Title:
Medical billing and coding demystified
Author:
Burgos, Marilyn, author.
ISBN:
9780071849340
Personal Author:
Edition:
Second edition.
Physical Description:
xvi, 286 pages ; 23 cm.
General Note:
Includes index.
Abstract:
Medical Billing and Coding Demystified clearly explains the practices used by medical offices, hospitals, and healthcare facilities to encode medical services in order to receive payment from government agencies and insurance companies. Like other entries in this bestselling series, this self-teaching guide uses a building-block approach that allows readers to learn at their own pace and test themselves along the way. No previous medical or accounting training or experience is necessary to benefit from Medical Billing and Coding Demystified, and the book can be used as a classroom textbook or as a complement to larger texts. --Publisher.
Contents:
1. Introduction to medical billing and coding -- The business of healthcare -- The economics of healthcare -- The money game -- A brief look back at healthcare -- Medical insurance specialist -- 2. Ethical and legal aspects of medical billing -- Insight into medical billing -- Ethics and medical billing -- Legal aspects of medical billing -- Civil Law -- Contracts -- Types of Civil Law -- The feasances -- The four Ds of negligence -- Type of Criminal Law -- Confidentiality -- 3. Medical terminology and procedures -- Secret to understanding medical language -- Mastering medical terminology -- Medical tests, procedures, and treatments -- 4. Medical office procedures -- The healthcare team -- Medical office procedures- - Telephone calls -- The answering service -- Making call on behalf of the medical practice -- Medical records -- 5. Introduction to procedural coding -- Here's how coding works -- Getting paid -- The Healthcare Common Procedure Coding System -- Current procedural terminology -- Inside the CPT manual -- Level II National Codes -- ICD-10-CM -- Hands-on coding -- 6. Introduction to insurance plans -- What is insurance? -- Sharing risk -- How insurers make money - How practitioners make money -- Healthcare financing -- Health insurance premium -- Medical coverage -- Assessing the value of a healthcare policy -- Types of healthcare plans -- Types of indemnity insurance -- Types of managed care plans -- Health savings accounts -- Auto insurance and healthcare -- Disability insurance -- Workers' compensation -- Liability insurance and healthcare -- 7. The insurance claim cycle -- HIPAA claims and paper claims -- Health Insurance Portability and Accounting Act -- 8. Billing and coding errors : how to avoid them -- Penalty for coding errors -- 9. Strategies for handling claim disputes -- The claim adjudication process -- The Medical Review Department -- Remittance advice -- Explanation of benefits -- Handling exceptions -- 10. Medical transportation -- Transporting patients -- Vehicle and crew requirements -- Reasonableness and medical necessity -- Ambulance condition codes -- Basic life support and advanced life support transportation -- Correct condition code -- Transport indicators -- 11. Medical practice -- Medication -- Computerization of patient medical records -- Business of medicine -- 12. Medical billing software programs and systems -- Computerization -- The network connect -- Posting payment -- Patient statement -- 13. Finding employment in the healthcare industry -- Employment prospects -- Healthcare providers -- Insurers and government agencies -- Employers -- Educational requirements -- Skills and responsibilities -- Resume -- Online submission -- Job search -- Interview.
Subject Term: