
Guide to Medical Billing, 3rd edition
- Sharon Brown |
- Lori Tyler |
Title overview
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, it 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-9-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.
Hallmark Features
Combines theory with practice, giving students all they need in a single, up-to-date book. Unique textbook/workbook format brings together all the knowledge and hands-on skills students need to succeed as medical billers and/or coders.
Promotes mastery through a logical learning format. Begins by providing essential context; then walks step-by-step through every job duty medical billers must perform; and provides bulleted concept review summaries at the end of each chapter.
Helps students focus on what’s most important. Begins each chapter with clear, bulleted learning objectives that help students focus on the most pertinent topics, skills, and concepts.
Gives students extensive hands-on practice. Provides in-chapter and end-of-chapter professional practice exercises that enable students to immediately perform real-world billing and coding tasks.
Reinforces understanding of key concepts. Provides up-to-date concept review questions at the end of every chapter, helping students prepare for exams and identify areas where they need further study.
Promotes critical thinking. Provides critical thinking questions within chapters, challenging readers to think more deeply about what they’re learning.
Gives students instant access to definitions of unfamiliar terms. Lists key terms at the beginning of each chapter, and presents them in bold with definitions where they are initially introduced.
Helps students discover productivity shortcuts and avoid common mistakes. Includes insider “Practice Pitfalls” features identifying good ideas, shortcuts, good habits, bad work habits to avoid, outcomes of sloppy work, common mistakes – and how those mistakes can be avoided.
Updated to provide more hands-on workbook features, reflect the transitions to ICD-10-CM and UB-04, and present more online resources.
Improved! Greater emphasis on workbook features—with more hands-on exercises that help students demonstrate essential skills and knowledge
- Gives students all the theory and knowledge they need in a single book
- Helps students successfully transition from ICD-9-CM – a major issue for thousands of medical offices, and for many experienced coders who originally learned the older version
- Prepares students to work with the latest billing form used by hospitals
- Promotes online exploration through web sources students can rely upon
Table of contents
Section I. Medical Practice Administration
1. Introduction to Medical Billing2. Legal and Ethical Issues of Medical Billing
3. Clinical Records and Medical Documentation
Section II. Health Insurance Programs
4. Health Insurance Programs5. Medicare and Medicaid
6. Workers’ Compensation
7. Managed Care
Section III. Finances and Accounting
8. Medical Practice Accounting
Section IV. Medical Coding
9. Reference books10. 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 Procedures15. The UB-04 Form and Hospital Billing Procedures
Appendix A. Glossary
Appendix B. Tables and Forms
Index