Hospital Billing: Completing UB-04 Claims / Edition 2

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Overview

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

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Product Details

  • ISBN-13: 9780073520896
  • Publisher: McGraw-Hill Higher Education
  • Publication date: 2/6/2008
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 448
  • Product dimensions: 8.50 (w) x 10.80 (h) x 0.60 (d)

Table of Contents

PART 1: THE HOSPITAL BILLING ENVIRONMENT Chapter 1: Introduction to Hospital BillingChapter 2: The Hospital Billing ProcessChapter 3: Hospital InsuranceChapter 4: Medical Coding Basics Chapter 5: Payment Methods and Billing CompliancePART 2: THE UB-04 CLAIM FORM Chapter 6: Overview of the UB-04 Claim FormChapter 7: Provider InformationChapter 8: Patient InformationChapter 9: Condition CodesChapter 10: Occurrence Codes/DatesChapter 11: Value Codes and AmountsChapter 12: Revenue Codes, Descriptions, and AmountsChapter 13: Payer, Insured, and Employer InformationChapter 14: Diagnosis and Procedure CodesChapter 15: Physician Information, Remarks, and Code-Code FieldPART 3: SIMULATIONChapter 16: The UB-04 Form FillerChapter 17: Case StudiesAppendix A: UB-04 Form Completion TablesA-1: UB-04 Form LocatorsA-2: Type of Bill CodesA-3: Occurrence Codes and DatesA-4: Value CodesA-5: Revenue Codes: Numerical OrderA-6: Revenue Codes: Alphabetic OrderAppendix B: Comparing the Old and New Claim FormsB-1: A Comparison of the UB-92 and the UB-04AbbreviationsGlossaryIndexAppendix C: Blank UB-04 Forms

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