Understanding Hospital Coding and Billing: A Worktext, Second Edition, is your complete guide to the world of hospital billing from patient intake through the entire billing process, covering inpatient and outpatient coding and billing. This resource presents concepts in an outline format, with room in the margins to take notes, and practice exercises and case studies to test your knowledge. An appendix of inpatient and outpatient case scenarios is available for use with SimClaim UB-04 practice software for electronic claims completion.

The essential guide for medical billing professionals, updated for ICD-11 standards Medical Billing & Coding For Dummies will set you up for success in getting started as a medical biller and coder. To ensure data accuracy and efficient data processing, medical offices need professionally trained coders to handle records. This book provides prospective allied health professionals with everything they need to know to get started in medical billing and coding as a career. In addition to an introduction to the basics of medical coding, you'll get information on how to find a training course, meet certification requirements, and deal with government agencies and insurance companies. Learn about the standard practices in the medical billing industry and get up to speed on the ethical and legal issues you're likely to face on the job. This accessible guide is a great entry point—and a great refresher—for anyone interested in the medical billing and coding profession. Get a primer on your career options in the field of medical billing Learn coding practices for telehealth, viral outbreaks, and other emerging issues Update your knowledge of the changes between ICD-10 and ICD-11 coding systems Find training programs and explore your options for certification This Dummies guide is an accessible entry point for prospective professionals looking get a jump on their new career, and current professionals intent on staying up-to-date in this flexible and growing field.

With expert guidance and over 400 illustrations and graphics, Understanding Hospital Billing and Coding covers aspects of hospital insurance billing and coding, from patient admission to accounts receivable management and HIPAA. This one-of-a-kind, comprehensive approach prepares students to meet the growing need for hospital billing and coding professionals by transitioning students' knowledge from the physician/outpatient environment to the hospital environment. Students will gain an understanding of various aspects of hospital billing and coding including: the hospital regulatory setting, structure and function of hospital departments, patient accounts and data flow, the billing process, coding, claim forms, reimbursement, accounts receivable management, HIPAA, and much more. Includes over 400 illustrations and graphics to bring important concepts to life. Skills and concepts presented in early chapters are utilized throughout later chapters. Test-your-knowledge exercises reinforce lessons as students move forward in the text. Review exercises at the end of each chapter further reinforce essential information. Actual hospital cases offer students an opportunity to apply the concepts used throughout the chapters to real-life scenarios. A department-by-department overview of hospital structure provides detailed coverage of how hospitals really work. Software exercises drawn from relevant source documents - such as application of registration; Charge Description Master (CDM); and Patient Invoice - simulate a hospital billing and coding environment and provide an alternative method of learning relevant procedures. Comprehensive presentation of the UB-92 includes section-by-section explanations and a thorough introduction to the UB-04 claim form as well as comparison between the CMS-1500 and UB-92. Detailed explanations of HIPAA, hospital coding, and various payer systems help prepare students to enter the field of hospital billing and coding.

Providing extra practice with medical record documentation for coding students and practicing coders, this volume reflects the latest coding information, and the cases have been tailored to the coordinate with Diamond's "Mastering Medical Coding, 3rd Ed.," but can also be used as a stand-alone study guide.