

Overview of the UB-04 Claim Form

Provider Information

Patient Information

Condition Codes

Occurrence Codes/Dates

Value Codes and Amounts

Revenue Codes, Descriptions, and Amounts

Payer, Insured, and Employer Information

Diagnosis and Procedure Codes

Physician Information, Remarks, and Code-Code Field

SIMULATION

The UB-04 Form Filler

Case Studies

UB-04 Form Completion Tables

UB-04 Form Locators

Type of Bill Codes

Occurrence Codes and Dates

Value Codes

Revenue Codes: Numerical Order

Revenue Codes: Alphabetic Order

Comparing the Old and New Claim Forms

A Comparison of the UB-92 and the UB-04

Abbreviations

Glossary

Index

Blank UB-04 Forms

Table of Contents provided by Publisher. All Rights Reserved.