Author: Claudia Birkenshaw
Publisher: AHA Press
ISBN: 9781556483462
Category : Health facilities
Languages : en
Pages : 0
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Book Description
The first textbook that helps HIM professionals and students understand the differences between the UB-04 and the UB-92 and provides a global view of how the billing function should work in conjunction with the coding department. The Handbook provides accurate and timely information about the UB-04 and explains how and why ICD-9, CPT and HCPCS code conventions must be integrated with UB-04, HCFA-1450 and CMS-1450 billing conventions. The book teaches an individual how to complete a facility UB-04 billing form, and contains vignettes that explain the billing office process, its components and reporting nuances. It will help HIM staff understand that coding conventions for billing are as important as ICD-9 coding conventions when sending a claim to an insurance company or payer and ensure that members of other departments (e.g., accounting, admitting, quality management) understand how their indispensable contributions to the revenue cycle must be translated by billers to fit changing UB-04 Form Locator codes.The book contains an overview of basic payment methodologies, plus 65 quizzes that can be used for self-testing, for performance evaluations or classwork assignments. This book will help hospitals and other health care providers maximize claim processing performance and revenue recovery and better manage their revenue cycle process.
Author: Claudia Birkenshaw
Publisher: AHA Press
ISBN: 9781556483653
Category : Business & Economics
Languages : en
Pages : 456
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Book Description
Author: Claudia Birkenshaw
Publisher: AHA Press
ISBN: 9781556483479
Category : Health facilities
Languages : en
Pages : 0
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Book Description
The first textbook that explains the differences between the UB-04 and the UB-92 and provides a global view of how the billing function should work in conjunction with the coding department.It helps health care providers maximize claim processing performance and revenue recovery and better manage their revenue cycle process. It provides accurate information about the UB-04 and explains how and why ICD-9, CPT and HCPCS code conventions must be integrated with UB-04, HCFA-1450 and CMS-1450 billing conventions. It teaches an individual how to complete a facility UB-04 billing form, and contains vignettes that explain the billing office process, its components and reporting nuances. It helps HIM staff understand that billing coding conventions are as important as ICD-9 coding conventions when sending a claim to a payer and ensures that members of accounting, admitting, and quality management departments understand how their contributions to the revenue cycle must be translated by billers. Contains an overview of basic payment methodologies, plus 65 quizzes without answers.
Author: Claudia Birkenshaw
Publisher:
ISBN: 9781556483622
Category : Medical
Languages : en
Pages : 0
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Book Description
Provides critical UB-04 training and serves as a reference for coders, billers, auditors, and accounting staff who have the responsibility for preparing and reviewing accurate documents for claims submission. The Handbook can reduce revenue loss and speed up claims processing to payers by increasing the level of knowledge between coders, billers and everyone else involved in the revenue cycle. It teaches individuals how to complete a facility UB-04 billing form, and contains vignettes that explain the billing office process, its components and reporting nuances. Readers who follow the identified steps can significantly reduce the data rework on print and electronic form submissions and increase the speed and acceptance of claims. Hospitals and other care providers can maximize claim processing performance and revenue recovery and improve their revenue cycle.
Author: Susan Magovern
Publisher:
ISBN: 9781283385985
Category : Health insurance claims
Languages : en
Pages : 426
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Book Description
Author: Susan Magovern
Publisher:
ISBN: 9781259330865
Category :
Languages : en
Pages :
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Book Description
Author: Claudia Birkenshaw
Publisher: American Hospital Association
ISBN: 9781556483233
Category : Health facilities
Languages : en
Pages : 0
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Book Description
To help billing professionals understand and comply with the UB-92 billing form requirements, this handbook shows readers how to complete coding in Form Locator boxes, how to comprehend the numerous coding choices available, and how to correctly decipher options. This edition without answers is ideal for classroom use.
Author: Debra P. Ferenc
Publisher: Elsevier Health Sciences
ISBN: 1455723630
Category : Medical
Languages : en
Pages : 626
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Book Description
A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.
Author: Claudia Birkenshaw
Publisher: American Hospital Association
ISBN: 9781556483226
Category : Health facilities
Languages : en
Pages : 0
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Book Description
This reference and training tool for efficient billing operations in health care facilities features 69 skill exercises for proficiency in using UB-92 forms. Includes the answers to exercises.
Author: Marilyn Fordney
Publisher: Elsevier Health Sciences
ISBN: 0323316328
Category :
Languages : en
Pages : 656
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Book Description
Stay up on the latest in insurance billing and coding with Marilyn Fordney’s Insurance Handbook for the Medical Office, 14th Edition. Trusted for more than 30 years, this market-leading handbook equips you to succeed as medical insurance specialist in any of today’s outpatient settings. Coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that assist you in accurately filling out claim forms. This new edition also features expanded coverage of ICD-10, electronic medical records, electronic claims submission, and the HIPAA 5010 — keeping you one step ahead of the latest practices and protocols of the profession. Key terms are defined and emphasized throughout the text to reinforce understanding of new concepts and terminology. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout the text highlights important HIPAA compliance issues to ensure readers are compliant with the latest regulations. Emphasis on the business of running a medical office and the importance of the medical insurance specialist details the importance of the medical insurance specialist in the business of the medical office. Increased focus on electronic filing/claims submission prepares readers for the industry-wide transition to electronic claims submission. Separate chapter on documentation in the medical office covers the principles of medical documentation and the rationales for it. Service to Patient features in most chapters offer examples of good customer service. User resources on the Evolve companion website feature performance checklists, self-assessment quizzes, the Student Software Challenge (with cases on different payer types and an interactive CMS-1500 (02-12) form to fill in). NEW! Expanded coverage of ICD-10 prepares users to code ICD-10 with the planned effective date of October 2015. NEW! Added information on the electronic medical record and electronic claims submission — including information on the HIPAA 5010 — equips users for the transition between paper and electronic methods of medical records and links the CMS-1500 (02-12) form to the electronic submissions process. NEW! SimChart for the Medical Office (SCMO) application activities on the companion Evolve website adds additional functionality to the insurance module on the SCMO roadmap.
